TEST BANK FOR EFFECTIVE
LEADERSHIP AND MANAGEMENT IN
NURSING 9TH EDITION ELEANOR
J.SULLIVAN-LATEST -2023-2024
Nursing CQManagement
1) A CQnurse CQmanager CQis CQparticipating CQin CQthe CQhealthcare CQorganization's
CQstrategic CQplanning CQcommittee. CQWhich CQfactor CQis CQthe CQprimary CQdriving CQforce
CQand CQcontrolling CQfactor CQin CQnew CQinitiativesCQthis CQcommittee CQmight
CQrecommend?
1. Cost CQof CQcare
2. Access CQto CQcare
3. Availability CQof CQcare
4. Quality CQof
CQcareCQAnswer:
CQ1
Explanation: CQ1. CQWhile CQall CQof CQthe CQoptions CQgiven CQare CQdriving CQforces CQin
CQtoday's CQhealthcare CQenvironment, CQthe CQcost CQof CQproviding CQcare CQis CQstill CQthe
CQprimary CQissue. CQCost CQof CQcare CQcontrols CQaccess,CQavailability, CQand CQquality.
2. Access CQto CQcare CQis CQcontrolled CQby CQthe CQability CQto CQpay.
3. Care CQwill CQnot CQbe CQavailable CQif CQit CQcannot CQbe CQfunded.
4. Healthcare CQproviders CQdo CQnot CQlike CQto CQcorrelate CQquality CQwith CQcost, CQbut
CQthe CQeconomic CQreality CQisCQthat CQquality CQcare CQmust CQalso CQbe CQfunded CQcare.
Cognitive CQLevel: C Q Applying
Client CQNeed: C Q Safe CQEffective CQCare
CQEnvironmentCQClient CQNeed CQSub:
C Q Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQEvaluation/Leadership
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
,2) A CQnurse CQhas CQbeen CQinvited CQto CQdiscuss CQhealthcare CQcosts CQat CQa
CQsenior CQcitizens' CQclub. CQWhatCQinformation CQshould CQthe CQnurse CQplan CQto
CQinclude CQin CQthis CQdiscussion?
1. While CQhealthcare CQcosts CQcontinue CQto CQrise, CQthe CQpercentage CQof CQthe CQUnited
CQStates CQ(U.S.) CQeconomyCQspent CQon CQhealthcare CQhas CQslowly CQdeclined CQto CQless
CQthan CQ12%.
2. Regulations CQbrought CQabout CQby CQthe CQPatient CQProtection CQand CQAffordable
CQCare CQAct CQ(PPACA)CQshould CQbring CQfinancial CQrelief CQto CQhealthcare
CQconsumers.
3. The CQUnited CQStates CQspends CQmore CQmoney CQon CQhealthcare CQthan CQany CQother
CQcountry.
4. Healthcare CQspending CQin CQthe CQUnited CQStates CQis CQslowly CQdeclining CQdue CQto
CQpassage CQof CQbills CQsuch CQasCQthe CQPatient CQProtection CQand CQAffordable CQCare
CQAct CQ(PPACA).
Answer: C Q 2
Explanation: CQ1. CQIn CQ2009, CQhealthcare CQcosts CQconsumed CQmore CQthan CQ17%
CQof CQthe CQcountry's CQgrossCQdomestic CQproduct.
2. Implementation CQof CQPPACA CQand CQits CQregulations CQhave CQnot CQbeen CQformulated.
3. The CQUnited CQStates CQspends CQmore CQthan CQ$2.5 CQtrillion CQon CQhealthcare
CQannually, CQmore CQthan CQanyCQother CQcountry.
4. While CQthis CQact CQhas CQbeen CQpassed, CQit CQis CQnot CQoperationalized. CQHealthcare
CQspending CQcontinues CQtoCQrise.
Cognitive CQLevel: C Q Analyzing
Client CQNeed: C Q Safe CQEffective CQCare
CQEnvironmentCQClient CQNeed CQSub:
C Q Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQPlanning/Education
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
3) A CQ70-year-old CQclient CQdevelops CQa CQcatheter-induced CQurinary CQtract CQinfection.
CQWhich CQstatement CQby CQthe CQnurse CQwould CQindicate CQto CQthe CQnurse CQmanager
CQa CQneed CQfor CQadditional CQunderstanding CQof CQthisCQsituation?
1. "I CQwonder CQif CQthere CQwas CQa CQbreak CQof CQsterility CQwhen CQthis CQcatheter CQwas
CQinserted."
2. "Thankfully CQwe CQcan CQtreat CQthis CQwith CQan CQantibiotic."
