Nursing Leadership and Management: Chapter 1 Introduction to Nursing Service Management
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Questions and Answers

Which of the following statements about health service organizations is TRUE?

  • Health service organizations cannot be classified based on any criteria
  • Health service organizations can only be classified by profit motive
  • Health service organizations can only be classified by ownership
  • Health service organizations can be classified by ownership, profit motive, and whether the client is admitted (correct)

    • Which of the following is NOT a characteristic of an open system model for organizations?

  • Processes inputs into outputs
  • Composed of inputs, throughput, and output
  • Closed and self-contained (correct)
  • Interacts with the external environment

    • Which of the following statements is TRUE about hospitals and nursing facilities?

  • They are the only health service organizations engaged in the delivery of health services
  • They are the least common health service organizations engaged in the delivery of health services
  • They have historically been the most common and dominant health service organizations engaged in the delivery of health services (correct)
  • They are not considered health service organizations

    • Which of the following is NOT one of the learning activities listed in the text?

    <p>Briefly discuss the roles of a manager</p> Signup and view all the answers

    Which of the following statements is TRUE about good management in health service organizations?

    <p>All of the above</p> Signup and view all the answers

    What is the primary difference between the levels of managers in health service organizations?

    <p>The degree of authority and the scope of responsibility and organizational activity at each level</p> Signup and view all the answers

    Which of the following is the LEAST important skill for first-line managers in health service organizations?

    <p>Conceptual skills</p> Signup and view all the answers

    Which of the following roles is LEAST associated with middle-level managers in health service organizations?

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

    Which of the following is the LEAST important responsibility for top-level managers in health service organizations?

    <p>Accountable to superiors for results</p> Signup and view all the answers

    Which of the following is the LEAST common type of health service organization engaged in the delivery of health services?

    <p>Outpatient clinics</p> Signup and view all the answers

    Which of the following skills is LEAST emphasized by middle-level managers in health service organizations?

    <p>Technical skills</p> Signup and view all the answers

    Which of the following roles is LEAST associated with first-line managers in health service organizations?

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

    Which of the following is the LEAST important responsibility for first-line managers in health service organizations?

    <p>Engaging in planning and problem-solving</p> Signup and view all the answers

    What is the primary responsibility of managers according to the text?

    <p>To combine and use organizational resources to achieve the organization's objectives</p> Signup and view all the answers

    What does the text suggest is essential for modern society to exist and improve its status?

    <p>A steady stream of managers to guide organizations</p> Signup and view all the answers

    What is the primary function of management in organizations?

    <p>To guide organizations towards goal accomplishment</p> Signup and view all the answers

    Which of the following best describes the relationship between managers and organizational goals according to the text?

    <p>Managers have the responsibility for combining and using organizational resources to achieve the organization's objectives</p> Signup and view all the answers

    What does the text suggest is the primary purpose of management in organizations?

    <p>To guide organizations towards goal accomplishment</p> Signup and view all the answers

    Which of the following is the primary objective of the role of nursing service administration?

    <p>To provide continuous individual, group and community service</p> Signup and view all the answers

    What is the key distinction between leadership and management, as described in the text?

    <p>Leadership is based on authority, while management is based on influence and shared meaning.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of nursing service administration?

    <p>It is solely focused on the professional activities of administration, such as human relations and communications.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a nursing service manager, according to the text?

    <p>They are solely focused on achieving predetermined organizational objectives.</p> Signup and view all the answers

    Which of the following is NOT a key aspect of the definition of management?

    <p>The art of getting things done through people.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of nursing service administration, as described in the text?

    <p>It is solely focused on the provision of nursing care to clients.</p> Signup and view all the answers

    What components make up the climate of an organization?

    <p>Respect and competence</p> Signup and view all the answers

    How does organizational climate differ from organizational culture?

    <p>Climate can change rapidly, while culture changes slowly.</p> Signup and view all the answers

    What role do official policies and procedures play in shaping organizational climate?

    <p>They influence the values and feelings experienced by individuals.</p> Signup and view all the answers

    Which of the following is a key factor that contributes to the organizational climate?

    <p>Management's communication style</p> Signup and view all the answers

    How do competence and accomplishment contribute to organizational climate?

    <p>By setting standards for performance</p> Signup and view all the answers

    What is the relationship between feedback and organizational climate?

