NURS 243 EXAM 1 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
Organizational Structure Ans✓✓✓refers to the way in which a group is
formed, its lines of communication, and its means for channeling
authority and making decisions
Organizational Charts Ans✓✓✓defines chain of command, and lines of
authority, accountability, and chains of communication
shows who needs to be involved in decision - making
essential for organizational efficiency and accountability
Weakness: does not show informal structure of the organization; limited
in the ability to depict each line position's degree of authority
Chain of Command Ans✓✓✓the order in which authority and power in
an organization is wielded and delegated from top management to every
employee at every level of the organization
Instructions flow downward along the chain of command and
accountability flows upward
Organizational Theory and Bureaucracy (Weber) Ans✓✓✓- legal -
rational authority
- clear division of labor
- well - defined hierarchy or authority
- impersonal rules and impersonality of interpersonal relationships
,- system of procedures for dealing with work situations
- system of rules covering the rights and duties of each position
- selection for employment based on technical competency
Line/Tall Structure Ans✓✓✓- resemble Weber's original design for
effective organizations
- authority and responsibility are clearly defined, which leads to
efficiency and simplicity of relationships
- e.g. large health care facilities
Strengths: familiar, easy to orientate, authority/responsibility clearly
defined leading to efficiency and simplicity
Weaknesses: monotony, alienate workers, rapid adjustments difficult,
adherence to chain of command (resisting upward communication)
Flat Structure Ans✓✓✓- to remove hierarchical layers by flattening the
chain of command and decentralizing the organization
- a single manager oversees a large number of subordinates and have a
wide span of control
- line of authority exists, but more authority and decision making can
occur where the work is being carried out.
Weakness: managers reluctant to let go of control
, Matrix Structure Ans✓✓✓- designed to focus on both product and
function
- vertical and horizontal chain of command
- less formal rules and fewer levels of hierarchy
- centralization of expertise
Weakness: slow decision making (need for so much info sharing),
confusion and frustration for worker related to dual authority
Shared Governance Ans✓✓✓the organization's governance is shared
among board members, nurses, physicians, and management
- gives nursing more power
Unity of command Ans✓✓✓- oner person one boss
- difficult to maintain in large healthcare organizations due to
multidisciplinary approach
Formal Elements of Organizational Structure Ans✓✓✓- mission
statement, vision, philosophy
- policies, procedures, protocols, standards of care
- job description
- channels of communication
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
Organizational Structure Ans✓✓✓refers to the way in which a group is
formed, its lines of communication, and its means for channeling
authority and making decisions
Organizational Charts Ans✓✓✓defines chain of command, and lines of
authority, accountability, and chains of communication
shows who needs to be involved in decision - making
essential for organizational efficiency and accountability
Weakness: does not show informal structure of the organization; limited
in the ability to depict each line position's degree of authority
Chain of Command Ans✓✓✓the order in which authority and power in
an organization is wielded and delegated from top management to every
employee at every level of the organization
Instructions flow downward along the chain of command and
accountability flows upward
Organizational Theory and Bureaucracy (Weber) Ans✓✓✓- legal -
rational authority
- clear division of labor
- well - defined hierarchy or authority
- impersonal rules and impersonality of interpersonal relationships
,- system of procedures for dealing with work situations
- system of rules covering the rights and duties of each position
- selection for employment based on technical competency
Line/Tall Structure Ans✓✓✓- resemble Weber's original design for
effective organizations
- authority and responsibility are clearly defined, which leads to
efficiency and simplicity of relationships
- e.g. large health care facilities
Strengths: familiar, easy to orientate, authority/responsibility clearly
defined leading to efficiency and simplicity
Weaknesses: monotony, alienate workers, rapid adjustments difficult,
adherence to chain of command (resisting upward communication)
Flat Structure Ans✓✓✓- to remove hierarchical layers by flattening the
chain of command and decentralizing the organization
- a single manager oversees a large number of subordinates and have a
wide span of control
- line of authority exists, but more authority and decision making can
occur where the work is being carried out.
Weakness: managers reluctant to let go of control
, Matrix Structure Ans✓✓✓- designed to focus on both product and
function
- vertical and horizontal chain of command
- less formal rules and fewer levels of hierarchy
- centralization of expertise
Weakness: slow decision making (need for so much info sharing),
confusion and frustration for worker related to dual authority
Shared Governance Ans✓✓✓the organization's governance is shared
among board members, nurses, physicians, and management
- gives nursing more power
Unity of command Ans✓✓✓- oner person one boss
- difficult to maintain in large healthcare organizations due to
multidisciplinary approach
Formal Elements of Organizational Structure Ans✓✓✓- mission
statement, vision, philosophy
- policies, procedures, protocols, standards of care
- job description
- channels of communication
