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Leadership NUR 4590 Exam 2 Questions and
Answers
Which of the following factors influences the structure of an
organization?
a.Age of the building
b.Brand of computer system
c.Number of employees
d.Square footage of the facility
Ans: c.Number of employees
Within nursing practice, the use of advanced practice roles is an
example of:
a.cross-training.
b.departmentalization.
c.fragmentation.
d.specialization.
Ans: d.specialization.
The nursing chief executive officer (CEO) works in a major
rehabilitation and subacute facility network. Her span of control
refers to the number of:
a.miles in which the network resides.
b.ancillary staff accountable to her.
c.nurses and non-nurses reporting to her.
d.inpatients that the facilities service.
Ans: c.nurses and non-nurses reporting to her.
A nurse manager is responsible for a unit consisting of 40 nurses
who report to two clinical supervisors. In addition, there are 10
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support staff who report to an administrative supervisor. The
subordinates reporting to this manager are known as which
dimension of organizational design?
a.Division of labor
b.Hierarchy
c.Span of control
d.Decentralization
Ans: c.Span of control
A staff nurse has been working in the neonatal critical care unit
for 10 years. She believes that a professional nurse is a lifelong
learner. Many staff members come to her for clinical problem
solving and advice. This nurse has:
a.decisional authority.
b.formal power.
c.informal power.
d.quantum authority.
Ans: c.informal power.
An organizational chart with one line of management and one line
of staff reflects which of the following types of organizational
structures?
a.Authoritarian structure
b.Flat structure
c.Power structure
d.Vertical structure
Ans: b.Flat structure
The phrase "the buck stops here" best describes which of the
following terms?
a.Accountability
b.Authority
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c.Responsibility
d.Trustworthiness
Ans: a.Accountability
Patient surveys convey that they are uncertain about who is the
registered nurse (RN). The CEO makes a decision that mandates
that white nursing caps will be worn by all RNs and blue nursing
caps by all licensed practical nurses to differentiate professional
nurses and occupational nurses from nurses' aides and other
ancillary staff. Which type of structure does this represent?
a.Centralized
b.Decentralized
c.Nonparticipative
d.Participative
Ans: a.Centralized
The patient is a 69-year-old woman who has a history of diabetes
mellitus, peripheral vascular disease, and myocardial infarctions.
She was admitted to the hospital with a stroke and is being
transferred to a subacute facility and then to a rehabilitation
facility. At every transfer she must review her entire history,
provide telephone numbers of family members, list all 30 of her
medications, and list all home care and medical supply companies.
Which of these processes could improve the fragmen
Ans: b.Standardization
The ways in which work is divided and coordinated among
members and the resulting network of relationships, roles, and
work groups is the:
a.organization.
b.organizational social structure.
c.structure.
d.formal relationship.
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Ans: b.organizational social structure.
According to the _____ organizational approach, organizations are
logical and predictable with identifiable and scientifically
measurable characteristics that can be predicted, observed, or
manipulated.
a.objective
b.subjective
c.postmodern
d.realistic
Ans: a.objective
Which organizational theory emphasized the informal aspects of
organization social structure and was influenced by the Hawthorne
experiments?
a.Bureaucratic theory
b.Scientific management school
c.Classical management theory
d.Human relations school
Ans: d.Human relations school
The division of work by occupation or function is a form of:
a.specialization.
b.interdependence.
c.uncertainty.
d.technology.
Ans: a.specialization.
Standardization of _____ provides a uniform structure for
information delivery and flow in order to facilitate exchange
among those involved in common work processes.
a.physician orders
© 2025 All rights reserved
Leadership NUR 4590 Exam 2 Questions and
Answers
Which of the following factors influences the structure of an
organization?
a.Age of the building
b.Brand of computer system
c.Number of employees
d.Square footage of the facility
Ans: c.Number of employees
Within nursing practice, the use of advanced practice roles is an
example of:
a.cross-training.
b.departmentalization.
c.fragmentation.
d.specialization.
Ans: d.specialization.
The nursing chief executive officer (CEO) works in a major
rehabilitation and subacute facility network. Her span of control
refers to the number of:
a.miles in which the network resides.
b.ancillary staff accountable to her.
c.nurses and non-nurses reporting to her.
d.inpatients that the facilities service.
Ans: c.nurses and non-nurses reporting to her.
A nurse manager is responsible for a unit consisting of 40 nurses
who report to two clinical supervisors. In addition, there are 10
© 2025 All rights reserved
, 2 | Page
support staff who report to an administrative supervisor. The
subordinates reporting to this manager are known as which
dimension of organizational design?
a.Division of labor
b.Hierarchy
c.Span of control
d.Decentralization
Ans: c.Span of control
A staff nurse has been working in the neonatal critical care unit
for 10 years. She believes that a professional nurse is a lifelong
learner. Many staff members come to her for clinical problem
solving and advice. This nurse has:
a.decisional authority.
b.formal power.
c.informal power.
d.quantum authority.
Ans: c.informal power.
An organizational chart with one line of management and one line
of staff reflects which of the following types of organizational
structures?
a.Authoritarian structure
b.Flat structure
c.Power structure
d.Vertical structure
Ans: b.Flat structure
The phrase "the buck stops here" best describes which of the
following terms?
a.Accountability
b.Authority
© 2025 All rights reserved
, 3 | Page
c.Responsibility
d.Trustworthiness
Ans: a.Accountability
Patient surveys convey that they are uncertain about who is the
registered nurse (RN). The CEO makes a decision that mandates
that white nursing caps will be worn by all RNs and blue nursing
caps by all licensed practical nurses to differentiate professional
nurses and occupational nurses from nurses' aides and other
ancillary staff. Which type of structure does this represent?
a.Centralized
b.Decentralized
c.Nonparticipative
d.Participative
Ans: a.Centralized
The patient is a 69-year-old woman who has a history of diabetes
mellitus, peripheral vascular disease, and myocardial infarctions.
She was admitted to the hospital with a stroke and is being
transferred to a subacute facility and then to a rehabilitation
facility. At every transfer she must review her entire history,
provide telephone numbers of family members, list all 30 of her
medications, and list all home care and medical supply companies.
Which of these processes could improve the fragmen
Ans: b.Standardization
The ways in which work is divided and coordinated among
members and the resulting network of relationships, roles, and
work groups is the:
a.organization.
b.organizational social structure.
c.structure.
d.formal relationship.
© 2025 All rights reserved
, 4 | Page
Ans: b.organizational social structure.
According to the _____ organizational approach, organizations are
logical and predictable with identifiable and scientifically
measurable characteristics that can be predicted, observed, or
manipulated.
a.objective
b.subjective
c.postmodern
d.realistic
Ans: a.objective
Which organizational theory emphasized the informal aspects of
organization social structure and was influenced by the Hawthorne
experiments?
a.Bureaucratic theory
b.Scientific management school
c.Classical management theory
d.Human relations school
Ans: d.Human relations school
The division of work by occupation or function is a form of:
a.specialization.
b.interdependence.
c.uncertainty.
d.technology.
Ans: a.specialization.
Standardization of _____ provides a uniform structure for
information delivery and flow in order to facilitate exchange
among those involved in common work processes.
a.physician orders
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