    <p>Feedback influences the prevailing feelings and values in an organization.</p> Signup and view all the answers

    Why are feelings of trust and loyalty important in organizational climate?

    <p>To foster positive relationships among employees</p> Signup and view all the answers

    In what way do values for esteem contribute to organizational climate?

    <p>By fostering mutual respect among employees</p> Signup and view all the answers

    What plays a significant role in shaping the prevailing feelings and values experienced within an organization?

    <p>Official policies and procedures</p> Signup and view all the answers

    What contributes to creating a positive organizational climate?

    <p>Values for competence and accomplishment</p> Signup and view all the answers

    What is the primary purpose of a mission statement for a health service organization?

    <p>To describe the organization's broad general goal and purpose in the community</p> Signup and view all the answers

    How do the mission statements of a small community hospital and a large university hospital differ, according to the text?

    <p>The small hospital focuses on serving the local community, while the large hospital focuses on research and complex care.</p> Signup and view all the answers

    What is the primary purpose of an organizational philosophy statement?

    <p>To describe the organization's desired relationships with its stakeholders</p> Signup and view all the answers

    How do mission statements and organizational philosophy statements differ, according to the text?

    <p>Mission statements focus on the organization's purpose, while philosophy statements focus on its values and beliefs.</p> Signup and view all the answers

    What is the primary purpose of a nursing service administration philosophy?

    <p>To describe the desired relationships between the nursing service and other hospital departments</p> Signup and view all the answers

    How do mission statements and organizational philosophies differ in their level of detail, according to the text?

    <p>Organizational philosophies are more detailed and comprehensive, while mission statements are broader and more general.</p> Signup and view all the answers

    What is the key factor that determines the success of unit goals and objectives?

    <p>The goals being meaningful and originating from the group</p> Signup and view all the answers

    What is the primary role that the text suggests nurses should play in the development of unit goals?

    <p>Nurses should contribute to the formation of unit goals in terms of philosophy of care, quality of care, and development of nursing expertise</p> Signup and view all the answers

    What is the primary purpose of organizational climate?

    <p>To create a sense of belonging, esteem, and loyalty among employees</p> Signup and view all the answers

    What is the key distinction made in the text between the role of organizational climate and organizational culture?

    <p>Organizational climate is based on the official policies and procedures, while organizational culture is based on the underlying values and beliefs of the organization</p> Signup and view all the answers

    What is the primary factor that contributes to shaping the organizational climate?

    <p>The official policies and procedures of the organization</p> Signup and view all the answers

    What does the text suggest is the primary responsibility of managers in health service organizations?

    <p>To ensure efficient and effective operations of the organization</p> Signup and view all the answers

    What is the key distinction between the roles and responsibilities of first-line managers and middle-level managers in health service organizations?

    <p>First-line managers focus more on operational tasks, while middle-level managers focus more on strategic planning</p> Signup and view all the answers

    What does the text suggest is the primary objective of nursing service administration?

    <p>To ensure efficient and effective delivery of nursing care</p> Signup and view all the answers

    Which of the following is the primary purpose of a philosophy statement in a nursing department?

    <p>To communicate the guiding beliefs and values of the nursing department to potential and current staff members.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a well-crafted philosophy statement, according to the text?

    <p>Inclusion of specific nursing procedures and protocols.</p> Signup and view all the answers

    Which of the following should be considered when developing or reevaluating a nursing department's philosophy statement?

    <p>Theory, education, practice, research, and nursing's role in the total organization.</p> Signup and view all the answers

    Based on the information provided in the text, which of the following statements about goals in a healthcare organization is TRUE?

    <p>Nursing unit goals should be aligned with and support the overall institutional and nursing department goals.</p> Signup and view all the answers

    Which of the following statements best describes a proactive healthcare institution?

    <p>A proactive institution focuses on identifying potential future events and preparing to address them effectively.</p> Signup and view all the answers

    Which physiological change is LEAST associated with the aging process according to the text?

    <p>Increased bone density and strength</p> Signup and view all the answers

    Which of the following gastrointestinal changes is NOT mentioned in the text as occurring with the aging process?

    <p>Increased peristalsis resulting in constipation and indigestion</p> Signup and view all the answers

    What is the primary neurological change described in the text that occurs with aging?

