1
Copyright © 2018 Pearson Education, In
ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chap
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ter 1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning committee
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. Which factor is the primary driving force and controlling factor in new initiatives this commit
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tee might recommend?
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1. Cost of care ma ma
2. Access to care ma ma
3. Availability of care ma ma
4. Quality of care ma ma
Answer: 1
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Explanation: 1. While all of the options given are driving forces in today's healthcare environ
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ment, the cost of providing care is still the primary issue. Cost of care controls access, availabi
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lity, and quality.
ma ma
2. Access to care is controlled by the ability to pay.
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3. Care will not be available if it cannot be funded.
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4. Healthcare providers do not like to correlate quality with cost, but the economic reality is th
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
at quality care must also be funded care.
ma ma ma ma ma ma ma
Cognitive Level: Applying ma m a
Client Need: Safe Effective Care Environment Cl
ma m a ma ma ma ma
ient Need Sub: Management of Care
ma ma m a ma ma
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
ma m a ma ma
Learning Outcome: 1- ma m a
1: Explain changes to healthcare over the past decade, including those resulting from impleme
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ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
evolving medical and communication technology.
ma ma ma ma
2
Copyright © 2018 Pearson Education, In
ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
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at information should the nurse plan to include in this discussion?
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1. While healthcare costs continue to rise, the percentage of the United States (U.S.) econom
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y spent on healthcare has slowly declined to less than 12%.
ma ma ma ma ma ma ma ma ma ma
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) shoul
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d bring financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
ma ma ma ma ma ma ma ma ma ma ma
4. Healthcare spending in the United States is slowly declining due to passage of bills such as t
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he Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 m a
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross do
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mestic product. ma
2. Implementation of PPACA and its regulations have not been formulated. ma ma ma ma ma ma ma ma ma
3. The United States spends more than $2.5 trillion on healthcare annually, more than any othe
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r country.
ma
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ris
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e. Cognitive Level: Analyzing
ma ma m a
Client Need: Safe Effective Care Environment Cl
ma m a ma ma ma ma
ient Need Sub: Management of Care
ma ma m a ma ma
Nursing/Int Conc: Nursing Process: Planning/Educationma m a ma ma
Learning Outcome: 1- ma m a
1: Explain changes to healthcare over the past decade, including those resulting from impleme
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ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
evolving medical and communication technology.
ma ma ma ma
3) A 70-year-old client develops a catheter-
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induced urinary tract infection. Which statement by the nurse would indicate to the nurse ma
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
nager a need for additional understanding of this situation?
ma ma ma ma ma ma ma ma
1. "I wonder if there was a break of sterility when this catheter was inserted."
ma ma ma ma ma ma ma ma ma ma ma ma ma
2. "Thankfully we can treat this with an antibiotic." ma ma ma ma ma ma ma
3. "This could potentially cost the hospital a lot of money."
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4. "I will talk to my unlicensed assistants about proper urinary catheter care.
ma ma ma ma ma ma ma ma ma ma ma
" Answer: 2
ma m a
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned abo
m a ma ma ma ma ma ma ma ma ma ma ma ma ma
ut the process that might have contributed to this infection.
ma ma ma ma ma ma ma ma ma
2. The nurse who focuses on taking care of the results of a potential medical mistake is n
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ot accepting the seriousness of the situation.
ma ma ma ma ma ma
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred b
ma ma ma ma ma ma ma ma ma ma ma ma ma
y medical mistakes. This urinary tract infection could cost the hospital the cost of treatm
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ent, including increased length of stay.
ma ma ma ma ma
4. The nurse has identified that improper care may result in poor outcomes for the clien
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
t. Cognitive Level: Applying
ma ma m a
Client Need: Safe Effective Care Environment Cl
ma m a ma ma ma ma
ient Need Sub: Management of Care
ma ma m a ma ma
Nursing/Int Conc: Nursing Process: Evaluation/Education
ma m a ma ma
Learning Outcome: 1- ma m a
1: Explain changes to healthcare over the past decade, including those resulting from impleme
ma ma ma ma ma ma ma ma ma ma ma ma ma
3
Copyright © 2018 Pearson Education, In ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
, ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
evolving medical and communication technology.
ma ma ma ma
4
Copyright © 2018 Pearson Education, In
ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
Copyright © 2018 Pearson Education, In
ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chap
ma ma ma ma ma ma ma ma
ter 1 Introducing Nursing Management
ma m a ma ma
1) A nurse manager is participating in the healthcare organization's strategic planning committee
ma ma ma ma ma ma ma ma ma ma ma
. Which factor is the primary driving force and controlling factor in new initiatives this commit
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
tee might recommend?
