Test Bank For Effective Leadership and Management in Nursing 14th Edition All Chapters - 9780134153117.pdf

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TEST BANK FOR EFFE
b b b




CTIVE LEADERSHIP A b b




ND MANAGEMENT I
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N NURSING, 9TH EDI
b b b




TION,ELEANOR b




J. SULLIVAN
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EffectivebLeadershipb&bManagementbinbNursing,b9eb(Sullivan)bChapte
rb1b IntroducingbNursingbManagement

1) Abnursebmanagerbisbparticipatingbinbthebhealthcareborganization'sbstrategicbplanningbcommit
tee.bWhichbfactorbisbthebprimarybdrivingbforcebandbcontrollingbfactorbinbnewbinitiativesbthisbcom
mitteebmightbrecommend?
1. Costbofbcare
2. Accessbtobcare
3. Availabilitybofbcare
4. Qualitybofbcare
bAnswer:b 1

Explanation:b 1.bWhileballbofbtheboptionsbgivenbarebdrivingbforcesbinbtoday'sbhealthcarebenviron
ment,bthebcostbofbprovidingbcarebisbstillbthebprimarybissue.bCostbofbcarebcontrolsbaccess,bavailabili
ty,bandbquality.
2. Accessbtobcarebisbcontrolledbbybthebabilitybtobpay.
3. Carebwillbnotbbebavailablebifbitbcannotbbebfunded.
4. Healthcarebprovidersbdobnotblikebtobcorrelatebqualitybwithbcost,bbutbthebeconomicbrealitybisbt
hatbqualitybcarebmustbalsobbebfundedbcare.
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbClien
tbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Leadership
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplemen
tationbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbev
olvingbmedicalbandbcommunicationbtechnology.




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2) Arnursebrhasbrbeenbrinvitedbrtobrdiscussbrhealthcarebrcostsbratbrabrseniorbrcitizens'brclub.br
Whatbrinformationbrshouldbrthebrnursebrplanbrtobrincludebrinbrthisbrdiscussion?
1. Whilebrhealthcarebrcostsbrcontinuebrtobrrise,brthebrpercentagebrofbrthebrUnitedbrStatesbr(U.S.)br
economybrspentbronbrhealthcarebrhasbrslowlybrdeclinedbrtobrlessbrthanbr12%.
2. RegulationsrbroughtbraboutbrbyrthebrPatientbrProtectionbrandrAffordablebrCarerActb
r(PPACA)brshouldbrbringbrfinancialbrreliefbrtobrhealthcarebrconsumers.
3. ThebrUnitedbrStatesbrspendsbrmorebrmoneybronbrhealthcarebrthanbranybrotherbrcountry.
4. HealthcarebrspendingbrinbrthebrUnitedbrStatesbrisbrslowlybrdecliningbrduebrtobrpassagebrofbrbillsbr
suchbrasbrthebrPatientbrProtectionbrandbrAffordablebrCarebrActbr(PPACA).
Answer:b rb 2
Explanation:b rb1.brInbr2009,brhealthcarebrcostsbrconsumedbrmorebrthanbr17%brofbrthebrcountry'sbrgrossbr
domesticbrproduct.
2. ImplementationbrofbrPPACArandbritsbrregulationsbrhavebrnotbrbeenbrformulated.
3. ThebrUnitedbrStatesbrspendsbrmorebrthanbr$2.5brtrillionbronbrhealthcarebrannually,brmorebrthanbr
anybrotherbrcountry.
4. Whilebrthisbractbrhasbrbeenbrpassed,britbrisbrnotbroperationalized.brHealthcarebrspendingbr
continuesbrtobrrise.
CognitivebrLevel:b rbAnalyzing
ClientbrNeed:brbSafebrEffectivebrCarebrEnvironmentbrCli
entbrNeedbrSub:b rbManagementbrofbrCare
Nursing/IntbrConc:b rbNursingbrProcess:brPlanning/Education
LearningbrOutcome:b rb1-
1:brExplainbrchangesbrtobrhealthcarebroverbrthebrpastbrdecade,brincludingbrthosebrresultingbrfrombrimp
lementationbrofbrthebrAffordablebrCarebrAct;brdemandsbrtobrreducebrerrorsbrandbrimprovebrpatientbrsa
fety;brandbrevolvingbrmedicalbrandbrcommunicationbrtechnology.

3) Abr70-year-oldbrclientbrdevelopsbrabrcatheter-
inducedbrurinarybrtractbrinfection.brWhichbrstatementbrbybrthebrnursebrwouldbrindicatebrtobrthebrnu
rsebrmanagerbrabrneedbrforbradditionalbrunderstandingbrofbrthisbrsituation?
1. "Ibrwonderbrifbrtherebrwasbrabrbreakbrofbrsterilitybrwhenbrthisbrcatheterbrwasbrinserted."
2. "Thankfullybrwebrcanbrtreatbrthisbrwithbranbrantibiotic."
3. "Thisbrcouldbrpotentiallybrcostbrthebrhospitalbrabrlotbrofbrmoney."
4. "Ibrwillbrtalkbrtobrmybrunlicensedbrassistantsbraboutbrproperbrurinarybrcatheterbr
care."brAnswer:b rb2
Explanation:b rb1.brWonderingbraboutbrabrbreakbrinbrsterilitybrindicatesbrthatbrthebrnursebrisbrconcernedbra
boutbrthebrprocessbrthatbrmightbrhavebrcontributedbrtobrthisbrinfection.
2. Thebrnursebrwhobrfocusesbronbrtakingbrcarebrofbrthebrresultsbrofbrabrpotentialbrmedicalbrmistakebri
sbrnotbracceptingbrthebrseriousnessbrofbrthebrsituation.
3. ThebrCentersbrforbrMedicarebrandbrMedicaidbrServicesbrnobrlongerbrcoverbrthebrcostsbrincurr
edbrbybrmedicalbrmistakes.brThisbrurinarybrtractbrinfectionbrcouldbrcostbrthebrhospitalbrthebrcostbro
fbrtreatment,brincludingbrincreasedbrlengthbrofbrstay.
4. Thebrnursebrhasbridentifiedbrthatbrimproperbrcarebrmaybrresultbrinbrpoorbroutcomesbrforbrthebr
client.brCognitivebrLevel:b rbApplying
ClientbrNeed:brbSafebrEffectivebrCarebrEnvironmentbrCli
entbrNeedbrSub:b rbManagementbrofbrCare
Nursing/IntbrConc:b rbNursingbrProcess:brEvaluation/Education
LearningbrOutcome:b rb1-
1:brExplainbrchangesbrtobrhealthcarebroverbrthebrpastbrdecade,brincludingbrthosebrresultingbrfrombrimp
lementationbrofbrthebrAffordablebrCarebrAct;brdemandsbrtobrreducebrerrorsbrandbrimprovebrpatientbrsa
fety;brandbrevolvingbrmedicalbrandbrcommunicationbrtechnology.

4) Whichbrhealthcarebrsituationsbrreflectbrthebrphilosophybrofbrqualitybrmanagementbrasbrdesignedbr
bybrDeming?
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Note:brCreditbrwillbrbebrgiven bronlybrifbrallbrcorrectbrchoicesbrandbrnobrincorrectbrchoicesbrarebrselected.




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