,EffectivebLeadershipb&bManagementbinbNursing,b9eb(Sullivan)bChapte
rb1b IntroducingbNursingbManagement
1) Abnursebmanagerbisbparticipatingbinbthebhealthcareborganization'sbstrategicbplanningbcommittee.b
Whichbfactorbisbthebprimarybdrivingbforcebandbcontrollingbfactorbinbnewbinitiativesbthisbcommitteeb
mightbrecommend?
1. Costbofbcare
2. Accessbtobcare
3. Availabilitybofbcare
4. Qualitybofbcareb
Answer:b 1
Explanation:b 1.bWhileballbofbtheboptionsbgivenbarebdrivingbforcesbinbtoday'sbhealthcarebenvironment
,bthebcostbofbprovidingbcarebisbstillbthebprimarybissue.bCostbofbcarebcontrolsbaccess,bavailability,bandbq
uality.
2. Accessbtobcarebisbcontrolledbbybthebabilitybtobpay.
3. Carebwillbnotbbebavailablebifbitbcannotbbebfunded.
4. Healthcarebprovidersbdobnotblikebtobcorrelatebqualitybwithbcost,bbutbthebeconomicbrealitybisbthatbq
ualitybcarebmustbalsobbebfundedbcare.
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Leadership
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
,2) Abnursebhasbbeenbinvitedbtobdiscussbhealthcarebcostsbatbabseniorbcitizens'bclub.bWhatbi
nformationbshouldbthebnursebplanbtobincludebinbthisbdiscussion?
1. Whilebhealthcarebcostsbcontinuebtobrise,bthebpercentagebofbthebUnitedbStatesb(U.S.)beconomybs
pentbonbhealthcarebhasbslowlybdeclinedbtoblessbthanb12%.
2. RegulationsbbroughtbaboutbbybthebPatientbProtectionbandbAffordablebCarebActb(PPACA)bshouldb
bringbfinancialbreliefbtobhealthcarebconsumers.
3. ThebUnitedbStatesbspendsbmorebmoneybonbhealthcarebthanbanybotherbcountry.
4. HealthcarebspendingbinbthebUnitedbStatesbisbslowlybdecliningbduebtobpassagebofbbillsbsuchbasbthebP
atientbProtectionbandbAffordablebCarebActb(PPACA).
Answer:b 2
Explanation:b 1.bInb2009,bhealthcarebcostsbconsumedbmorebthanb17%bofbthebcountry'sbgrossbdomest
icbproduct.
2. ImplementationbofbPPACAbandbitsbregulationsbhavebnotbbeenbformulated.
3. ThebUnitedbStatesbspendsbmorebthanb$2.5btrillionbonbhealthcarebannually,bmorebthanbanybotherbc
ountry.
4. Whilebthisbactbhasbbeenbpassed,bitbisbnotboperationalized.bHealthcarebspendingbcontinuesbtobrise.b
CognitivebLevel:b Analyzing
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bPlanning/Education
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
3) Ab70-year-oldbclientbdevelopsbabcatheter-
inducedburinarybtractbinfection.bWhichbstatementbbybthebnursebwouldbindicatebtobthebnursebmanag
erbabneedbforbadditionalbunderstandingbofbthisbsituation?
1. "Ibwonderbifbtherebwasbabbreakbofbsterilitybwhenbthisbcatheterbwasbinserted."
2. "Thankfullybwebcanbtreatbthisbwithbanbantibiotic."
3. "Thisbcouldbpotentiallybcostbthebhospitalbablotbofbmoney."
4. "Ibwillbtalkbtobmybunlicensedbassistantsbaboutbproperburinarybcatheterbcare."b
Answer:b 2
Explanation:b 1.bWonderingbaboutbabbreakbinbsterilitybindicatesbthatbthebnursebisbconcernedbaboutbth
ebprocessbthatbmightbhavebcontributedbtobthisbinfection.
2. Thebnursebwhobfocusesbonbtakingbcarebofbthebresultsbofbabpotentialbmedicalbmistakebisbnotba
cceptingbthebseriousnessbofbthebsituation.
3. ThebCentersbforbMedicarebandbMedicaidbServicesbnoblongerbcoverbthebcostsbincurredbbyb
medicalbmistakes.bThisburinarybtractbinfectionbcouldbcostbthebhospitalbthebcostbofbtreatment,bi
ncludingbincreasedblengthbofbstay.