3. "This CQcould CQpotentially CQcost CQthe CQhospital CQa CQlot CQof CQmoney."
4. "I CQwill CQtalk CQto CQmy CQunlicensed CQassistants CQabout CQproper
CQurinary CQcatheter CQcare."CQAnswer: CQ2
Explanation: C Q 1. CQWondering CQabout CQa CQbreak CQin CQsterility CQindicates CQthat
CQthe CQnurse CQis CQconcernedCQabout CQthe CQprocess CQthat CQmight CQhave
CQcontributed CQto CQthis CQinfection.
2. The CQnurse CQwho CQfocuses CQon CQtaking CQcare CQof CQthe CQresults CQof CQa
CQpotential CQmedical CQmistake CQis CQnot CQaccepting CQthe CQseriousness CQof CQthe
CQsituation.
3. The CQCenters CQfor CQMedicare CQand CQMedicaid CQServices CQno CQlonger CQcover
CQthe CQcosts CQincurred CQby CQmedical CQmistakes. CQThis CQurinary CQtract CQinfection
CQcould CQcost CQthe CQhospital CQthe CQcost CQof CQtreatment, CQincluding CQincreased
CQlength CQof CQstay.
4. The CQnurse CQhas CQidentified CQthat CQimproper CQcare CQmay CQresult CQin CQpoor
CQoutcomes CQfor CQthe CQclient.CQCognitive CQLevel: C Q Applying
Client CQNeed: C Q Safe CQEffective CQCare
,CQEnvironmentCQClient CQNeed CQSub:
CQ Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQEvaluation/Education
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
4) Which CQhealthcare CQsituations CQreflect CQthe CQphilosophy CQof CQquality
CQmanagement CQas CQdesigned CQbyCQDeming?
Note: CQCredit CQwill CQbe CQgiven CQonly CQif CQall CQcorrect CQchoices CQand CQno CQincorrect
CQchoices CQare CQselected.
, Select CQall CQthat CQapply.
1. A CQnurse CQasks CQvisitors CQto CQleave CQbecause CQit CQis CQafter CQvisiting CQhours.
2. At CQ2:00 CQp.m. CQthe CQnurse CQorders CQa CQlunch CQtray CQfor CQa CQclient CQwho
CQhas CQjust CQbeen CQremoved CQfromCQnothing CQby CQmouth CQ(NPO) CQstatus.
3. A CQnurse CQtells CQthe CQmanager CQthat CQa CQhousekeeper's CQwork CQis CQnot CQup CQto
CQstandards.
4. A CQnurse CQvolunteers CQto CQtake CQa CQSpanish CQlanguage CQclass CQto CQbe CQable CQto
CQcommunicate CQwith CQclients.
5. A CQnurse CQwho CQhas CQnot CQmade CQa CQmedication CQerror CQin CQtwo CQyears
CQasks CQfor CQa CQsalary CQincrease.CQAnswer: CQ2, CQ3, CQ4
Explanation: C Q 1. CQThe CQphilosophy CQof CQquality CQmanagement CQis CQfocus CQon CQthe
CQneeds CQof CQthe CQclient. CQIfCQthere CQis CQno CQreason CQfor CQthe CQvisitors CQto CQleave
CQother CQthan CQit CQis CQafter CQvisiting CQhours, CQthis CQis CQnot CQfocused CQon CQclient
CQneed.
2. Even CQthough CQ2:00 CQp.m. CQis CQafter CQ"lunchtime," CQthis CQnurse CQis CQfocused CQon
CQthe CQclient's CQneeds. CQThisCQis CQan CQexample CQof CQquality CQmanagement.
3. Quality CQmanagement CQempowers CQthe CQemployee CQto CQevaluate CQquality.
4. This CQnurse CQhas CQseen CQa CQneed CQand CQis CQworking CQto CQimprove CQthe CQquality
CQof CQservice. CQThis CQis CQqualityCQmanagement.
5. Salary CQincreases CQcan CQbe CQtied CQto CQquality CQimprovement CQinitiatives,
CQbut CQjust CQasking CQfor CQanCQincrease CQis CQnot CQquality CQmanagement.
Cognitive CQLevel: C Q Applying
Client CQNeed: C Q Safe CQEffective CQCare
CQEnvironmentCQClient CQNeed CQSub:
C Q Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQImplementation/Quality CQof CQPractice
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
LEADERSHIP AND MANAGEMENT IN
NURSING 9TH EDITION ELEANOR
J.SULLIVAN-LATEST -2023-2024
Nursing CQManagement
1) A CQnurse CQmanager CQis CQparticipating CQin CQthe CQhealthcare CQorganization's
CQstrategic CQplanning CQcommittee. CQWhich CQfactor CQis CQthe CQprimary CQdriving CQforce
CQand CQcontrolling CQfactor CQin CQnew CQinitiativesCQthis CQcommittee CQmight
CQrecommend?