ma ma
1. Cost of care ma ma
2. Access to care ma ma
3. Availability of care ma ma
4. Quality of care ma ma
Answer: 1
ma m a
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
m a ma ma ma ma ma ma ma ma ma ma ma ma ma
ment, the cost of providing care is still the primary issue. Cost of care controls access, availabi
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
lity, and quality.
ma ma
2. Access to care is controlled by the ability to pay.
ma ma ma ma ma ma ma ma ma
3. Care will not be available if it cannot be funded.
ma ma ma ma ma ma ma ma ma
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is th
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
at quality care must also be funded care.
ma ma ma ma ma ma ma
Cognitive Level: Applying ma m a
Client Need: Safe Effective Care Environment Cl
ma m a ma ma ma ma
ient Need Sub: Management of Care
ma ma m a ma ma
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
ma m a ma ma
Learning Outcome: 1- ma m a
1: Explain changes to healthcare over the past decade, including those resulting from impleme
ma ma ma ma ma ma ma ma ma ma ma ma ma
ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
evolving medical and communication technology.
ma ma ma ma
2
Copyright © 2018 Pearson Education, In
ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
at information should the nurse plan to include in this discussion?
ma ma ma ma ma ma ma ma ma ma
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) econom
ma ma ma ma ma ma ma ma ma ma ma ma ma
y spent on healthcare has slowly declined to less than 12%.
ma ma ma ma ma ma ma ma ma ma
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) shoul
ma ma ma ma ma ma ma ma ma ma ma ma
d bring financial relief to healthcare consumers.
ma ma ma ma ma ma
3. The United States spends more money on healthcare than any other country.
ma ma ma ma ma ma ma ma ma ma ma
4. Healthcare spending in the United States is slowly declining due to passage of bills such as t
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
he Patient Protection and Affordable Care Act (PPACA).
ma ma ma ma ma ma ma
Answer: 2 m a
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross do
m a ma ma ma ma ma ma ma ma ma ma ma ma ma
mestic product. ma
2. Implementation of PPACA and its regulations have not been formulated. ma ma ma ma ma ma ma ma ma
3. The United States spends more than $2.5 trillion on healthcare annually, more than any othe
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
r country.
ma
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ris
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e. Cognitive Level: Analyzing
ma ma m a
Client Need: Safe Effective Care Environment Cl
ma m a ma ma ma ma
ient Need Sub: Management of Care
ma ma m a ma ma
Nursing/Int Conc: Nursing Process: Planning/Educationma m a ma ma
Learning Outcome: 1- ma m a
1: Explain changes to healthcare over the past decade, including those resulting from impleme
ma ma ma ma ma ma ma ma ma ma ma ma ma
ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
evolving medical and communication technology.
ma ma ma ma
3) A 70-year-old client develops a catheter-
ma ma ma ma ma
induced urinary tract infection. Which statement by the nurse would indicate to the nurse ma
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
nager a need for additional understanding of this situation?
ma ma ma ma ma ma ma ma
1. "I wonder if there was a break of sterility when this catheter was inserted."
ma ma ma ma ma ma ma ma ma ma ma ma ma
2. "Thankfully we can treat this with an antibiotic." ma ma ma ma ma ma ma
3. "This could potentially cost the hospital a lot of money."
ma ma ma ma ma ma ma ma ma
4. "I will talk to my unlicensed assistants about proper urinary catheter care.
ma ma ma ma ma ma ma ma ma ma ma
" Answer: 2
ma m a
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned abo
m a ma ma ma ma ma ma ma ma ma ma ma ma ma
ut the process that might have contributed to this infection.
ma ma ma ma ma ma ma ma ma
2. The nurse who focuses on taking care of the results of a potential medical mistake is n
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ot accepting the seriousness of the situation.
ma ma ma ma ma ma
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred b
ma ma ma ma ma ma ma ma ma ma ma ma ma
y medical mistakes. This urinary tract infection could cost the hospital the cost of treatm
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ent, including increased length of stay.
ma ma ma ma ma
4. The nurse has identified that improper care may result in poor outcomes for the clien
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
t. Cognitive Level: Applying
ma ma m a
Client Need: Safe Effective Care Environment Cl
ma m a ma ma ma ma
ient Need Sub: Management of Care
ma ma m a ma ma
Nursing/Int Conc: Nursing Process: Evaluation/Education
ma m a ma ma
Learning Outcome: 1- ma m a
1: Explain changes to healthcare over the past decade, including those resulting from impleme
ma ma ma ma ma ma ma ma ma ma ma ma ma
3
Copyright © 2018 Pearson Education, In ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
, ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
evolving medical and communication technology.
ma ma ma ma
4
Copyright © 2018 Pearson Education, In
ma ma ma ma ma
c.
VERIFIEDBRAINBOOSTER
