Test Bank for Effective Leadership and Management in Nursing 9th Edition by Eleanor J. Sullivan | ISBN 9780134153117 | Chapters 1–28 | Complete

TEST BANK

,TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN

,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter 1 rt rt rt rt rt rt rt rt rt




rIntroducing 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 committee m
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ight recommend? rt




1. Cost of care rt rt




2. Access to care rt rt




3. Availabilityofcare rt rt




4. Qualityofcare rt rt rt




Answer: 1 r t




Explanation: 1. While all of the options given are driving forces in today's healthcare environment r t rt rt rt rt rt rt rt rt rt rt rt rt rt




, the cost of providing care is still the primary issue. Cost of care controls access, availability, and qu
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ality.
2. Access to care is controlled by the ability to pay. rt rt rt rt rt rt rt rt rt




3. Care will not be available if it cannot be funded. rt rt rt rt rt rt rt rt rt




4. Healthcare providers do not like to correlate quality with cost, but the economic reality is that q rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt




uality care must also be funded care. rt rt rt rt rt rt




Cognitive Level: Applying rt r t




Client Need: SafeEffective CareEnvironment Client
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Need Sub: Management of Care rt r t rt rt




Nursing/Int Conc: Nursing Process: Evaluation/Leadership rt r t rt rt




Learning Outcome: 1- rt r t




1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. rt rt rt

, 2) Anurse has been invited to discuss healthcare costs at a senior citizens' club. What infor
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mation should the nurse plan to include in this discussion? rt rt rt rt rt rt rt rt rt




1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy spent
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on healthcare has slowly declined to less than 12%.
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2. Regulationsbrought about bythe Patient Protection andAffordable CareAct (PPACA) shou rt rt rt rt rt rt rt rt rt rt rt rt




ld 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 the Pa rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt




tient Protection and Affordable Care Act (PPACA).
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Answer: 2 r t




Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domestic r t rt rt rt rt rt rt rt rt rt rt rt rt rt rt




product.
2. Implementation of PPACAand its regulations have not been formulated. rt rt rt rt rt rt rt rt rt




3. The United States spends more than $2.5 trillion on healthcare annually, more than any other
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country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
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Cognitive Level: Analyzing rt r t




Client Need: SafeEffective CareEnvironment Client rt r t rt rt rt rt rt




Need Sub: Management of Care rt r t rt rt




Nursing/Int Conc: Nursing Process: Planning/Education rt r t rt rt




Learning Outcome: 1- rt r t




1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. rt rt rt




3) A70-year-old client develops a catheter-
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induced urinary tract infection. Which statement by the nurse would indicate to the nurse manage
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r 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." rt rt rt rt rt rt rt




3. "This could potentially cost the hospital a lot of money." rt rt rt rt rt rt rt rt rt




4. "I will talk to my unlicensed assistants about proper urinary catheter care." Ans
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wer: 2 r t




Explanation: 1.Wondering about a break in sterility indicates that the nurse is concerned about the r t rt rt rt rt rt rt rt rt rt rt rt rt rt rt rt




process that might have contributed to this infection. rt rt rt rt rt rt rt




2. The nurse who focuses on taking care of the results of a potential medical mistake is not accept
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ing the seriousness of the situation.
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3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by medi
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cal mistakes. This urinary tract infection could cost the hospital the cost of treatment, including i
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ncreased length of stay. rt rt rt




4. The nurse has identified that improper care may result in poor outcomes for the client. Cogn
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itive Level: Applying rt r t




Client Need: SafeEffective CareEnvironment Client rt r t rt rt rt rt rt




Need Sub: Management of Care rt r t rt rt




Nursing/Int Conc: Nursing Process: Evaluation/Education rt r t rt rt




Learning Outcome: 1- rt r t




1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. rt rt rt




4) Which healthcare situations reflect the philosophy of quality management as designed by De rt rt rt rt rt rt rt rt rt rt rt rt




ming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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