Centralized organizations have some advantages.

Which of the following statements are

TRUE?
1. Highly cost-effective 2. Makes management easier 3. Reflects the interest of the worker 4.
Allows quick decisions or actions.
A 2&4
1, 2, & 4
C 2, 3& 4
1&2
Question 1 Explanation:
Centralized organizations are needs only a few managers hence they are less expensive and
easier to manage

Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge
on the theories in management and leadership in order to become effective in her new role.
She learns that some managers have low concern for services and high concern for staff.
Which style of management refers to this?
Country Club Management
B Impoverished Management
Organization Man
D Team Management
Question 4 Explanation:
Country club management style puts concern for the staff as number one priority at the
expense of the delivery of services. He/she runs the department just like a country club where
every one is happy including the manager.

When Harry uses team nursing as a care delivery system, he and his team need to assess the
priority of care for a group of patients, which of the following should be a priority?
Patients who need the most care
Medications and treatments required for all patients
C Patients who needs least care
D Each patient as listed on the worksheet
Question 5 Explanation:
In setting priorities for a group of patients, those who need the most care should be number-
one priority to ensure that their critical needs are met adequately. The needs of other patients
who need less care ca be attended to later or even delegated to assistive personnel according
to rules on delegation

She knows that there are external forces that influence changes in his unit. Which of the
following is NOT an external force?
A Demands of the labor sector to increase wages
Low morale of staff in her unit
Exacting regulatory and accreditation standards
D Memo from the CEO to cut down on electrical consumption
Question 6 Explanation:
Low morale of staff is an internal factor that affects only the unit. All the rest of the options
emanate from the top executive or from outside the institution.

ulius orients his staff on the patterns of reporting relationship throughout the organization.
Which of the following principles refer to this?
A Esprit d corps
Hierarchy
C Span of control
D Unity of direction
Question 14 Explanation:
Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational
structure.

Her former manager demonstrated passion for serving her staff rather than being served. She
takes time to listen, prefers to be a teacher first before being a leader, which is characteristic
of
A Transactional leader
B Charismatic leader
C Transformational leader
Servant leader
Question 15 Explanation:
Servant leaders are open-minded, listen deeply, try to fully understand others and not being
judgmental

He emphasizes to the team that they need to put their efforts together towards the attainment
of the goals of the program. Which of the following principles refers to this?
Command responsibility
B Unity of command
C Span of control
Unity of direction
Question 16 Explanation:
Unity of direction means having one goal or one objective for the team to pursue; hence all
members of the organization should put their efforts together towards the attainment of their
common goal or objective.
After discussing the possible effects of the low patient satisfaction rate, the staff started to list
down possible strategies to solve the problems head-on. Should they decide to vote on the
best change strategy, which of the following strategies is referred to this?
A Collaboration
Majority rule
C Compromise
D Dominance
Question 18 Explanation:
Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.

he takes pride in saying that the hospital has a decentralized structure. Which of the following
is NOT compatible with this type of model?
Participatory approach
B Shared governance
C Flat organization
Tall organization
Question 19 Explanation:
Tall organizations are highly centralized organizations where decision making is centered on
one authority level.

