Leadership NUR 4590 Exam 2 Exam Questions and Verified Answers 2026/27 Graded A+
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 - 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. - 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. - 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 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 - 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. - 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 - b.Flat structure
The phrase "the buck stops here" best describes which of the following terms?
a.Accountability
b.Authority
c.Responsibility
d.Trustworthiness - 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 - 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 - 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. - 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 - a.objective
Which organizational theory emphasized the informal aspects of organization social structure
and was influenced by the Hawthorne experiments?
a.Bureaucratic theory
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 - 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. - 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. - 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 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 - 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. - 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 - b.Flat structure
The phrase "the buck stops here" best describes which of the following terms?
a.Accountability
b.Authority
c.Responsibility
d.Trustworthiness - 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 - 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 - 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. - 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 - a.objective
Which organizational theory emphasized the informal aspects of organization social structure
and was influenced by the Hawthorne experiments?
a.Bureaucratic theory