    <p>Slower response time in the central nervous system</p> Signup and view all the answers

    Which of the following integumentary changes is NOT mentioned in the text as occurring with aging?

    <p>Decreased production of sebum</p> Signup and view all the answers

    Which of the following cardiopulmonary changes is NOT mentioned in the text as occurring with aging?

    <p>Decreased lung capacity and efficiency</p> Signup and view all the answers

    Which of the following genitourinary changes is NOT described in the text as occurring with aging?

    <p>Increased estrogen and testosterone production</p> Signup and view all the answers

    Which of the following musculoskeletal changes is LEAST associated with the aging process according to the text?

    <p>Increased muscle mass and tone</p> Signup and view all the answers

    Which of the following dentition changes is NOT mentioned in the text as occurring with aging?

    <p>Improved chewing ability</p> Signup and view all the answers

    Which of the following is the LEAST common physiological change described in the text as occurring with aging?

    <p>Improved sense of balance</p> Signup and view all the answers

    Which of the following physiological changes is NOT mentioned in the text as occurring with the aging process?

    <p>Increased heart rate and decreased cardiac output</p> Signup and view all the answers

    Which of the following is NOT listed as a potential cause for sundowning syndrome in older adults?

    <p>Increased appetite and overeating in the evening</p> Signup and view all the answers

    Which of the following is NOT listed as one of the '3 D's' associated with abnormal aging?

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

    Which of the following is NOT a common health problem faced by older adults?

    <p>Parkinson's disease</p> Signup and view all the answers

    Which of the following is NOT listed as a nursing intervention for promoting health in older adults?

    <p>Providing hormone replacement therapy</p> Signup and view all the answers

    Which of the following is a cognitive change associated with normal aging?

    <p>Mild short-term memory loss</p> Signup and view all the answers

    Which of the following is NOT listed as a potential nursing diagnosis for older adults?

    <p>Alzheimer's disease</p> Signup and view all the answers

    Which of the following is a special sense change associated with aging?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT listed as a potential adjustment older adults may need to make due to aging?

    <p>Undergoing physical therapy</p> Signup and view all the answers

    Which of the following is a form of elder abuse?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT listed as a psychosocial adjustment older adults may need to make?

    <p>Relocation to a nursing home</p> Signup and view all the answers

    Public health nurses must recognize social, psychological, and environmental issues that are more prevalent among younger adults.

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

    One of the most important environmental concerns for older adults is access to adequate food and housing.

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

    Public health nurses are not responsible for identifying safety concerns in the home of older adults.

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

    The kitchen is the only area in the home that public health nurses need to assess for safety and functionality for older adults.

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

    Older adults do not face challenges related to paying for essential municipal services like power and running water.

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

    Recognizing signs and symptoms of normal aging versus those indicating disease or injury is not a crucial skill for public health nurses working with older adults.

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

    Psychosocial changes do not affect an individual's relationship with others according to the text.

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

    The role of the nurse in health promotion focuses solely on assessing physical health and lifestyle patterns.

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

    Building intimate relationships is not a benefit that people experience from spiritual well-being counseling according to the text.

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

    The primary component of health promotion is targeting physical fitness over mental well-being.

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

    The primary responsibility of the nurse in health promotion is to prevent disabilities and impairments among the elderly.

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

    Assessing social, environmental, and cultural influences on health behaviors is not considered essential in health promotion according to the text.

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

    Health promotion for older adults involves making lifestyle and behavior changes in order to move toward optimal health.

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

    The primary objective of health promotion for older adults is to increase the number of years of healthy life.

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

    Spiritual well-being is not a component of health promotion for older adults.

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

    The primary role of nurses in health promotion for older adults is to develop preventive strategies.

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

    Maintaining function is not an objective of health promotion for older adults.

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

    Eliminating health disparities is not an objective of health promotion for older adults.

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

    What characterizes a country in the category where hospice-palliative care services are at a stage of advanced integration into mainstream service provision?

    <p>Broad awareness of palliative care among health professionals and society</p> Signup and view all the answers

    What is a key aspect of palliative care development in a country with advanced integration into mainstream service provision?

    <p>Regular updating of the palliative care strategy</p> Signup and view all the answers

    Which factor distinguishes a country with advanced hospice-palliative care integration from others?

