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Subject – NURSING MANAGEMENT AND LEADERSHIP

Topic –Management of Nursing Services: Organizing

🟢 Easy Level

Q1. What is the main objective of organizing in nursing services?
a) Delegating duties only
b) Making financial plans
c) Structuring work and responsibilities
d) Supervising only junior staff

Q2. Which of the following is the first step in the organizing process? (PYQ – NORCET)
a) Delegation
b) Identifying objectives
c) Supervision
d) Evaluation

Q3. The principle of “unity of command” in organizing means:
a) Multiple superiors for each subordinate
b) One boss for one employee
c) Free reporting system
d) Rotational command system

Q4. Which component is essential in the organizing process?
a) Forecasting
b) Authority-responsibility relationship
c) Random assignment
d) Elimination of communication

Q5. Which organizational structure is most common in hospitals?
a) Line
b) Line and staff
c) Project
d) Functional

Q6. Span of control refers to: (PYQ – RRB)
a) Control over all patients
b) Number of staff a manager can supervise effectively
c) Size of hospital building
d) Shift timings

Q7. Delegation involves:
a) Assigning roles and giving authority
b) Removing authority
c) Avoiding work
d) Asking patients to plan

Q8. Organizing is a part of which management function? (PYQ – GNM 2022)
a) Directing
b) Planning
c) Coordinating
d) Management process

Q9. The structure where employees are grouped by specialty is called:
a) Line organization
b) Matrix structure
c) Functional structure
d) Informal structure

Q10. The relationship between head nurse and staff nurses is:
a) Informal
b) Vertical
c) Horizontal
d) Diagonal

🟡 Medium Level

Q11. Which of the following best describes decentralization?
a) Only one person makes decisions
b) Shifting power to central authority
c) Delegating authority to lower levels
d) Removing middle management

Q12. Which tool is commonly used to show organizational hierarchy? (PYQ – ESIC)
a) Control chart
b) Flowchart
c) Organizational chart
d) Bar graph

Q13. A nurse manager uses delegation to:
a) Increase workload
b) Share power without accountability
c) Empower subordinates with authority and responsibility
d) Avoid responsibilities

Q14. Functional structure in nursing administration promotes:
a) Delay in decision-making
b) Work duplication
c) Expertise and efficiency
d) Chaos in communication

Q15. Which of the following is not a principle of organizing?
a) Unity of command
b) Division of work
c) Coordination
d) Gossip management

Q16. Who is directly responsible for the performance of staff nurses? (PYQ – NORCET)
a) Chief Nursing Officer
b) Staff nurse
c) Head nurse or ward in-charge
d) Medical officer

Q17. Scalar chain represents:
a) Flow of work
b) Flow of authority and communication
c) Patient movement
d) Hospital infrastructure

Q18. Which is a limitation of formal organization?
a) Defined responsibilities
b) Rigid structure
c) Clarity of tasks
d) Systematic approach

Q19. Diagonal communication occurs between:
a) Same levels of hierarchy
b) Different levels, different departments
c) Only doctors and nurses
d) Only top management

Q20. The matrix organization structure is a combination of:
a) Informal and formal
b) Line and functional
c) Centralized and decentralized
d) Planning and organizing

🔵 Hard Level

Q21. Unity of command in organizing means:
a) One nurse can have many supervisors
b) Every nurse reports to all top-level managers
c) Each employee should receive orders from only one superior
d) Tasks are distributed without hierarchy

Q22. Which organizing principle helps avoid duplication of work?
a) Scalar chain
b) Span of control
c) Division of labor
d) Informal structure

Q23. Which of the following is not a feature of informal organization? (PYQ – DSSSB)
a) Emotional bonding
b) Spontaneous communication
c) Defined by job description
d) Shared interests

Q24. The term ‘chain of command’ refers to:
a) Patient referral system
b) Reporting relationships in an organization
c) List of patients in emergency
d) Ward assignment of duties

