TEST BANK
x
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
x x x x x x x x x
1 Introducing Nursing Management
x x x
1) A nurse manager is participating in the healthcare organization's strategic planning committe
x x x x x x x x x x x
e. Which factor is the primary driving force and controlling factor in new initiatives this commit
x x x x x x x x x x x x x x x
tee might recommend?
x x
1. Cost of care x x
2. Access to care x x
3. Availability of care x x
4. Quality of care x x x
Answer: 1 x
Explanation: 1. While all of the options given are driving forces in today's healthcare environme
x x x x x x x x x x x x x x
nt, the cost of providing care is still the primary issue. Cost of care controls access, availability, a
x x x x x x x x x x x x x x x x x
nd quality.
x
2. Access to care is controlled by the ability to pay.
x x x x x x x x x
3. Care will not be available if it cannot be funded.
x x x x x x x x x
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is th
x x x x x x x x x x x x x x x
at quality care must also be funded care.
x x x x x x x
Cognitive Level: Applying x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Care
x x x x
Nursing/Int Conc: Nursing Process: Evaluation/Leadership x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What inf
x x x x x x x x x x x x x x x
ormation should the nurse plan to include in this discussion?
x x x x x x x x x
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy sp
x x x x x x x x x x x x x x
ent on healthcare has slowly declined to less than 12%.
x x x x x x x x x
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) sh
x x x x x x x x x x x x
ould bring financial relief to healthcare consumers.
x x x x x x
3. The United States spends more money on healthcare than any other country.
x x x x x x x x x x x
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the
x x x x x x x x x x x x x x x x
xPatient Protection and Affordable Care Act (PPACA).
x x x x x x
Answer: 2 x
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domes
x x x x x x x x x x x x x x
tic product.
x
2. Implementation of PPACA and its regulations have not been formulated. x x x x x x x x x
3. The United States spends more than $2.5 trillion on healthcare annually, more than any ot
x x x x x x x x x x x x x x
her country.x
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ris
x x x x x x x x x x x x x x
e.
Cognitive Level: Analyzing x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Carex x x x
Nursing/Int Conc: Nursing Process: Planning/Education x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
3) A 70-year-old client develops a catheter-
x x x x x
induced urinary tract infection. Which statement by the nurse would indicate to the nurse mana
x x x x x x x x x x x x x x
ger a need for additional understanding of this situation?
x x x x x x x x
1. "I wonder if there was a break of sterility when this catheter was inserted."
x x x x x x x x x x x x x
2. "Thankfully we can treat this with an antibiotic." x x x x x x x
3. "This could potentially cost the hospital a lot of money."
x x x x x x x x x
4. "I will talk to my unlicensed assistants about proper urinary catheter care." A
x x x x x x x x x x x x
nswer: 2 x
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about t
x x x x x x x x x x x x x x x
he process that might have contributed to this infection.
x x x x x x x x
2. The nurse who focuses on taking care of the results of a potential medical mistake is not acc
x x x x x x x x x x x x x x x x x
epting the seriousness of the situation.
x x x x x
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by me
x x x x x x x x x x x x x x
dical mistakes. This urinary tract infection could cost the hospital the cost of treatment, inclu
x x x x x x x x x x x x x x
ding increased length of stay.
x x x x
4. The nurse has identified that improper care may result in poor outcomes for the client. Co
x x x x x x x x x x x x x x x
gnitive Level: Applying x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Carex x x x
Nursing/Int Conc: Nursing Process: Evaluation/Education x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
4) Which healthcare situations reflect the philosophy of quality management as designed by D
x x x x x x x x x x x x
eming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
x x x x x x x x x x x x x x x
, Select all that apply. x x x
1. A nurse asks visitors to leave because it is after visiting hours.
x x x x x x x x x x x
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from not
x x x x x x x x x x x x x x x x x x
hing by mouth (NPO) status.
x x x x
3. A nurse tells the manager that a housekeeper's work is not up to standards.
x x x x x x x x x x x x x
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
x x x x x x x x x x x x x x x
5. A nurse who has not made a medication error in two years asks for a salary increase. An
x x x x x x x x x x x x x x x x x
swer: 2, 3, 4 x x x
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If ther
x x x x x x x x x x x x x x x x
e is no reason for the visitors to leave other than it is after visiting hours, this is not focused on cli
x x x x x x x x x x x x x x x x x x x x x
ent need. x
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is a
x x x x x x x x x x x x x x x x x
n example of quality management.
x x x x
3. Quality management empowers the employee to evaluate quality.
x x x x x x x
4. This nurse has seen a need and is working to improve the quality of service. This is quality ma
x x x x x x x x x x x x x x x x x x
nagement.
