TEST BANK
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,TESTBANK FOR gl gl
EFFECTIVELEADER gl
SHIP AND MANAGE
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MENT IN NURSING, gl gl gl
9TH EDITION,ELEA
gl gl
NOR
J. SULLIVAN
gl
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
gl gl gl gl gl gl gl gl gl
1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning committ
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ee. Which factor is the primary driving force and controlling factor in new initiatives this comm
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ittee might recommend? gl gl
1. Cost of care gl gl
2. Access to care gl gl
3. Availability of care gl gl
4. Quality of care gl gl gl
Answer: 1 g l
Explanation: 1. While all of the options given are driving forces in today's healthcare environm
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ent, the cost of providing care is still the primary issue. Cost of care controls access, availability,
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and quality. gl
2. Access to care is controlled by the ability to pay. gl gl gl gl gl gl gl gl gl
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
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at quality care must also be funded care.
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Cognitive Level: Applying gl g l
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 gl g l gl gl
Learning Outcome: 1- gl g l
1: Explain changes to healthcare over the past decade, including those resulting from implement
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ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ving medical and communication technology.
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, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What in
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formation 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 sp
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ent 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) sh gl gl gl gl gl gl gl gl gl gl gl gl
ould 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 th
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e Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 g l
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross dome
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stic product.gl
2. Implementation of PPACA and its regulations have not been formulated. gl gl gl gl gl gl gl gl gl
3. The United States spends more than $2.5 trillion on healthcare annually, more than any ot
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her country.gl
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ri
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se.
Cognitive Level: Analyzing gl g l
Client Need: Safe Effective Care Environment Clien
gl g l gl gl gl gl
t Need Sub: Management of Care
gl gl g l gl gl
Nursing/Int Conc: Nursing Process: Planning/Education gl g l gl gl
Learning Outcome: 1- gl g l
1: Explain changes to healthcare over the past decade, including those resulting from implement
gl gl gl gl gl gl gl gl gl gl gl gl gl
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ving medical and communication technology.
gl gl gl gl
3) A 70-year-old client develops a catheter-
gl gl gl gl gl
induced urinary tract infection. Which statement by the nurse would indicate to the nurse man
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ager 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." gl gl gl gl gl gl gl
3. "This could potentially cost the hospital a lot of money."
gl gl gl gl gl gl gl gl gl
4. "I will talk to my unlicensed assistants about proper urinary catheter care." A
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nswer: 2 g l
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about t
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he process that might have contributed to this infection.
gl gl gl gl gl gl gl gl
2. The nurse who focuses on taking care of the results of a potential medical mistake is not ac
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
cepting the seriousness of the situation.
gl gl gl gl gl
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by m
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
edical mistakes. This urinary tract infection could cost the hospital the cost of treatment, incl
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
uding increased length of stay.
gl gl gl gl
4. The nurse has identified that improper care may result in poor outcomes for the client. C
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ognitive Level: Applying gl g l
Client Need: Safe Effective Care Environment Clien
gl g l gl gl gl gl
t Need Sub: Management of Care
gl gl g l gl gl
Nursing/Int Conc: Nursing Process: Evaluation/Education gl g l gl gl
Learning Outcome: 1- gl g l
1: Explain changes to healthcare over the past decade, including those resulting from implement
gl gl gl gl gl gl gl gl gl gl gl gl gl
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ving medical and communication technology.
gl gl gl gl
4) Which healthcare situations reflect the philosophy of quality management as designed by D
gl gl gl gl gl gl gl gl gl gl gl gl
eming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
gl
,TESTBANK FOR gl gl
EFFECTIVELEADER gl
SHIP AND MANAGE
gl gl
MENT IN NURSING, gl gl gl
9TH EDITION,ELEA
gl gl
NOR
J. SULLIVAN
gl
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
gl gl gl gl gl gl gl gl gl
1 Introducing Nursing Management
g l gl gl
1) A nurse manager is participating in the healthcare organization's strategic planning committ
gl gl gl gl gl gl gl gl gl gl gl
ee. Which factor is the primary driving force and controlling factor in new initiatives this comm
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ittee might recommend? gl gl
1. Cost of care gl gl
2. Access to care gl gl
3. Availability of care gl gl
4. Quality of care gl gl gl
Answer: 1 g l
Explanation: 1. While all of the options given are driving forces in today's healthcare environm
g l gl gl gl gl gl gl gl gl gl gl gl gl gl
ent, the cost of providing care is still the primary issue. Cost of care controls access, availability,
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
and quality. gl
2. Access to care is controlled by the ability to pay. gl gl gl gl gl gl gl gl gl
3. Care will not be available if it cannot be funded.
gl gl gl gl gl gl gl gl gl
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is th
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
at quality care must also be funded care.
