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TEST BANK FOR EFFECTIVE LEADERSHIP AND MANAGEMENT IN NURSING 9TH EDITION ELEANOR J.SULLIVAN With Latest Edition

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TEST BANK FOR EFFECTIVE LEADERSHIP AND MANAGEMENT IN NURSING 9TH EDITION ELEANOR J.SULLIVAN With Latest Edition

Institution
EFFECTIVE LEADERSHIP AND MANAGEMENT
Module
EFFECTIVE LEADERSHIP AND MANAGEMENT











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Institution
EFFECTIVE LEADERSHIP AND MANAGEMENT
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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 ANS: 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.



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).
ANS: 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
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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 Pmypunlicensed Passistants Pabout Pproper Purinary
Pcatheter Pcare." PANS: 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 Pcarepenvironment
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.



Select Pall Pthat Papply.
1. Apnurse 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. Apnurse Ptells Pthe Pmanager Pthat Pa Phousekeeper's Pwork Pis Pnot Pup Pto Pstandards.
4. Apnurse Pvolunteers Pto Ptake Pa Pspanish Planguage Pclass Pto Pbe Pable Pto Pcommunicate Pwith Pclients.
5. Apnurse Pwho Phas Pnot Pmade Pa Pmedication Perror Pin Ptwo Pyears Pasks Pfor Pa
Psalary Pincrease. PANS: 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. Qualitypmanagement 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 Pcarepenvironment
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
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Pthose Presulting Pfrom Pimplementation Pof Pthe Paffordable Pcare Pact; Pdemands Pto Preduce
Perrors Pand Pimprove Ppatient Psafety; Pand Pevolving Pmedical Pand Pcommunication
Ptechnology.




5) A Pclient Pwho Pwas Pdischarged Pyesterday Pis Pvery Pupset Pabout Pthe Pquality Pof Pcare
Preceived Pduring Phospitalization Pfor Pgastric Psurgery. Pwhat Poptions Pfor Preporting
Pconcerns Pdoes Pthis Pclient Phave?
Note: Pcredit Pwill Pbe Pgiven Ponly Pif Pall Pcorrect Pchoices Pand Pno Pincorrect Pchoices Pare Pselected.
Select Pall Pthat Papply.
1. There Pis Pno Pmechanism Pfor Pcomplaint Pbecause Pthe Pclient Pis Pno Plonger Phospitalized.
2. The Pclient Pcan Pindicate Pdissatisfaction Pon Pthe Psurvey Poften Psent Pto Pclients Pafter Pdischarge.
3. The Pclient Pcan Pcall Pthe Phospital Padministration.
4. The Pclient Pcan Pmake Pa Pformal Pcomplaint Pthrough Pthepamerican Pnursing
Passociation P(Ana).
5. The Pclient Pcan Pmake Pa Ppublic Preport Pthrough Pthepagency Pfor Phealthcare
Presearch Pand Pquality P(Ahrq).
ANS: P 2, P3, P5
Explanation: P 1. Pthe Pclient Pcan Pstill Pvoice Pconcerns Peven Pafter Pdischarge.
2. These Pclient Psatisfaction Psurveys Pare Pa Pgood Pmechanism Pfor Pdiscussing Pcare Pissues.
3. Telephone Pcalls Pare Pa Pmeans Pof Pdiscussing Pclient Pcare Pissues.
4. Ana Pis Pnot Pa Pforum Pfor Pcomplaints Pabout Pcare Pin Pa Pspecific Phospitalization.
5. Thepahrq Phas Pa Pmechanism Pfor Preporting Pcare
Pissues. Pcognitive Plevel: P Analyzing
Client Pneed: P Safe Peffective Pcarepenvironment
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.


6) Apclient Pneeds Pa Phigh-Risk Psurgical Pprocedure. Paccording Pto Pthe Pleapfrog Pgroup,
Pthe Pclient Pshould Pchoose Pwhich Phospital Pfor Pcare Pduring Pthis Pprocedure?
1. The Phospital Pclosest Pto Pthe Pclient's Phome
2. The Phospital Pthat Phas Pdone Pthe Pgreatest Pnumber Pof Pthese Psurgeries Pin Pthe Plast Ptwo Pyears
3. The Phospital Pchosen Pby Pthe Pclient's Pprimary Phealthcare Pprovider
4. The Phospital Pwith Pthe Phighest Pperformance Pratings Pfor
Pthis Pprocedure PANS: P 4
Explanation: P 1. Pthis Pmay Por Pmay Pnot Pbe Pthe Pbest Pchoice Pof Phospital Pfor Pthis Pprocedure.
2. Just Pbecause Pa Phospital Pis Phigh Pvolume Pdoes Pnot Pmean Pit Pis Phigh Pquality.
3. This Pmay Por Pmay Pnot Pbe Pthe Pbest Phospital Pfor Pthis Pprocedure.
4. The Pleapfrog Pgroup Pfocuses Pon Pquality Pindicators Pincluding Pthe Puse Pof Phigher-
Performing Phospitals Pfor Phigh-Risk Pprocedures.
Cognitive Plevel: P Applying
Client Pneed: P Safe Peffective Pcarepenvironment
Pclient Pneed Psub: P Management Pof Pcare
Nursing/Int Pconc: P Nursing Pprocess: Pimplementation/Coordination Pof Pcare
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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