TEST BANK FOR EFFECTIVE LEADERSHIP AND MANAGEMENT IN NURSING 9TH EDITION ELEANOR J. SULLIVAN (LATEST) | ALL CHAPTERS |COMPLETE QUESTIONS AND ANSWERS A+

,EffectivebLeadershipb&bManagementbinbNursing,b9eb(Sullivan)b
Chapterb1b IntroducingbNursingbManagement

1) Abnursebmanagerbisbparticipatingbinbthebhealthcareborganization'sbstrategicbplanningbcommittee.b
Whichbfactorbisbthebprimarybdrivingbforcebandbcontrollingbfactorbinbnewbinitiativesbthisbcommitteebm
ightbrecommend?
1. Costbofbcare
2. Accessbtobcare
3. Availabilitybofbcare
4. Qualitybofbcareb
Answer:b1
Explanation:b1.bWhileballbofbtheboptionsbgivenbarebdrivingbforcesbinbtoday'sbhealthcarebenvironm
ent,bthebcostbofbprovidingbcarebisbstillbthebprimarybissue.bCostbofbcarebcontrolsbaccess,bavailability
,bandbquality.
2. Accessbtobcarebisbcontrolledbbybthebabilitybtobpay.
3. Carebwillbnotbbebavailablebifbitbcannotbbebfunded.
4. Healthcarebprovidersbdobnotblikebtobcorrelatebqualitybwithbcost,bbutbthebeconomicbrealitybisbthatbq
ualitybcarebmustbalsobbebfundedbcare.
CognitivebLevel:b Applying
ClientbNeed:bSafebEffectivebCarebEnvironmentbC
lientbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Leadership
LearningbOutcome:b1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplemen
tationbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbev
olvingbmedicalbandbcommunicationbtechnology.

,2) Abnursebhasbbeenbinvitedbtobdiscussbhealthcarebcostsbatbabseniorbcitizens'bclub.bWhatbi
nformationbshouldbthebnursebplanbtobincludebinbthisbdiscussion?
1. Whilebhealthcarebcostsbcontinuebtobrise,bthebpercentagebofbthebUnitedbStatesb(U.S.)beconomybs
pentbonbhealthcarebhasbslowlybdeclinedbtoblessbthanb12%.
2. RegulationsbbroughtbaboutbbybthebPatientbProtectionbandbAffordablebCarebActb(PPACA)bshouldbb
ringbfinancialbreliefbtobhealthcarebconsumers.
3. ThebUnitedbStatesbspendsbmorebmoneybonbhealthcarebthanbanybotherbcountry.
4. HealthcarebspendingbinbthebUnitedbStatesbisbslowlybdecliningbduebtobpassagebofbbillsbsuchbasbthebP
atientbProtectionbandbAffordablebCarebActb(PPACA).
Answer:b 2
Explanation:b1.bInb2009,bhealthcarebcostsbconsumedbmorebthanb17%bofbthebcountry'sbgrossbdome
sticbproduct.
2. ImplementationbofbPPACAbandbitsbregulationsbhavebnotbbeenbformulated.
3. ThebUnitedbStatesbspendsbmorebthanb$2.5btrillionbonbhealthcarebannually,bmorebthanbanybotherbc
ountry.
4. Whilebthisbactbhasbbeenbpassed,bitbisbnotboperationalized.bHealthcarebspendingbcontinuesbtobrise.bC
ognitivebLevel:bAnalyzing
ClientbNeed:bSafebEffectivebCarebEnvironmentbC
lientbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bPlanning/Education
LearningbOutcome:b1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplemen
tationbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbev
olvingbmedicalbandbcommunicationbtechnology.

