Test Bank for Effective Leadership and Management in Nursing, 9th Edition by Eleanor J. Sullivan – Complete Chapters 1–28 with 400+ Pages of Verified NCLEX-Style Questions, Answers & Detailed Rationales for Nursing Leadership, Management & NCLEX-RN Exams

TEST BANK FOR

EFFECTIVE LEADERSHIP AND MANAGEMENT IN NURSING, 9TH EDITION, ELEANOR




J. SULLIVAN

,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
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1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning commi
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ttee. Which factor is the primary driving force and controlling factor in new initiatives this co
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mmittee might recommend? ey ey



1. Cost of care ey ey



2. Access to care ey ey



3. Availability of care ey ey



4. Quality of care ey ey ey



Answer: 1 e y



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, availabil
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ity, and quality.
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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 t
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hat quality care must also be funded care.
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Cognitive Level: Applying ey e y



Client Need: Safe Effective Care Environment Clien
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t Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership ey e y ey ey



Learning Outcome: 1- ey e y



1: Explain changes to healthcare over the past decade, including those resulting from implemen
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tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
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olving medical and communication technology.
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,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What i
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nformation 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.) economy s
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pent on healthcare has slowly declined to less than 12%.
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2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) s
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hould bring financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
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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 e y



Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross dom
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estic product.
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2. Implementation of PPACA and its regulations have not been formulated. ey ey ey ey ey ey ey ey ey



3. The United States spends more than $2.5 trillion on healthcare annually, more than any
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other country. ey



4. While this act has been passed, it is not operationalized. Healthcare spending continues to r
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ise.
Cognitive Level: Analyzing ey e y



Client Need: Safe Effective Care Environment Clien
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t Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Planning/Education ey e y ey ey



Learning Outcome: 1- ey e y



1: Explain changes to healthcare over the past decade, including those resulting from implemen
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tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
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olving medical and communication technology.
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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
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nager a need for additional understanding of this situation?
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1. "I wonder if there was a break of sterility when this catheter was inserted."
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2. "Thankfully we can treat this with an antibiotic." ey ey ey ey ey ey ey



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."
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Answer: 2 e y



Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned abou
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t the process that might have contributed to this infection.
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2. The nurse who focuses on taking care of the results of a potential medical mistake is not
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accepting the seriousness of the situation. ey ey ey ey ey



3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
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medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, i
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ncluding increased length of stay. ey ey ey ey



4. The nurse has identified that improper care may result in poor outcomes for the client.
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Cognitive Level: Applying ey e y



Client Need: Safe Effective Care Environment Clien
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t Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Educationey e y ey ey



Learning Outcome: 1- ey e y



1: Explain changes to healthcare over the past decade, including those resulting from implemen
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tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
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olving medical and communication technology.
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4) Which healthcare situations reflect the philosophy of quality management as designed by
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Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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, Select all that apply. ey ey ey



1. A nurse asks visitors to leave because it is after visiting hours.
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2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from
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nothing by mouth (NPO) status. ey ey ey ey



3. A nurse tells the manager that a housekeeper's work is not up to standards.
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4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
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5. A nurse who has not made a medication error in two years asks for a salary increase.
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Answer: 2, 3, 4 e y ey ey



Explanation: 1. The philosophy of quality management is focus on the needs of the client. If th
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ere is no reason for the visitors to leave other than it is after visiting hours, this is not focused
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on client need.
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2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This i
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s an example of quality management.
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3. Quality management empowers the employee to evaluate quality.
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4. This nurse has seen a need and is working to improve the quality of service. This is quality
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management.
5. Salary increases can be tied to quality improvement initiatives, but just asking for an i
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ncrease is not quality management. ey ey ey ey



Cognitive Level: Applying ey e y



Client Need: Safe Effective Care Environment Clien
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t Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
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Learning Outcome: 1- ey e y



1: Explain changes to healthcare over the past decade, including those resulting from implemen
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tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
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olving medical and communication technology.
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