Question 1
Wrong
Centralized organizations have some advantages. Which of the following statements are
TRUE?
1. Highly cost-effective 2. Makes management easier 3. Reflects the interest of the worker 4.
Allows quick decisions or actions.
A 2&4
1, 2, & 4
C 2, 3& 4
1&2
Question 1 Explanation:
Centralized organizations are needs only a few managers hence they are less expensive and
easier to manage
Question 2
Wrong
She finds out that some managers have benevolent-authoritative style of management. Which
of the following behaviors will she exhibit most likely?
A Allows decision making among subordinates
B Gives economic or ego awards
Have condescending trust and confidence in their subordinates
Communicates downward to the staff
Question 2 Explanation:
Benevolent-authoritative managers pretentiously show their trust and confidence to their
followers
Question 3
Correct
Regardless of the size of a work group, enough staff must be available at all times to
accomplish certain purposes. Which of these purposes is NOT included?
A Cover all time periods adequately.
B Meet the needs of patients
C Allow for growth and development of nursing staff.
Provide a pair of hands to other units as needed
Question 3 Explanation:
Providing a pair of hands for other units is not a purpose in doing an effective staffing
process. This is a function of a staffing coordinator at a centralized model.
Question 4
Wrong
Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge
on the theories in management and leadership in order to become effective in her new role.
She learns that some managers have low concern for services and high concern for staff.
Which style of management refers to this?
Country Club Management
B Impoverished Management
Organization Man
D Team Management
Question 4 Explanation:
Country club management style puts concern for the staff as number one priority at the
expense of the delivery of services. He/she runs the department just like a country club where
every one is happy including the manager.
Question 5
Wrong
When Harry uses team nursing as a care delivery system, he and his team need to assess the
priority of care for a group of patients, which of the following should be a priority?
Patients who need the most care
Medications and treatments required for all patients
C Patients who needs least care
D Each patient as listed on the worksheet
Question 5 Explanation:
In setting priorities for a group of patients, those who need the most care should be number-
one priority to ensure that their critical needs are met adequately. The needs of other patients
who need less care ca be attended to later or even delegated to assistive personnel according
to rules on delegation.
Question 6
Wrong
She knows that there are external forces that influence changes in his unit. Which of the
following is NOT an external force?
A Demands of the labor sector to increase wages
Low morale of staff in her unit
Exacting regulatory and accreditation standards
D Memo from the CEO to cut down on electrical consumption
Question 6 Explanation:
Low morale of staff is an internal factor that affects only the unit. All the rest of the options
emanate from the top executive or from outside the institution.
Question 7
Wrong
Which of the following conclusions of Ms. Castro about leadership characteristics is TRUE?
There is a high correlation between the communication skills of a leader and the ability to
get the job done.
B A manager is effective when he has the ability to plan well.
Assessment of personal traits is a reliable tool for predicting a managers potential.
D There is good evidence that certain personal qualities favor success in managerial role.
Question 7 Explanation:
It is not conclusive that certain qualities of a person would make him become a good
manager. It can only predict a managers potential of becoming a good one.
Question 8
Wrong
She is hopeful that her unit will make a big turnaround in the succeeding months. Which of
the following actions of Harry demonstrates that he has reached the third stage of change?
Integrate the solutions to his day-to-day activities
Selects the best change strategy
C Finds solutions to the problems
D Wonders why things are not what it used to be
Question 8 Explanation:
Integrate the solutions to his day-to-day activities is expected to happen during the third stage
of change when the change agent incorporate the selected solutions to his system and begins
to create a change.
Question 9
Correct
She surfs the internet for more information about leadership styles. She reads about shared
leadership as a practice in some magnet hospitals. Which of the following describes this style
of leadership?
A Leaders rely heavily on visioning and inspire members to achieve results
Leadership behavior is generally determined by the relationship between the leaders
B
personality and the specific situation
Leadership is shared at the point of care.
D Leaders believe that people are basically good and need not be closely controlled
Question 9 Explanation:
Shared governance allows the staff nurses to have the authority, responsibility and
accountability for their own practice
Question 10
Wrong
Which of the following is TRUE about functional nursing?
A Emphasizes use of group collaboration
Concentrates on tasks and activities
One-to-one nurse-patient ratio
D Provides continuous, coordinated and comprehensive nursing services
Question 10 Explanation:
Functional nursing is focused on tasks and activities and not on the holistic care of the
patients
Question 11
Julius plans to revisit the organizational chart of the department. He plans to create a new
position of a Patient Educator who has a coordinating relationship with the head nurse in the
unit. Which of the following will likely depict this organizational relationship?
A Solid line
B Broken line
C Box
D Dotted line
Question 12
Wrong
Which of the following guidelines should be least considered in formulating objectives for
nursing care?
A Written nursing care plan
B Holistic approach
Staff preferences
Prescribed standards
Question 12 Explanation:
Staff preferences should be the least priority in formulating objectives of nursing care.
Individual preferences should be subordinate to the interest of the patients.
Question 13
He raised the issue on giving priority to patient needs. Which of the following offers the best
way for setting priority?
A Controlling and evaluating the delivery of nursing care
B Assessing nursing needs and problems
C Giving instructions on how nursing care needs are to be met
D Assigning safe nurse: patient ratio
Question 14
Correct
Julius orients his staff on the patterns of reporting relationship throughout the organization.
Which of the following principles refer to this?
A Esprit d corps
Hierarchy
C Span of control
D Unity of direction
Question 14 Explanation:
Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational
structure.
Question 15
Correct
Her former manager demonstrated passion for serving her staff rather than being served. She
takes time to listen, prefers to be a teacher first before being a leader, which is characteristic
of
A Transactional leader
B Charismatic leader
C Transformational leader
Servant leader
Question 15 Explanation:
Servant leaders are open-minded, listen deeply, try to fully understand others and not being
judgmental
Question 16
Wrong
He emphasizes to the team that they need to put their efforts together towards the attainment
of the goals of the program. Which of the following principles refers to this?
Command responsibility
B Unity of command
C Span of control
Unity of direction
Question 16 Explanation:
Unity of direction means having one goal or one objective for the team to pursue; hence all
members of the organization should put their efforts together towards the attainment of their
common goal or objective.
Question 17
Wrong
Harry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going
in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at
its lowest. He decides to plan and initiate changes that will push for a turnaround in the
condition of the unit. Which of the following actions is a priority for Harry?
A Develop a strategic action on how to deal with these concerns.
Seek help from her manager.
C Ignore the issues since these will be resolved naturally.
Call for a staff meeting and take this up in the agenda.
Question 17 Explanation:
This will allow for the participation of every staff in the unit. If they contribute to the
solutions of the problem, they will own the solutions; hence the chance for compliance would
be greater.
Question 18
Correct
After discussing the possible effects of the low patient satisfaction rate, the staff started to list
down possible strategies to solve the problems head-on. Should they decide to vote on the
best change strategy, which of the following strategies is referred to this?
A Collaboration
Majority rule
C Compromise
D Dominance
Question 18 Explanation:
Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.
Question 19
Wrong
She takes pride in saying that the hospital has a decentralized structure. Which of the
following is NOT compatible with this type of model?
Participatory approach
B Shared governance
C Flat organization
Tall organization
Question 19 Explanation:
Tall organizations are highly centralized organizations where decision making is centered on
one authority level.
Question 20
Correct
Stephanie is often seen interacting with the medical intern during coffee breaks and after duty
hours. What type of organizational structure is this?
A Line
B Formal
C Staff
Informal
Question 20 Explanation:
This is usually not published and oftentimes concealed.
Question 21
Wrong
Stephanie considers shifting to transformational leadership. Which of the following
statements best describes this type of leadership?
A Serves the followers rather than being served.
B Maintains full trust and confidence in the subordinates
Uses visioning as the essence of leadership.
Possesses innate charisma that makes others feel good in his presence.
Question 21 Explanation:
Transformational leadership relies heavily on visioning as the core of leadership.

