ORGANIZING AND DIRECTING

Question 1

In the process of organizing the work of a facility, it is of real importance to assure that \_\_\_.
1. Workers are satisfied
2. Any union preferences are met
3. There is no duplication of work
4. Sufficient managers are appointed
81

Answer 1

There is no duplication of work

Question 2

Organizing is the first step in implementation of a/an \_\_\_.
1. Challenge to the workers
2. Plan
3. Organizational chart
4. Organizational reorganization
82

Answer 2

Plan

Question 3

What the worker does, how the worker does it, what aids are necessary, what is accomplished, and what skills are needed are parts of a \_\_\_.
1. Job family
2. Job review
3. Needs assessment
4. Job analysis
83

Answer 3

Job analysis

Question 4

It can be argued that all nursing facility administrators organize their facility according to \_\_\_.
1. Local requirements
2. The owners' need
3. Some theory of organization
4. The same theory of organization
84

Answer 4

Some theory of organization

Question 5

Viewing organizations as systems has the advantage of offering the manager a framework for visualizing the \_\_\_ of the organization.
1. inputs
2. Outputs
3. Internal and external environment
4. Restraints
85

Answer 5

Internal and external environment

Question 6

An organized or complex whole, an assembling or combining of things or parts forming a complex or single whole, best describes the \_\_\_.
1. Systems concept
2. Organizational theory concept
3. Complexity concept
4. Organizational chart concept
86

Answer 6

Systems concept

Question 7

A primary advantage of systems theory is that it serves as a tool for making sense of the world by making clearer ___.
1. How people interact
2. Interrelationships within and outside the organization
3. Interrelationships among the staff
4. Interactions between staff and residents and their responsible parties
87

Answer 7

Interrelationships within and outside the organization

Question 8

If the outputs of the organization do not meet the administrator's expectation he takes \_\_\_ actions to bring the outputs into line with those planned.
1. Results-oriented
2. Quick
3. Effective
4. Control
88

Answer 8

Control

Question 9

In essence, what nursing facilities do is use money to hire staff and provide materials needed to \_\_\_.
1..Give patient care 
2. Show profitability
3. Achieve conformity to regulations
4. Meet owner requirements
89

Answer 9

Give patient care

Question 10

The patient care that is given by the facility (i.e. the output) \_\_\_.
1. Is usually good
2. Can range from good to unacceptable
3. Achieved cures for the residents
4. Meets federal and state requirements
90

Answer 10

Can range from good to unacceptable

Question 11

Asking if the work accomplished by the facility is up to expected standards and, if not, taking corrective actions is the act of \_\_\_.
1. Taking charge
2. Reviewing results
3. Controlling quality
4. Control of the inputs
91

Answer 11

Controlling quality

Question 12

The administrator uses ___ as the guidelines to compare the output with the expected results.
1. The facility’s policies and plans of action
2. Goals
3. Stated objectives
4. External judgements
92

Answer 12

The facility’s policies and plans of action

Question 13

The passage of the Nursing Home Reform Act of 1987 can be viewed as a form of \_\_\_ the nursing home industry.
1. Oppressive measure imposed on 
2. Object oriented programming goals for
3. External feedback of 
4. Internal feedback of
93

Answer 13

External feedback of

Question 14

The external environment of the nursing facility consists of \_\_\_.
1. Opportunities
2. Available initiatives
3. Constraints
4. Opportunities and constraints
94

Answer 14

Opportunities and constraints

Question 15

If something relates meaningfully to a nursing facility, but is something over which the facility has no control, for example, enforcement of the federal certification requirements, it can be said to be ___.
1. Outside the facility’s environment
2. A constriction to the facility being successful
3. A constraint in the external environment
4. An opportunity
95

Answer 15

A contraint in the external environment

Question 16

Increasing availability of managed care contracts, new niches, and increasing numbers of elderly needing care can be considered to be \_\_\_.
1. Constraints
2. Changes
3. Opportunities
4. Additional requirements
96

Answer 16

Opportunites

Question 17

Systems analysis is most/equally useful to ___.
1. The administrator
2. The Director of Nursing
3. The head of housekeeping
4. The administrator, director of nursing, and head of housekeeping
97

Answer 17

The administrator, director of nursing, and head of housekeeping

Question 18

Typically, the output of the nursing home as a system becomes the input for \_\_\_.
1. Psychiatric hospitals
2. Managed care organizations
3. Health maintenance organizations
4. The hospital or the resident's home
98

Answer 18

The hospital or the resident’s home

Question 19

A nursing home and similar organizations can grow \_\_\_.
1. Within a limited time span
2. Until negative entropy applies
3. Until resources run low
4. Without any time limit
99

Answer 19

Without any time limit

Question 20

The entropy process is considered a universal law of nature that all organisms ___.
1. Can grow indefinitely
2. Move toward death
3. Can expand
4. Can expand as lon as more inputs are available
100

Answer 20

Move toward death

Question 21

A a general characteristic of organizations, it has been argued that, in general, organizations seek to \_\_\_.
1. Grow
2. Maintain their current size
3. Shrink as needed 
4. Be flexible in adapting to change 
101

Answer 21

Grow

Question 22

Once in place, organizations become creatures of habit and develop a tendency to \_\_\_ change. 
1. Embrace
2. Resist
3. Build on
4. Create
102

Answer 22

Resist

Question 23

The most predictable response of a nursing facility experiencing a "disruptive employee" is to \_\_\_.
1. Hold an inservice 
2. Counsel with the employee
3. Let the employee go
4. Contact the EEOC and ask for action
103

Answer 23

Let the employee go

Question 24

When a nursing facility chain goes from being the leader to being behind the pack, this can likely be attributed to ___.
1. Bullheadedness of top management
2. Overconfidence
3. Lack of enthusiasm
4. A deep reservoir of outmoded attitudes and policies
104

Answer 24

A deep reservoir of outmoded attitudes and policies

Question 25

The training received in nursing school, medical school, and physical therapy school tends to \_\_\_.
1. Create resistance to change
2. Encourage innovation
3. Open graduates to change
4.Pocus on niches
105

Answer 25

Create resistance to change

Question 26

The real purpose of systems thinking is to ___.
1. Empower people to introduce organizational change
2. Ensure that the current adjustments remain
3. Tutor employees in how the organization is arranged
4. Achieve conformity to the organizational chart
106

Answer 26

Empower people to introduce organizational change

Question 27

The movement of American medicine from 80% general practitioners in 1870 to 20% general practitioners in the 1990' is an illustration of the tendency of organizations to \_\_\_.
1. Grow increasingly complex
2. Embrace change
3. Reverse their ratios
4. Achieve independence
107

Answer 27

Grow increasingly complex

Question 28

Directing is the process of communicating to employees what is to be done by each of them and \_\_\_.
1. Enforcing the rules
2. Rewriting the rules
3. Helping them to accomplish it
4. Providing active training courses
108

Answer 28

Helping them to accomplish it