CHAPTER 6 continuation Flashcards
TYPES OF ORGANIZATIONAL STRUCTURE:
L,F,S,F
LINE organization
STAFF organization
FLAT organization
FUNCTIONAL organization
- What is a characteristic of Line Organization?
a. Power is concentrated at the bottom of the hierarchy
b. Each position has authority over the lower positions in the hierarchy
c. Authority is evenly distributed across all levels
d. Positions have no defined authority
Answer: b. Each position has authority over the lower positions in the hierarchy
Rationale: In a Line Organization, each position holds authority over the positions lower in the hierarchy, creating a clear chain of command.
“Power are concentrated at the top”
- What is a key feature of Flat Organization?
a. Numerous levels of intervention between management and staff
b. Strict concentration of power at the top
c. Limited or no levels of intervention between management and staff
d. Hierarchical structure with multiple tiers of authority
Answer: c. Limited or no levels of intervention between management and staff
Rationale: Flat organizations have fewer or no levels of intervention between management and staff, allowing for a more direct line of communication
- What describes the role of Staff Organization?
a. Direct authority over line positions
b. Advisory role with no authority to implement recommendations
c. Centralized power at the top
d. Limited scope of authority for specialists
Answer: b. Advisory role with no authority to implement recommendations
Rationale: Staff organizations provide advice and support but do not have the authority to implement recommendations into action.
- What is a characteristic of Functional Organization?
a. Power is evenly distributed across all positions
b. Specialists have unlimited authority over all aspects of the organization
c. Specialists aid line positions within limited and clearly defined scope of authority
d. No division of labor or specialization
Answer: c. Specialists aid line positions within a limited and clearly defined scope of authority
Rationale: Functional organizations allow specialists to provide expertise within specific areas, ensuring a clear division of labor and authority.
Organizational Relationship
- What do uninterrupted lines between units on an organizational chart represent?
a. Formal relations
b. Informal relations
c. Broken lines
d. Staffing decisions
Answer: a. Formal relations
Rationale: Uninterrupted lines on an organizational chart represent formal relationships, showing the reporting structure within the organization.
Organizational Relationship
2. How are power relationships coordinated in informal relations?
a. Uninterrupted lines
b. Broken or dotted lines
c. Centralized staffing
d. Organizational chart
Answer: b. Broken or dotted lines
Rationale: Power relationships in informal relations are coordinated using broken or dotted lines, indicating a less formal and more flexible structure.
- What does an organizational chart depict?
a. Power relationships
b. Staffing decisions
c. Linkages within an organization
d. Unit autonomy
Answer: c. Linkages within an organization
Rationale: An organizational chart is a line drawing that shows how the parts of an organization are linked, illustrating the structure and reporting relationships.
Staffing
- What is staffing in the context of healthcare organizations?
a. Determining and providing the number of patients
b. Assigning competent people to fill roles through recruitment, selection, and development
c. Creating a desired level of patient demand
d. Developing organizational structures
Answer: b. Assigning competent people to fill roles through recruitment, selection, and development
Rationale: Staffing in healthcare involves determining the appropriate number and mix of personnel to meet patient demand and assigning competent individuals through recruitment, selection, and development.
Staffing
2. What factors affect the time requirement of nursing care?
a. Staffing decisions
b. Degree of dependence
c. Broken lines on an organizational chart
d. Centralized staffing
Answer: b. Degree of dependence
Rationale: The time requirement of nursing care is influenced by factors such as the patient’s acuteness of illness and degree of dependence on nursing care.
Staffing
3. In centralized staffing, who makes staffing decisions for all units?
a. Unit managers
b. Central office or computer
c. Frontline staff
d. Patient care assistants
b. Central office or computer
Rationale: In centralized staffing, decisions for all units are made by a central office or computer, promoting consistency and impartiality.
Staffing
4. What is a potential advantage of decentralized staffing?
a. Increased autonomy and flexibility for staff
b. More consistent and impartial policies
c. Time-saving for unit managers
d. Maximum use of human resources organization-wide
Answer: a. Increased autonomy and flexibility for staff
Rationale: Decentralized staffing allows staff to take requests directly to the unit manager, providing increased autonomy and flexibility.
