management to answer the question. If you had difficulty with this question, review the
principles of time management and documentation.
References:
Cherry, B., & Jacob, S. (2008).
Contemporary nursing issues: Trends &
management
(4th ed., p. 529). St. Louis: Mosby.
Huber, D. (2010).
Leadership and nursing care management
(4th ed., pp. 128-130). St.
Louis: Saunders.
Cognitive Ability:
Evaluating

Client Needs:
Safe and Effective Care Environment
Integrated Process:
Teaching and Learning
Content Area:
Leadership/Management
Question 60
1 / 1 pts
A new nurse employed at a community hospital is reading the organization’s mission
statement. The new nurse understands that this statement:
Identifies the policies and procedures of the organization
Outlines what the organization plans to accomplish
Describes the benefits available to employees
Defines the rules of the organization that the employees must follow
Rationale:
All organizations have a purpose or reason for existing. This purpose is often
expressed in the form of a mission statement. The mission statement outlines what the
organization plans to accomplish. Sometimes mission statements incorporate
statements of philosophy (beliefs), purpose, and goals or objectives into a single
statement; other times the philosophy, purposes, and goals are addressed in addition to
the mission statement. These statements serve as a benchmark against which an
organization’s performance may be evaluated. The mission statement does not
describe the benefits available to the client; this is usually done by the human resources
department. The rules of the organization are identified in policies and procedures,
which are usually maintained in manuals kept in the nursing units or online.
Test-Taking Strategy:
Use the process of elimination, focusing on the subject, a mission
statement. Note the relationship between the definition of a mission statement and the
correct option. Review the description of an organization’s mission statement if you had
difficulty with this question.

Reference:
Marriner-Tomey, A. (2009).
Guide to nursing management and
leadership
(8th ed., pp. 225, 226). St. Louis: Mosby.
Cognitive Ability:
Understanding
Client Needs:
Safe and Effective Care Environment
Integrated Process:
Nursing Process/Planning
Content Area:
Leadership/Management
Question 61
1 / 1 pts
A nurse, newly employed by a home health agency, is told that the organization’s
decision-making process is centralized. The nurse determines that this means that the
authority to make decisions is vested in:
Every employee
A few individuals, such as the board of directors
Many individuals, with decisions filtering down to the individual employee
All nursing employees, pharmacists, and hospital physicians
Rationale:
Organizations may be described as having a centralized or decentralized
structure in regard to the decision-making process. An organization is depicted as
centralized when the authority to make decisions is vested in a few individuals.


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