TESTBANK
,TESTBANKFOR
EFFECTIVELEADER
SHIPANDMANAGE
MENTINNURSING,
9THEDITION,ELEA
NOR
J.SULLIVAN
,EffectivewwLeadershipww&wwManagementwwinwwNursing,ww9eii(Sullivan)ww Chapter
1w w w w IntroducingwwNursingwwManagement
1) Awwnursewwmanagerwwiswwparticipatingiiinwwthewwhealthcarewworganization'swwstrategicwwplannin
gwwcommitwwtee.wwWhichwwfactorwwiswwthewwprimarywwdrivingwwforcewwandwwcontrollingwwfactorwwinw
wnewwwinitiativeswwthiswwcomwwmitteewwmightwwrecommend?
1. Costwwofwwcare
2. Accesswwtowwcare
3. Availabilityofwwcare
4. Qualityofcare
wwAnswer:w w 1
Explanation:w w 1.wwWhilewwallwwofwwthewwoptionswwgivenwwarewwdrivingwwforceswwinwwtoday'swwhea
lthcarewwenvironwwment,wwthewwcostwwofwwprovidingiicarewwiswwstillwwthewwprimarywwissue.wwCostwwofww
carewwcontrolswwaccess,wwavailabiliwwty,wwandwwquality.
2. Accesswwtowwcarewwiswwcontrollediibywwthewwabilitywwtowwpay.
3. Carewwwillwwnotwwbeiiavailablewwifwwitwwcannotwwbewwfunded.
4. Healthcarewwproviderswwdowwnotwwlikewwtowwcorrelatewwqualitywwwithwwcost,wwbutwwthewweconom
icwwrealitywwiswwtwwhatwwqualitywwcarewwmustwwalsowwbewwfundedwwcare.
CognitivewwLevel:w w Applying
ClientwwNeed:w w SafewwEffectivewwCarewwEnvironmentw
wClienwwtwwNeedwwSub:w w ManagementwwofwwCare
Nursing/IntwwConc:w w NursingwwProcess:wwEvaluation/Leadership
wwLearningwwOutcome:w w 1-
1:wwExplainwwchangeswwtowwhealthcarewwoverwwthewwpastwwdecade,wwincludingwwthosewwresultingwwfro
mwwimplemenwwtationwwofwwthewwAffordablewwCarewwAct;wwdemandswwtowwreducewwerrorswwandwwim
provewwpatientwwsafety;wwandwwevwwolvingwwmedicalwwandwwcommunicationwwtechnology.
, 2) Anurseiihaswwbeenwwinvitediitowwdiscusswwhealthcarewwcostswwatwwaiiseniorwwcitizens'wwclu
b.wwWhatwwiwwnformationwwshouldwwthewwnurseiiplanwwtowwincludewwinwwthiswwdiscussion
?
1. Whilewwhealthcarewwcostswwcontinuewwtowwrise,wwthewwpercentagewwofwwthewwUnitedwwStatesww(U.S.
)wweconomywwswwpentwwonwwhealthcareiihaswwslowlywwdeclinedwwtowwlesswwthanww12%.
2. RegulationsbroughtwwaboutwwbywwtheiiPatientwwProtectionwwandiiAffordableiiCarewwActww(PP
ACA)wwswwhouldiibringwwfinancialwwreliefwwtowwhealthcarewwconsumers.
3. TheiiUnitedwwStateswwspendswwmorewwmoneywwonwwhealthcarewwthanwwanywwotherwwcountry.
4. HealthcarewwspendingwwinwwthewwUnitedwwStateswwiswwslowlywwdecliningwwduewwtowwpassagewwofww
billswwsuchwwaswwtwwhewwPatientwwProtectionwwandwwAffordablewwCareiiActww(PPACA).
Answer:w w 2
Explanation:w w 1.wwInii2009,wwhealthcareiicostswwconsumedwwmorewwthanww17%wwofwwthewwcountry'sww
grosswwdomwwesticwwproduct.
2. ImplementationwwofwwPPACAandwwitswwregulationswwhavewwnotwwbeenwwformulated.
3. TheiiUnitedwwStateswwspendswwmorewwthanww$2.5wwtrillionwwonwwhealthcarewwannually,wwmo
rewwthanwwanywwotherwwcountry.
