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TEST BANK FOR EFFECTIVE
i i i
LEADERSHIP AND MANAGEMENT
i i i
IN NURSING, 9TH EDITION,
i i i i
ELEANOR
i
J. SULLIVAN
i
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Effective iLeadership i& iManagement iin iNursing, i9e i(Sullivan)
iChapter i1 i Introducing iNursing iManagement
1) A inurse imanager iis iparticipating iin ithe ihealthcare iorganization's istrategic iplanning
icommittee. iWhich ifactor iis ithe iprimary idriving iforce iand icontrolling ifactor iin inew
iinitiatives ithis icommittee imight irecommend?
1. Cost iof icare
2. Access ito icare
3. Availability iof icare
4. Quality iof icare
iAnswer: i 1
Explanation: i 1. iWhile iall iof ithe ioptions igiven iare idriving iforces iin itoday's ihealthcare
ienvironment, ithe icost iof iproviding icare iis istill ithe iprimary iissue. iCost iof icare icontrols iaccess,
iavailability, iand iquality.
2. Access ito icare iis icontrolled iby ithe iability ito ipay.
3. Care iwill inot ibe iavailable iif iit icannot ibe ifunded.
4. Healthcare iproviders ido inot ilike ito icorrelate iquality iwith icost, ibut ithe ieconomic ireality
iis ithat iquality icare imust ialso ibe ifunded icare.
Cognitive iLevel: i Applying
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iEvaluation/Leadership
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
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2) A inurse ihas ibeen iinvited ito idiscuss ihealthcare icosts iat ia isenior icitizens' iclub.
iWhat iinformation ishould ithe inurse iplan ito iinclude iin ithis idiscussion?
1. While ihealthcare icosts icontinue ito irise, ithe ipercentage iof ithe iUnited iStates i(U.S.)
ieconomy ispent ion ihealthcare ihas islowly ideclined ito iless ithan i12%.
2. Regulations ibrought iabout iby ithe iPatient iProtection iand iAffordable iCare iAct i(PPACA)
ishould ibring ifinancial irelief ito ihealthcare iconsumers.
3. The iUnited iStates ispends imore imoney ion ihealthcare ithan iany iother icountry.
4. Healthcare ispending iin ithe iUnited iStates iis islowly ideclining idue ito ipassage iof ibills isuch
ias ithe iPatient iProtection iand iAffordable iCare iAct i(PPACA).
Answer: i 2
Explanation: i 1. iIn i2009, ihealthcare icosts iconsumed imore ithan i17% iof ithe icountry's igross
idomestic iproduct.
2. Implementation iof iPPACA iand iits iregulations ihave inot ibeen iformulated.
3. The iUnited iStates ispends imore ithan i$2.5 itrillion ion ihealthcare iannually, imore ithan
iany iother icountry.
4. While ithis iact ihas ibeen ipassed, iit iis inot ioperationalized. iHealthcare ispending icontinues
ito irise.
Cognitive iLevel: i Analyzing
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iPlanning/Education
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
3) A i70-year-old iclient idevelops ia icatheter-induced iurinary itract iinfection. iWhich
istatement iby ithe inurse iwould iindicate ito ithe inurse imanager ia ineed ifor iadditional
iunderstanding iof ithis isituation?
1. "I iwonder iif ithere iwas ia ibreak iof isterility iwhen ithis icatheter iwas iinserted."
2. "Thankfully iwe ican itreat ithis iwith ian iantibiotic."
3. "This icould ipotentially icost ithe ihospital ia ilot iof imoney."
4. "I iwill italk ito imy iunlicensed iassistants iabout iproper iurinary icatheter
icare." iAnswer: i 2
Explanation: i 1. iWondering iabout ia ibreak iin isterility iindicates ithat ithe inurse iis iconcerned
iabout ithe iprocess ithat imight ihave icontributed ito i this iinfection.
2. The inurse iwho ifocuses ion itaking icare iof ithe iresults iof ia ipotential imedical imistake iis
inot iaccepting ithe i seriousness iof ithe isituation.
3. The iCenters ifor iMedicare iand iMedicaid iServices ino ilonger icover ithe icosts iincurred
iby imedical imistakes. iThis iurinary itract iinfection icould icost ithe ihospital ithe icost iof
itreatment, iincluding iincreased ilength iof istay.
4. The inurse ihas iidentified ithat iimproper icare imay iresult iin ipoor ioutcomes ifor ithe
iclient. iCognitive iLevel: i Applying
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iEvaluation/Education
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
4) Which ihealthcare isituations ireflect ithe iphilosophy iof iquality imanagement ias idesigned
iby iDeming?