He discusses the goal of the department. Which of the following statements is a goal?
A Establish rapport with patients.
Eliminate the incidence of delayed administration of medications
C Reduce response time to two minutes.
Increase the patient satisfaction rate
Question 22 Explanation:
Goal is a desired result towards which efforts are directed. Other remaining answer choices
are all objectives which are aimed at specific end.

Question 1
Wrong
Centralized organizations have some advantages. Which of the following statements are
TRUE?
1. Highly cost-effective 2. Makes management easier 3. Reflects the interest of the worker 4.
Allows quick decisions or actions.
A 2&4
1, 2, & 4
C 2, 3& 4
1&2
Question 1 Explanation:
Centralized organizations are needs only a few managers hence they are less expensive and
easier to manage
Question 2
Wrong
She finds out that some managers have benevolent-authoritative style of management. Which
of the following behaviors will she exhibit most likely?
A Allows decision making among subordinates
B Gives economic or ego awards
 Have condescending trust and confidence in their subordinates
Communicates downward to the staff
Question 2 Explanation:
Benevolent-authoritative managers pretentiously show their trust and confidence to their
followers
Question 3
Correct
Regardless of the size of a work group, enough staff must be available at all times to
accomplish certain purposes. Which of these purposes is NOT included?
A Cover all time periods adequately.
B Meet the needs of patients
C Allow for growth and development of nursing staff.
Provide a pair of hands to other units as needed
Question 3 Explanation:
Providing a pair of hands for other units is not a purpose in doing an effective staffing
process. This is a function of a staffing coordinator at a centralized model.
Question 4
Wrong
Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge
on the theories in management and leadership in order to become effective in her new role.
She learns that some managers have low concern for services and high concern for staff.
Which style of management refers to this?
Country Club Management
B Impoverished Management
Organization Man
D Team Management
Question 4 Explanation:
Country club management style puts concern for the staff as number one priority at the
expense of the delivery of services. He/she runs the department just like a country club where
every one is happy including the manager.
Question 5
Wrong
When Harry uses team nursing as a care delivery system, he and his team need to assess the
priority of care for a group of patients, which of the following should be a priority?
Patients who need the most care
Medications and treatments required for all patients
C Patients who needs least care
D Each patient as listed on the worksheet
Question 5 Explanation:
In setting priorities for a group of patients, those who need the most care should be number-
one priority to ensure that their critical needs are met adequately. The needs of other patients
who need less care ca be attended to later or even delegated to assistive personnel according
to rules on delegation.
Question 6
Wrong
She knows that there are external forces that influence changes in his unit. Which of the
following is NOT an external force?
A Demands of the labor sector to increase wages
 Low morale of staff in her unit
Exacting regulatory and accreditation standards
D Memo from the CEO to cut down on electrical consumption
Question 6 Explanation:
Low morale of staff is an internal factor that affects only the unit. All the rest of the options
emanate from the top executive or from outside the institution.
Question 7
Wrong
Which of the following conclusions of Ms. Castro about leadership characteristics is TRUE?
There is a high correlation between the communication skills of a leader and the ability to
get the job done.
B A manager is effective when he has the ability to plan well.
Assessment of personal traits is a reliable tool for predicting a managers potential.
D There is good evidence that certain personal qualities favor success in managerial role.
Question 7 Explanation:
It is not conclusive that certain qualities of a person would make him become a good
manager. It can only predict a managers potential of becoming a good one.
Question 8
Wrong
She is hopeful that her unit will make a big turnaround in the succeeding months. Which of
the following actions of Harry demonstrates that he has reached the third stage of change?
Integrate the solutions to his day-to-day activities
Selects the best change strategy
C Finds solutions to the problems
D Wonders why things are not what it used to be
Question 8 Explanation:
Integrate the solutions to his day-to-day activities is expected to happen during the third stage
of change when the change agent incorporate the selected solutions to his system and begins
to create a change.
Question 9
Correct
She surfs the internet for more information about leadership styles. She reads about shared
leadership as a practice in some magnet hospitals. Which of the following describes this style
of leadership?
A Leaders rely heavily on visioning and inspire members to achieve results
Leadership behavior is generally determined by the relationship between the leaders
B
personality and the specific situation
Leadership is shared at the point of care.
D Leaders believe that people are basically good and need not be closely controlled
Question 9 Explanation:
Shared governance allows the staff nurses to have the authority, responsibility and
accountability for their own practice
Question 10
Wrong
Which of the following is TRUE about functional nursing?
A Emphasizes use of group collaboration
Concentrates on tasks and activities
One-to-one nurse-patient ratio
D Provides continuous, coordinated and comprehensive nursing services
Question 10 Explanation:
