High-Reliability Health-Care + Test Bank Docx Chapter.7

Chapter 7: High-Reliability Health-Care Organizations

MULTIPLE CHOICE

1. A nurse is considering employment at a for-profit health-care organization and realizes what implication for patient care?

1. There are more services available for patients in for-profit agencies.

2. Funds are not always available for every aspect of patient care in for-profit agencies.

3. Patients usually receive better care in for-profit agencies.

4. Public-funded grants are the usual source of revenue at for-profit agencies.

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2. A nurse has plans to work in a rehabilitation facility that specializes in restoration and rehabilitation and knows that the level of care delivered in this facility is

1. primary care.

2. secondary care.

3. urgent care.

4. tertiary care.

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3. A nurse is considering a management position in a health-care facility that utilizes a centralized structure and is aware that what issue related to this type of structure may cause problems for the nurse leader?

1. There are many leaders with whom the nurse manager will have to deal.

2. The structure fosters autonomy at all levels.

3. Communication flows from the bottom to the top.

4. The nurse manager may have to wait long periods for decisions to be made.

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4. Nurse leaders in a decentralized organization are tasked with what assignment related to the nursing staff?

1. Reporting nursing funding requests to the hospital administrator

2. Ensuring that communication flows from hospital administration to nurse leaders to nursing staff

3. Encouraging shared governance among nurse leaders and nursing staff

4. Ensuring that all nursing units remain static

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5. The nurse leader would like to begin strategic planning to assist in developing a road map for caring for an influx of refugees to the area and knows that what needs to be the first step in this planning process?

1. Communicate with nurse leaders in other cities concerning care of refugee populations.

2. Reassure the organization’s administration that specific plans are needed for care of future refugees.

3. Develop strategies to meet the health-care needs of the refugee population.

4. Ensure that the mission, vision, and philosophy of the organization are up to date.

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6. The nurse leaders are working to create an organizational vision statement for nursing and understand that this vision is in direct relation to what document?

1. The philosophy of the nursing staff

2. The organization’s vision statement

3. The nursing unit’s purpose statement

4. The nursing administration strategic plan

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7. Nursing administration is conducting a strengths, weaknesses, opportunities, threats (SWOT) analysis to help determine areas within the nursing organization that need changing. The area is currently dealing with a severe nursing shortage. The nurse leader would place this issue within what category of SWOT?

1. Strength

2. Weakness

3. Opportunity

4. Threat

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8. The nurse administrator prepares to use which planning technique in developing futuristic relevant strategies required by the 2010 Patient Protection and Affordable Care Act?

1. Collaborating

2. Envisioning

3. Strategic foresight

4. Reflecting

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9. Nurses at all levels of an acute care facility are preparing for a Joint Commission accreditation visit and know that accreditation is necessary for what reason? It guarantees

1. that there is a low nurse-to-patient ratio.

2. that the organization has met Medicare certification standards.

3. higher insurance reimbursement.

4. that nurses have the highest level of education possible.

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10. Nursing administration leaders are planning to use the complexity theory because it assists nurses to do what?

1. Balance three areas of tension in nursing leadership roles.

2. Receive protection from bureaucracy against arbitrary organizational decisions.

3. Formulate a mathematical formula to determine what can be accomplished in a specific amount of time.

4. Advocate for the principles of negotiation, conflict resolution, and power sharing.

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MULTIPLE RESPONSE

11. The nurse administrator is aware that knowledge about health-care organizations will enhance the nurses’ abilities to do what? Select all that apply.

1. Increase compliance with health-care regulations

2. Identify opportunities and threats for strategic planning

3. Track patients over time through an array of health services

4. Better integrate health promotion into nursing practice

5. Effectively manage personnel and nursing units

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