Nr 446 Collaborative – UPDATED Questions with 100% Verified Answers
Nr 446 Collaborative – UPDATED Questions with
100% Verified Answers
Section 1: Manager, Organizational, Level (Q1–Q12)
Question & Answer
Q1 First Level Managers
A Team leaders Charge Nurse Primary care nurses Case managers
Q2 Middle level manager
A Nursing Supervisor Nursing director Department heads Nurse manager
Q3 Top-Level Manager
A Board of directors Chief Executive officer (CEO) Chief Nursing Officer (CNO)
Q4 Centralized Decision Making (CNO)
A The CNO makes the final decision on all nursing policies for the organization This occurs within a
more formal organizational structure
Q5 Decentralized Decision Making
A It is distributed throughout the organizational and problems are solved at the lowest managerial
level. For example. Nurse policies may be unit based to meet specific client care needs. The nurse
manager can approve a unit-based This is more common within the informal organizational strucute
Q6 Manager is aasigned a position by the organizational that aligns with thsese skills
A Accountability Responsability Authority - the authority or the official power to act and direct the
work of others
Q7 Organizational Charts (Advantages)
A Identifies who has the decision making authority -Show how employees fit within the organization
-Displays who to contact or report to via chain of command
Q8 Organizational Charts Disadvanatges
A -Does not show informal structures of an organization -Lacks the degree of authority held by each
position -Concerns of confusing authority with status in an organization -Reflects how things should
be done, but not necessarily how they are done
Q9 What is shared governance in nursing
A A decentralized decision making model that empowers staff nurses to actively participate in client
decisions -Staff nurses have the reponsibility, authority, and accountability in decision making
-Nurse leader provide guiding principles -Encourage collaboration bt nurses and managers -
represent servant leadership
Q10 Shared governance is
A -A model that ensures that decisions are made by individuals working at the point of care
-Leadership developement approach -A way to identify future nurses leaders
Page 1 of 12
, Nr 446 Collaborative – UPDATED Questions with 100% Verified Answers
Question & Answer
Q11 When a healthcare organization earns Magnet status
A it garners more than external prestige, it demonstrates to the world that it's an organization that
recognizes the invaluable potential of nurses to lead healthcare change"
Q12 Barries in coordination of care
A -Healthcare errors -Poor communication -Poor care transitions -Language and cultural differences
-Limited professionals in the multidisciplinary team
Section 2: Structure, Power, Organizational (Q13–Q24)
Question & Answer
Q13 organizational structure Bureaucratic
A Line organization authority and responsability defined -Adjusment to rapid change may be difficult
-can lead to monotomy, worker dissatisfaction -upward communication restricted
Q14 Orgazational structure Service Line
A -Smaller than bureaucratic organizations -Decision-making centralized at the integrated unit level
-Care-centered organizations -Integrated unit under control of a single manager
Q15 Orgazational structure Ad Hoc
A Uses project team or task; disbands after completion Decision making at organization level mostly
centralized Strength in formal chain of command; lessened in effect Modified bureaucratic structure
Q16 Orgazational structure Matrix
A -Focus on product (outcomes) and function (action needed) -Dual authority may result in confusion
-Communication downward and horizontal, slower decisions -Advantage is centralized expertise
-Less centralized decision making
Q17 Organizational Structure Flat (Horizotal)
A -Decentralized authority at point of problem occurrence -Communication occurs across and
bottom-up
Q18 Organizational Structure Functional
A -Services and departments arranged according to function -Reduced collaboration or
interdisciplinary care management -Supports professional expertise but can result in silos
-Departments with similar function report to common manager
Q19 Reward power
A Power in the ability to grant favors in doing something for another. Rewards can increase
employees motivation to perform.
Q20 Coercive power
A Power by threatening action and employees complying out of fear. the use of coercion as a power
source often leads to employee resentment, job dissatisfaction and lack of employee morale
Page 2 of 12
Nr 446 Collaborative – UPDATED Questions with
100% Verified Answers
Section 1: Manager, Organizational, Level (Q1–Q12)
Question & Answer
Q1 First Level Managers
A Team leaders Charge Nurse Primary care nurses Case managers
Q2 Middle level manager
A Nursing Supervisor Nursing director Department heads Nurse manager
Q3 Top-Level Manager
A Board of directors Chief Executive officer (CEO) Chief Nursing Officer (CNO)
Q4 Centralized Decision Making (CNO)
A The CNO makes the final decision on all nursing policies for the organization This occurs within a
more formal organizational structure
Q5 Decentralized Decision Making
A It is distributed throughout the organizational and problems are solved at the lowest managerial
level. For example. Nurse policies may be unit based to meet specific client care needs. The nurse
manager can approve a unit-based This is more common within the informal organizational strucute
Q6 Manager is aasigned a position by the organizational that aligns with thsese skills
A Accountability Responsability Authority - the authority or the official power to act and direct the
work of others
Q7 Organizational Charts (Advantages)
A Identifies who has the decision making authority -Show how employees fit within the organization
-Displays who to contact or report to via chain of command
Q8 Organizational Charts Disadvanatges
A -Does not show informal structures of an organization -Lacks the degree of authority held by each
position -Concerns of confusing authority with status in an organization -Reflects how things should
be done, but not necessarily how they are done
Q9 What is shared governance in nursing
A A decentralized decision making model that empowers staff nurses to actively participate in client
decisions -Staff nurses have the reponsibility, authority, and accountability in decision making
-Nurse leader provide guiding principles -Encourage collaboration bt nurses and managers -
represent servant leadership
Q10 Shared governance is
A -A model that ensures that decisions are made by individuals working at the point of care
-Leadership developement approach -A way to identify future nurses leaders
Page 1 of 12
, Nr 446 Collaborative – UPDATED Questions with 100% Verified Answers
Question & Answer
Q11 When a healthcare organization earns Magnet status
A it garners more than external prestige, it demonstrates to the world that it's an organization that
recognizes the invaluable potential of nurses to lead healthcare change"
Q12 Barries in coordination of care
A -Healthcare errors -Poor communication -Poor care transitions -Language and cultural differences
-Limited professionals in the multidisciplinary team
Section 2: Structure, Power, Organizational (Q13–Q24)
Question & Answer
Q13 organizational structure Bureaucratic
A Line organization authority and responsability defined -Adjusment to rapid change may be difficult
-can lead to monotomy, worker dissatisfaction -upward communication restricted
Q14 Orgazational structure Service Line
A -Smaller than bureaucratic organizations -Decision-making centralized at the integrated unit level
-Care-centered organizations -Integrated unit under control of a single manager
Q15 Orgazational structure Ad Hoc
A Uses project team or task; disbands after completion Decision making at organization level mostly
centralized Strength in formal chain of command; lessened in effect Modified bureaucratic structure
Q16 Orgazational structure Matrix
A -Focus on product (outcomes) and function (action needed) -Dual authority may result in confusion
-Communication downward and horizontal, slower decisions -Advantage is centralized expertise
-Less centralized decision making
Q17 Organizational Structure Flat (Horizotal)
A -Decentralized authority at point of problem occurrence -Communication occurs across and
bottom-up
Q18 Organizational Structure Functional
A -Services and departments arranged according to function -Reduced collaboration or
interdisciplinary care management -Supports professional expertise but can result in silos
-Departments with similar function report to common manager
Q19 Reward power
A Power in the ability to grant favors in doing something for another. Rewards can increase
employees motivation to perform.
Q20 Coercive power
A Power by threatening action and employees complying out of fear. the use of coercion as a power
source often leads to employee resentment, job dissatisfaction and lack of employee morale
Page 2 of 12
