TESTBANK
,TESTBANK FOR ii ii
EFFECTIVE LEADER ii
SHIPAND MANAGE
ii ii
MENT INNURSING, ii ii ii
9TH EDITION,ELEA
ii i
NOR
J. SULLIVAN
ii
,Effective Leadership & Management in Nursing, 9eii(Sullivan) Chapter
1 Introducing Nursing Management
1) A nurse manager is participatingiiin the healthcare organization's strategic planning commit
tee. Which factor is the primary driving force and controlling factor in new initiatives this com
mittee might recommend?
1. Cost of care
2. Access to care
3. Availabilityof care
4. Qualityofcare
Answer: 1
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
ment, the cost of providingiicare is still the primary issue. Cost of care controls access, availabili
ty, and quality.
2. Access to care is controllediiby the ability to pay.
3. Care will not beiiavailable if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is t
hat quality care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment Clien
t Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-
1: Explain changes to healthcare over the past decade, including those resulting from implemen
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
olving medical and communication technology.
, 2) Anurseiihasw,beenw,invitediitow,discussw,healthcarew,costsw,atw,aiiseniorw,citizens'w,club.w,W
hatw,iw,nformationw,shouldw,thew,nurseiiplanw,tow,includew,inw,thisw,discussion?
1. Whilew,healthcarew,costsw,continuew,tow,rise,w,thew,percentagew,ofw,thew,Unitedw,Statesw,(U.S.)w,econ
omyw,sw,pentw,onw,healthcareiihasw,slowlyw,declinedw,tow,lessw,thanw,12%.
2. Regulationsbroughtw,aboutw,byw,theiiPatientw,Protectionw,andiiAffordableiiCarew,Actw,(PPAC
A)w,sw,houldiibringw,financialw,reliefw,tow,healthcarew,consumers.
3. TheiiUnitedw,Statesw,spendsw,morew,moneyw,onw,healthcarew,thanw,anyw,otherw,country.
4. Healthcarew,spendingw,inw,thew,Unitedw,Statesw,isw,slowlyw,decliningw,duew,tow,passagew,ofw,billsw,su
chw,asw,tw,hew,Patientw,Protectionw,andw,Affordablew,CareiiActw,(PPACA).
Answer:w , 2
Explanation:w , 1.w,Inii2009,w,healthcareiicostsw,consumedw,morew,thanw,17%w,ofw,thew,country'sw,grossw,
domw,esticw,product.
2. Implementationw,ofw,PPACAandw,itsw,regulationsw,havew,notw,beenw,formulated.
3. TheiiUnitedw,Statesw,spendsw,morew,thanw,$2.5w,trillionw,onw,healthcarew,annually,w,morew,tha
nw,anyw,otherw,country.
4. Whilew,thisw,actw,hasw,beeniipassed,w,itw,isw,notw,operationalized.w,Healthcarew,spendingw,continue
sw,tow,rw,ise.
Cognitivew,Level:w , Analyzing
Clientw,Need:w , Safew,Effectivew,Carew,Environmentw,Cl
ienw,tw,Needw,Sub:w , Managementw,ofw,Care
Nursing/Intw,Conc:w , Nursingw,Process:w,Planning/Educati
onw,Learningw,Outcome:w , 1-
1:w,Explainw,changesw,tow,healthcarew,overw,thew,pastw,decade,w,includingw,thosew,resultingw,fromw,impl
emenw,tationw,ofw,thew,Affordablew,Carew,Act;w,demandsw,tow,reducew,errorsw,andw,improvew,patientw,s
afety;w,andw,evw,olvingw,medicalw,andw,communicationw,technology.
3) Aw7, 0-year-oldw,clientw,developsw,aw,catheter-
inducedw,urinaryw,tractw,infection.w,Whichw,statementw,byw,theiinursew,wouldw,indicatew,tow,thew,nursew,m
aw,nagerw,aw,needw,forw,additionalw,understandingw,ofw,thisw,situation?
1. "Iw,wonderw,ifw,therew,wasw,aw,breakw,ofw,sterilityw,whenw,thisw,catheterw,wasw,inserted."
2. "Thankfullyw,wew,canw,treatw,thisw,withw,anw,antibiotic."
3. "Thisw,couldiipotentiallyw,costw,thew,hospitalw,aw,lotw,ofw,money."
