Healthcare Financial Management
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Questions and Answers

What is a key element in making discipline fair and growth-producing, according to McGregor’s Hot Stove Rule?

  • Frequent rule changes
  • Public humiliation
  • Forewarning (correct)
  • High penalties for mistakes

    • Which of the following is a characteristic of destructive discipline?

  • Use of threats and fear (correct)
  • Encourages individual growth
  • Administered fairly
  • Focuses on employee support

    • How should rules and regulations be handled in an organization?

  • They should be regularly reviewed for relevance. (correct)
  • They should be flexible and not reviewed.
  • They should only exist if they are exhaustive.
  • They should rarely be enforced.

    • What is one major aspect of problem-solving within decision-making?

    <p>Systemic analysis of a situation</p> Signup and view all the answers

    Which of the following describes self-discipline in an organizational context?

    <p>Encourages personal responsibility and initiative</p> Signup and view all the answers

    What should be done when an employee is suspected of chemical impairment?

    <p>Immediate confrontation by the manager is necessary.</p> Signup and view all the answers

    What is the primary focus of effective time management?

    <p>Making optimal use of available time</p> Signup and view all the answers

    What distinguishes training from education?

    <p>Training is structured for immediate application.</p> Signup and view all the answers

    What is a common outcome when rule violations go unpunished within a group?

    <p>Adjustment to low-level performance begins</p> Signup and view all the answers

    What type of negligence involves a failure of a trained professional to act reasonably?

    <p>Professional negligence</p> Signup and view all the answers

    What is essential for effective organizational communication?

    <p>Clear, simple, and precise messages</p> Signup and view all the answers

    Which is NOT a component of progressive discipline?

    <p>Public shaming</p> Signup and view all the answers

    Which of the following chemicals is most frequently abused by nurses?

    <p>Alcohol</p> Signup and view all the answers

    What aspect is vital for building an atmosphere of self-discipline?

    <p>Mutual trust among employees</p> Signup and view all the answers

    What is the primary objective of fiscal planning in nursing management?

    <p>To optimize resource use for organizational goals</p> Signup and view all the answers

    Which of the following best describes cost containment in healthcare?

    <p>Efficient service delivery while ensuring revenue generation</p> Signup and view all the answers

    Which of the following is a common criticism of Health Maintenance Organizations (HMOs)?

    <p>Longer wait times for care</p> Signup and view all the answers

    In Maslow's Hierarchy of Needs, what must occur before an individual seeks self-actualization?

    <p>Satisfaction of basic survival needs</p> Signup and view all the answers

    Herzberg's motivators do NOT include which of the following?

    <p>Salary</p> Signup and view all the answers

    What is the main concept of Vroom's Expectancy Theory?

    <p>Individual expectations influence behavior and performance</p> Signup and view all the answers

    Which management theory suggests that employees should be stretched beyond their capabilities?

    <p>Saul Gellerman's Theory of Stretching</p> Signup and view all the answers

    Which of the following represents a 'Theory Y' perspective on employee motivation?

    <p>Employees seek responsibility and enjoy work</p> Signup and view all the answers

    What is one common pitfall affecting performance appraisals?

    <p>Central tendency in employee assessment</p> Signup and view all the answers

    What should appraisal criteria NOT include to ensure effective performance assessment?

    <p>Recent issues weighing heavily</p> Signup and view all the answers

    Which appraisal tool directly rates performance against a set of job behaviors?

    <p>Checklists</p> Signup and view all the answers

    What is a key factor that influences the attitude and productivity of employees?

    <p>Manager's attitude and energy level</p> Signup and view all the answers

    Which of the following represents the fourth phase of the management process?

    <p>Doing</p> Signup and view all the answers

    When implementing effective feedback, what should managers ensure?

    <p>Day-to-day feedback is provided regularly</p> Signup and view all the answers

    What is the main intent behind establishing rules and regulations within an organization?

    <p>To define a clear course of action and maintain standards</p> Signup and view all the answers

    In the context of the Hot Stove Rule, which factor is critical for effective discipline?

    <p>Consistency in enforcing rules</p> Signup and view all the answers

    Which of the following best describes self-discipline in a workplace environment?

    <p>Employees taking ownership of their behavior and performance</p> Signup and view all the answers

    What should be the primary focus in confronting a chemically impaired employee?

    <p>Gathering evidence and ensuring prompt confrontation</p> Signup and view all the answers

    How can an organization prevent the demoralization of staff amid understaffing issues?

    <p>Making decisions that comply with labor laws and policies</p> Signup and view all the answers

    Which element is NOT a characteristic of progressive discipline?

    <p>Immediate termination for minor infractions</p> Signup and view all the answers

    Which communication strategy enhances understanding in an organization?

    <p>Employing multiple communication methods</p> Signup and view all the answers

    What should the manager do if an employee's behavior demonstrates defensive denial upon confrontation about impairment?

    <p>Outline a clear plan for overcoming impairment</p> Signup and view all the answers

    Which best describes the difference between training and education?

    <p>Training is designed for immediate use while education is broader</p> Signup and view all the answers

    How can poor time management impact a healthcare organization?

    <p>It can result in decreased patient satisfaction</p> Signup and view all the answers

    Which factor is crucial for creating an atmosphere of mutual trust in an organization?

    <p>Transparent communication practices</p> Signup and view all the answers

    What is a primary characteristic of professional negligence?

    <p>Failing to act in a reasonable and prudent manner</p> Signup and view all the answers

    What is the primary goal of fiscal planning in nursing management?

