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Questions and Answers
What is the primary purpose of nursing management?
What is a consequence of dual command in an organization?
Which principle emphasizes that an employee should receive orders from only one supervisor?
What challenge do managers often face concerning individual interests within a team?
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In nursing management, what does 'subordination of individual interest' refer to?
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What is one way management can address employee misconduct?
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What is essential for achieving unity of action in a group?
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What does the term 'directing' in nursing management primarily refer to?
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What type of budget is designed for day-to-day activities of an organization?
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Which classification of costs changes based on the volume of services provided?
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Which budget is specifically associated with long-range financial planning involving physical changes?
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Which type of budget focuses on expenses related to personnel?
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What is a cost that cannot be directly linked to a specific service or product called?
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What is the primary purpose of monitoring budgetary expenses?
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Which of the following is an element of fiscal planning within budgeting?
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What type of budget could be expected to involve cash advances?
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What is one of the primary uses of a job description?
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Which component is not typically included in a job description?
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What does the process of directing primarily involve?
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Which of the following is a benefit of using job descriptions for employee evaluation?
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What is the primary focus of a matrix structure in an organization?
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In the context of directing, what does delegation refer to?
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Which of the following is NOT one of the five characteristics of an organizational chart?
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What was a key consequence of the nursing shortage during World War II?
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Which organizing principle underlines the importance of having a single supervisor for each employee?
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What is a common advantage of a flat design in organizational structure?
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What is a disadvantage associated with functional nursing?
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Decentralization in organizational structure primarily promotes which of the following?
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Which mode of organizing patient care is influenced by the skill and expertise of the nursing staff?
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What is a key characteristic of Team or Modular Nursing?
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What is one advantage of Team or Modular Nursing?
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What is a disadvantage of Team or Modular Nursing?
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What does Primary Nursing emphasize?
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What is the primary goal of case management in nursing?
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What does functional nursing primarily focus on?
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Which of the following statements is incorrect about Team or Modular Nursing?
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Which nursing model allows for shared responsibility and accountability?
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Study Notes
Organizing Patient Care
- Organizational modes for delivering patient care depend on staff skill, registered nurse availability, and economic resources.
- Different methods of organizing include Total Patient Care, Functional Nursing, Team and Modular Nursing, Primary Nursing, and Case Management.
Total Patient Care
- One nurse is responsible for all aspects of patient care.
- This model is often used in private duty nursing and critical care settings.
Functional Nursing
- Developed during World War II, this model focuses on task-oriented care.
- Registered nurses manage care, while less skilled workers handle basic tasks.
- Advantages include cost-effectiveness and efficient task completion.
- Disadvantages include fragmented care and potential oversight of patient needs.
Team and Modular Nursing
- Developed to address issues from functional nursing.
- Ancillary personnel collaborate under professional nurse guidance.
- Team leaders manage care based on patient needs and workload.
- Advantages include comprehensive care, democratic leadership, shared responsibility and accountability.
- Disadvantages include the need for regular team planning, increased personnel, and a requirement for the team leader to know each member's abilities.
Primary Nursing
- One nurse is responsible for all aspects of a patient's care throughout their stay.
- This model fosters a close relationship between nurse and patient.
- Advantages include holistic care and increased patient satisfaction.
- Disadvantages include the need for highly skilled nurses and potential staffing challenges.
Case Management
- Focuses on coordinating care and promoting health improvement for patients with complex needs.
- Case managers facilitate communication, ensure timely access to services, and advocate for patients.
Nursing Management
- The coordination and integration of nursing resources using management principles to achieve goals and objectives.
- This involves planning, organizing, directing, and controlling nursing care delivery.
Planning in Nursing Management
- Involves setting goals, identifying resources, and determining strategies to achieve desired outcomes.
- Includes fiscal planning, which involves budget creation, monitoring, and control procedures.
Directing in Nursing Management
- Involves issuing orders, assignments, and instructions to ensure clear understanding of expectations.
- Key elements include delegation, communication, and supervision.
Controlling in Nursing Management
- Involves evaluating performance, monitoring outcomes, and taking corrective action.
- Ensures adherence to standards, policies, and ethical guidelines.
Organizational Chart
- Represents the formal structure of an organization, outlining the chain of command and relationships between roles.
- Key characteristics include:
- Division of work
- Chain of command
- Type of work to be performed
- Grouping of work segments
- Levels of Management
Organizing Principles
- Unity of Command: One supervisor for each employee.
- Scalar Principle: Clear hierarchy from top to bottom.
- Span of Control: Number of employees supervised by one manager.
- Exception Principle: Delegating routine tasks and handling exceptions.
- Decentralization or Proper Delegation of Authority: Distributing decision-making power.
Developing a Job Description
- Content:
- Identifying data
- Job summary
- Qualifications
- Job relationships
Uses of Job Descriptions
- Recruitment
- Employee orientation
- Job placement, transfers, dismissals
- Performance evaluations
Budgeting in Nursing Management
- Capital Expenditure Budgets: Long-range budgets for physical changes.
- Operating Budgets: Short-term budgets for day-to-day activities.
- Personnel Budgets: Allocate funds for personnel expenses.
Cost Classification in Nursing Management
- Fixed Costs: Do not change with volume.
- Variable Costs: Change with volume.
- Direct Costs: Identifiable for a specific service or product.
- Indirect Costs: Not linked to a specific service or product.
Matrix Structure
- Focuses on both product and function.
- Function: Required tasks for producing a product.
- Product: The end result of the function.
Flat Designs
- Reduce hierarchical layers by flattening the chain of command.
Interdepartmental Policies
- Examples include policies related to admissions, transfers, discharges, medical records, and other services that involve multiple departments.
Personnel Needs
- Calculate personnel needs by adding the number of relievers to the required nursing personnel.
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Description
Explore various organizational modes for delivering patient care, such as Total Patient Care, Functional Nursing, Team and Modular Nursing, Primary Nursing, and Case Management. This quiz covers the advantages and disadvantages of each model, highlighting their applications in different healthcare settings.