Note: iCredit iwill ibe igiven ionly iif iall icorrect ichoices iand ino iincorrect ichoices iare iselected.
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Select iall ithat iapply.
1. A inurse iasks ivisitors ito ileave ibecause iit iis iafter ivisiting ihours.
2. At i2:00 ip.m. ithe inurse iorders ia ilunch itray ifor ia iclient iwho ihas ijust ibeen iremoved
ifrom inothing iby imouth i(NPO) istatus.
3. A inurse itells ithe imanager ithat ia ihousekeeper's iwork iis inot iup ito istandards.
4. A inurse ivolunteers ito itake ia iSpanish ilanguage iclass ito ibe iable ito icommunicate iwith iclients.
5. A inurse iwho ihas inot imade ia imedication ierror iin itwo iyears iasks ifor ia isalary
iincrease. iAnswer: i 2, i3, i4
Explanation: i 1. iThe iphilosophy iof iquality imanagement iis ifocus ion ithe ineeds iof ithe iclient.
iIf ithere iis ino ireason ifor ithe ivisitors ito ileave iother ithan iit iis iafter ivisiting ihours, ithis iis inot
ifocused ion iclient ineed.
2. Even ithough i2:00 ip.m. iis iafter i"lunchtime," ithis inurse iis ifocused ion ithe iclient's ineeds.
iThis iis ian iexample iof iquality imanagement.
3. Quality imanagement iempowers ithe iemployee ito ievaluate iquality.
4. This inurse ihas iseen ia ineed iand iis iworking ito iimprove ithe iquality iof iservice. iThis iis
iquality imanagement.
5. Salary iincreases ican ibe itied ito iquality iimprovement iinitiatives, ibut ijust iasking ifor
ian iincrease iis inot iquality imanagement.
Cognitive iLevel: i Applying
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iImplementation/Quality iof iPractice
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
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TEST BANK FOR EFFECTIVE
i i i
LEADERSHIP AND MANAGEMENT
i i i
IN NURSING, 9TH EDITION,
i i i i
ELEANOR
i
J. SULLIVAN
i
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Effective iLeadership i& iManagement iin iNursing, i9e i(Sullivan)
iChapter i1 i Introducing iNursing iManagement
1) A inurse imanager iis iparticipating iin ithe ihealthcare iorganization's istrategic iplanning
icommittee. iWhich ifactor iis ithe iprimary idriving iforce iand icontrolling ifactor iin inew
iinitiatives ithis icommittee imight irecommend?
1. Cost iof icare
2. Access ito icare
3. Availability iof icare
4. Quality iof icare
iAnswer: i 1
Explanation: i 1. iWhile iall iof ithe ioptions igiven iare idriving iforces iin itoday's ihealthcare
ienvironment, ithe icost iof iproviding icare iis istill ithe iprimary iissue. iCost iof icare icontrols iaccess,
iavailability, iand iquality.
2. Access ito icare iis icontrolled iby ithe iability ito ipay.
3. Care iwill inot ibe iavailable iif iit icannot ibe ifunded.
4. Healthcare iproviders ido inot ilike ito icorrelate iquality iwith icost, ibut ithe ieconomic ireality
iis ithat iquality icare imust ialso ibe ifunded icare.
Cognitive iLevel: i Applying
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iEvaluation/Leadership
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
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2) A inurse ihas ibeen iinvited ito idiscuss ihealthcare icosts iat ia isenior icitizens' iclub.
iWhat iinformation ishould ithe inurse iplan ito iinclude iin ithis idiscussion?
1. While ihealthcare icosts icontinue ito irise, ithe ipercentage iof ithe iUnited iStates i(U.S.)
ieconomy ispent ion ihealthcare ihas islowly ideclined ito iless ithan i12%.
2. Regulations ibrought iabout iby ithe iPatient iProtection iand iAffordable iCare iAct i(PPACA)
ishould ibring ifinancial irelief ito ihealthcare iconsumers.
3. The iUnited iStates ispends imore imoney ion ihealthcare ithan iany iother icountry.
4. Healthcare ispending iin ithe iUnited iStates iis islowly ideclining idue ito ipassage iof ibills isuch
ias ithe iPatient iProtection iand iAffordable iCare iAct i(PPACA).
Answer: i 2
Explanation: i 1. iIn i2009, ihealthcare icosts iconsumed imore ithan i17% iof ithe icountry's igross
idomestic iproduct.
