TEST BANK
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,Effective Leadership & Management in #Kju #Kju #Kju #Kju
Nursing, 9e (Sullivan)Chapter 1
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Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning
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committee. Which factor is the primary driving force and controlling factor in new
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initiativesthis committee might recommend?
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1. Cost of care #Kju #Kju
2. Access to care #Kju #Kju
3. Availability of care #Kju #Kju
4. Quality of #Kju
careAnswer: 1
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Explanation: 1. While all of the options given are driving forces in today's
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healthcare environment, the cost of providing care is still the primary issue. Cost
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of care controls access,availability, and quality.
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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
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economic reality isthat quality care must also be funded care.
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Cognitive Level: Applying #Kju # K j u
Client Need: Safe Effective Care
#Kju # K j u #Kju #Kju
EnvironmentClient Need Sub:
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#K #Kju #Kju
# Management of Care
K j u #Kju #Kju
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
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Learning Outcome: 1-1: Explain changes to healthcare over the past decade,
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including thoseresulting from implementation of the Affordable Care Act; demands
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to reduce errors and improve patient safety; and evolving medical and
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communication technology.
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,2) A nurse has been invited to discuss healthcare costs at a senior citizens'
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
club. Whatinformation should the nurse plan to include in this discussion?
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#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
1. While healthcare costs continue to rise, the percentage of the United States (U.S.)
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economyspent on healthcare has slowly declined to less than 12%.
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#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
2. Regulations brought about by the Patient Protection and Affordable Care Act
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
(PPACA)should bring financial relief to healthcare consumers.
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#K #Kju #Kju #Kju #Kju #Kju #Kju
3. The United States spends more money on healthcare than any other country.
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
4. Healthcare spending in the United States is slowly declining due to passage of
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
bills such asthe Patient Protection and Affordable Care Act (PPACA).
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#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju
Answer: 2 # K j u
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
grossdomestic product.
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#K #Kju
2. Implementation of PPACA and its regulations have not been formulated. #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
3. The United States spends more than $2.5 trillion on healthcare annually, more
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
than anyother country.
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#K #Kju
4. While this act has been passed, it is not operationalized. Healthcare spending
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
continues torise.
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Cognitive Level: Analyzing #Kju # K j u
Client Need: Safe Effective Care
#Kju # K j u #Kju #Kju
EnvironmentClient Need Sub:
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#K #Kju #Kju
# Management of Care
K j u #Kju #Kju
Nursing/Int Conc: Nursing Process: Planning/Education
#Kju # K j u #Kju #Kju
Learning Outcome: 1-1: Explain changes to healthcare over the past decade,
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
including thoseresulting from implementation of the Affordable Care Act; demands
#Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
to reduce errors and improve patient safety; and evolving medical and
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
communication technology.
#Kju #Kju
3) A 70-year-old client develops a catheter-induced urinary tract infection. Which
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
statement by the nurse would indicate to the nurse manager a need for additional
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
understanding of thissituation?
#Kju #Kju #Kju ju
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1. "I wonder if there was a break of sterility when this catheter was inserted."
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
2. "Thankfully we can treat this with an antibiotic." #Kju #Kju #Kju #Kju #Kju #Kju #Kju
3. "This could potentially cost the hospital a lot of money."
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
4. "I will talk to my unlicensed assistants about proper urinary
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
catheter care."Answer: 2
#Kju #Kju ju
#K #Kju
Explanation: 1. Wondering about a break in sterility indicates that the nurse is
# K j u #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
concernedabout the process that might have contributed to this infection.
#Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
2. The nurse who focuses on taking care of the results of a potential medical
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
mistake is notaccepting the seriousness of the situation.
#Kju #Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju
3. The Centers for Medicare and Medicaid Services no longer cover the costs
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
incurred by medical mistakes. This urinary tract infection could cost the hospital
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
the cost of treatment,including increased length of stay.
#Kju #Kju #Kju #Kju ju
#K #Kju #Kju #Kju #Kju
4. The nurse has identified that improper care may result in poor outcomes for
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
the client.Cognitive Level:
#Kju #Kju Applying ju
#K #Kju # K j u
Client Need: Safe Effective Care
#Kju # K j u #Kju #Kju
EnvironmentClient Need Sub:
#Kju ju
#K #Kju #Kju
# Management of Care
K j u #Kju #Kju
Nursing/Int Conc: Nursing Process: Evaluation/Education
#Kju # K j u #Kju #Kju
Learning Outcome: 1-1: Explain changes to healthcare over the past decade,
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
including thoseresulting from implementation of the Affordable Care Act; demands
#Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
to reduce errors and improve patient safety; and evolving medical and
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
communication technology.
#Kju #Kju
4) Which healthcare situations reflect the philosophy of quality management as
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
designed byDeming?
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#K
, Note: Credit will be given only if all correct choices and no incorrect choices are
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
selected.
#Kju
#Kju
,Effective Leadership & Management in #Kju #Kju #Kju #Kju
Nursing, 9e (Sullivan)Chapter 1
#Kju #Kju #Kju ju
#K #Kju
Introducing Nursing Management
# K j u #Kju #Kju
1) A nurse manager is participating in the healthcare organization's strategic planning
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
committee. Which factor is the primary driving force and controlling factor in new
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
initiativesthis committee might recommend?
