ANCC Study Guide Review of Test Questions
and Answers with solutions
In assessing the philosophy for nursing services for possible revision, the nurse executive is most
heavily influenced by the organization's:
a. mission statement
b. consumer surveys
c. financial resources
d. policy statements - ANSWER Correct answer is: a. mission statement
The organization's philosophy must always be consistent with the mission of the enterprise. In
this way, there is clarify of intent about what the organization stands for and what it intends to
accomplish.
In planning for change, the successful change agent makes a commitment to:
a. help followers arrive at total consensus regarding the change.
b. encourage subgroup opposition to change so many viewpoints can be heard
c. utilize change by drift if resistance to change is too strong
d. be available to support those affected by change until refreezing occurs. - ANSWER The
correct answer is: d
Unless there is support until the desired change has replaced the status quo, the likelihood of
"backsliding" is high. The successful change agent recognizes the need to help her or his clients
remain with the process until the desired change has replaced the prior way of doing things.
Strategic planning:
a. focuses on the long-range goals for the organization
b. requires a broad range of management expertise
,c. is synonymous with tactical planning
d. is generally a middle-management function. - ANSWER The correct answer is: a.
Strategic planning, in contract to tactical planning, is future-directed and concerned primarily
with putting in place the resources to achieve long-term goals.
In planning for managed care, which of the folllowing goals would be most appropriate for the
nurse manager?
a. Clinical outcomes should occur within a prescribed time frame.
b. Case managers should not function as providers of patient care.
c. Managed care practice should be unit-based and unit-specific.
d. Outcome management should be carried out for each patient. - ANSWER The correct answer
is: a.
Evidence-based trajectories with defined outcomes should be used to effectively and efficiently
manage the care of most patients to achieve long-term goals.
Critical pathways outline a patient's expected progress from admission to discharge and are part
of:
a. functional nursing
b. primary care nursing
c. case management
d. team nursing. - ANSWER Correct answer is: c. case management.
Critical pathways are inherent in the case management approach to care and guide care across
the continuum.
When using a patient classification system, the nurse executive should understand that such
systems:
, a. are used to solve unit staffing shortages.
b. use nonvariable nursing care hours.
c. are designed to eliminate human error
d. are periodically reevaluated - ANSWER Correct Answer: d. are periodically reevaluated
The dynamic nature of health care, changing patient characteristics, the introduction of new
technology, and so forth, require that nursing departments periodically review the current
patient classification process.
When evaluating the nursing service philosophy, the most important thing to ascertain is that
the philosophy:
a. is congruent wit the mission of the organization
b. can be implemented in a cost-effective manner
c. flows from organizational goals
d. is brief and simply worded. - ANSWER Correct answer is: a.
Congruency among the organization's mission, vision, philosophy, goals, and objectives is
essential to the success of the entity.
Critical pathways are:
a. a patient's expected progress from admission to discharge based upon her or his diagnosis.
b. mandated professional care standards.
c. the essential feature of the Nursing Minimum Data Set (NMDS).
d. prospective structure audits that look at costs as well as quality. - ANSWER Correct answer is:
a.
Critical pathways are (or should be) derived from evidence-based studies and suggest the
trajectory the patient will follow, in the absence of unanticipated complications, from admission
to discharge.
and Answers with solutions
In assessing the philosophy for nursing services for possible revision, the nurse executive is most
heavily influenced by the organization's:
a. mission statement
b. consumer surveys
c. financial resources
d. policy statements - ANSWER Correct answer is: a. mission statement
The organization's philosophy must always be consistent with the mission of the enterprise. In
this way, there is clarify of intent about what the organization stands for and what it intends to
accomplish.
In planning for change, the successful change agent makes a commitment to:
a. help followers arrive at total consensus regarding the change.
b. encourage subgroup opposition to change so many viewpoints can be heard
c. utilize change by drift if resistance to change is too strong
d. be available to support those affected by change until refreezing occurs. - ANSWER The
correct answer is: d
Unless there is support until the desired change has replaced the status quo, the likelihood of
"backsliding" is high. The successful change agent recognizes the need to help her or his clients
remain with the process until the desired change has replaced the prior way of doing things.
Strategic planning:
a. focuses on the long-range goals for the organization
b. requires a broad range of management expertise
,c. is synonymous with tactical planning
d. is generally a middle-management function. - ANSWER The correct answer is: a.
Strategic planning, in contract to tactical planning, is future-directed and concerned primarily
with putting in place the resources to achieve long-term goals.
In planning for managed care, which of the folllowing goals would be most appropriate for the
nurse manager?
a. Clinical outcomes should occur within a prescribed time frame.
b. Case managers should not function as providers of patient care.
c. Managed care practice should be unit-based and unit-specific.
d. Outcome management should be carried out for each patient. - ANSWER The correct answer
is: a.
Evidence-based trajectories with defined outcomes should be used to effectively and efficiently
manage the care of most patients to achieve long-term goals.
Critical pathways outline a patient's expected progress from admission to discharge and are part
of:
a. functional nursing
b. primary care nursing
c. case management
d. team nursing. - ANSWER Correct answer is: c. case management.
Critical pathways are inherent in the case management approach to care and guide care across
the continuum.
When using a patient classification system, the nurse executive should understand that such
systems:
, a. are used to solve unit staffing shortages.
b. use nonvariable nursing care hours.
c. are designed to eliminate human error
d. are periodically reevaluated - ANSWER Correct Answer: d. are periodically reevaluated
The dynamic nature of health care, changing patient characteristics, the introduction of new
technology, and so forth, require that nursing departments periodically review the current
patient classification process.
When evaluating the nursing service philosophy, the most important thing to ascertain is that
the philosophy:
a. is congruent wit the mission of the organization
b. can be implemented in a cost-effective manner
c. flows from organizational goals
d. is brief and simply worded. - ANSWER Correct answer is: a.
Congruency among the organization's mission, vision, philosophy, goals, and objectives is
essential to the success of the entity.
Critical pathways are:
a. a patient's expected progress from admission to discharge based upon her or his diagnosis.
b. mandated professional care standards.
c. the essential feature of the Nursing Minimum Data Set (NMDS).
d. prospective structure audits that look at costs as well as quality. - ANSWER Correct answer is:
a.
Critical pathways are (or should be) derived from evidence-based studies and suggest the
trajectory the patient will follow, in the absence of unanticipated complications, from admission
to discharge.