2. Implementation iof iPPACA iand iits iregulations ihave inot ibeen iformulated.
3. The iUnited iStates ispends imore ithan i$2.5 itrillion ion ihealthcare iannually, imore ithan
iany iother icountry.
4. While ithis iact ihas ibeen ipassed, iit iis inot ioperationalized. iHealthcare ispending icontinues
ito irise.
Cognitive iLevel: i Analyzing
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iPlanning/Education
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
3) A i70-year-old iclient idevelops ia icatheter-induced iurinary itract iinfection. iWhich
istatement iby ithe inurse iwould iindicate ito ithe inurse imanager ia ineed ifor iadditional
iunderstanding iof ithis isituation?
1. "I iwonder iif ithere iwas ia ibreak iof isterility iwhen ithis icatheter iwas iinserted."
2. "Thankfully iwe ican itreat ithis iwith ian iantibiotic."
3. "This icould ipotentially icost ithe ihospital ia ilot iof imoney."
4. "I iwill italk ito imy iunlicensed iassistants iabout iproper iurinary icatheter
icare." iAnswer: i 2
Explanation: i 1. iWondering iabout ia ibreak iin isterility iindicates ithat ithe inurse iis iconcerned
iabout ithe iprocess ithat imight ihave icontributed ito i this iinfection.
2. The inurse iwho ifocuses ion itaking icare iof ithe iresults iof ia ipotential imedical imistake iis
inot iaccepting ithe i seriousness iof ithe isituation.
3. The iCenters ifor iMedicare iand iMedicaid iServices ino ilonger icover ithe icosts iincurred
iby imedical imistakes. iThis iurinary itract iinfection icould icost ithe ihospital ithe icost iof
itreatment, iincluding iincreased ilength iof istay.
4. The inurse ihas iidentified ithat iimproper icare imay iresult iin ipoor ioutcomes ifor ithe
iclient. iCognitive iLevel: i Applying
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iEvaluation/Education
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
4) Which ihealthcare isituations ireflect ithe iphilosophy iof iquality imanagement ias idesigned
iby iDeming?
Note: iCredit iwill ibe igiven ionly iif iall icorrect ichoices iand ino iincorrect ichoices iare iselected.
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Select iall ithat iapply.
1. A inurse iasks ivisitors ito ileave ibecause iit iis iafter ivisiting ihours.
2. At i2:00 ip.m. ithe inurse iorders ia ilunch itray ifor ia iclient iwho ihas ijust ibeen iremoved
ifrom inothing iby imouth i(NPO) istatus.
3. A inurse itells ithe imanager ithat ia ihousekeeper's iwork iis inot iup ito istandards.
4. A inurse ivolunteers ito itake ia iSpanish ilanguage iclass ito ibe iable ito icommunicate iwith iclients.
5. A inurse iwho ihas inot imade ia imedication ierror iin itwo iyears iasks ifor ia isalary
iincrease. iAnswer: i 2, i3, i4
Explanation: i 1. iThe iphilosophy iof iquality imanagement iis ifocus ion ithe ineeds iof ithe iclient.
iIf ithere iis ino ireason ifor ithe ivisitors ito ileave iother ithan iit iis iafter ivisiting ihours, ithis iis inot
ifocused ion iclient ineed.
2. Even ithough i2:00 ip.m. iis iafter i"lunchtime," ithis inurse iis ifocused ion ithe iclient's ineeds.
iThis iis ian iexample iof iquality imanagement.
3. Quality imanagement iempowers ithe iemployee ito ievaluate iquality.
4. This inurse ihas iseen ia ineed iand iis iworking ito iimprove ithe iquality iof iservice. iThis iis
iquality imanagement.
5. Salary iincreases ican ibe itied ito iquality iimprovement iinitiatives, ibut ijust iasking ifor
ian iincrease iis inot iquality imanagement.
Cognitive iLevel: i Applying
Client iNeed: i Safe iEffective iCare iEnvironment
iClient iNeed iSub: i Management iof iCare
Nursing/Int iConc: i Nursing iProcess: iImplementation/Quality iof iPractice
Learning iOutcome: i 1-1: iExplain ichanges ito ihealthcare iover ithe ipast idecade, iincluding
ithose iresulting ifrom iimplementation iof ithe iAffordable iCare iAct; idemands ito ireduce ierrors
iand iimprove ipatient isafety; iand ievolving imedical iand icommunication itechnology.
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