Examen Final Administracion

1. What determines the functions and priorities of an organization?. a. The organizations policy and procedure statements. b. The organizations budget. c. The organizations mission statement. d. Consumer satisfaction surveys.

2. How is the leadership role and management function associated with operational and strategic planning?. a. Assessing unit resources available for planning. b. Articulating the unit philosophy in writing is unnecessary. c. Developing unit policies and procedures that operationalized unit objectives. d. Encouraging subordinates to be involved in policy formation.

3. Which statement regarding nursing policies and procedures is most important to their successful role in achieving goals?. a. The policies and procedures are created by staff representatives. b. All policies and practices are based on current evidence related to practice. c. Policy or procedure adoption is dependent upon effective utilization of resources. d. 100% of the staff adheres to established policies and procedures 100% of the time.

4. Which represents the management functions that are incorporated into the management process?. a. Organizing, staffing, planning, implementing, and controlling. b. Organizing, planning, staffing, directing, and evaluating. c. Planning, directing, organizing, staffing, and evaluating. d. Planning, organizing, staffing, directing, and controlling.

5. What type of leader is the person who is committed, has a vision, and is able to empower others with this vision?. a. Bureaucratic. b. Transactional. c. Interactional. d. Transformational.

6. Centralized professor teaching is: a. The teacher determines the goals. b. Focus on learning development. c. The learner determines the goals. d.The emphasis is on effective changes and attitudes.

7. The stimulus can be varied: a. Changing the voice tone. b. None is correct. c. Using gestures and the body. d. With silence. e. All are correct.

8. In the theory of total quality management (TQM) according to Demming it is exposed on the quality: a. There is hardly ever an opportunity to improve the product. b. Its improvement is continuous and there is collaboration between employees. c. Dissatisfied customer. d. Little collaboration between employees.

9. Nursing when educating the adult according to andragogy should consider: a. The student is self-directed and the environment is well controlled. b. Present the stimulus or reinforcement and praise the behavior. c. The evaluation is shared and learning is self-directed. d. The teacher organizes the material and relates it to new situations.

10. An explanation of the implications of the nursing budget when caring for patients who develop complications related to hospital stay is: a. The expenses increases because health plans do not cover negligence or malpractice that prolongs the patient's stay. b. It implies that the additional costs for extended stay are paid with the personnel salary. c. It is normal that unexpected situations always occur, so the budget is not affected at all. d. The budget is not affected because expenses are covered with surpluses from previous years.

11. No matter the type of budget used in the institution, it must include: a. Operational expenses exclusively, excluding those related to human resources. b. Personal expenses necessary for employees to attend work, personal licenses and certifications of employees, expenses for personal electronic equipment of employees although they are not necessary for the performance of their duties, among other things. c. General expenses that include the purchase of advanced equipment, although at the moment the institution is not prepared to use them, nor the trained personnel for its use. d. Marginal benefits. wages, contributions to insurance and other employers fees, expenses of the last three years, inventory of equipment and materials, among other things.

12. In humanistic theory the teacher specifies the desired response, which provides for the maximum development of the student. a. True. b. False.

13. The nursing committee is planning a change in the units organization. Which statement reflects the priority expected outcome of these change agents work?. a. The change will lead to improved client care on the unit. b. The nurses will agree with the change and present a united front for its adoption. c. The change will guide nursing practice on the unit. d. The nurses involved will demonstrate management skills.

14. A proposed change in a health care organization is controversial and will require cooperation from all parties involved. Which change strategy should the change agent use?. a. Empirical-reeducative. b. Power-coercive. c. Empirical-rational. d.Normative-reeducative.

15. The nurse manager is facing resistance to change from many staff nurses. Why should the manager work hard to address this resistance?. a. Resistance can negatively impact future client care. b. Resistance allows others to take power from managers. c. Resistance will keep the change from occurring at all. d. Resistance from the late majority can keep others from accepting the change.

16. The hospital organization has developed a philosophy based on the client, organizational involvement, quantitative measurement of outcomes, and processes for improvement. In which quality management process are these characteristics typically seen?. a. Plan, Do, Check, Act (PDCA cycle). b. Continuous quality improvement (CQI). c. Six Sigma. d. Total quality management (TQM).

17. The nurse manager needs to delegate specific tasks to the charge nurse of the unit. Which action is an appropriate use of delegation?. a. Instructing the charge nurse to assume a client team. b. Asking the charge nurse to discipline a nurse on the unit. c. Having the charge nurse lead a nursing quality assurance task force. d. Delegation is the mutual transfer of responsibility and authority that occurs on the basis of competence and trust. e. Evaluating all unlicensed personnel assigned to the unit.

18. Which statement made by the nurse manager is an example of the first step of delegation?. a. I plan to evaluate the outcomes of your work in 6 months. b. I am going to delegate the responsibility of creating the vacation schedule. c. The first step of the process is to identify and define the task that will be delegated. d. I have some additional information that will help you in this task. e. I must choose a person with good time management skills to be the delegate for this task.

19. The nurse manager asks the staff nurse to work a double shift because the census is high. Although the nurse realizes the staffing for the night shift is low, the nurse has already made a family commitment for the same night. This is an example of which concept?. a. Intragroup conflict. b. Interpersonal conflict. c. Intergroup conflict. d. Intrapersonal conflict.

20. The nurse manager presents an issue to the nursing staff for a decision. The group assesses the problem, and a decision is made meeting the needs of both the nurse manager and the nursing staff. This is an example of which conflict management strategy?. a. Consensus. b. Integrative decision making. c. Accommodation. d. Win-lose strategy.

21. The staff nurses and nursing administration are attempting to construct a method of scheduling that meets the needs of both the clients and the nursing personnel. Because nurses and nursing administration have experienced conflict about the issue, their intent is to arrive at an agreeable solution between both parties. Which option does this process best exemplify?. a. Consensus. b. Negotiation. c. Forcing. d. Accommodation.

22. The nurse manager routinely experiences stress related to deadlines for projects. What should be the nurses first action to control this stress?. a. Engage in distraction activities to minimize the stress. b. Set aside a block of time each day for stress reduction. c. Plan activities to minimize time constraints to reduce stress. d. Identify the actual stressor and the precipitating factors. e. The first step of the nursing process is to assess the situation.

23. The nurse manager has decided to work on personal time-management skills. What should this manager do first?. a. Identify essential job activities. b. Set a goal of prioritizing tasks every morning. c. Review patterns of time use. d. Purchase a new notebook system for time management.

24. A nurse manager has identified that a major time waster is the amount of time spent on the telephone each day. Which strategy would help reduce this time?. a. Answer the phone, Hello, how are you?. b. Send all calls to voice mail. c. Use e-mail for potentially troublesome issues. d. Set a specific block of time to return calls. e. The nurse manager should set time aside to handle routine phone calls and to return calls.

25. The nurse manager is writing annual evaluations for each nurse. In order to promote professional development, it is vital for the nurse manager and nurse to become involved in which activity?. a. Limit setting. b. Personal organization. c. Priority setting. d. Goal setting. e. Goal setting helps to relate current behavior, activities, or operations to the organizations or the individuals long-range goals.