MHA Leadership and Organizational Behavior 3 — Questions and Answers
Question 1: Which of the following best describes 'span of control' in healthcare management?
- The budget authority a manager holds over departmental spending
- The number of subordinates a manager can effectively supervise (Correct answer)
- The geographic area covered by a healthcare system
- The range of clinical services a hospital offers
Correct answer: The number of subordinates a manager can effectively supervise
Span of control refers to how many direct reports a manager can effectively oversee, affecting organizational structure design.
Question 2: A healthcare administrator uses 360-degree feedback for leadership development. What is the PRIMARY advantage of this approach?
- It eliminates the need for annual performance reviews
- It provides multi-source perspectives including peers, subordinates, and supervisors (Correct answer)
- It is less time-consuming than traditional evaluations
- It focuses exclusively on quantifiable performance metrics
Correct answer: It provides multi-source perspectives including peers, subordinates, and supervisors
360-degree feedback gathers input from multiple stakeholders, giving leaders a comprehensive view of their behavioral impact across relationships.
Question 3: In organizational behavior, 'organizational culture' is BEST defined as:
- The formal policies and procedures documented in the employee handbook
- The shared values, beliefs, and assumptions that guide member behavior (Correct answer)
- The demographic composition of the workforce
- The physical layout and design of the workplace
Correct answer: The shared values, beliefs, and assumptions that guide member behavior
Organizational culture consists of the unwritten norms, shared assumptions, and values that shape how people think and act within an organization.
Question 4: A hospital system is experiencing significant resistance to a new EHR implementation. Which change management intervention most directly addresses individual resistance?
- Accelerating the implementation timeline to minimize disruption
- Providing targeted education and involving resistors in the design process (Correct answer)
- Mandating compliance through formal disciplinary policies
- Hiring external consultants to manage the rollout
Correct answer: Providing targeted education and involving resistors in the design process
Education reduces fear of the unknown, and involving resistors gives them ownership, both of which are evidence-based strategies for overcoming resistance.
Question 5: According to situational leadership theory, a leader should use a 'coaching' style when working with an employee who has:
- High competence and high commitment
- Low competence and low commitment
- High commitment but low competence (Correct answer)
- Low commitment but high competence
Correct answer: High commitment but low competence
Coaching (high direction, high support) is appropriate for enthusiastic but unskilled employees who need both guidance and encouragement.
Question 6: Which concept describes the informal power that a healthcare leader gains through expertise and specialized knowledge?
- Coercive power
- Referent power
- Expert power (Correct answer)
- Legitimate power
Correct answer: Expert power
Expert power derives from possessing specialized knowledge or skills that others value, common among clinical leaders and subject matter experts.
Question 7: A hospital board is evaluating whether its organizational structure supports strategic goals. Which structural design best supports rapid response to market changes in healthcare?
- Tall hierarchy with many management layers
- Centralized bureaucratic structure
- Organic/decentralized structure with cross-functional teams (Correct answer)
- Mechanistic structure with high formalization
Correct answer: Organic/decentralized structure with cross-functional teams
Organic structures with decentralized decision-making and cross-functional teams respond more quickly to environmental changes than rigid hierarchies.
Which of the following best describes 'span of control' in healthcare management?