1. Cost CQof CQcare
2. Access CQto CQcare
3. Availability CQof CQcare
4. Quality CQof
CQcareCQAnswer:
CQ1
Explanation: CQ1. CQWhile CQall CQof CQthe CQoptions CQgiven CQare CQdriving CQforces CQin
CQtoday's CQhealthcare CQenvironment, CQthe CQcost CQof CQproviding CQcare CQis CQstill CQthe
CQprimary CQissue. CQCost CQof CQcare CQcontrols CQaccess,CQavailability, CQand CQquality.
2. Access CQto CQcare CQis CQcontrolled CQby CQthe CQability CQto CQpay.
3. Care CQwill CQnot CQbe CQavailable CQif CQit CQcannot CQbe CQfunded.
4. Healthcare CQproviders CQdo CQnot CQlike CQto CQcorrelate CQquality CQwith CQcost, CQbut
CQthe CQeconomic CQreality CQisCQthat CQquality CQcare CQmust CQalso CQbe CQfunded CQcare.
Cognitive CQLevel: C Q Applying
Client CQNeed: C Q Safe CQEffective CQCare
CQEnvironmentCQClient CQNeed CQSub:
C Q Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQEvaluation/Leadership
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
,2) A CQnurse CQhas CQbeen CQinvited CQto CQdiscuss CQhealthcare CQcosts CQat CQa
CQsenior CQcitizens' CQclub. CQWhatCQinformation CQshould CQthe CQnurse CQplan CQto
CQinclude CQin CQthis CQdiscussion?
1. While CQhealthcare CQcosts CQcontinue CQto CQrise, CQthe CQpercentage CQof CQthe CQUnited
CQStates CQ(U.S.) CQeconomyCQspent CQon CQhealthcare CQhas CQslowly CQdeclined CQto CQless
CQthan CQ12%.
2. Regulations CQbrought CQabout CQby CQthe CQPatient CQProtection CQand CQAffordable
CQCare CQAct CQ(PPACA)CQshould CQbring CQfinancial CQrelief CQto CQhealthcare
CQconsumers.
3. The CQUnited CQStates CQspends CQmore CQmoney CQon CQhealthcare CQthan CQany CQother
CQcountry.
4. Healthcare CQspending CQin CQthe CQUnited CQStates CQis CQslowly CQdeclining CQdue CQto
CQpassage CQof CQbills CQsuch CQasCQthe CQPatient CQProtection CQand CQAffordable CQCare
CQAct CQ(PPACA).
Answer: C Q 2
Explanation: CQ1. CQIn CQ2009, CQhealthcare CQcosts CQconsumed CQmore CQthan CQ17%
CQof CQthe CQcountry's CQgrossCQdomestic CQproduct.
2. Implementation CQof CQPPACA CQand CQits CQregulations CQhave CQnot CQbeen CQformulated.
3. The CQUnited CQStates CQspends CQmore CQthan CQ$2.5 CQtrillion CQon CQhealthcare
CQannually, CQmore CQthan CQanyCQother CQcountry.
4. While CQthis CQact CQhas CQbeen CQpassed, CQit CQis CQnot CQoperationalized. CQHealthcare
CQspending CQcontinues CQtoCQrise.
Cognitive CQLevel: C Q Analyzing
Client CQNeed: C Q Safe CQEffective CQCare
CQEnvironmentCQClient CQNeed CQSub:
C Q Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQPlanning/Education
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
3) A CQ70-year-old CQclient CQdevelops CQa CQcatheter-induced CQurinary CQtract CQinfection.
CQWhich CQstatement CQby CQthe CQnurse CQwould CQindicate CQto CQthe CQnurse CQmanager
CQa CQneed CQfor CQadditional CQunderstanding CQof CQthisCQsituation?
1. "I CQwonder CQif CQthere CQwas CQa CQbreak CQof CQsterility CQwhen CQthis CQcatheter CQwas
CQinserted."
2. "Thankfully CQwe CQcan CQtreat CQthis CQwith CQan CQantibiotic."
3. "This CQcould CQpotentially CQcost CQthe CQhospital CQa CQlot CQof CQmoney."