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#K #Kju #Kju #Kju
1. Cost of care #Kju #Kju
2. Access to care #Kju #Kju
3. Availability of care #Kju #Kju
4. Quality of #Kju
careAnswer: 1
#Kju ju
#K #Kju
Explanation: 1. While all of the options given are driving forces in today's
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
healthcare environment, the cost of providing care is still the primary issue. Cost
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
of care controls access,availability, and quality.
#Kju #Kju #Kju #Kju ju
#K #Kju #Kju
2. Access to care is controlled by the ability to pay.
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
3. Care will not be available if it cannot be funded.
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
4. Healthcare providers do not like to correlate quality with cost, but the
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
economic reality isthat quality care must also be funded care.
#Kju #Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju
Cognitive Level: Applying #Kju # K j u
Client Need: Safe Effective Care
#Kju # K j u #Kju #Kju
EnvironmentClient Need Sub:
#Kju ju
#K #Kju #Kju
# Management of Care
K j u #Kju #Kju
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
#Kju # K j u #Kju #Kju
Learning Outcome: 1-1: Explain changes to healthcare over the past decade,
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
including thoseresulting from implementation of the Affordable Care Act; demands
#Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
to reduce errors and improve patient safety; and evolving medical and
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
communication technology.
#Kju #Kju
,2) A nurse has been invited to discuss healthcare costs at a senior citizens'
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
club. Whatinformation should the nurse plan to include in this discussion?
#Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
1. While healthcare costs continue to rise, the percentage of the United States (U.S.)
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
economyspent on healthcare has slowly declined to less than 12%.
#Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
2. Regulations brought about by the Patient Protection and Affordable Care Act
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
(PPACA)should bring financial relief to healthcare consumers.
#Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju
3. The United States spends more money on healthcare than any other country.
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
4. Healthcare spending in the United States is slowly declining due to passage of
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
bills such asthe Patient Protection and Affordable Care Act (PPACA).
#Kju #Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju
Answer: 2 # K j u
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
grossdomestic product.
#Kju ju
#K #Kju
2. Implementation of PPACA and its regulations have not been formulated. #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
3. The United States spends more than $2.5 trillion on healthcare annually, more
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
than anyother country.
#Kju #Kju ju
#K #Kju
4. While this act has been passed, it is not operationalized. Healthcare spending
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
continues torise.
#Kju #Kju ju
#K
Cognitive Level: Analyzing #Kju # K j u
Client Need: Safe Effective Care
#Kju # K j u #Kju #Kju
EnvironmentClient Need Sub:
#Kju ju
#K #Kju #Kju
# Management of Care
K j u #Kju #Kju
Nursing/Int Conc: Nursing Process: Planning/Education
#Kju # K j u #Kju #Kju
Learning Outcome: 1-1: Explain changes to healthcare over the past decade,
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
including thoseresulting from implementation of the Affordable Care Act; demands
#Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
to reduce errors and improve patient safety; and evolving medical and
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
communication technology.
#Kju #Kju
3) A 70-year-old client develops a catheter-induced urinary tract infection. Which
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
statement by the nurse would indicate to the nurse manager a need for additional
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
understanding of thissituation?
#Kju #Kju #Kju ju
#K
1. "I wonder if there was a break of sterility when this catheter was inserted."
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
2. "Thankfully we can treat this with an antibiotic." #Kju #Kju #Kju #Kju #Kju #Kju #Kju
3. "This could potentially cost the hospital a lot of money."
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
4. "I will talk to my unlicensed assistants about proper urinary
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
catheter care."Answer: 2
#Kju #Kju ju
#K #Kju
Explanation: 1. Wondering about a break in sterility indicates that the nurse is
# K j u #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
concernedabout the process that might have contributed to this infection.
#Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
2. The nurse who focuses on taking care of the results of a potential medical
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
mistake is notaccepting the seriousness of the situation.
#Kju #Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju
3. The Centers for Medicare and Medicaid Services no longer cover the costs
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
incurred by medical mistakes. This urinary tract infection could cost the hospital
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
the cost of treatment,including increased length of stay.
#Kju #Kju #Kju #Kju ju
#K #Kju #Kju #Kju #Kju
4. The nurse has identified that improper care may result in poor outcomes for
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
the client.Cognitive Level:
#Kju #Kju Applying ju
#K #Kju # K j u
Client Need: Safe Effective Care
#Kju # K j u #Kju #Kju
EnvironmentClient Need Sub:
#Kju ju
#K #Kju #Kju
# Management of Care
K j u #Kju #Kju
Nursing/Int Conc: Nursing Process: Evaluation/Education
#Kju # K j u #Kju #Kju
Learning Outcome: 1-1: Explain changes to healthcare over the past decade,
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
including thoseresulting from implementation of the Affordable Care Act; demands
#Kju #Kju ju
#K #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
to reduce errors and improve patient safety; and evolving medical and
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
communication technology.
#Kju #Kju
4) Which healthcare situations reflect the philosophy of quality management as
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
designed byDeming?
#Kju #Kju ju
#K
, Note: Credit will be given only if all correct choices and no incorrect choices are
#Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju #Kju
selected.
#Kju