4. Thebnursebhasbidentifiedbthatbimproperbcarebmaybresultbinbpoorboutcomesbforbthebclient.b
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Education
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
4) Whichbhealthcarebsituationsbreflectbthebphilosophybofbqualitybmanagementbasbdesignedbby
, Deming?
Note:bCreditbwillbbebgivenbonlybifballbcorrectbchoicesbandbnobincorrectbchoicesbarebselected.
Selectballbthatbapply.
1. Abnursebasksbvisitorsbtobleavebbecausebitbisbafterbvisitingbhours.
2. Atb2:00bp.m.bthebnursebordersbablunchbtraybforbabclientbwhobhasbjustbbeenbremovedbfrombnothingbb
ybmouthb(NPO)bstatus.
3. Abnursebtellsbthebmanagerbthatbabhousekeeper'sbworkbisbnotbupbtobstandards.
4. AbnursebvolunteersbtobtakebabSpanishblanguagebclassbtobbebablebtobcommunicatebwithbclients.
5. Abnursebwhobhasbnotbmadebabmedicationberrorbinbtwobyearsbasksbforbabsalarybincrease.b
Answer:b 2,b3,b4
Explanation:b 1.bThebphilosophybofbqualitybmanagementbisbfocusbonbthebneedsbofbthebclient.bIfbther
ebisbnobreasonbforbthebvisitorsbtobleavebotherbthanbitbisbafterbvisitingbhours,bthisbisbnotbfocusedbonbclie
ntbneed.
2. Evenbthoughb2:00bp.m.bisbafterb"lunchtime,"bthisbnursebisbfocusedbonbthebclient'sbneeds.bThisbisba
nbexamplebofbqualitybmanagement.
3. Qualitybmanagementbempowersbthebemployeebtobevaluatebquality.
4. Thisbnursebhasbseenbabneedbandbisbworkingbtobimprovebthebqualitybofbservice.bThisbisbqualityb
management.
5. Salarybincreasesbcanbbebtiedbtobqualitybimprovementbinitiatives,bbutbjustbaskingbforbanbincreasebi
sbnotbqualitybmanagement.
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bImplementation/QualitybofbPractice
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
rb1b IntroducingbNursingbManagement
1) Abnursebmanagerbisbparticipatingbinbthebhealthcareborganization'sbstrategicbplanningbcommittee.b
Whichbfactorbisbthebprimarybdrivingbforcebandbcontrollingbfactorbinbnewbinitiativesbthisbcommitteeb
mightbrecommend?
1. Costbofbcare
2. Accessbtobcare
3. Availabilitybofbcare
4. Qualitybofbcareb
Answer:b 1
Explanation:b 1.bWhileballbofbtheboptionsbgivenbarebdrivingbforcesbinbtoday'sbhealthcarebenvironment
,bthebcostbofbprovidingbcarebisbstillbthebprimarybissue.bCostbofbcarebcontrolsbaccess,bavailability,bandbq
uality.
2. Accessbtobcarebisbcontrolledbbybthebabilitybtobpay.
3. Carebwillbnotbbebavailablebifbitbcannotbbebfunded.
4. Healthcarebprovidersbdobnotblikebtobcorrelatebqualitybwithbcost,bbutbthebeconomicbrealitybisbthatbq
ualitybcarebmustbalsobbebfundedbcare.
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Leadership
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
,2) Abnursebhasbbeenbinvitedbtobdiscussbhealthcarebcostsbatbabseniorbcitizens'bclub.bWhatbi
nformationbshouldbthebnursebplanbtobincludebinbthisbdiscussion?
1. Whilebhealthcarebcostsbcontinuebtobrise,bthebpercentagebofbthebUnitedbStatesb(U.S.)beconomybs
pentbonbhealthcarebhasbslowlybdeclinedbtoblessbthanb12%.
2. RegulationsbbroughtbaboutbbybthebPatientbProtectionbandbAffordablebCarebActb(PPACA)bshouldb
bringbfinancialbreliefbtobhealthcarebconsumers.
3. ThebUnitedbStatesbspendsbmorebmoneybonbhealthcarebthanbanybotherbcountry.
4. HealthcarebspendingbinbthebUnitedbStatesbisbslowlybdecliningbduebtobpassagebofbbillsbsuchbasbthebP
atientbProtectionbandbAffordablebCarebActb(PPACA).