3) Ab70-year-oldbclientbdevelopsbabcatheter-
inducedburinarybtractbinfection.bWhichbstatementbbybthebnursebwouldbindicatebtobthebnursebmanag
erbabneedbforbadditionalbunderstandingbofbthisbsituation?
1. "Ibwonderbifbtherebwasbabbreakbofbsterilitybwhenbthisbcatheterbwasbinserted."
2. "Thankfullybwebcanbtreatbthisbwithbanbantibiotic."
3. "Thisbcouldbpotentiallybcostbthebhospitalbablotbofbmoney."
4. "Ibwillbtalkbtobmybunlicensedbassistantsbaboutbproperburinarybcatheterbcare."b
Answer:b2
Explanation:b1.bWonderingbaboutbabbreakbinbsterilitybindicatesbthatbthebnursebisbconcernedbaboutbth
ebprocessbthatbmightbhavebcontributedbtobthisbinfection.
2. Thebnursebwhobfocusesbonbtakingbcarebofbthebresultsbofbabpotentialbmedicalbmistakebisbnotba
cceptingbthebseriousnessbofbthebsituation.
3. ThebCentersbforbMedicarebandbMedicaidbServicesbnoblongerbcoverbthebcostsbincurredbbyb
medicalbmistakes.bThisburinarybtractbinfectionbcouldbcostbthebhospitalbthebcostbofbtreatment,bi
ncludingbincreasedblengthbofbstay.
4. Thebnursebhasbidentifiedbthatbimproperbcarebmaybresultbinbpoorboutcomesbforbthebclient.bC
ognitivebLevel:bApplying
ClientbNeed:bSafebEffectivebCarebEnvironmentbC
lientbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bEvaluation/Education
LearningbOutcome:b1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplemen
tationbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbev
olvingbmedicalbandbcommunicationbtechnology.

4) Whichbhealthcarebsituationsbreflectbthebphilosophybofbqualitybmanagementbasbdesignedbby

, Deming?
Note:bCreditbwillbbebgivenbonlybifballbcorrectbchoicesbandbnobincorrectbchoicesbarebselected.
Selectballbthatbapply.
1. Abnursebasksbvisitorsbtobleavebbecausebitbisbafterbvisitingbhours.
2. Atb2:00bp.m.bthebnursebordersbablunchbtraybforbabclientbwhobhasbjustbbeenbremovedbfrombnothingbb
ybmouthb(NPO)bstatus.
3. Abnursebtellsbthebmanagerbthatbabhousekeeper'sbworkbisbnotbupbtobstandards.
4. AbnursebvolunteersbtobtakebabSpanishblanguagebclassbtobbebablebtobcommunicatebwithbclients.
5. Abnursebwhobhasbnotbmadebabmedicationberrorbinbtwobyearsbasksbforbabsalarybincrease.bA
nswer:b2,b3,b4
Explanation:b1.bThebphilosophybofbqualitybmanagementbisbfocusbonbthebneedsbofbthebclient.bIfbther
ebisbnobreasonbforbthebvisitorsbtobleavebotherbthanbitbisbafterbvisitingbhours,bthisbisbnotbfocusedbonbcli
entbneed.
2. Evenbthoughb2:00bp.m.bisbafterb"lunchtime,"bthisbnursebisbfocusedbonbthebclient'sbneeds.bThisbisba
nbexamplebofbqualitybmanagement.
3. Qualitybmanagementbempowersbthebemployeebtobevaluatebquality.
4. Thisbnursebhasbseenbabneedbandbisbworkingbtobimprovebthebqualitybofbservice.bThisbisbqualitybm
anagement.
5. Salarybincreasesbcanbbebtiedbtobqualitybimprovementbinitiatives,bbutbjustbaskingbforbanbincreasebis
bnotbqualitybmanagement.

CognitivebLevel:b Applying
ClientbNeed:bSafebEffectivebCarebEnvironmentbC
lientbNeedbSub:b ManagementbofbCare
Nursing/IntbConc:b NursingbProcess:bImplementation/QualitybofbPractice
LearningbOutcome:b1-
1:bExplainbchangesbtobhealthcareboverbthebpastbdecade,bincludingbthosebresultingbfrombimplemen
tationbofbthebAffordablebCarebAct;bdemandsbtobreduceberrorsbandbimprovebpatientbsafety;bandbev
olvingbmedicalbandbcommunicationbtechnology.