4. "Iw,willw,talkw,tow,myw,unlicensedw,assistantsw,aboutw,properw,urinaryw,catheterw,c
are."w,Answer:w , 2
Explanation:w , 1.w,Wonderingw,aboutw,aw,breakw,inw,sterilityw,indicatesw,thatw,thew,nursew,isw,concernedw,a
boutw,thew,processw,thatw,mightw,havew,contributedw,tow,thisw,infection.
2. Theiinursew,whow,focusesw,onw,takingw,carew,ofw,thew,resultsw,ofw,aw,potentialw,medicalw,mistakew,i
sw,notw,aw,cceptingw,thew,seriousnessw,ofw,thew,situation.
3. Thew,Centersw,forw,Medicarew,andw,Medicaidw,Servicesw,now,longerw,coverw,thew,costsw,incu
rredw,byw,medicalw,mistakes.w,Thisw,urinaryw,tractw,infectionw,couldw,costw,thew,hospitalw,thew,costw,
ofw,treatment,w,iw,ncludingw,increasedw,lengthw,ofw,stay.
4. Theiinursew,hasw,identifiediithatw,improperw,carew,mayw,resultw,inw,poorw,outcomesw,forw,thew,c
lient.w,Cognitivew,Level:w , Applying
Clientw,Need:w , Safew,Effectivew,Carew,Environmentw,Cl
ienw,tw,Needw,Sub:w , Managementw,ofw,Care
Nursing/Intw,Conc:w , Nursingw,Process:w,Evaluation/Educati
onw,Learningw,Outcome:w , 1-
1:w,Explainw,changesw,tow,healthcarew,overw,thew,pastw,decade,w,includingw,thosew,resultingw,fromw,impl
emenw,tationw,ofw,thew,Affordablew,Carew,Act;w,demandsw,tow,reducew,errorsw,andw,improvew,patientw,s
afety;w,andw,evw,olvingw,medicalw,andw,communicationw,technology.
4) Whichw,healthcarew,situationsw,reflectw,thew,philosophyw,ofw,qualityw,managementw,asw,designe
dw,byw,Deming?
Note:w,Creditw,willw,bew,givenw,onlyw,ifw,allw,correctw,choicesw,andw,now,incorrectw,choicesw,arew,selected.
,TESTBANK FOR ii ii
EFFECTIVE LEADER ii
SHIPAND MANAGE
ii ii
MENT INNURSING, ii ii ii
9TH EDITION,ELEA
ii i
NOR
J. SULLIVAN
ii
,Effective Leadership & Management in Nursing, 9eii(Sullivan) Chapter
1 Introducing Nursing Management
1) A nurse manager is participatingiiin the healthcare organization's strategic planning commit
tee. Which factor is the primary driving force and controlling factor in new initiatives this com
mittee might recommend?
1. Cost of care
2. Access to care
3. Availabilityof care
4. Qualityofcare
Answer: 1
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
ment, the cost of providingiicare is still the primary issue. Cost of care controls access, availabili
ty, and quality.
2. Access to care is controllediiby the ability to pay.
3. Care will not beiiavailable if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is t
hat quality care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment Clien
t Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-
1: Explain changes to healthcare over the past decade, including those resulting from implemen
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
olving medical and communication technology.
, 2) Anurseiihasw,beenw,invitediitow,discussw,healthcarew,costsw,atw,aiiseniorw,citizens'w,club.w,W
hatw,iw,nformationw,shouldw,thew,nurseiiplanw,tow,includew,inw,thisw,discussion?
1. Whilew,healthcarew,costsw,continuew,tow,rise,w,thew,percentagew,ofw,thew,Unitedw,Statesw,(U.S.)w,econ
omyw,sw,pentw,onw,healthcareiihasw,slowlyw,declinedw,tow,lessw,thanw,12%.
2. Regulationsbroughtw,aboutw,byw,theiiPatientw,Protectionw,andiiAffordableiiCarew,Actw,(PPAC
A)w,sw,houldiibringw,financialw,reliefw,tow,healthcarew,consumers.
3. TheiiUnitedw,Statesw,spendsw,morew,moneyw,onw,healthcarew,thanw,anyw,otherw,country.
4. Healthcarew,spendingw,inw,thew,Unitedw,Statesw,isw,slowlyw,decliningw,duew,tow,passagew,ofw,billsw,su
chw,asw,tw,hew,Patientw,Protectionw,andw,Affordablew,CareiiActw,(PPACA).