4. Whilewwthiswwactwwhaswwbeeniipassed,wwitwwiswwnotwwoperationalized.wwHealthcarewwspendingwwco
ntinueswwtowwrwwise.
CognitivewwLevel:w w Analyzing
ClientwwNeed:w w SafewwEffectivewwCarewwEnvironmentw
wClienwwtwwNeedwwSub:w w ManagementwwofwwCare
Nursing/IntwwConc:w w NursingwwProcess:wwPlanning/EducationwwL
earningwwOutcome:w w 1-
1:wwExplainwwchangeswwtowwhealthcarewwoverwwthewwpastwwdecade,wwincludingwwthosewwresultingwwfro
mwwimplemenwwtationwwofwwthewwAffordablewwCarewwAct;wwdemandswwtowwreducewwerrorswwandwwim
provewwpatientwwsafety;wwandwwevwwolvingwwmedicalwwandwwcommunicationwwtechnology.
3) Aww70-year-oldwwclientwwdevelopswwawwcatheter-
inducedwwurinarywwtractwwinfection.wwWhichwwstatementwwbywwtheiinursewwwouldwwindicatewwtowwtheww
nursewwmawwnagerwwawwneedwwforwwadditionalwwunderstandingwwofwwthiswwsituation?
1. "Iwwwonderwwifwwtherewwwaswwawwbreakwwofwwsterilitywwwhenwwthiswwcatheterwwwaswwinserted."
2. "Thankfullywwwewwcanwwtreatwwthiswwwithwwanwwantibiotic."
3. "Thiswwcouldiipotentiallywwcostwwthewwhospitalwwawwlotwwofwwmoney."
4. "Iwwwillwwtalkwwtowwmywwunlicensedwwassistantswwaboutwwproperwwurinarywwcath
eterwwcare."wwAnswer:w w 2
Explanation:w w 1.wwWonderingwwaboutwwawwbreakwwinwwsterilitywwindicateswwthatwwthewwnursewwiswwconc
ernedwwaboutwwthewwprocesswwthatwwmightwwhavewwcontributedwwtowwthiswwinfection.
2. Theiinursewwwhowwfocuseswwonwwtakingwwcarewwofwwthewwresultswwofwwawwpotentialwwmedicalwwm
istakewwiswwnotwwawwcceptingwwthewwseriousnesswwofwwthewwsituation.
3. ThewwCenterswwforwwMedicarewwandwwMedicaidwwServiceswwnowwlongerwwcoverwwthewwcost
swwincurredwwbywwmedicalwwmistakes.wwThiswwurinarywwtractwwinfectionwwcouldwwcostwwthewwhos
pitalwwthewwcostwwofwwtreatment,wwiwwncludingwwincreasedwwlengthwwofwwstay.
4. Theiinursewwhaswwidentifiediithatwwimproperwwcarewwmaywwresultwwinwwpoorwwoutcomeswwfor
wwthewwclient.wwCognitivewwLevel:w w Applying
ClientwwNeed:w w SafewwEffectivewwCarewwEnvironmentw
wClienwwtwwNeedwwSub:w w ManagementwwofwwCare
Nursing/IntwwConc:w w NursingwwProcess:wwEvaluation/Educationw
wLearningwwOutcome:w w 1-
1:wwExplainwwchangeswwtowwhealthcarewwoverwwthewwpastwwdecade,wwincludingwwthosewwresultingwwfro
mwwimplemenwwtationwwofwwthewwAffordablewwCarewwAct;wwdemandswwtowwreducewwerrorswwandwwim
provewwpatientwwsafety;wwandwwevwwolvingwwmedicalwwandwwcommunicationwwtechnology.
4) Whichwwhealthcarewwsituationswwreflectwwthewwphilosophywwofwwqualitywwmanagementwwaswwd
esignedwwbywwDeming?