Q25. An advantage of line organization is:
a) Less discipline
b) Clear authority and responsibility
c) Poor communication
d) No accountability

Q26. The concept of “span of control” deals with: (PYQ – NORCET)
a) Area assigned to a nurse
b) Number of patients per nurse
c) Number of subordinates a manager can effectively manage
d) Nurse-to-patient ratio in ICU

Q27. The key feature of a bureaucratic structure is:
a) Informal communication
b) Role clarity and rules
c) Decentralized authority
d) Patient-centered decisions

Q28. Who is responsible for defining the organizational structure in a hospital?
a) Nurse intern
b) Hospital janitor
c) Hospital administration
d) Patients’ families

Q29. Which organizing structure is ideal for a disaster management team?
a) Flat structure
b) Line and staff
c) Project-based structure
d) Informal group

Q30. Staff authority in organizing means:
a) Power to command directly
b) Power limited to personal decisions
c) Advisory power without command
d) Voting rights

Q31. Which principle ensures effective communication across organizational levels?
a) Unity of direction
b) Centralization
c) Scalar chain
d) Span of control
.

Q32. Formal organization is created to:
a) Meet social needs
b) Avoid written rules
c) Achieve goals systematically
d) Encourage favoritism

Q33. Delegation is ineffective when:
a) Authority is not transferred
b) Tasks are clearly defined
c) Trust exists between supervisor and subordinate
d) Subordinate has training

Q34. Which type of communication flows from subordinates to superiors? (PYQ – RRB Staff Nurse)
a) Downward
b) Upward
c) Horizontal
d) Diagonal

Q35. Functional organizational structure focuses on:
a) One manager for all activities
b) Teamwork without leaders
c) Specialization and department-based tasks
d) Random duty assignment

🔵 Mixed Difficulty

Q36. In nursing management, job description helps to:
a) Avoid recruitment
b) Create confusion in duties
c) Clarify roles and responsibilities
d) Assign arbitrary tasks

Q37. Decentralization in an organization results in:
a) Centralized power
b) Increased delay in decision-making
c) Shared decision-making power
d) Loss of accountability

Q38. Functional authority is given to: (PYQ – ESIC)
a) Perform a generalist role
b) Provide technical advice in specific areas
c) Directly manage patients
d) Control all departments

Q39. Organizational chart is useful to:
a) Hire new nurses
b) Replace written communication
c) Visualize the structure and relationships
d) Maintain medicine inventory

Q40. The process of assigning tasks to employees is called:
a) Delegation
b) Authority
c) Supervision
d) Staffing

Q41. When authority is concentrated at the top, it is called:
a) Decentralization
b) Delegation
c) Centralization
d) Specialization

Q42. “Unity of direction” in organizing refers to: (PYQ – NORCET)
a) One nurse reporting to many heads
b) Different objectives for each department
c) One plan, one head
d) Planning by everyone

Q43. The informal organization can:
a) Interfere with formal objectives
b) Never be useful
c) Replace formal hierarchy
d) Ensure accountability

Q44. In which structure does an employee report to more than one boss?
a) Line organization
b) Matrix organization
c) Project organization
d) Informal group

Q45. A ‘flat’ organizational structure typically has:
a) Many levels of management
b) No span of control
c) Few levels and broad span
d) Too much hierarchy

Q46. In an effective organizational structure, roles must be:
a) Ambiguous
b) Overlapping
c) Clearly defined
d) Arbitrary

Q47. Delegation includes:
a) Only giving tasks
b) Giving authority without responsibility
c) Assignment of tasks, authority, and accountability
d) Leaving tasks to chance

Q48. A nursing supervisor planning duty rosters is exercising:
a) Authority
b) Delegation
c) Organizing
d) Supervision

Q49. Unity of command is violated in which type of structure? (PYQ – DSSSB)
a) Line and staff
b) Matrix
c) Line
d) Functional

Q50. Which organizing principle helps establish hierarchy?
a) Span of control
b) Chain of command
c) Informal group
d) Task sharing

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