LEADERSHIP AND MANAGEMENT IN
NURSING 9TH EDITION ELEANOR
J.SULLIVAN-LATEST -2023-2024
NursinghyManagement
1) Ahynursehymanagerhyishyparticipatinghyinhythehyhealthcarehyorganization'shystrategichyplanninghy
committee.hyWhichhyfactorhyishythehyprimaryhydrivinghyforcehyandhycontrollinghyfactorhyinhynewhyin
itiativeshtyhishycommitteehymighthyrecommend?
1. Costhyofhycare
2. Accesshytohycare
3. Availabilityhyofhycare
4. Qualityhyofhycar
ehyAnswer:hy1
Explanation:hy1.hyWhilehyallhyofhythehyoptionshygivenhyarehydrivinghyforceshyinhytoday'shyhealthcare
hyenvironment,hythehycosthyofhyprovidinghycarehyishystillhythehyprimaryhyissue.hyCosthyofhycarehycontr
olshyaccess,hyavailability,hyandhyquality.
2. Accesshytohycarehyishycontrolledhybyhythehyabilityhytohypay.
3. Carehywillhynothybehyavailablehyifhyithycannothybehyfunded.
4. Healthcarehyprovidershydohynothylikehytohycorrelatehyqualityhywithhycost,hybuthythehyeconomichyr
ealityhyishtyhathyqualityhycarehymusthyalsohybehyfundedhycare.
CognitivehyLevel:h y Applying
ClienthyNeed:h y SafehyEffectivehyCarehyEnviron
menthyClienthyNeedhySub:h y ManagementhyofhyCa
re
Nursing/InthyConc:h y NursinghyProcess:hyEvaluation/Leadership
LearninghyOutcome:hy1-
1:hyExplainhychangeshytohyhealthcarehyoverhythehypasthydecade,hyincludinghythosehyresultinghyfromhy
implementationhyofhythehyAffordablehyCarehyAct;hydemandshytohyreducehyerrorshyandhyimprovehyp
atienthysafety;hyandhyevolvinghymedicalhyandhycommunicationhytechnology.
,2) Ahynursehyhashybeenhyinvitedhytohydiscusshyhealthcarehycostshyathyahyseniorhycitizens'hycl
ub.hyWhathiynformationhyshouldhythehynursehyplanhytohyincludehyinhythishydiscussion?
1. Whilehyhealthcarehycostshycontinuehytohyrise,hythehypercentagehyofhythehyUnitedhyStateshy(U.S.)hye
conomyhyspenthyonhyhealthcarehyhashyslowlyhydeclinedhytohylesshythanhy12%.
2. RegulationshybroughthyabouthybyhythehyPatienthyProtectionhyandhyAffordablehyCarehyActhy(P
PACA)hyshouldhybringhyfinancialhyreliefhytohyhealthcarehyconsumers.
3. ThehyUnitedhyStateshyspendshymorehymoneyhyonhyhealthcarehythanhyanyhyotherhycountry.
4. HealthcarehyspendinghyinhythehyUnitedhyStateshyishyslowlyhydeclininghyduehytohypassagehyofhybills
hysuchhyashty hehyPatient hyProtectionhyandhyAffordablehyCarehyActhy(PPACA).
Answer:h y 2
Explanation:hy1.hyInhy2009,hyhealthcarehycostshyconsumedhymorehythanhy17%hyofhythehycountry
'shygrosshydomestichyproduct.
2. ImplementationhyofhyPPACAhyandhyitshyregulationshyhavehynothybeenhyformulated.
3. ThehyUnitedhyStateshyspendshymorehythanhy$2.5hytrillionhyonhyhealthcarehyannually,hymorehyt
hanhyanyhyotherhycountry.
4. Whilehythishyacthyhashybeenhypassed,hyithyishynothyoperationalized.hyHealthcarehyspendinghycont
inueshytohyrise.
CognitivehyLevel:h y Analyzing
ClienthyNeed:h y SafehyEffectivehyCarehyEnviron
menthyClienthyNeedhySub:h y ManagementhyofhyCa
re
Nursing/InthyConc:h y NursinghyProcess:hyPlanning/Education
LearninghyOutcome:hy1-
1:hyExplainhychangeshytohyhealthcarehyoverhythehypasthydecade,hyincludinghythosehyresultinghyfromhy
implementationhyofhythehyAffordablehyCarehyAct;hydemandshytohyreducehyerrorshyandhyimprovehyp
atienthysafety;hyandhyevolvinghymedicalhyandhycommunicationhytechnology.
3) Ahy70-year-oldhyclienthydevelopshyahycatheter-
inducedhyurinaryhytracthyinfection.hyWhichhystatementhybyhythehynursehywouldhyindicatehytohythehyn
ursehymanagerhyahyneedhyforhyadditionalhyunderstandinghyofhythishsy ituation?
1. "Ihywonderhyifhytherehywashyahybreakhyofhysterilityhywhenhythishycatheterhywashyinserted."