gl gl gl gl gl gl gl
Cognitive Level: Applying gl g l
Client Need: Safe Effective Care Environment Clien
gl g l gl gl gl gl
t Need Sub: Management of Care
gl gl g l gl gl
Nursing/Int Conc: Nursing Process: Evaluation/Leadership gl g l gl gl
Learning Outcome: 1- gl g l
1: Explain changes to healthcare over the past decade, including those resulting from implement
gl gl gl gl gl gl gl gl gl gl gl gl gl
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ving medical and communication technology.
gl gl gl gl
, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What in
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
formation should the nurse plan to include in this discussion?
gl gl gl gl gl gl gl gl gl
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy sp
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ent on healthcare has slowly declined to less than 12%.
gl gl gl gl gl gl gl gl gl
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) sh gl gl gl gl gl gl gl gl gl gl gl gl
ould bring financial relief to healthcare consumers.
gl gl gl gl gl gl
3. The United States spends more money on healthcare than any other country.
gl gl gl gl gl gl gl gl gl gl gl
4. Healthcare spending in the United States is slowly declining due to passage of bills such as th
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
e Patient Protection and Affordable Care Act (PPACA).
gl gl gl gl gl gl gl
Answer: 2 g l
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross dome
g l gl gl gl gl gl gl gl gl gl gl gl gl gl
stic product.gl
2. Implementation of PPACA and its regulations have not been formulated. gl gl gl gl gl gl gl gl gl
3. The United States spends more than $2.5 trillion on healthcare annually, more than any ot
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
her country.gl
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ri
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
se.
Cognitive Level: Analyzing gl g l
Client Need: Safe Effective Care Environment Clien
gl g l gl gl gl gl
t Need Sub: Management of Care
gl gl g l gl gl
Nursing/Int Conc: Nursing Process: Planning/Education gl g l gl gl
Learning Outcome: 1- gl g l
1: Explain changes to healthcare over the past decade, including those resulting from implement
gl gl gl gl gl gl gl gl gl gl gl gl gl
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ving medical and communication technology.
gl gl gl gl
3) A 70-year-old client develops a catheter-
gl gl gl gl gl
induced urinary tract infection. Which statement by the nurse would indicate to the nurse man
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ager a need for additional understanding of this situation?
gl gl gl gl gl gl gl gl
1. "I wonder if there was a break of sterility when this catheter was inserted."
gl gl gl gl gl gl gl gl gl gl gl gl gl
2. "Thankfully we can treat this with an antibiotic." gl gl gl gl gl gl gl
3. "This could potentially cost the hospital a lot of money."
gl gl gl gl gl gl gl gl gl
4. "I will talk to my unlicensed assistants about proper urinary catheter care." A
gl gl gl gl gl gl gl gl gl gl gl gl
nswer: 2 g l
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about t
g l gl gl gl gl gl gl gl gl gl gl gl gl gl gl
he process that might have contributed to this infection.
gl gl gl gl gl gl gl gl
2. The nurse who focuses on taking care of the results of a potential medical mistake is not ac
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
cepting the seriousness of the situation.
gl gl gl gl gl
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by m
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
edical mistakes. This urinary tract infection could cost the hospital the cost of treatment, incl
gl gl gl gl gl gl gl gl gl gl gl gl gl gl
uding increased length of stay.
gl gl gl gl
4. The nurse has identified that improper care may result in poor outcomes for the client. C
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ognitive Level: Applying gl g l
Client Need: Safe Effective Care Environment Clien
gl g l gl gl gl gl
t Need Sub: Management of Care
gl gl g l gl gl
Nursing/Int Conc: Nursing Process: Evaluation/Education gl g l gl gl
Learning Outcome: 1- gl g l
1: Explain changes to healthcare over the past decade, including those resulting from implement
gl gl gl gl gl gl gl gl gl gl gl gl gl
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
ving medical and communication technology.
gl gl gl gl
4) Which healthcare situations reflect the philosophy of quality management as designed by D
gl gl gl gl gl gl gl gl gl gl gl gl
eming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
gl gl gl gl gl gl gl gl gl gl gl gl gl gl gl