Note:wwCreditwwwillwwbewwgivenwwonlywwifwwallwwcorrectwwchoiceswwandwwnowwincorrectwwchoiceswwarewwsel
,TESTBANKFOR
EFFECTIVELEADER
SHIPANDMANAGE
MENTINNURSING,
9THEDITION,ELEA
NOR
J.SULLIVAN
,EffectivewwLeadershipww&wwManagementwwinwwNursing,ww9eii(Sullivan)ww Chapter
1w w w w IntroducingwwNursingwwManagement
1) Awwnursewwmanagerwwiswwparticipatingiiinwwthewwhealthcarewworganization'swwstrategicwwplannin
gwwcommitwwtee.wwWhichwwfactorwwiswwthewwprimarywwdrivingwwforcewwandwwcontrollingwwfactorwwinw
wnewwwinitiativeswwthiswwcomwwmitteewwmightwwrecommend?
1. Costwwofwwcare
2. Accesswwtowwcare
3. Availabilityofwwcare
4. Qualityofcare
wwAnswer:w w 1
Explanation:w w 1.wwWhilewwallwwofwwthewwoptionswwgivenwwarewwdrivingwwforceswwinwwtoday'swwhea
lthcarewwenvironwwment,wwthewwcostwwofwwprovidingiicarewwiswwstillwwthewwprimarywwissue.wwCostwwofww
carewwcontrolswwaccess,wwavailabiliwwty,wwandwwquality.
2. Accesswwtowwcarewwiswwcontrollediibywwthewwabilitywwtowwpay.
3. Carewwwillwwnotwwbeiiavailablewwifwwitwwcannotwwbewwfunded.
4. Healthcarewwproviderswwdowwnotwwlikewwtowwcorrelatewwqualitywwwithwwcost,wwbutwwthewweconom
icwwrealitywwiswwtwwhatwwqualitywwcarewwmustwwalsowwbewwfundedwwcare.
CognitivewwLevel:w w Applying
ClientwwNeed:w w SafewwEffectivewwCarewwEnvironmentw
wClienwwtwwNeedwwSub:w w ManagementwwofwwCare
Nursing/IntwwConc:w w NursingwwProcess:wwEvaluation/Leadership
wwLearningwwOutcome:w w 1-
1:wwExplainwwchangeswwtowwhealthcarewwoverwwthewwpastwwdecade,wwincludingwwthosewwresultingwwfro
mwwimplemenwwtationwwofwwthewwAffordablewwCarewwAct;wwdemandswwtowwreducewwerrorswwandwwim
provewwpatientwwsafety;wwandwwevwwolvingwwmedicalwwandwwcommunicationwwtechnology.
, 2) Anurseiihaswwbeenwwinvitediitowwdiscusswwhealthcarewwcostswwatwwaiiseniorwwcitizens'wwclu
b.wwWhatwwiwwnformationwwshouldwwthewwnurseiiplanwwtowwincludewwinwwthiswwdiscussion
?
1. Whilewwhealthcarewwcostswwcontinuewwtowwrise,wwthewwpercentagewwofwwthewwUnitedwwStatesww(U.S.
)wweconomywwswwpentwwonwwhealthcareiihaswwslowlywwdeclinedwwtowwlesswwthanww12%.
2. RegulationsbroughtwwaboutwwbywwtheiiPatientwwProtectionwwandiiAffordableiiCarewwActww(PP
ACA)wwswwhouldiibringwwfinancialwwreliefwwtowwhealthcarewwconsumers.
3. TheiiUnitedwwStateswwspendswwmorewwmoneywwonwwhealthcarewwthanwwanywwotherwwcountry.
4. HealthcarewwspendingwwinwwthewwUnitedwwStateswwiswwslowlywwdecliningwwduewwtowwpassagewwofww
billswwsuchwwaswwtwwhewwPatientwwProtectionwwandwwAffordablewwCareiiActww(PPACA).
Answer:w w 2
Explanation:w w 1.wwInii2009,wwhealthcareiicostswwconsumedwwmorewwthanww17%wwofwwthewwcountry'sww
grosswwdomwwesticwwproduct.
2. ImplementationwwofwwPPACAandwwitswwregulationswwhavewwnotwwbeenwwformulated.
3. TheiiUnitedwwStateswwspendswwmorewwthanww$2.5wwtrillionwwonwwhealthcarewwannually,wwmo
rewwthanwwanywwotherwwcountry.
