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TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
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Effective Leadership & Management in Nursing, 9e (Sullivan)
Chapter 1 Introducing Nursing Management
1) A nurse manager is participating in the healthcare organization's strategic planning
committee. Which factor is the primary driving force and controlling factor in new initiatives
this committee might recommend?
1. Cost of care
2. Access to care
3. Availability of care
4. Quality of care
Answer: 1
Explanation: 1. While all of the options given are driving forces in today's healthcare
environment, the cost of providing care is still the primary issue. Cost of care controls access,
availability, and quality.
2. Access to care is controlled by the ability to pay.
3. Care will not be available if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
that quality care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
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2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What
information should the nurse plan to include in this discussion?
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
spent on healthcare has slowly declined to less than 12%.
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA)
should bring financial relief to healthcare consumers.
3. The United States spends more money on healthcare than any other country.
4. Healthcare spending in the United States is slowly declining due to passage of bills such as
the Patient Protection and Affordable Care Act (PPACA).
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross
domestic product.
2. Implementation of PPACA and its regulations have not been formulated.
3. The United States spends more than $2.5 trillion on healthcare annually, more than any
other country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to
rise.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
3) A p70-year-old pclient pdevelops pa pcatheter-induced purinary ptract pinfection. pWhich
pstatement pby pthe pnurse pwould pindicate pto pthe pnurse pmanager pa pneed pfor padditional
punderstanding pof pthis psituation?
1. "I pwonder pif pthere pwas pa pbreak pof psterility pwhen pthis pcatheter pwas pinserted."
2. "Thankfully pwe pcan ptreat pthis pwith pan pantibiotic."
3. "This pcould ppotentially pcost pthe phospital pa plot pof pmoney."
4. "I pwill ptalk pto pmy punlicensed passistants pabout pproper purinary pcatheter
pcare." pAnswer: p 2
Explanation: p 1. pWondering pabout pa pbreak pin psterility pindicates pthat pthe pnurse pis
pconcerned pabout pthe pprocess pthat pmight phave pcontributed pto pthis pinfection.
2. The pnurse pwho pfocuses pon ptaking pcare pof pthe presults pof pa ppotential pmedical
pmistake pis pnot paccepting pthe pseriousness pof pthe psituation.
3. The pCenters pfor pMedicare pand pMedicaid pServices pno plonger pcover pthe pcosts
pincurred pby pmedical pmistakes. pThis purinary ptract pinfection pcould pcost pthe phospital
pthe pcost pof ptreatment, pincluding pincreased plength pof pstay.
4. The pnurse phas pidentified pthat pimproper pcare pmay presult pin ppoor poutcomes pfor
pthe pclient. pCognitive pLevel: p Applying
Client pNeed: p Safe pEffective pCare pEnvironment
pClient pNeed pSub: p Management pof pCare
Nursing/Int pConc: p Nursing pProcess: pEvaluation/Education
Learning pOutcome: p 1-1: pExplain pchanges pto phealthcare pover pthe ppast pdecade, pincluding
pthose presulting pfrom pimplementation pof pthe pAffordable pCare pAct; pdemands pto preduce
perrors pand pimprove ppatient psafety; pand pevolving pmedical pand pcommunication
ptechnology.
4) Which phealthcare psituations preflect pthe pphilosophy pof pquality pmanagement pas
pdesigned pby pDeming?
Note: pCredit pwill pbe pgiven ponly pif pall pcorrect pchoices pand pno pincorrect pchoices pare pselected.
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Select pall pthat papply.
1. A pnurse pasks pvisitors pto pleave pbecause pit pis pafter pvisiting phours.
2. At p2:00 pp.m. pthe pnurse porders pa plunch ptray pfor pa pclient pwho phas pjust pbeen
premoved pfrom pnothing pby pmouth p(NPO) pstatus.
3. A pnurse ptells pthe pmanager pthat pa phousekeeper's pwork pis pnot pup pto pstandards.
4. A pnurse pvolunteers pto ptake pa pSpanish planguage pclass pto pbe pable pto pcommunicate pwith pclients.
5. A pnurse pwho phas pnot pmade pa pmedication perror pin ptwo pyears pasks pfor pa psalary
pincrease. pAnswer: p 2, p3, p4
Explanation: p 1. pThe pphilosophy pof pquality pmanagement pis pfocus pon pthe pneeds pof pthe
pclient. pIf pthere pis pno preason pfor pthe pvisitors pto pleave pother pthan pit pis pafter pvisiting
phours, pthis pis pnot pfocused pon pclient pneed.
2. Even pthough p2:00 pp.m. pis pafter p"lunchtime," pthis pnurse pis pfocused pon pthe pclient's
pneeds. pThis pis pan pexample pof pquality pmanagement.
3. Quality pmanagement pempowers pthe pemployee pto pevaluate pquality.
4. This pnurse phas pseen pa pneed pand pis pworking pto pimprove pthe pquality pof pservice. pThis
pis pquality pmanagement.
5. Salary pincreases pcan pbe ptied pto pquality pimprovement pinitiatives, pbut pjust pasking
pfor pan pincrease pis pnot pquality pmanagement.
Cognitive pLevel: p Applying
Client pNeed: p Safe pEffective pCare pEnvironment
pClient pNeed pSub: p Management pof pCare
Nursing/Int pConc: p Nursing pProcess: pImplementation/Quality pof pPractice
Learning pOutcome: p 1-1: pExplain pchanges pto phealthcare pover pthe ppast pdecade, pincluding
pthose presulting pfrom pimplementation pof pthe pAffordable pCare pAct; pdemands pto preduce
perrors pand pimprove ppatient psafety; pand pevolving pmedical pand pcommunication
ptechnology.
