Healthcare systems primarily have functional structures. Which of the following would be an example of this?
- A. Open communication exists between Physical Therapy and Nursing.
- B. Medicine has authority over nursing.
- C. Laboratory services have little authority.
- D. All nursing tasks fall under nursing service.
Correct Answer: D
Rationale: The correct answer is D because in a functional structure, tasks are grouped by function. All nursing tasks falling under nursing service exemplifies this as it centralizes nursing responsibilities within the nursing department. A is incorrect as it describes communication, not structure. B is incorrect as it implies a hierarchy, not a functional structure. C is incorrect as it suggests a lack of authority, not the grouping of tasks.
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Which of the following is one important factor in sustaining employee satisfaction?
- A. Organization culture
- B. Individual performance
- C. Performance evaluation
- D. Job satisfaction
Correct Answer: D
Rationale: The correct answer is D: Job satisfaction. Job satisfaction is crucial in sustaining employee satisfaction as it directly impacts how content and fulfilled employees feel in their roles. When employees are satisfied with their jobs, they are more likely to be engaged, motivated, and productive. This leads to higher retention rates and overall better performance. On the other hand, organization culture (A) is important but not the sole factor in sustaining employee satisfaction. Individual performance (B) and performance evaluation (C) are more related to assessing employee output rather than directly impacting their satisfaction levels.
Which of the following describes the concept of ratification?
- A. Contract administration
- B. Contract passage
- C. Contract denial
- D. Contract reorganization
Correct Answer: B
Rationale: Ratification is the act of formally approving or confirming a previously unauthorized or informal agreement, making it legally binding. In the context of a contract, ratification occurs after the initial negotiation and agreement have taken place. Choice B, "Contract passage," aligns with this definition as it accurately describes the process of a contract being ratified or officially accepted. Choice A, "Contract administration," refers to the management of a contract after it has been ratified, not the ratification process itself. Choice C, "Contract denial," is incorrect as it opposes the concept of ratification. Choice D, "Contract reorganization," does not relate to the formal approval of a contract, making it an incorrect choice.
When planning a budget, the nurse manager knows that costs depend on and change in direct proportion to patient volume and activity. What type of costs are these?
- A. Variable costs
- B. Indirect costs
- C. Fixed costs
- D. Direct costs
Correct Answer: A
Rationale: The correct answer is A: Variable costs. Variable costs are costs that change in direct proportion to the level of activity or volume. In this scenario, as patient volume and activity increase or decrease, the costs will fluctuate accordingly. Indirect costs (B) are not directly tied to patient volume. Fixed costs (C) remain constant regardless of patient volume. Direct costs (D) are specific to the production of a good or service and are not necessarily impacted by patient volume.
The time period to give as notice for an appraisal is:
- A. One day.
- B. None.
- C. One week.
- D. Two days.
Correct Answer: D
Rationale: The correct answer is D: Two days. The Uniform Standards of Professional Appraisal Practice (USPAP) requires a minimum of two days' notice for an appraisal. This time frame allows the appraiser to adequately prepare for the appraisal assignment, gather necessary information, and schedule the inspection. Choice A is incorrect as one day is not sufficient time for proper preparation. Choice B is incorrect as no notice is not in compliance with USPAP standards. Choice C is incorrect as one week exceeds the minimum requirement of two days.
What is the primary focus of strategic planning in healthcare organizations?
- A. Financial performance
- B. Staff satisfaction
- C. Patient care quality
- D. Regulatory compliance
Correct Answer: C
Rationale: The correct answer is C: Patient care quality. Strategic planning in healthcare organizations primarily focuses on improving patient outcomes, safety, and overall quality of care. This ensures that the organization aligns its resources and goals towards enhancing patient well-being. Financial performance (A) is important but not the primary focus. Staff satisfaction (B) is crucial for employee engagement but not the main goal of strategic planning. Regulatory compliance (D) is essential but not the primary focus, as it is a requirement to ensure quality care rather than the main goal itself.