4. Whilewwthiswwactwwhaswwbeeniipassed,wwitwwiswwnotwwoperationalized.wwHealthcarewwspendingwwco
ntinueswwtowwrwwise.
CognitivewwLevel:w w Analyzing
ClientwwNeed:w w SafewwEffectivewwCarewwEnvironmentw
wClienwwtwwNeedwwSub:w w ManagementwwofwwCare
Nursing/IntwwConc:w w NursingwwProcess:wwPlanning/EducationwwL
earningwwOutcome:w w 1-
1:wwExplainwwchangeswwtowwhealthcarewwoverwwthewwpastwwdecade,wwincludingwwthosewwresultingwwfro
mwwimplemenwwtationwwofwwthewwAffordablewwCarewwAct;wwdemandswwtowwreducewwerrorswwandwwim
provewwpatientwwsafety;wwandwwevwwolvingwwmedicalwwandwwcommunicationwwtechnology.
3) Aww70-year-oldwwclientwwdevelopswwawwcatheter-
inducedwwurinarywwtractwwinfection.wwWhichwwstatementwwbywwtheiinursewwwouldwwindicatewwtowwtheww
nursewwmawwnagerwwawwneedwwforwwadditionalwwunderstandingwwofwwthiswwsituation?
1. "Iwwwonderwwifwwtherewwwaswwawwbreakwwofwwsterilitywwwhenwwthiswwcatheterwwwaswwinserted."
2. "Thankfullywwwewwcanwwtreatwwthiswwwithwwanwwantibiotic."
3. "Thiswwcouldiipotentiallywwcostwwthewwhospitalwwawwlotwwofwwmoney."
4. "Iwwwillwwtalkwwtowwmywwunlicensedwwassistantswwaboutwwproperwwurinarywwcath
eterwwcare."wwAnswer:w w 2
Explanation:w w 1.wwWonderingwwaboutwwawwbreakwwinwwsterilitywwindicateswwthatwwthewwnursewwiswwconc
ernedwwaboutwwthewwprocesswwthatwwmightwwhavewwcontributedwwtowwthiswwinfection.
2. Theiinursewwwhowwfocuseswwonwwtakingwwcarewwofwwthewwresultswwofwwawwpotentialwwmedicalwwm
istakewwiswwnotwwawwcceptingwwthewwseriousnesswwofwwthewwsituation.
3. ThewwCenterswwforwwMedicarewwandwwMedicaidwwServiceswwnowwlongerwwcoverwwthewwcost
swwincurredwwbywwmedicalwwmistakes.wwThiswwurinarywwtractwwinfectionwwcouldwwcostwwthewwhos
pitalwwthewwcostwwofwwtreatment,wwiwwncludingwwincreasedwwlengthwwofwwstay.
4. Theiinursewwhaswwidentifiediithatwwimproperwwcarewwmaywwresultwwinwwpoorwwoutcomeswwfor
wwthewwclient.wwCognitivewwLevel:w w Applying
ClientwwNeed:w w SafewwEffectivewwCarewwEnvironmentw
wClienwwtwwNeedwwSub:w w ManagementwwofwwCare
Nursing/IntwwConc:w w NursingwwProcess:wwEvaluation/Educationw
wLearningwwOutcome:w w 1-
1:wwExplainwwchangeswwtowwhealthcarewwoverwwthewwpastwwdecade,wwincludingwwthosewwresultingwwfro
mwwimplemenwwtationwwofwwthewwAffordablewwCarewwAct;wwdemandswwtowwreducewwerrorswwandwwim
provewwpatientwwsafety;wwandwwevwwolvingwwmedicalwwandwwcommunicationwwtechnology.
4) Whichwwhealthcarewwsituationswwreflectwwthewwphilosophywwofwwqualitywwmanagementwwaswwd
esignedwwbywwDeming?
Note:wwCreditwwwillwwbewwgivenwwonlywwifwwallwwcorrectwwchoiceswwandwwnowwincorrectwwchoiceswwarewwsel