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TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan)
Chapter 1 Introducing Nursing Management
1) A nurse manager is participating in the healthcare organization's strategic planning
committee. Which factor is the primary driving force and controlling factor in new initiatives
this committee might recommend?
1. Cost of care
2. Access to care
3. Availability of care
4. Quality of care
Answer: 1
Explanation: 1. While all of the options given are driving forces in today's healthcare
environment, the cost of providing care is still the primary issue. Cost of care controls access,
availability, and quality.
2. Access to care is controlled by the ability to pay.
3. Care will not be available if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
that quality care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
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2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What
information should the nurse plan to include in this discussion?
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
spent on healthcare has slowly declined to less than 12%.
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA)
should bring financial relief to healthcare consumers.
3. The United States spends more money on healthcare than any other country.
4. Healthcare spending in the United States is slowly declining due to passage of bills such as
the Patient Protection and Affordable Care Act (PPACA).
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross
domestic product.
2. Implementation of PPACA and its regulations have not been formulated.
3. The United States spends more than $2.5 trillion on healthcare annually, more than any
other country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to
rise.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
3) A p70-year-old pclient pdevelops pa pcatheter-induced purinary ptract pinfection. pWhich
pstatement pby pthe pnurse pwould pindicate pto pthe pnurse pmanager pa pneed pfor padditional
punderstanding pof pthis psituation?
1. "I pwonder pif pthere pwas pa pbreak pof psterility pwhen pthis pcatheter pwas pinserted."
2. "Thankfully pwe pcan ptreat pthis pwith pan pantibiotic."
3. "This pcould ppotentially pcost pthe phospital pa plot pof pmoney."
4. "I pwill ptalk pto pmy punlicensed passistants pabout pproper purinary pcatheter
pcare." pAnswer: p 2
Explanation: p 1. pWondering pabout pa pbreak pin psterility pindicates pthat pthe pnurse pis
pconcerned pabout pthe pprocess pthat pmight phave pcontributed pto pthis pinfection.
2. The pnurse pwho pfocuses pon ptaking pcare pof pthe presults pof pa ppotential pmedical
pmistake pis pnot paccepting pthe pseriousness pof pthe psituation.
3. The pCenters pfor pMedicare pand pMedicaid pServices pno plonger pcover pthe pcosts
pincurred pby pmedical pmistakes. pThis purinary ptract pinfection pcould pcost pthe phospital
pthe pcost pof ptreatment, pincluding pincreased plength pof pstay.
4. The pnurse phas pidentified pthat pimproper pcare pmay presult pin ppoor poutcomes pfor
pthe pclient. pCognitive pLevel: p Applying
Client pNeed: p Safe pEffective pCare pEnvironment
pClient pNeed pSub: p Management pof pCare
Nursing/Int pConc: p Nursing pProcess: pEvaluation/Education
Learning pOutcome: p 1-1: pExplain pchanges pto phealthcare pover pthe ppast pdecade, pincluding
pthose presulting pfrom pimplementation pof pthe pAffordable pCare pAct; pdemands pto preduce
perrors pand pimprove ppatient psafety; pand pevolving pmedical pand pcommunication
ptechnology.
4) Which phealthcare psituations preflect pthe pphilosophy pof pquality pmanagement pas
pdesigned pby pDeming?
Note: pCredit pwill pbe pgiven ponly pif pall pcorrect pchoices pand pno pincorrect pchoices pare pselected.
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Select pall pthat papply.
1. A pnurse pasks pvisitors pto pleave pbecause pit pis pafter pvisiting phours.
2. At p2:00 pp.m. pthe pnurse porders pa plunch ptray pfor pa pclient pwho phas pjust pbeen
premoved pfrom pnothing pby pmouth p(NPO) pstatus.
3. A pnurse ptells pthe pmanager pthat pa phousekeeper's pwork pis pnot pup pto pstandards.
4. A pnurse pvolunteers pto ptake pa pSpanish planguage pclass pto pbe pable pto pcommunicate pwith pclients.
5. A pnurse pwho phas pnot pmade pa pmedication perror pin ptwo pyears pasks pfor pa psalary
pincrease. pAnswer: p 2, p3, p4
Explanation: p 1. pThe pphilosophy pof pquality pmanagement pis pfocus pon pthe pneeds pof pthe
pclient. pIf pthere pis pno preason pfor pthe pvisitors pto pleave pother pthan pit pis pafter pvisiting
phours, pthis pis pnot pfocused pon pclient pneed.
2. Even pthough p2:00 pp.m. pis pafter p"lunchtime," pthis pnurse pis pfocused pon pthe pclient's
pneeds. pThis pis pan pexample pof pquality pmanagement.
3. Quality pmanagement pempowers pthe pemployee pto pevaluate pquality.
4. This pnurse phas pseen pa pneed pand pis pworking pto pimprove pthe pquality pof pservice. pThis
pis pquality pmanagement.
5. Salary pincreases pcan pbe ptied pto pquality pimprovement pinitiatives, pbut pjust pasking
pfor pan pincrease pis pnot pquality pmanagement.
Cognitive pLevel: p Applying
Client pNeed: p Safe pEffective pCare pEnvironment
pClient pNeed pSub: p Management pof pCare
Nursing/Int pConc: p Nursing pProcess: pImplementation/Quality pof pPractice
Learning pOutcome: p 1-1: pExplain pchanges pto phealthcare pover pthe ppast pdecade, pincluding
pthose presulting pfrom pimplementation pof pthe pAffordable pCare pAct; pdemands pto preduce
perrors pand pimprove ppatient psafety; pand pevolving pmedical pand pcommunication
ptechnology.
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