Chapter 03: Organizational Climate and Culture
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. Culture is best defined as (the):
a. deviation from the majority.
b. differences in likes and dislikes.
c. shared beliefs and values.
d. similar views and opinions.
ANS: C
Culture is described as shared beliefs and values. It provides a common belief system among
its members but is not expected to hold similar views and opinions of its members.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Climate is best defined as the:
a. health and well-being of the structure of a facility.
b. perceptions that individuals have about an environment.
c. style in which individuals treat each other.
d. temperature in the nursing units of an institution.
ANS: B
Climate is defined as the perceptions that individuals have about a particular unit or
environment.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A professor at the local college of nursing is teaching at a new clinical site. She notes that the
nurses greet each other and their clients with warmth and a smile. She also notes that the
policies and procedures encourage nursing autonomy. Nurses and physicians seem to have a
collegial relationship. These observations best describe the _____ of the unit. a. climate
b. culture
c. interactions
d. operation
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ANS: A
Climate is the perception that individuals have about a particular unit or environment.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Characteristics of a Magnet hospital include:
a. multidisciplinary collaboration.
b. nursing leader authority.
c. physician control.
d. social worker retention.
ANS: A
Characteristics of a Magnet hospital include nursing autonomy, practice control, and
collaboration. Nursing support, collaborative partnerships with physicians, and nursing
practice are other aspects.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A process used to achieve and internalize knowledge, skills, and behaviors of professional
nursing in order to belong and participate is referred to as professional: a. actions.
b. conduct.
c. ownership.
d. insight.
ANS: D
Insight can be described as a process used to achieve knowledge, skills, and behaviors of a
certain group to belong and participate. Nurses’ insight enables them to better understand
behaviors, relationships, norms, change processes, expectations, and communication.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The nursing manager wants to change the culture of the nursing unit. Some of the older nurses
are bullying the newer nurses, which seems to be affecting self-confidence in their new nursing
roles. Which of the following strategies would be helpful in this endeavor? a. Assign mentors to
the new nurses.