Answer:b 2
Explanation:b 1.bInb2009,bhealthcarebcostsbconsumedbmorebthanb17%bofbthebcountry'sbgrossbdomest
icbproduct.
2. ImplementationbofbPPACAbandbitsbregulationsbhavebnotbbeenbformulated.
3. ThebUnitedbStatesbspendsbmorebthanb$2.5btrillionbonbhealthcarebannually,bmorebthanbanybotherbc
ountry.
4. Whilebthisbactbhasbbeenbpassed,bitbisbnotboperationalized.bHealthcarebspendingbcontinuesbtobrise.b
CognitivebLevel:b Analyzing
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bPlanning/Education
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
3) Ab70-year-oldbclientbdevelopsbabcatheter-
inducedburinarybtractbinfection.bWhichbstatementbbybthebnursebwouldbindicatebtobthebnursebmanag
erbabneedbforbadditionalbunderstandingbofbthisbsituation?
1. "Ibwonderbifbtherebwasbabbreakbofbsterilitybwhenbthisbcatheterbwasbinserted."
2. "Thankfullybwebcanbtreatbthisbwithbanbantibiotic."
3. "Thisbcouldbpotentiallybcostbthebhospitalbablotbofbmoney."
4. "Ibwillbtalkbtobmybunlicensedbassistantsbaboutbproperburinarybcatheterbcare."b
Answer:b 2
Explanation:b 1.bWonderingbaboutbabbreakbinbsterilitybindicatesbthatbthebnursebisbconcernedbaboutbth
ebprocessbthatbmightbhavebcontributedbtobthisbinfection.
2. Thebnursebwhobfocusesbonbtakingbcarebofbthebresultsbofbabpotentialbmedicalbmistakebisbnotba
cceptingbthebseriousnessbofbthebsituation.
3. ThebCentersbforbMedicarebandbMedicaidbServicesbnoblongerbcoverbthebcostsbincurredbbyb
medicalbmistakes.bThisburinarybtractbinfectionbcouldbcostbthebhospitalbthebcostbofbtreatment,bi
ncludingbincreasedblengthbofbstay.
4. Thebnursebhasbidentifiedbthatbimproperbcarebmaybresultbinbpoorboutcomesbforbthebclient.b
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Education
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
4) Whichbhealthcarebsituationsbreflectbthebphilosophybofbqualitybmanagementbasbdesignedbby
, Deming?
Note:bCreditbwillbbebgivenbonlybifballbcorrectbchoicesbandbnobincorrectbchoicesbarebselected.
Selectballbthatbapply.
1. Abnursebasksbvisitorsbtobleavebbecausebitbisbafterbvisitingbhours.
2. Atb2:00bp.m.bthebnursebordersbablunchbtraybforbabclientbwhobhasbjustbbeenbremovedbfrombnothingbb
ybmouthb(NPO)bstatus.
3. Abnursebtellsbthebmanagerbthatbabhousekeeper'sbworkbisbnotbupbtobstandards.
4. AbnursebvolunteersbtobtakebabSpanishblanguagebclassbtobbebablebtobcommunicatebwithbclients.
5. Abnursebwhobhasbnotbmadebabmedicationberrorbinbtwobyearsbasksbforbabsalarybincrease.b
Answer:b 2,b3,b4
Explanation:b 1.bThebphilosophybofbqualitybmanagementbisbfocusbonbthebneedsbofbthebclient.bIfbther
ebisbnobreasonbforbthebvisitorsbtobleavebotherbthanbitbisbafterbvisitingbhours,bthisbisbnotbfocusedbonbclie
ntbneed.
2. Evenbthoughb2:00bp.m.bisbafterb"lunchtime,"bthisbnursebisbfocusedbonbthebclient'sbneeds.bThisbisba
nbexamplebofbqualitybmanagement.
3. Qualitybmanagementbempowersbthebemployeebtobevaluatebquality.
4. Thisbnursebhasbseenbabneedbandbisbworkingbtobimprovebthebqualitybofbservice.bThisbisbqualityb
management.
5. Salarybincreasesbcanbbebtiedbtobqualitybimprovementbinitiatives,bbutbjustbaskingbforbanbincreasebi
sbnotbqualitybmanagement.
CognitivebLevel:b Applying
ClientbNeed:b SafebEffectivebCarebEnvironmentbCli
entbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bImplementation/QualitybofbPractice
LearningbOutcome:b 1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplementa
tionbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbevolvi
ngbmedicalbandbcommunicationbtechnology.