    <p>To allocate resources efficiently for organizational goals</p> Signup and view all the answers

    What common issue can result from enforcing minimal rules and regulations in an organization?

    <p>Minimal accountability for actions taken</p> Signup and view all the answers

    Which factor is NOT considered a hygiene factor according to Herzberg's theory?

    <p>Achievement</p> Signup and view all the answers

    Which is an effective strategy to increase self-discipline among employees?

    <p>Encouraging employee identification with organizational goals</p> Signup and view all the answers

    What characteristic is associated with Theory X employees?

    <p>Dislike work and avoid responsibility</p> Signup and view all the answers

    What does Victor Vroom's Expectancy Theory emphasize?

    <p>Expectations of rewards can influence behavior</p> Signup and view all the answers

    Which phase of management is referred to as the 'doing' phase?

    <p>Directing</p> Signup and view all the answers

    Which of the following is a criticism of HMOs?

    <p>Longer wait times for care</p> Signup and view all the answers

    According to Maslow's Hierarchy of Needs, which need must be satisfied first?

    <p>Physiological</p> Signup and view all the answers

    What is the essence of coaching during a performance appraisal?

    <p>To enhance future performance and develop skills</p> Signup and view all the answers

    What is the role of cost containment in healthcare?

    <p>Enhance service delivery and revenue generation</p> Signup and view all the answers

    What is the primary concern regarding moral hazard?

    <p>Overutilization of services due to insurance coverage</p> Signup and view all the answers

    Which appraisal tool evaluates performance using a narrative format?

    <p>Essays</p> Signup and view all the answers

    What is a major pitfall related to performance appraisals?

    <p>Central tendency in evaluation scores</p> Signup and view all the answers

    What is an implication of the recency effect in performance appraisals?

    <p>Recent performance can overshadow the entire evaluation</p> Signup and view all the answers

    What is a basic need identified by David McClelland in his Basic Needs Theory?

    <p>Achievement</p> Signup and view all the answers

    Study Notes

    Fiscal Planning

    • A continuous process involving decisions about using available resources to achieve organizational goals
    • A learned skill that improves with practice
    • An important aspect of planning, often neglected, reflecting the organization's philosophy, goals, and objectives
    • A crucial skill for today's nursing managers in the context of increased emphasis on finance and healthcare
    • Managers must monitor and evaluate all aspects of the unit's budget control

    Cost Containment

    • Effective and efficient delivery of services while generating needed revenues for continued organizational productivity
    • The responsibility of every healthcare professional

    Budget

    • A plan that uses numerical data to predict organizational activities over a period of time
    • The desired outcome is maximal resource use to meet organizational short and long-term needs
    • Criticizing HMOs can involve discussing loss of existing physician-patient relationships, limited choice of physicians, lower continuity of care, reduced physician autonomy, longer wait times, and consumer confusion about rules.

    Moral Hazard

    • Refers to the tendency of insured patients to utilize more medical services than necessary because insurance covers much of the cost

    Patient Protection and Affordable Care Act

    • Comprehensive insurance reforms phased in over four years

    Management Process - "Doing" Phase

    • AKA directing, coordinating, and activating
    • Includes creating a motivating climate, establishing organizational communication, conflict management, facilitating collaboration, negotiation, and compliance with employment laws.

    McGregor's Theories X and Y

    • Theory X: Employees dislike work, avoid responsibility, and need close supervision/rewards & punishment to be motivated
    • Theory Y: Employees enjoy work, are self-directed, seek responsibility, and can contribute meaningfully to problem-solving

    Maslow's Hierarchy of Needs

    • Self-actualization occurs when an individual maximizes his/her potential.

    Herzberg's Motivators and Hygiene Factors

    • Motivators: achievement, recognition, work, responsibility, advancement, and growth possibilities
    • Hygiene Factors: salary, supervision, job security, working conditions, personal life, and interpersonal relationships. Managers should focus on both aspects to motivate staff.

    Victor Vroom's Expectancy Theory

    • A person's behavior is influenced by their expectations about rewards and their environment.
    • Lack of expected rewards reduces the likelihood of repeating a behavior.

    David McClelland's Basic Needs Theory

    • Achievement, affiliation, and power are primary motivators.

    Saul Gellerman's Theory of "Stretching"

    • Encouraging individuals to periodically take on more challenging tasks

    Appraisal Tools and Processes

    • Recency, Halo, and Horns effects can impact appraisal accuracy
    • Common pitfalls include using a limited data set, overlooking past performance, and allowing personal bias to influence assessments. This leads to ineffective feedback
    • Various appraisal tools exist including trait rating scales, job dimension scales, behavioralally anchored rating scales, checklists (behavior-based), essay and self-appraisal.
    • Management by objectives (MBO) and Peer review are other methods used to assess performance

    Coaching during Performance Appraisals

    • Coaching should be integrated into the appraisal process.
    • Managers should provide feedback and support throughout the process.

    Communication Strategies

    • Leaders should understand organizational structure for effective communication
    • Clear, simple, and precise communication is essential. Multiple communication methods increase the likelihood of successful message transmission

    Types of Negligence.

    • Ordinary Negligence
    • Professional Negligence ("Malpractice")

    Training vs Education

    • Training focuses on specific job skills.
    • Education aims for broader skill development.

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    Related Documents

    Nursing Management PDF

    Description

    This quiz covers essential concepts of fiscal planning, cost containment, and budgeting within healthcare organizations. It aims to assess your understanding of financial management skills crucial for nursing managers navigating today's healthcare environment. Test your knowledge on how to effectively allocate resources and manage organizational finances.

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