Functional nursing is focused on tasks and activities and not on the holistic care of the
patients
Question 11
Julius plans to revisit the organizational chart of the department. He plans to create a new
position of a Patient Educator who has a coordinating relationship with the head nurse in the
unit. Which of the following will likely depict this organizational relationship?
A Solid line
B Broken line
C Box
D Dotted line
Question 12
Wrong
Which of the following guidelines should be least considered in formulating objectives for
nursing care?
A Written nursing care plan
B Holistic approach
Staff preferences
Prescribed standards
Question 12 Explanation:
Staff preferences should be the least priority in formulating objectives of nursing care.
Individual preferences should be subordinate to the interest of the patients.
Question 13
He raised the issue on giving priority to patient needs. Which of the following offers the best
way for setting priority?
A Controlling and evaluating the delivery of nursing care
B Assessing nursing needs and problems
C Giving instructions on how nursing care needs are to be met
D Assigning safe nurse: patient ratio
Question 14
Correct
Julius orients his staff on the patterns of reporting relationship throughout the organization.
Which of the following principles refer to this?
A Esprit d corps
Hierarchy
C Span of control
D Unity of direction
Question 14 Explanation:
Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational
structure.
Question 15
Correct
Her former manager demonstrated passion for serving her staff rather than being served. She
takes time to listen, prefers to be a teacher first before being a leader, which is characteristic
of
A Transactional leader
B Charismatic leader
C Transformational leader
Servant leader
Question 15 Explanation:
Servant leaders are open-minded, listen deeply, try to fully understand others and not being
judgmental
Question 16
Wrong
He emphasizes to the team that they need to put their efforts together towards the attainment
of the goals of the program. Which of the following principles refers to this?
Command responsibility
B Unity of command
C Span of control
Unity of direction
Question 16 Explanation:
Unity of direction means having one goal or one objective for the team to pursue; hence all
members of the organization should put their efforts together towards the attainment of their
common goal or objective.
Question 17
Wrong
Harry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going
in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at
its lowest. He decides to plan and initiate changes that will push for a turnaround in the
condition of the unit. Which of the following actions is a priority for Harry?
A Develop a strategic action on how to deal with these concerns.
Seek help from her manager.
C Ignore the issues since these will be resolved naturally.
Call for a staff meeting and take this up in the agenda.
Question 17 Explanation:
This will allow for the participation of every staff in the unit. If they contribute to the
solutions of the problem, they will own the solutions; hence the chance for compliance would
be greater.
Question 18
Correct
After discussing the possible effects of the low patient satisfaction rate, the staff started to list
down possible strategies to solve the problems head-on. Should they decide to vote on the
best change strategy, which of the following strategies is referred to this?
A Collaboration
Majority rule
C Compromise
D Dominance
Question 18 Explanation:
Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.
Question 19
Wrong
She takes pride in saying that the hospital has a decentralized structure. Which of the
following is NOT compatible with this type of model?
Participatory approach
B Shared governance
C Flat organization
Tall organization
Question 19 Explanation:
Tall organizations are highly centralized organizations where decision making is centered on
one authority level.
Question 20
Correct
Stephanie is often seen interacting with the medical intern during coffee breaks and after duty
hours. What type of organizational structure is this?
A Line
B Formal
C Staff
Informal
Question 20 Explanation:
This is usually not published and oftentimes concealed.
Question 21
Wrong
Stephanie considers shifting to transformational leadership. Which of the following
statements best describes this type of leadership?
A Serves the followers rather than being served.
B Maintains full trust and confidence in the subordinates
Uses visioning as the essence of leadership.
Possesses innate charisma that makes others feel good in his presence.
Question 21 Explanation:
Transformational leadership relies heavily on visioning as the core of leadership.
Question 22
Wrong
He discusses the goal of the department. Which of the following statements is a goal?
A Establish rapport with patients.
Eliminate the incidence of delayed administration of medications
C Reduce response time to two minutes.
Increase the patient satisfaction rate
Question 22 Explanation:
Goal is a desired result towards which efforts are directed. Other remaining answer choices
are all objectives which are aimed at specific end.
Question 23
Wrong
Ms. Castro learns that some leaders are transactional leaders. Which of the following does
NOT characterize a transactional leader?
A Is a caretaker
Inspires others with vision
Focuses on management tasks
D Uses trade-offs to meet goals
Question 23 Explanation:
Inspires others with a vision is characteristic of a transformational leader. He is focused more
on the day-to-day operations of the department/unit.
ne leadership theory states that leaders are born and not made, which refers to which of the
following theories?
Great Man
B Situational
C Charismatic
D Trait
Question 24 Explanation:
Leaders become leaders because of their birth right. This is also called Genetic theory or the
Aristotelian theory