4. "I CQwill CQtalk CQto CQmy CQunlicensed CQassistants CQabout CQproper
CQurinary CQcatheter CQcare."CQAnswer: CQ2
Explanation: C Q 1. CQWondering CQabout CQa CQbreak CQin CQsterility CQindicates CQthat
CQthe CQnurse CQis CQconcernedCQabout CQthe CQprocess CQthat CQmight CQhave
CQcontributed CQto CQthis CQinfection.
2. The CQnurse CQwho CQfocuses CQon CQtaking CQcare CQof CQthe CQresults CQof CQa
CQpotential CQmedical CQmistake CQis CQnot CQaccepting CQthe CQseriousness CQof CQthe
CQsituation.
3. The CQCenters CQfor CQMedicare CQand CQMedicaid CQServices CQno CQlonger CQcover
CQthe CQcosts CQincurred CQby CQmedical CQmistakes. CQThis CQurinary CQtract CQinfection
CQcould CQcost CQthe CQhospital CQthe CQcost CQof CQtreatment, CQincluding CQincreased
CQlength CQof CQstay.
4. The CQnurse CQhas CQidentified CQthat CQimproper CQcare CQmay CQresult CQin CQpoor
CQoutcomes CQfor CQthe CQclient.CQCognitive CQLevel: C Q Applying
Client CQNeed: C Q Safe CQEffective CQCare
,CQEnvironmentCQClient CQNeed CQSub:
CQ Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQEvaluation/Education
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
4) Which CQhealthcare CQsituations CQreflect CQthe CQphilosophy CQof CQquality
CQmanagement CQas CQdesigned CQbyCQDeming?
Note: CQCredit CQwill CQbe CQgiven CQonly CQif CQall CQcorrect CQchoices CQand CQno CQincorrect
CQchoices CQare CQselected.
, Select CQall CQthat CQapply.
1. A CQnurse CQasks CQvisitors CQto CQleave CQbecause CQit CQis CQafter CQvisiting CQhours.
2. At CQ2:00 CQp.m. CQthe CQnurse CQorders CQa CQlunch CQtray CQfor CQa CQclient CQwho
CQhas CQjust CQbeen CQremoved CQfromCQnothing CQby CQmouth CQ(NPO) CQstatus.
3. A CQnurse CQtells CQthe CQmanager CQthat CQa CQhousekeeper's CQwork CQis CQnot CQup CQto
CQstandards.
4. A CQnurse CQvolunteers CQto CQtake CQa CQSpanish CQlanguage CQclass CQto CQbe CQable CQto
CQcommunicate CQwith CQclients.
5. A CQnurse CQwho CQhas CQnot CQmade CQa CQmedication CQerror CQin CQtwo CQyears
CQasks CQfor CQa CQsalary CQincrease.CQAnswer: CQ2, CQ3, CQ4
Explanation: C Q 1. CQThe CQphilosophy CQof CQquality CQmanagement CQis CQfocus CQon CQthe
CQneeds CQof CQthe CQclient. CQIfCQthere CQis CQno CQreason CQfor CQthe CQvisitors CQto CQleave
CQother CQthan CQit CQis CQafter CQvisiting CQhours, CQthis CQis CQnot CQfocused CQon CQclient
CQneed.
2. Even CQthough CQ2:00 CQp.m. CQis CQafter CQ"lunchtime," CQthis CQnurse CQis CQfocused CQon
CQthe CQclient's CQneeds. CQThisCQis CQan CQexample CQof CQquality CQmanagement.
3. Quality CQmanagement CQempowers CQthe CQemployee CQto CQevaluate CQquality.
4. This CQnurse CQhas CQseen CQa CQneed CQand CQis CQworking CQto CQimprove CQthe CQquality
CQof CQservice. CQThis CQis CQqualityCQmanagement.
5. Salary CQincreases CQcan CQbe CQtied CQto CQquality CQimprovement CQinitiatives,
CQbut CQjust CQasking CQfor CQanCQincrease CQis CQnot CQquality CQmanagement.
Cognitive CQLevel: C Q Applying
Client CQNeed: C Q Safe CQEffective CQCare
CQEnvironmentCQClient CQNeed CQSub:
C Q Management CQof CQCare
Nursing/Int CQConc: C Q Nursing CQProcess: CQImplementation/Quality CQof CQPractice
Learning CQOutcome: CQ1-1: CQExplain CQchanges CQto CQhealthcare CQover CQthe CQpast
CQdecade, CQincluding CQthoseCQresulting CQfrom CQimplementation CQof CQthe CQAffordable
CQCare CQAct; CQdemands CQto CQreduce CQerrors CQand CQimprove CQpatient CQsafety; CQand
CQevolving CQmedical CQand CQcommunication CQtechnology.
