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Copyright © 2018 Pearson Education, Inc.
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VERIFIEDBRAINBOOSTER
,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 committee.
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Which factor is the primary driving force and controlling factor in new initiatives this committee
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might recommend? cn
1. Cost of care cn cn
2. Access to care cn cn
3. Availability of care cn cn
4. Quality of care cn cn cn
Answer: 1 c n
Explanation: 1. While all of the options given are driving forces in today's healthcare environm
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ent, the cost of providing care is still the primary issue. Cost of care controls access, availability,
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and quality. cn
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 that
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quality care must also be funded care.
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Cognitive Level: Applying cn c n
Client Need: Safe Effective Care Environment Cli
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ent Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership cn c n cn cn
Learning Outcome: 1- cn c n
1: Explain changes to healthcare over the past decade, including those resulting from implementa
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tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolv
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ing medical and communication technology.
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2
Copyright © 2018 Pearson Education, Inc. cn cn cn cn cn
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What i
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nformation should the nurse plan to include in this discussion?
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1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
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spent on healthcare has slowly declined to less than 12%.
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2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should
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bring financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
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4. Healthcare spending in the United States is slowly declining due to passage of bills such as the
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Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 c n
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domes
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tic product.
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2. Implementation of PPACA and its regulations have not been formulated. cn cn cn cn cn cn cn cn cn
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other
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country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
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Cognitive Level: Analyzing cn c n
Client Need: Safe Effective Care Environment Cli
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ent Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Planning/Education cn c n cn cn
Learning Outcome: 1- cn c n
1: Explain changes to healthcare over the past decade, including those resulting from implementa
cn cn cn cn cn cn cn cn cn cn cn cn cn
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolv
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ing medical and communication technology.
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3) A 70-year-old client develops a catheter-
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induced urinary tract infection. Which statement by the nurse would indicate to the nurse mana
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ger a need for additional understanding of this situation?
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1. "I wonder if there was a break of sterility when this catheter was inserted."
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2. "Thankfully we can treat this with an antibiotic." cn cn cn cn cn cn cn
3. "This could potentially cost the hospital a lot of money."
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4. "I will talk to my unlicensed assistants about proper urinary catheter care."
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Answer: 2 c n
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about t
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he process that might have contributed to this infection.
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2. The nurse who focuses on taking care of the results of a potential medical mistake is not a
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ccepting the seriousness of the situation. cn cn cn cn cn
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
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medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, i
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ncluding increased length of stay. cn cn cn cn
4. The nurse has identified that improper care may result in poor outcomes for the client.
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Cognitive Level: Applying cn c n
Client Need: Safe Effective Care Environment Cli
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ent Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Education cn c n cn cn
Learning Outcome: 1- cn c n
1: Explain changes to healthcare over the past decade, including those resulting from implementa
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3
Copyright © 2018 Pearson Education, Inc. cn cn cn cn cn
VERIFIEDBRAINBOOSTER
, tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolv
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ing medical and communication technology.
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4
Copyright © 2018 Pearson Education, Inc.
cn cn cn cn cn
VERIFIEDBRAINBOOSTER
Copyright © 2018 Pearson Education, Inc.
cn cn cn cn cn
VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
cn cn cn cn cn cn cn cn
r 1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning committee.
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Which factor is the primary driving force and controlling factor in new initiatives this committee
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
might recommend? cn
1. Cost of care cn cn
2. Access to care cn cn
3. Availability of care cn cn
4. Quality of care cn cn cn
Answer: 1 c n
Explanation: 1. While all of the options given are driving forces in today's healthcare environm
c n cn cn cn cn cn cn cn cn cn cn cn cn cn
ent, the cost of providing care is still the primary issue. Cost of care controls access, availability,
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and quality. cn
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 that
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quality care must also be funded care.
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Cognitive Level: Applying cn c n
Client Need: Safe Effective Care Environment Cli
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ent Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership cn c n cn cn
Learning Outcome: 1- cn c n
1: Explain changes to healthcare over the past decade, including those resulting from implementa
cn cn cn cn cn cn cn cn cn cn cn cn cn
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolv
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ing medical and communication technology.
cn cn cn cn
2
Copyright © 2018 Pearson Education, Inc. cn cn cn cn cn
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
nformation should the nurse plan to include in this discussion?
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1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
spent on healthcare has slowly declined to less than 12%.
cn cn cn cn cn cn cn cn cn
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should
cn cn cn cn cn cn cn cn cn cn cn cn cn
bring financial relief to healthcare consumers.
cn cn cn cn cn
3. The United States spends more money on healthcare than any other country.
cn cn cn cn cn cn cn cn cn cn cn
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 c n
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domes
c n cn cn cn cn cn cn cn cn cn cn cn cn cn
tic product.
cn
2. Implementation of PPACA and its regulations have not been formulated. cn cn cn cn cn cn cn cn cn
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Cognitive Level: Analyzing cn c n
Client Need: Safe Effective Care Environment Cli
cn c n cn cn cn cn
ent Need Sub: Management of Care
cn cn c n cn cn
Nursing/Int Conc: Nursing Process: Planning/Education cn c n cn cn
Learning Outcome: 1- cn c n
1: Explain changes to healthcare over the past decade, including those resulting from implementa
cn cn cn cn cn cn cn cn cn cn cn cn cn
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolv
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ing medical and communication technology.
cn cn cn cn
3) A 70-year-old client develops a catheter-
cn cn cn cn cn
induced urinary tract infection. Which statement by the nurse would indicate to the nurse mana
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ger a need for additional understanding of this situation?
cn cn cn cn cn cn cn cn
1. "I wonder if there was a break of sterility when this catheter was inserted."
cn cn cn cn cn cn cn cn cn cn cn cn cn
2. "Thankfully we can treat this with an antibiotic." cn cn cn cn cn cn cn
3. "This could potentially cost the hospital a lot of money."
cn cn cn cn cn cn cn cn cn
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
cn cn cn cn cn cn cn cn cn cn cn cn
Answer: 2 c n
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about t
c n cn cn cn cn cn cn cn cn cn cn cn cn cn cn
he process that might have contributed to this infection.
cn cn cn cn cn cn cn cn
2. The nurse who focuses on taking care of the results of a potential medical mistake is not a
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ccepting the seriousness of the situation. cn cn cn cn cn
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ncluding increased length of stay. cn cn cn cn
4. The nurse has identified that improper care may result in poor outcomes for the client.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
Cognitive Level: Applying cn c n
Client Need: Safe Effective Care Environment Cli
cn c n cn cn cn cn
ent Need Sub: Management of Care
cn cn c n cn cn
Nursing/Int Conc: Nursing Process: Evaluation/Education cn c n cn cn
Learning Outcome: 1- cn c n
1: Explain changes to healthcare over the past decade, including those resulting from implementa
cn cn cn cn cn cn cn cn cn cn cn cn cn
3
Copyright © 2018 Pearson Education, Inc. cn cn cn cn cn
VERIFIEDBRAINBOOSTER
, tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolv
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ing medical and communication technology.
cn cn cn cn
4
Copyright © 2018 Pearson Education, Inc.
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VERIFIEDBRAINBOOSTER