Multiple Choice Questions (Enter your answers on the enclosed answer sheet)

1. Health care concerns shared by the U.S., China and India include concerns over ____________.

a. the consolidated financial mechanism

b. lack of spending at the local level

c. the low number of specialists

d. lifestyle issues and behaviors

2. Investor-owned facilities comprise about ____________ percent of the hospital sector.

a. 15-20

b. 30-35

c. 55-60

d. 75-80

3. Organizations within the health care industry have increasingly consolidated into ____________

over the past two decades with the stated objective of being more efficient, but may not operate

as such.

a. community care centers

b. corporations

c. systems

d. foundations

4. Schools of management thought have evolved over the past ____________ to provide

conceptual maps of how to deal with internal and external challenges.

a. century

b. decade

c. year

d. None of the above.

5. The Human Relations School ascertains that in order to improve productivity, management

must ____________.

a. implement the top-down control of work

b. minimize the input of workers

c. offer monetary incentives

d. understand the informal organization of workers


6. This school of management is also known as the “Neo Weberian” model:

a. classical school

b. human relations school

c. decision-making school

d. scientific school

7. Sociologists have long taken the _____________ in describing the embeddedness of human

behavior in social relationships.

a. social network approach

b. systems approach

c. perspectives approach

d. None of the above.

8. The decision-making school is focused on _____________.

a. physicians

b. middle managers

c. top executives

d. blue collar workers

9. One school of modern strategic management encompasses an emphasis on _____________.

a. industry net-worth

b. top-down decision making

c. industry structure and competitive forces

d. deliberate corporate rationality

10. _____________ (INDs) can fill the structural hole between independent physician groups who

can jointly develop and implement care management practices.

a. Integrated delivery networks

b. Independent doctor networks

c. Interdependent development networks

d. Independent decision networks

11. _____________ are a domain in which strong professional forces confront a host of

institutional and market forces.

a. HPRs

b. PHOs

c. ISMs

d. All of the above. 7

Final Examination

HCA 320 Essentials of Managed Care

12. ____________ can be defined as the process in which one engages others to set and achieve a

common goal, often an organizationally defined goal.

a. Management

b. Leadership

c. Power

d. None of the above.

13. ____________ provide supervision directly to care providers.

a. Front-line mangers

b. Top managers

c. Middle managers

d. All of the above.

14. ____________ have responsibility for entire units within the health care organization.

a. Front-line mangers

b. Top managers

c. Middle managers

d. All of the above.

15. An example work plan is also known as a ____________ Chart.

a. Gantt

b. Weber

c. Levy

d. management

16. One of the key roles of the C-Suite is to interact with key ____________.

a. external stakeholders

b. managers

c. union leaders

d. producers

17. A critical role of leadership is ____________ setting.

a. agenda

b. mission

c. objective

d. goal 8

Final Examination

HCA 320 Essentials of Managed Care

18. Which of the following is not a step in the strategic problem solving process?

a. define the problem

b. set the overall objective

c. conduct a root cause analysis

d. all are steps in the strategic problem solving process

19. Performance outcomes in health care are classified into three major categories:

(1) patient-related, (2) staff-related, and (3) ____________-related.

a. community

b. stakeholder

c. government

d. management

20. The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world

has spurred interest in identifying _____________.

a. avenues of change

b. competencies

c. novel health practices

d. directives

21. Studies have identified two types of support that those in leadership roles must provide for

successful change: instrumental and _____________ support.

a. industrial

b. proactive

c. interpersonal

d. unconventional

22. Processing the stress related to leadership action is recommended as a routine approach to

self-_____________ in leadership positions.

a. fulfillment

b. care

c. destruction

d. motivation

23. Service lines are programs that are organized around _____________.

a. technologies

b. diseases

c. patient populations

d. All of the above.9

Final Examination

HCA 320 Essentials of Managed Care

24. The purpose of ____________ is to bring people together, while avoiding the negative effects

of differences in power of different participants and of limits in perspectives of each

department and level in the hierarchy.

a. parallel organization

b. informed consent

c. process evaluation

d. external organization

25. ____________ is the coordination of activities among organizational units, including the

management of conflicts among the units.

a. Specialization

b. Integration

c. Interdependence

d. All of the above.

26. ____________ are programs that are organized around diseases or conditions, patient

population or technologies.

a. Service lines

b. Delivery systems

c. Parallel systems

d. None of the above.

27. ____________ organizational structures maintain their traditional functional structures and

create program structures for just one or two programs.

a. Divergent

c. Duplicate

b. Decentralized

d. Hybrid

28. ____________ is the specification of the training required to perform work.

a. Standardization of work

b. Standardization of skills

c. Standardization of compliance

d. Standardization of competence10

Final Examination

HCA 320 Essentials of Managed Care

29. ____________ is/are the exchange of information about work performance between two people

who are not in a hierarchical relationship.

a. Consensual agreement

b. Mutual adjustment

c. Shared objectives

d. Alienated forces

30. _____________ coordination captures aspects of both the programming and feedback

approaches to coordination.

a. Alliance

b. Conditioned

c. Relational

d. Intuitive

31. The state of feeling or thinking in which one is energized or aroused to perform a task or

engage in a particular behavior is _____________.

a. motivation

b. power

c. leverage

d. None of the above.

