Test Bank: Effective Leadership and Management in Nursing 9th Edition by Sullivan - Ch. 1-28, 9780134153117, with Rationales

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Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
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r 1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning comm
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ittee. Which factor is the primary driving force and controlling factor in new initiatives this co
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mmittee might recommend? 9i 9i


1. Cost of care 9i 9i


2. Access to care 9i 9i


3. Availability of care 9i 9i


4. Quality of care 9i 9i 9


Answer: 1
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Explanation: 1. While all of the options given are driving forces in today's healthcare enviro
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nment, the cost of providing care is still the primary issue. Cost of care controls access, availab
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ility, and quality. 9i 9i


2. Access to care is controlled by the ability to pay.
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3. Care will not be available if it cannot be funded.
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4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
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that quality care must also be funded care.
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Cognitive Level: Applying 9i 9 i


Client Need: Safe Effective Care Environment Clie
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nt Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership 9i 9 i 9i 9i


Learning Outcome: 1- 9i 9 i


1: Explain changes to healthcare over the past decade, including those resulting from impleme
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ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
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evolving medical and communication technology.
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2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub. r
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What rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
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1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.) r
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economy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
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2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct r 9i 9i 9i 9i 9i 9i 9i


(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
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3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
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4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills rs
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uch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
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Answer: r 2 9 i 9i


Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross r
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domestic rproduct. 9i


2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. 9i 9i 9i 9i 9i 9i 9i 9i


3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan ra
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ny rother rcountry.
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4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending r
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continues rto rrise. 9i 9i


Cognitive rLevel: r Analyzing 9i 9 i 9i


Client rNeed: r Safe rEffective rCare rEnvironment rCli
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ent rNeed rSub: r Management rof rCare
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Nursing/Int rConc: r Nursing rProcess: rPlanning/Education 9i 9 i 9i 9i 9i


Learning rOutcome: r 1- 9i 9 i 9i


1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimp
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lementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsa
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fety; rand revolving rmedical rand rcommunication rtechnology.
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3) A r70-year-old rclient rdevelops ra rcatheter-
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induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe r
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nurse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
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1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
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2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." 9i 9i 9i 9i 9i 9i 9i


3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
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4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter r
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care." rAnswer: r 2 9i 9 i 9i


Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned ra
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bout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
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2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake ri
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s rnot raccepting rthe rseriousness rof rthe rsituation.
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3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rincur
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red rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rcost ro
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f rtreatment, rincluding rincreased rlength rof rstay.
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4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe rc
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lient. rCognitive rLevel: r Applying
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Client rNeed: r Safe rEffective rCare rEnvironment rCli
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ent rNeed rSub: r Management rof rCare
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Nursing/Int rConc: r Nursing rProcess: rEvaluation/Education 9i 9 i 9i 9i 9i


Learning rOutcome: r 1- 9i 9 i 9i


1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimp
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lementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsa
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fety; rand revolving rmedical rand rcommunication rtechnology.
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4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned r
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by rDeming?9i



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