Answer:w , 2
Explanation:w , 1.w,Inii2009,w,healthcareiicostsw,consumedw,morew,thanw,17%w,ofw,thew,country'sw,grossw,
domw,esticw,product.
2. Implementationw,ofw,PPACAandw,itsw,regulationsw,havew,notw,beenw,formulated.
3. TheiiUnitedw,Statesw,spendsw,morew,thanw,$2.5w,trillionw,onw,healthcarew,annually,w,morew,tha
nw,anyw,otherw,country.
4. Whilew,thisw,actw,hasw,beeniipassed,w,itw,isw,notw,operationalized.w,Healthcarew,spendingw,continue
sw,tow,rw,ise.
Cognitivew,Level:w , Analyzing
Clientw,Need:w , Safew,Effectivew,Carew,Environmentw,Cl
ienw,tw,Needw,Sub:w , Managementw,ofw,Care
Nursing/Intw,Conc:w , Nursingw,Process:w,Planning/Educati
onw,Learningw,Outcome:w , 1-
1:w,Explainw,changesw,tow,healthcarew,overw,thew,pastw,decade,w,includingw,thosew,resultingw,fromw,impl
emenw,tationw,ofw,thew,Affordablew,Carew,Act;w,demandsw,tow,reducew,errorsw,andw,improvew,patientw,s
afety;w,andw,evw,olvingw,medicalw,andw,communicationw,technology.
3) Aw7, 0-year-oldw,clientw,developsw,aw,catheter-
inducedw,urinaryw,tractw,infection.w,Whichw,statementw,byw,theiinursew,wouldw,indicatew,tow,thew,nursew,m
aw,nagerw,aw,needw,forw,additionalw,understandingw,ofw,thisw,situation?
1. "Iw,wonderw,ifw,therew,wasw,aw,breakw,ofw,sterilityw,whenw,thisw,catheterw,wasw,inserted."
2. "Thankfullyw,wew,canw,treatw,thisw,withw,anw,antibiotic."
3. "Thisw,couldiipotentiallyw,costw,thew,hospitalw,aw,lotw,ofw,money."
4. "Iw,willw,talkw,tow,myw,unlicensedw,assistantsw,aboutw,properw,urinaryw,catheterw,c
are."w,Answer:w , 2
Explanation:w , 1.w,Wonderingw,aboutw,aw,breakw,inw,sterilityw,indicatesw,thatw,thew,nursew,isw,concernedw,a
boutw,thew,processw,thatw,mightw,havew,contributedw,tow,thisw,infection.
2. Theiinursew,whow,focusesw,onw,takingw,carew,ofw,thew,resultsw,ofw,aw,potentialw,medicalw,mistakew,i
sw,notw,aw,cceptingw,thew,seriousnessw,ofw,thew,situation.
3. Thew,Centersw,forw,Medicarew,andw,Medicaidw,Servicesw,now,longerw,coverw,thew,costsw,incu
rredw,byw,medicalw,mistakes.w,Thisw,urinaryw,tractw,infectionw,couldw,costw,thew,hospitalw,thew,costw,
ofw,treatment,w,iw,ncludingw,increasedw,lengthw,ofw,stay.
4. Theiinursew,hasw,identifiediithatw,improperw,carew,mayw,resultw,inw,poorw,outcomesw,forw,thew,c
lient.w,Cognitivew,Level:w , Applying
Clientw,Need:w , Safew,Effectivew,Carew,Environmentw,Cl
ienw,tw,Needw,Sub:w , Managementw,ofw,Care
Nursing/Intw,Conc:w , Nursingw,Process:w,Evaluation/Educati
onw,Learningw,Outcome:w , 1-
1:w,Explainw,changesw,tow,healthcarew,overw,thew,pastw,decade,w,includingw,thosew,resultingw,fromw,impl
emenw,tationw,ofw,thew,Affordablew,Carew,Act;w,demandsw,tow,reducew,errorsw,andw,improvew,patientw,s
afety;w,andw,evw,olvingw,medicalw,andw,communicationw,technology.
4) Whichw,healthcarew,situationsw,reflectw,thew,philosophyw,ofw,qualityw,managementw,asw,designe
dw,byw,Deming?
Note:w,Creditw,willw,bew,givenw,onlyw,ifw,allw,correctw,choicesw,andw,now,incorrectw,choicesw,arew,selected.