Staffing
5. What is a potential disadvantage of decentralized staffing?
a. Increased risk of unequal or inconsistent treatment of employee requests
b. More cost-effective use of human resources
c. Time-saving for unit managers
d. Enhanced autonomy for unit managers
Answer: a. Increased risk of unequal or inconsistent treatment of employee requests
Rationale: Decentralized staffing may increase the risk of unequal or inconsistent treatment of employee requests as decisions are made at the unit level.
Nursing Care Modalities
- What characterizes Total Care/Case Nursing?
a. Multiple nurses assigned to one patient
b. One nurse assigned to one patient for the entirety of their duty
c. Task-oriented approach
d. Responsibility shared among all nurses on the unit
Answer: b. One nurse assigned to one patient for the entirety of their duty
Rationale: Total Care/Case Nursing involves one nurse being responsible for the total care of a patient during their time on duty, ensuring continuity and personalized care.
e.g. Isolation nurse - Nursing student
Nursing Care Modalities
- What is the focus of Functional Nursing?
a. Mastery of various nursing functions
b. Total care for a small group of clients
c. Task-oriented approach with each nurse assigned specific functions
d. Leadership and support provided by the RN
Answer: c. Task-oriented approach with each nurse assigned specific functions
Rationale: Functional Nursing is task-oriented, with each nurse assigned specific nursing functions, allowing for efficiency and specialization in skills.
e.g.Medication nurse-Charge nurse-Circulating
nurse
Nursing Care Modalities
- What is the key responsibility of a nurse in Primary Nursing?
a. Task-oriented care for specific functions
b. Total care for a small group of clients from admission to discharge
c. Assigning patients and tasks based on job descriptions
d. Providing direct care with the assistance of aides
Answer: b. Total care for a small group of clients from admission to discharge
Rationale: In Primary Nursing, the nurse is responsible for the total care of a small group of clients from admission to discharge, ensuring continuity and personalized care.
Nursing Care Modalities
- What is the role of the team leader in Team Nursing?
a. Providing direct nursing care with the assistance of aides
b. Assigning patients and tasks based on job descriptions
c. Learning and mastering specific nursing functions
d. Providing total care for a small group of clients
Answer: b. Assigning patients and tasks based on job descriptions
Rationale: In Team Nursing, the team leader assigns patients and tasks to team members based on their job descriptions, ensuring a collaborative and organized approach to care.
Nursing Care Modalities
- What is the primary responsibility of the RN in the Modular Method?
a. Providing total care for a small group of clients
b. Assigning patients and tasks based on job descriptions
c. Providing direct nursing care with the assistance of aides
d. Providing leadership, support, and instruction
Answer: d. Providing leadership, support, and instruction
Rationale: In the Modular Method, the RN provides leadership, support, and instruction while receiving assistance from aides in delivering direct nursing care.
what are the 4 PATIENT CLASSIFICATION SYSTEM?
S,I,T,I
SELF CARE/MINIMAL CARE PATIENTS
INTERMEDIATE/MODERATE CARE
TOTAL CARE PATIENTS
INTENSIVE CARE UNITS
- What characterizes Self Care/Minimal Care Patients in the patient classification system?
a. Bedridden and lack strength for daily living activities
b. Capable of carrying out activities of daily living (ADL)
c. Require constant evaluation and adjustment of therapy
d. Critically ill and in constant danger of death
Answer: b. Capable of carrying out activities of daily living (ADL)
Rationale: Self Care/Minimal Care Patients are capable of carrying out activities of daily living and are convalescing, requiring minimal care.
- Require diagnosis studies.
- Minimal therapy.
- Awaiting elective surgery.
- Home environment temporarily makes
discharge
- What defines Intermediate/Moderate Care in the patient classification system?
a. Bedridden and lack strength for daily living activities
b. Recovery from immediate effects of a serious illness/operation
c. Requires constant evaluation and adjustment of therapy
d. Critically ill and in constant danger of death
Answer: b. Recovery from immediate effects of a serious illness/operation
Rationale: Intermediate/Moderate Care patients require “SOME HELP” with special treatments and are recovering from the immediate effects of a serious illness or operation.
e.g.