32. _____________ can be useful in collecting information about beliefs and attitudes as long as

they are anonymous and there is assurance the results will be acted on.

a. Interviews

b. Employee surveys

c. Public forums

d. Suggestion boxes

33. The four central components of expectancy theory are _____________.

a. job outcomes, victories, implementation and expectancy

b. job outcomes, valences, instrumentality and expectancy

c. job security, valences, implementation and eagerness

d. job security, valences, instrumentality and expectancy

34. _____________ is the most important defining characteristic of health care professionals.

a. Autonomy

b. Determination

c. Competence

d. Creativity11

Final Examination

HCA 320 Essentials of Managed Care

35. One of the best ways to motivate physicians include _____________.

a. distributing guidelines and protocols

b. financial incentives

c. traditional medical education programs

d. reminders and feedback

36. The causes of motivational problems often fall into three categories: 1) inadequate

definition of the desired performance, 2) impediments to employee performance and

3) _____________.

a. too much autonomy

b. inadequate performance-reward linkages

c. internal review structures

d. behavioral shortcomings

37. ____________ involves “directed autonomy” whereby individuals or teams are given an overall

direction yet considerable leeway concerning how they go about following that direction.

a. Allotment

c. Enforcement

b. Engagement

d. Empowerment

38. ____________ is when altering certain aspects of the job may satisfy employees’ psychological

needs and motivation.

a. Job description

b. Job finalization

c. Job redesign

d. All of the above.

39. Team goals and their accompanying tasks can be categorized according to ____________,

complexity, and diversity.

a. goal direction

b. goal clarity

c. standardization

d. aptitude

40. Formal groups are formally recognized, organizational based social systems that are task

oriented with specific purpose and produce measurable _____________.

a. outcomes

b. needs

c. jobs

d. None of the above.12

Final Examination

HCA 320 Essentials of Managed Care

41. Effective team performance is dependent upon a team’s ability to form ____________ with

other teams in a positive and productive manner.

a. municipalities

b. intergroup relationships

c. intragroup dynamics

d. independence

42. ____________ leadership is the legitimate authority given to a team member.

a. Formal

b. Official

c. Informal

d. Direct

43. Members carrying out ____________ activities are involved in general scanning for ideas and

information about the external environment.

a. ambassador

b. functional

c. scouting

d. locating

44. A ____________ is a member of a team who obtains the benefits of group membership but

does not accept a proportional share of the costs of membership.

a. slacker

b. lazy person

c. free rider

d. leader

45. Which theory of motivation model includes hygiene factors?

a. McClelland’s model

b. Keller’s model

c. Maslow’s model

d. Herzberg’s model

46. _____________ group technique and Delphi technique elicit group members’ opinions prior to

judgments about those opinions.

a. Normal

b. Biased

c. Unbiased

d. Nominal13

Final Examination

HCA 320 Essentials of Managed Care

47. The ____________ stage of team development is characterized by disagreement, counter-

independence and the need to manage conflict.

a. storming

b. forming

c. adjourning

d. performing

48. ____________ described communication as mostly a linear process.

a. Plato

b. Plutarch

c. Aristotle

d. Socrates

49. According to the well-known management theorist, NitinNohria, effective leaders know

how and when to use each of ____________ means of persuasion.

a. Plato’s

b. Aristotle’s

c. Plutarch’s

d. Socrates’s

50. People respond to ideas that are easy to visualize because they can be recalled from memory

more readily. This is an example of the ____________ phenomenon.

a. association

b. photographic

c. availability

d. optical

51. After simplicity, the second most important quality of one’s message is _____________.

a. complexity

c. vividness

b. brevity

d. uniqueness

52. One reason that broad involvement of many different stakeholders is crucial to the success of

a communicator is that stakeholders can ______________.

a. determine their worth

b. demand better benefits

c. reluctantly comply

d. offer their expertise14

Final Examination

HCA 320 Essentials of Managed Care

53. The issue of broad representation generally becomes more important as an organizational

initiative moves into the ___________ phase.

a. origination

b. implementation

c. scouting

d. planning

54. A weakness of ____________ is that it is not appropriate for exploring a particular idea or

proposal in depth.

a. structured interviews

b. focus groups

c. open-ended interviews

d. interview design

55. _____________ explains how information spreads.

a. Hierarchy

b. Collapsing

c. Contagion

d. Staggering

56. Real-time team meetings are venues where _____________ communication takes place.

a. enhanced

b. all-channel

c. structured

d. circle

57. Which of the following is not a method used in managing organizational communication?

a. open-ended interviews

b. structured interviews

c. one-minute essays

d. All the above.

58. This rests on a fundamental principle that practitioners and institutions that produce the best

outcomes should receive more money than those who underperform.

a. pay-for-performance

b. pay-for-outcome

c. pay-for-efficiency

d. pay-for-quality15

Final Examination

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