Stephanie delegates effectively if she has authority to act, which is BEST defined as:
A being accountable to the organization
having responsibility to direct others
C telling others what to do
having legitimate right to act
Question 25 Explanation:
Authority is a legitimate or official right to give command. This is an officially sanctioned
responsibility

he came across a theory which states that the leadership style is effective dependent on the
situation. Which of the following styles best fits a situation when the followers are self-
directed, experts and are matured individuals?
A Democratic
Laissez faire
C Authoritarian
D Bureaucratic
Question 26 Explanation:
Laissez faire leadership is preferred when the followers know what to do and are experts in
the field. This leadership style is relationship-oriented rather than task-centered.

As a manager, she focuses her energy on both the quality of services rendered to the patients
as well as the welfare of the staff of her unit. Which of the following management styles does
she adopt?
Organization man management
Team management
C Country club management
D Authority-obedience management
Question 29 Explanation:
Team management has a high concern for services and high concern for staff.
e likewise stresses the need for all the employees to follow orders and instructions from him
and not from anyone else. Which of the following principles does he refer to?
Order
B Scalar chain
C Discipline
 Unity of command
Question 36 Explanation:
The principle of unity of command means that employees should receive orders coming from
only one manager and not from two managers. This averts the possibility of sowing
confusion among the members of the organization