RHIT Organizational Management and Leadership 2 — Questions and Answers
Question 1: A HIM director wants to reduce employee turnover. Which motivation theory suggests that addressing hygiene factors like salary and working conditions will prevent dissatisfaction but not necessarily create motivation?
- Maslow's Hierarchy of Needs
- Herzberg's Two-Factor Theory (Correct answer)
- McGregor's Theory X and Y
- Vroom's Expectancy Theory
Correct answer: Herzberg's Two-Factor Theory
Herzberg's Two-Factor Theory distinguishes between hygiene factors (which prevent dissatisfaction) and motivators (which drive satisfaction and performance).
Question 2: Which type of organizational structure groups employees by function, such as coding, release of information, and transcription, all reporting to the HIM director?
- Matrix structure
- Divisional structure
- Functional structure (Correct answer)
- Flat structure
Correct answer: Functional structure
A functional structure organizes employees by specialty or function, which is common in HIM departments where coders, release staff, and transcriptionists report to the same director.
Question 3: A HIM manager conducts a performance appraisal and gives an employee the highest rating in every category because of one outstanding project. This is an example of which appraisal error?
- Central tendency error
- Halo effect (Correct answer)
- Recency bias
- Leniency error
Correct answer: Halo effect
The halo effect occurs when a rater allows one positive trait or performance to positively influence all other ratings.
Question 4: Which budgeting approach requires managers to justify every expense from zero each fiscal year, regardless of prior budget allocations?
- Incremental budgeting
- Zero-based budgeting (Correct answer)
- Capital budgeting
- Activity-based budgeting
Correct answer: Zero-based budgeting
Zero-based budgeting requires justification of all expenditures from scratch each year rather than using the prior year's budget as a baseline.
Question 5: A HIM department implements a policy requiring all coding staff to obtain CCS certification within two years of hire. This is an example of which HR management function?
- Compensation management
- Employee relations
- Training and development (Correct answer)
- Workforce planning
Correct answer: Training and development
Requiring staff to obtain professional certifications is a training and development initiative aimed at improving employee skills and qualifications.
Question 6: A hospital's HIM department is reorganized to include a project manager who reports to both the HIM director and the IT director simultaneously. This describes which organizational structure?
- Flat structure
- Matrix structure (Correct answer)
- Functional structure
- Line structure
Correct answer: Matrix structure
A matrix structure allows employees to report to two or more managers, typically combining functional and project-based authority.
Question 7: Which leadership style is most appropriate when managing highly experienced, self-motivated HIM professionals who require little direction?
- Autocratic leadership
- Transactional leadership
- Laissez-faire leadership (Correct answer)
- Coercive leadership
Correct answer: Laissez-faire leadership
Laissez-faire leadership provides minimal direction and allows skilled, motivated employees to work autonomously, which suits experienced HIM professionals.
RHIT Organizational Management and Leadership 2
A HIM director wants to reduce employee turnover.
Which motivation theory suggests that addressing hygiene factors like salary and working conditions will prevent dissatisfaction but not necessarily create motivation?