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

TEST BANK
Xt

,TEST BANK FOR Xt Xt




EFFECTIVE LEADER Xt




SHIP AND MANAGE
Xt Xt




MENT IN NURSING, Xt Xt Xt




9TH EDITION,ELEA
Xt Xt




NOR
J. SULLIVAN
Xt

,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapt
Xt Xt Xt Xt Xt Xt Xt Xt


er 1 Introducing Nursing Management
Xt X t Xt Xt




1) A nurse manager is participating in the healthcare organization's strategic planning com
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


mittee. Which factor is the primary driving force and controlling factor in new initiatives t
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


his committee might recommend?
Xt Xt Xt


1. Cost of care Xt Xt


2. Access to care Xt Xt


3. Availability of care Xt Xt


4. Quality of care Xt Xt


Answer: 1
Xt X t


Explanation: 1. While all of the options given are driving forces in today's healthcare envi
X t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ronment, the cost of providing care is still the primary issue. Cost of care controls access, a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


vailability, and quality. Xt Xt


2. Access to care is controlled by the ability to pay.
Xt Xt Xt Xt Xt Xt Xt Xt Xt


3. Care will not be available if it cannot be funded.
Xt Xt Xt Xt Xt Xt Xt Xt Xt


4. Healthcare providers do not like to correlate quality with cost, but the economic reality
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt X


is that quality care must also be funded care.
t Xt Xt Xt Xt Xt Xt Xt Xt


Cognitive Level: Applying Xt X t


Client Need: Safe Effective Care Environment Cli
Xt X t Xt Xt Xt Xt


ent Need Sub: Management of Care
Xt Xt X t Xt Xt


Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Xt X t Xt Xt


Learning Outcome: 1- Xt X t


1: Explain changes to healthcare over the past decade, including those resulting from imple
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


; and evolving medical and communication technology.
Xt Xt Xt Xt Xt Xt

, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


at information should the nurse plan to include in this discussion?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


1. While healthcare costs continue to rise, the percentage of the United States (U.S.) econo
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


my spent on healthcare has slowly declined to less than 12%.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


) should bring financial relief to healthcare consumers.
Xt Xt Xt Xt Xt Xt Xt


3. The United States spends more money on healthcare than any other country.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


4. Healthcare spending in the United States is slowly declining due to passage of bills such
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt X


as the Patient Protection and Affordable Care Act (PPACA).
t Xt Xt Xt Xt Xt Xt Xt Xt


Answer: 2 X t


Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross d
X t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


omestic product. Xt


2. Implementation of PPACA and its regulations have not been formulated. Xt Xt Xt Xt Xt Xt Xt Xt Xt


3. The United States spends more than $2.5 trillion on healthcare annually, more than a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ny other country.
Xt Xt


4. While this act has been passed, it is not operationalized. Healthcare spending continues
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


to rise. Xt


Cognitive Level: Analyzing Xt X t


Client Need: Safe Effective Care Environment Cli
Xt X t Xt Xt Xt Xt


ent Need Sub: Management of Care
Xt Xt X t Xt Xt


Nursing/Int Conc: Nursing Process: Planning/Education
Xt X t Xt Xt


Learning Outcome: 1- Xt X t


1: Explain changes to healthcare over the past decade, including those resulting from imple
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


; and evolving medical and communication technology.
Xt Xt Xt Xt Xt Xt




3) A 70-year-old client develops a catheter-
Xt Xt Xt Xt Xt


induced urinary tract infection. Which statement by the nurse would indicate to the nurse
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


manager a need for additional understanding of this situation?
Xt Xt Xt Xt Xt Xt Xt Xt


1. "I wonder if there was a break of sterility when this catheter was inserted."
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


2. "Thankfully we can treat this with an antibiotic." Xt Xt Xt Xt Xt Xt Xt


3. "This could potentially cost the hospital a lot of money."
Xt Xt Xt Xt Xt Xt Xt Xt Xt


4. "I will talk to my unlicensed assistants about proper urinary catheter care
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


." Answer: 2
Xt X t


Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned a
X t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


bout the process that might have contributed to this infection.
Xt Xt Xt Xt Xt Xt Xt Xt Xt


2. The nurse who focuses on taking care of the results of a potential medical mistake is
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


not accepting the seriousness of the situation.
Xt Xt Xt Xt Xt Xt


3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


by medical mistakes. This urinary tract infection could cost the hospital the cost of treat
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ment, including increased length of stay.
Xt Xt Xt Xt Xt


4. The nurse has identified that improper care may result in poor outcomes for the clie
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


nt. Cognitive Level: Applying
Xt Xt X t


Client Need: Safe Effective Care Environment Cli
Xt X t Xt Xt Xt Xt


ent Need Sub: Management of Care
Xt Xt X t Xt Xt


Nursing/Int Conc: Nursing Process: Evaluation/Education
Xt X t Xt Xt


Learning Outcome: 1- Xt X t


1: Explain changes to healthcare over the past decade, including those resulting from imple
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


; and evolving medical and communication technology.
Xt Xt Xt Xt Xt Xt




4) Which healthcare situations reflect the philosophy of quality management as designed
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


by Deming? Xt


Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt