Test Bank For Leadership And Nursing Care Management 5th Edition By Diane Huber
Chapter 03: Organizational Climate and Culture
Test Bank
MULTIPLE CHOICE
1. Culture is best defined as (the):
a.
deviation from the majority.
b.
differences in likes and dislikes.
c.
shared beliefs and values.
d.
similar views and opinions.
ANS: C
Culture is described as shared beliefs and values. It provides a common belief system among its members but is not expected to hold similar views and opinions of its members.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 56
TOP:Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Climate is best defined as the:
a.
health and well-being of the structure of a facility.
b.
perceptions that individuals have about an environment.
c.
style in which individuals treat each other.
d.
temperature in the nursing units of an institution.
ANS: B
Climate is defined as the perceptions that individuals have about a particular unit or environment.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 56
TOP:Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A professor at the local college of nursing is teaching at a new clinical site. She notes that the nurses greet each other and their clients with warmth and a smile. She also notes that the policies and procedures encourage nursing autonomy. Nurses and physicians seem to have a collegial relationship. These observations best describe the _____ of the unit.
a.
climate
b.
culture
c.
interactions
d.
operation
ANS: A
Climate is the perception that individuals have about a particular unit or environment.
DIF: Cognitive Level: Apply (Application) REF: Page 56
TOP:Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Characteristics of a Magnet hospital include:
a.
multidisciplinary collaboration.
b.
nursing leader authority.
c.
physician control.
d.
social worker retention.
ANS: A
Characteristics of a Magnet hospital include nursing autonomy, practice control, and collaboration. Nursing support, collaborative partnerships with physicians, and nursing practice are other aspects.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 58
TOP:Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A process used to achieve and internalize knowledge, skills, and behaviors of professional nursing in order to belong and participate is referred to as professional:
a.
actions.
b.
conduct.
c.
ownership.
d.
insight.
ANS: D
Insight can be described as a process used to achieve knowledge, skills, and behaviors of a certain group to belong and participate. Nurses’ insight enables them to better understand behaviors, relationships, norms, change processes, expectations, and communication.
DIF: Cognitive Level: Apply (Application) REF: Page 55
TOP:Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The nursing manager wants to change the culture of the nursing unit. Some of the older nurses are bullying the newer nurses, which seems to be affecting self-confidence in their new nursing roles. Which of the following strategies would be helpful in this endeavor?
a.
Assign mentors to the new nurses.
b.
Determine the roles of each nurse.
c.
Interview each nurse about his or her perspective.
d.
Suspend the bullying nurses for harassment.
ANS: C
Changing the culture requires the following to be done: (1) identify the desired change; (2) assess the current status of the group; (3) create a shared need and group commitment to change; (4) use appropriate communication skills and personal contact to establish open discussion; (5) identify shared values and mission so that the group knows where it is going; (6) determine strategies; and (7) develop an action plan for change. Interviewing each nurse would provide an opportunity for personal contact and attempt to establish open discussion.
DIF: Cognitive Level: Apply (Application) REF: Page 61
TOP:Nursing Process: Nursing Diagnosis
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
7. The nursing manager of a telemetry unit has developed a policy in which all nurses automatically are scheduled to have a day off from work on their birthday unless they request to work on that day. He also gives a small gift to each nurse who becomes certified in his or her specialty area. This manager’s actions are positively affecting the _____ of the unit.
a.
climate
b.
culture
c.
interactions
d.
operation
ANS: B
Key areas under the leader’s control in which culture can be affected are staff recruitment and retention, welcoming new staff, orientation, celebrating and recognizing staff accomplishments, facilitating change, and promoting a learning environment.
DIF: Cognitive Level: Apply (Application) REF: Page 61
TOP:Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. A nurse is interviewing for a position at a prominent hospital in her community. She notes a separate physicians’ dining room, but all other professionals and visitors eat in the same dining area. The physicians have a separate parking area. Nurse practitioners and physician assistants are asked to park in the staff lot. What might these observations suggest?
a.
The mission statement supports collaborative care.
b.
The philosophy of the organization depicts inequality.
c.
The values and actions may not be congruent.
d.
The vision for nursing is defined clearly.
ANS: C
The values drive the way that resources are distributed. In this case, the values of nursing and actions of the organization may not be congruent.
DIF: Cognitive Level: Analyze (Analysis) REF: Page 61
TOP:Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. Patient surveys reveal that patients do not know which caregiver is the registered nurse (RN). A task force consisting of nursing staff is formed to develop a plan to address this issue. Many ideas are discussed to reinforce the role of the professional nurse and to make it easy for patients to recognize the RN, such as changing the dress code. Decisions resulting from this task force will mostly reflect the:
a.
goals.
b.
mission.
c.
subculture.
d.
values.
ANS: C
The culture of the unit or subculture of the institution is evident in policies, unit norms, dress code and appearance, environment, communication, and teamwork.
DIF: Cognitive Level: Apply (Application) REF: Page 61
TOP:Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. Determining the origin of errors with a focus on prevention is known as which of the following?
a.
A civil investigation
b.
A voluntary reporting program
c.
An administrative review
d.
A root cause analysis
ANS: D
To change the culture from “who dunnit?” to an environment that is respectful and open to learning, it is necessary for the climate to change. It is essential to be able to discuss mistakes freely, with the intention of learning from them by doing a root cause analysis.
DIF: Cognitive Level: Apply (Application) REF: Page 60
TOP:Nursing Process: Evaluation
MSC:Client Needs: Physiological Integrity: Reduction of Risk Potential
Reviews
There are no reviews yet.