-Moderately ill
-may be ambulatory for short periods
- What is a characteristic of Total Care Patients in the patient classification system?
a. Ambulatory for short periods, needing assistance
b. Require constant evaluation and adjustment of therapy
c. Bedridden and lack strength for daily living activities
d. Capable of carrying out activities of daily living (ADL)
Answer: c. Bedridden and lack strength for daily living activities
Rationale: Total Care Patients lack the strength and mobility to perform average daily living activities and require the nurse to initiate, supervise, and perform most activities.
-lack strength and mobility to
-Requires nurse to “INITIATE”, supervise
-Requires frequent medications
- What defines patients in Intensive Care Units in the patient classification system?
a. Require some help from nursing staff with special treatments
b. Ambulatory for short periods, needing assistance
c. Critically ill and in constant danger of death or serious injury
d. Capable of carrying out activities of daily living (ADL)
Answer: c. Critically ill and in constant danger of death or serious injury
Rationale: Patients in Intensive Care Units are critically ill
-require a high level of nurse dependency
-being in constant danger of death
-frequent
evaluation with adjustment of therapy
Placement of Staff and Scheduling
- What is a potential outcome of proper staff placement within an organization?
a. Frustration and poor image for the agency
b. Reduced organizational efficiency
c. Maximizes productivity and fosters personal growth
d. Rapid turnover and poor quality of work
Answer: c. Maximizes productivity and fosters personal growth
Rationale: Proper staff placement fosters personal growth, provides a “MOTIVATING” climate, and maximizes “PRODUCTIVITY” , contributing to the achievement of organizational goals.
- What is a consequence of inappropriate staff placement within an organization?
a. Frustration and poor image for the agency
b. Rapid turnover and poor quality of work
c. Maximizes productivity and fosters personal growth
d. Reduced organizational efficiency
Answer: b. Rapid turnover and poor quality of work
Rationale: Inappropriate staff placement may lead to “FRUSTRATION” , reduced organizational efficiency, and
“RAPID TURNOVER”, resulting in poor quality of work and a negative image for the agency.
- What is the purpose of a schedule in nursing personnel management?
a. Foster personal growth
b. Provide a motivating climate
c. Timetable showing planned work days and shifts
d. Enhance the knowledge and training of nursing personnel
Answer: c. Timetable showing planned work days and shifts
Rationale: A schedule is a timetable showing planned work days and shifts for nursing personnel, helping in organizing and managing staff coverage.
7 Factors to consider in making a schedule:
- Different levels of nursing staff
- Adequate coverage for 24hrs., 7days a week
- Staggered vacations and holidays
- Weekends
- Long stretches of consecutive working days
- Evening and night shifts
- Floating
- What is a factor to consider in making a nursing schedule?
a. Consistent scheduling for all nursing staff
b. Adequate coverage for 24hrs, 7days a week
c. Uninterrupted vacation and holidays
d. Fixed working days with no variations
Answer: b. Adequate coverage for 24hrs, 7days a week
Rationale: Adequate coverage for 24hrs, 7days a week is a crucial factor in making a nursing schedule to ensure continuous and effective patient care.
- What is a key assessment criteria for a SCHEDULING SYSTEM?
a. Ability to cover the needs of the shift
b. Consistency in scheduling patterns
c. Limiting flexibility to maintain stability
d. Fostering personal growth of nursing personnel
Answer: a. Ability to cover the needs of the shift
Rationale: The ability to cover the needs of the shift is a critical assessment criteria for a scheduling system, ensuring that staffing levels are appropriate for patient care requirements.
ASSESSING A SCHEDULING SYSTEM
o Ability to cover the needs of the shift.
o Quality to enhance the nursing personnel’s
knowledge, training and experience.
o Fairness to the shift.
o Stability
o Flexibility
- Why is flexibility an important consideration in assessing a SCHEDULING SYSTEM?
a. To limit personal growth opportunities for nursing personnel
b. To foster a motivating climate within the organization
c. To accommodate variations in staffing needs
d. To reduce the quality of work and organizational efficiency
Answer: c. To accommodate variations in staffing needs
Rationale: Flexibility is essential to accommodate variations in staffing needs, allowing the scheduling system to adapt to changes in patient census, unexpected absences, and other factors affecting staffing requirements.
ASSESSING A SCHEDULING SYSTEM
o Ability to cover the needs of the shift.
o Quality to enhance the nursing personnel’s
knowledge, training and experience.
o Fairness to the shift.
o Stability
o Flexibility