2. "Thankfullyhywehycanhytreathythishywithhyanhyantibiotic."
3. "Thishycouldhypotentiallyhycosthythehyhospitalhyahylothyofhymoney."
4. "Ihywillhytalkhytohymyhyunlicensedhyassistantshyabouthyproperhyurinaryhycatheterh
ycare."hyAnswer:hy2
Explanation:h y 1.hyWonderinghyabouthyahybreakhyinhysterilityhyindicateshythathythehynursehyishyc
oncernedhyabouthythehyprocesshythathymighthyhavehycontributedhytohythishyinfection.
2. Thehynursehywhohyfocuseshyonhytakinghycarehyofhythehyresultshyofhyahypotentialhymedicalhymist
akehyishynothay cceptinghythehyseriousnesshyofhythehysituation.
3. ThehyCentershyforhyMedicarehyandhyMedicaidhyServiceshynohylongerhycoverhythehycostshyincu
rredhybyhymedicalhymistakes.hyThishyurinaryhytracthyinfectionhycouldhycosthythehyhospitalhythehyco
sthyofhytreatment,hiyncludinghyincreasedhylengthhyofhystay.
4. Thehynursehyhashyidentifiedhythathyimproperhycarehymayhyresulthyinhypoorhyoutcomeshyforhyth
ehyclient.hC
y ognitivehyLevel:h y Applying
ClienthyNeed:h y SafehyEffectivehyCarehyEnviron
menthyClienthyNeedhySub:h y ManagementhyofhyCa
re
Nursing/InthyConc:h y NursinghyProcess:hyEvaluation/Education
LearninghyOutcome:hy1-
1:hyExplainhychangeshytohyhealthcarehyoverhythehypasthydecade,hyincludinghythosehyresultinghyfromhy
implementationhyofhythehyAffordablehyCarehyAct;hydemandshytohyreducehyerrorshyandhyimprovehyp
atienthysafety;hyandhyevolvinghymedicalhyandhycommunicationhytechnology.
4) Whichhyhealthcarehysituationshyreflecthythehyphilosophyhyofhyqualityhymanagementhyashydesig
nedhybyhyDeming?
,Note:hyCredithywillhybehygivenhyonlyhyifhyallhycorrecthychoiceshyandhynohyincorrecthychoiceshyarehyselect
ed.
, Selecthyallhythathyapply.
1. Ahynursehyaskshyvisitorshytohyleavehybecausehyithyishyafterhyvisitinghyhours.
2. Athy2:00hyp.m.hythehynursehyordershyahylunchhytrayhyforhyahyclienthywhohyhashyjusthybeenhyrem
ovedhyfromhny othinghybyhymouthhy(NPO)hystatus.
3. Ahynursehytellshythehymanagerhythathyahyhousekeeper'shyworkhyishynothyuphytohystandards.
4. AhynursehyvolunteershytohytakehyahySpanishhylanguagehyclasshytohybehyablehytohycommunicatehywithh
yclients.
5. Ahynursehywhohyhashynothymadehyahymedicationhyerrorhyinhytwohyyearshyaskshyforhyahysalary
hyincrease.hyAnswer:hy2,hy3,hy4
Explanation:h y 1.hyThehyphilosophyhyofhyqualityhymanagementhyishyfocushyonhythehyneedshyofhytheh
yclient.hyIfhytherehyishynohyreasonhyforhythehyvisitorshytohyleavehyotherhythanhyithyishyafterhyvisitinghyho
urs,hythishyishynothyfocusedhyonhyclienthyneed.
2. Evenhythoughhy2:00hyp.m.hyishyafterhy"lunchtime,"hythishynursehyishyfocusedhyonhythehyclient'shyne
eds.hyThishyishyanhyexamplehyofhyqualityhymanagement.
3. Qualityhymanagementhyempowershythehyemployeehytohyevaluatehyquality.
4. Thishynursehyhashyseenhyahyneedhyandhyishyworkinghytohyimprovehythehyqualityhyofhyservice.hyThish
yishyqualityhymanagement.
5. Salaryhyincreaseshycanhybehytiedhytohyqualityhyimprovementhyinitiatives,hybuthyjusthyaskin
ghyforhyanhyincreasehyishynothyqualityhymanagement.
CognitivehyLevel:h y Applying
ClienthyNeed:h y SafehyEffectivehyCarehyEnviron
menthyClienthyNeedhySub:h y ManagementhyofhyCa
re
Nursing/InthyConc:h y NursinghyProcess:hyImplementation/QualityhyofhyPractice
LearninghyOutcome:hy1-
1:hyExplainhychangeshytohyhealthcarehyoverhythehypasthydecade,hyincludinghythosehyresultinghyfromhy
implementationhyofhythehyAffordablehyCarehyAct;hydemandshytohyreducehyerrorshyandhyimprovehyp
atienthysafety;hyandhyevolvinghymedicalhyandhycommunicationhytechnology.