5. Salary increases can be tied to quality improvement initiatives, but just asking for an in
x x x x x x x x x x x x x x
crease is not quality management.x x x x
Cognitive Level: Applying x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Care
x x x x
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
x x x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
x
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
x x x x x x x x x
1 Introducing Nursing Management
x x x
1) A nurse manager is participating in the healthcare organization's strategic planning committe
x x x x x x x x x x x
e. Which factor is the primary driving force and controlling factor in new initiatives this commit
x x x x x x x x x x x x x x x
tee might recommend?
x x
1. Cost of care x x
2. Access to care x x
3. Availability of care x x
4. Quality of care x x x
Answer: 1 x
Explanation: 1. While all of the options given are driving forces in today's healthcare environme
x x x x x x x x x x x x x x
nt, the cost of providing care is still the primary issue. Cost of care controls access, availability, a
x x x x x x x x x x x x x x x x x
nd quality.
x
2. Access to care is controlled by the ability to pay.
x x x x x x x x x
3. Care will not be available if it cannot be funded.
x x x x x x x x x
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is th
x x x x x x x x x x x x x x x
at quality care must also be funded care.
x x x x x x x
Cognitive Level: Applying x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Care
x x x x
Nursing/Int Conc: Nursing Process: Evaluation/Leadership x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What inf
x x x x x x x x x x x x x x x
ormation should the nurse plan to include in this discussion?
x x x x x x x x x
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy sp
x x x x x x x x x x x x x x
ent on healthcare has slowly declined to less than 12%.
x x x x x x x x x
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) sh
x x x x x x x x x x x x
ould bring financial relief to healthcare consumers.
x x x x x x
3. The United States spends more money on healthcare than any other country.
x x x x x x x x x x x
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the
x x x x x x x x x x x x x x x x
xPatient Protection and Affordable Care Act (PPACA).
x x x x x x
Answer: 2 x
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domes
x x x x x x x x x x x x x x
tic product.
x
2. Implementation of PPACA and its regulations have not been formulated. x x x x x x x x x
3. The United States spends more than $2.5 trillion on healthcare annually, more than any ot
x x x x x x x x x x x x x x
her country.x
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ris
x x x x x x x x x x x x x x
e.
Cognitive Level: Analyzing x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Carex x x x
Nursing/Int Conc: Nursing Process: Planning/Education x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
3) A 70-year-old client develops a catheter-
x x x x x
induced urinary tract infection. Which statement by the nurse would indicate to the nurse mana
x x x x x x x x x x x x x x
ger a need for additional understanding of this situation?
x x x x x x x x
1. "I wonder if there was a break of sterility when this catheter was inserted."
x x x x x x x x x x x x x
2. "Thankfully we can treat this with an antibiotic." x x x x x x x
3. "This could potentially cost the hospital a lot of money."
x x x x x x x x x
4. "I will talk to my unlicensed assistants about proper urinary catheter care." A
x x x x x x x x x x x x
nswer: 2 x
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about t
x x x x x x x x x x x x x x x
he process that might have contributed to this infection.
x x x x x x x x
2. The nurse who focuses on taking care of the results of a potential medical mistake is not acc
x x x x x x x x x x x x x x x x x
epting the seriousness of the situation.
x x x x x
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by me
x x x x x x x x x x x x x x
dical mistakes. This urinary tract infection could cost the hospital the cost of treatment, inclu
x x x x x x x x x x x x x x
ding increased length of stay.
x x x x
4. The nurse has identified that improper care may result in poor outcomes for the client. Co
x x x x x x x x x x x x x x x
gnitive Level: Applying x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Carex x x x
Nursing/Int Conc: Nursing Process: Evaluation/Education x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
4) Which healthcare situations reflect the philosophy of quality management as designed by D
x x x x x x x x x x x x
eming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
x x x x x x x x x x x x x x x
, Select all that apply. x x x
1. A nurse asks visitors to leave because it is after visiting hours.
x x x x x x x x x x x
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from not
x x x x x x x x x x x x x x x x x x
hing by mouth (NPO) status.
x x x x
3. A nurse tells the manager that a housekeeper's work is not up to standards.
x x x x x x x x x x x x x
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
x x x x x x x x x x x x x x x
5. A nurse who has not made a medication error in two years asks for a salary increase. An
x x x x x x x x x x x x x x x x x
swer: 2, 3, 4 x x x
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If ther
x x x x x x x x x x x x x x x x
e is no reason for the visitors to leave other than it is after visiting hours, this is not focused on cli
x x x x x x x x x x x x x x x x x x x x x
ent need. x
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is a
x x x x x x x x x x x x x x x x x
n example of quality management.
x x x x
3. Quality management empowers the employee to evaluate quality.
x x x x x x x
4. This nurse has seen a need and is working to improve the quality of service. This is quality ma
x x x x x x x x x x x x x x x x x x
nagement.
5. Salary increases can be tied to quality improvement initiatives, but just asking for an in
x x x x x x x x x x x x x x
crease is not quality management.x x x x
Cognitive Level: Applying x x
Client Need: Safe Effective Care Environment Client
x x x x x x x
Need Sub: Management of Care
x x x x
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
x x x x x x
Learning Outcome: 1- x x
1: Explain changes to healthcare over the past decade, including those resulting from implementa
x x x x x x x x x x x x x
tion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvi
x x x x x x x x x x x x x x x
ng medical and communication technology.
x x x x
