NR446 Collaboration Leadership Final
Exam Questions and Answers 100%
Correct 2025
formal structure -Correct Answers ✔-highly planned, visible, provides framework
for defining managerial authority, responsibility and accountability. Roles and
functions are defined systematically arranged, different people have differing roles
and rank and hierarchy are evident.
Informal structure -Correct Answers ✔-unplanned, often hidden, generally
naturally forming social network of employees, typically based on camaraderie,
resulting in more immediate response from individuals, which saves peoples time
and effort.
Chain of command -Correct Answers ✔-formal paths of communication and
authority; those with the greatest decision making authority are at the top, those
with the least are at the bottom; level of position signifies status and power.
Span of control -Correct Answers ✔-number of people directly reporting to any
one manager represents that managers span of control and determines the number
of interactions expected of him or her. Inverse relation between the span of control
and the number of levels in hierarchy in an organization.
levels of managers -Correct Answers ✔-Top level, middle level, and first line
examples of top level managers -Correct Answers ✔-chief nursing officer, chief
executive officer, chief financial officer
examples of middle level managers -Correct Answers ✔-unit supervisor, dept.
head, director
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examples of first level managers -Correct Answers ✔-charge nurse, team leader,
primary nurse.
scope responsibility of top level managers -Correct Answers ✔-look at
organization as a WHOLE as well as external influences.
Scope responsibility of middle level managers -Correct Answers ✔-focus is on
integrating unit level day to day needs with organizational needs.
scope responsibility of first level managers -Correct Answers ✔-focus primarily on
day to day needs at unit levels.
Centrality -Correct Answers ✔-where a position falls on the organizational chart,
determined by organizational distance. Refers to the location of a position on an
organization chart where frequent and various types of communication occur.
Matrix structure -Correct Answers ✔-designed to focus on both product and
function.
example of matrix structure -Correct Answers ✔-good patient outcomes are the
product, and staff education and adequate staffing may be the functions necessary
to produce the outcome.
Service line -Correct Answers ✔-can be used in some large institutions to address
the shortcomings that are endemic to traditional large bureaucratic organizations.
also called care-centered organizations.
example of service line -Correct Answers ✔-overall goals would be determined by
the larger organization, but the service line would decide on the process to be used
to achieve the goals.
flat design -Correct Answers ✔-an effort to remove hierarchical layers by
flattening the chain of command and decentralizing the organization. Continues to
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