CHAPTER 6 continuation

Question 1

TYPES OF ORGANIZATIONAL STRUCTURE:

L,F,S,F

Answer 1

LINE organization
STAFF organization
FLAT organization
FUNCTIONAL organization

Question 2

1. 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 2

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”

Question 3

2. 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 3

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

Question 4

3. 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 4

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.

Question 5

4. 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 5

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.

Question 6

Organizational Relationship

1. What do uninterrupted lines between units on an organizational chart represent?
   a. Formal relations
   b. Informal relations
   c. Broken lines
   d. Staffing decisions

Answer 6

Answer: a. Formal relations

Rationale: Uninterrupted lines on an organizational chart represent formal relationships, showing the reporting structure within the organization.

Question 7

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 7

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.

Question 8

3. What does an organizational chart depict?
   a. Power relationships
   b. Staffing decisions
   c. Linkages within an organization
   d. Unit autonomy

Answer 8

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.

Question 9

Staffing

1. 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 9

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.

Question 10

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 10

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.

Question 11

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

Answer 11

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.

Question 12

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 12

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.

Question 13

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 13

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.

Question 14

Nursing Care Modalities

1. 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 14

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

Question 15

Nursing Care Modalities

2. 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 15

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

Question 16

Nursing Care Modalities

3. 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 16

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.

Question 17

Nursing Care Modalities

4. 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 17

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.

Question 18

Nursing Care Modalities

5. 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 18

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.

Question 19

what are the 4 PATIENT CLASSIFICATION SYSTEM?

S,I,T,I

Answer 19

SELF CARE/MINIMAL CARE PATIENTS

INTERMEDIATE/MODERATE CARE

TOTAL CARE PATIENTS

INTENSIVE CARE UNITS

Question 20

1. 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 20

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

Question 21

2. 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 21

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

Question 22

3. 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 22

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

Question 23

4. 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 23

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

Question 24

Placement of Staff and Scheduling

1. 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 24

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.

Question 25

2. 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 25

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.

Question 26

3. 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 26

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.

Question 27

7 Factors to consider in making a schedule:

Answer 27

1. Different levels of nursing staff
2. Adequate coverage for 24hrs., 7days a week
3. Staggered vacations and holidays
4. Weekends
5. Long stretches of consecutive working days
6. Evening and night shifts
7. Floating

Question 28

4. 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 28

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.

Question 29

5. 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 29

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

Question 30

6. 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 30

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