    <p>Existence of national palliative care association with significant impact</p> Signup and view all the answers

    In countries with advanced palliative care integration, what is a common characteristic regarding educational links with universities?

    <p>Presence of academic links without education centers</p> Signup and view all the answers

    What is a significant feature of the provision of palliative care in countries with advanced integration into mainstream services?

    <p>Broad provision by multiple service providers</p> Signup and view all the answers

    What aspect signifies substantial progress in palliative care policy in countries with advanced integration?

    <p>Unrestricted availability of morphine and most pain-relieving drugs</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a country in Group 4a, where hospice-palliative care services are at a stage of preliminary integration into mainstream service provision?

    <p>Existence of a national palliative care association</p> Signup and view all the answers

    Which of the following is a key focus area for the World Health Organization's work to strengthen palliative care globally, according to the information provided?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a barrier to the development of palliative care services according to the information provided?

    <p>All of the above</p> Signup and view all the answers

    What is the primary focus of the 2017 mapping of palliative care development levels, as described in the text?

    <p>Assessing the integration of palliative care into mainstream service provision</p> Signup and view all the answers

    Which of the following is NOT considered a barrier to the development of palliative care services according to the text?

    <p>Absence of national palliative care policies and strategies</p> Signup and view all the answers

    Which of the following is a key focus area for the WHO's work to strengthen palliative care globally?

    <p>Mapping the levels of palliative care development across countries</p> Signup and view all the answers

    Which of the following best describes the categorization of palliative care development presented in the text?

    <p>Countries with well-established palliative care services, countries with emerging palliative care services, and countries with no known palliative care activity</p> Signup and view all the answers

    Which of the following is a key focus of the research efforts around palliative care development globally?

    <p>Improving the quality of study design and data collection</p> Signup and view all the answers

    Which of the following is NOT mentioned in the text as a type of 'developmental activity' for building palliative care capacity in a country?

    <p>Establishing pilot palliative care services in select healthcare facilities</p> Signup and view all the answers

    What is the primary purpose of the 'Mapping levels of palliative care development' efforts discussed in the text?

    <p>To track the progress of palliative care implementation globally over time</p> Signup and view all the answers

    Study Notes

    Philosophy of Nursing Service Management

    • Mission statements express an organization's purpose and goals, such as community health care or complex problem management.
    • Different organizations prioritize resources and technologies based on their mission statements.
    • A philosophy statement complements or replaces the mission statement, often being more detailed and foundational.

    Organizational Philosophy

    • Represents an organization's self-view and cultural beliefs, guiding its relationship with employees, customers, and stakeholders.
    • Forms the basis for objectives, policies, and procedures in nursing service administration.
    • A philosophy statement should be provided to nursing staff before hiring to align personal values with organizational beliefs.

    Goals in Nursing Service

    • Goals articulate the overall intents of the organization or nursing department, serving as benchmarks for success.
    • Examples of goals include developing mental health programs or enhancing nursing expertise in specific areas.
    • Unit goals derive from institutional and departmental goals, emphasizing collaboration among nurses to create meaningful objectives.

    Managerial Roles and Levels

    • Management is essential for organizational effectiveness, with managers guiding various activities toward achieving goals.
    • Nursing service administration involves planning, organizing, leading, and controlling resources to meet predetermined objectives.
    • Managers are classified by organizational hierarchy: top-level (administrators), middle-level (directors), and first-line (supervisors).

    Managerial Skills and Activities

    • Managers perform essential functions like planning, organizing, staffing, and decision-making, playing critical roles at varying levels.
    • Mintzberg's classification of managerial roles includes:
      • Interpersonal roles: figurehead, liaison, influencer.
      • Informational roles: gathering and distributing information.
      • Decisional roles: making choices and solving problems.

    Importance of Philosophy and Goals

    • Organizational philosophy and mission statements inform nursing administration, guiding decisions and actions.
    • Regular review of philosophy ensures alignment with current objectives and effectiveness in directing departmental activities.
    • Engaging nursing staff in goal formation promotes a sense of ownership and ensures goals reflect collective values and objectives.

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    Description

    Learn about administration/management and nursing service administration, managerial level, roles, skills, and the importance of good management in health service organizations. Explore the historical aspects of management in human communities.

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