Test Bank for Effective Leadership and Management in Nursing 9th Edition by Eleanor Sullivan 9780134153117 Chapter 1-28 | Complete Guide A+

TEST BANK for Effective Leadership and
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Management in Nursing 9th Edition by
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Eleanor Sullivan
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All Chapters Included 1-27| Verified Q&As & Rationales for
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Exam Preparations| A+ PASS GUARANTEED
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Page | 1
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, Chapter 1 Introducing Nursing Managementm m m m




1) A nurse manager is participating in the healthcare organization's strategic planning committee.
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mWhich factor is the primary driving force and controlling factor in new initiatives this committee
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mmight recommend?
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1. Cost of care m m




2. Access to care m m




3. Availability of care m m




4. Quality of care Correct Answer: 1
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Explanation: 1. While all of the options given are driving forces in today's healthcare environment,
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the cost of providing care is still the primary issue. Cost of care controls access, availability, and
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quality.
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2. Access to care is controlled by the ability to pay.
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3. Care will not be available if it cannot be funded.
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4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
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mthat quality care must also be funded care.
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Cognitive Level: Applying m m




Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership
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Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and improve
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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
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mshould the nurse plan to include in this discussion?
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1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
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mspent on healthcare has slowly declined to less than 12%.
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2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA)
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mshould bring financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
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4. Healthcare spending in the United States is slowly declining due to passage of bills such as
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mthe Patient Protection and Affordable Care Act (PPACA).
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,Correct Answer: 2 m m




Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domestic
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product.
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2. Implementation of PPACA and its regulations have not been formulated.
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3. The United States spends more than $2.5 trillion on healthcare annually, more than any
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mother country.
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4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
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Cognitive Level: Analyzing m m




Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Planning/Education
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Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and improve
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patient safety; and evolving medical and communication technology.
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3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by the
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mnurse would indicate to the nurse manager a need for additional understanding of this situation?
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1. "I wonder if there was a break of sterility when this catheter was inserted."
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2. "Thankfully we can treat this with an antibiotic." m m m m m m m




3. "This could potentially cost the hospital a lot of money."
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4. "I will talk to my unlicensed assistants about proper urinary catheter care." Correct Answer: 2
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Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about the
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process that might have contributed to this infection.
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2. The nurse who focuses on taking care of the results of a potential medical mistake is
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mnot accepting the seriousness of the situation.
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3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
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mmedical mistakes. This urinary tract infection could cost the hospital the cost of treatment,
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mincluding increased length of stay.
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4. The nurse has identified that improper care may result in poor outcomes for the client.
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mCognitive Level: Applying m m




Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
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, Nursing/Int Conc: Nursing Process: Evaluation/Education
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Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and improve
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patient safety; and evolving medical and communication technology.
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4) Which healthcare situations reflect the philosophy of quality management as designed by Deming?
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Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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Select all that apply.
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1. A nurse asks visitors to leave because it is after visiting hours.
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2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from
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mnothing by mouth (NPO) status.
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3. A nurse tells the manager that a housekeeper's work is not up to standards.
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4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
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5. A nurse who has not made a medication error in two years asks for a salary increase.
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mCorrect Answer: 2, 3, 4 m m m m




Explanation: 1. The philosophy of quality management is focus on the needs of the client. If there is
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no reason for the visitors to leave other than it is after visiting hours, this is not focused on client
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need.
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2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This
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mis an example of quality management.
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3. Quality management empowers the employee to evaluate quality.
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4. This nurse has seen a need and is working to improve the quality of service. This is
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mquality management. m




5. Salary increases can be tied to quality improvement initiatives, but just asking for an
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mincrease is not quality management.
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Cognitive Level: Applying m m




Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
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Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and improve
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patient safety; and evolving medical and communication technology.
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