Test Bank
m
https://www.stuvia.com/user/angelinas
,EffectivemLeadershipm&mManagementminmNursing,m9em
(Sullivan)
Chapterm1m IntroducingmNursingmManagement
1) Amnursemmanagermismparticipatingminmthemhealthcaremor
ganization'smstrategicmplanningmcommittee.mWhichmfactormi
smthemprimarymdrivingmforcemandmcontrollingmfactorminmne
wminitiativesthismcommitteemmightmrecommend?
1. Costmofmcare
2. Accessmtomcare
3. Availabilitymofmcare
4. Qualitymofmcar
emAnswer:m1
Explanation:m1.mWhilemallmofmthemoptionsmgivenmaremdrivingmfo
rcesminmtoday'smhealthcaremenvironment,mthemcostmof
providingmcaremismstillmthemprimarymissue.mCostmofmcaremcontrolsmaccess,availability,mandmquality.
2. Accessmtomcaremismcontrolledmbymthemabilitymtompay.
3. Caremwillmnotmbemavailablemifmitmcannotmbemfunded.
4. Healthcaremprovidersmdomnotmlikemtomcorrelatemqualitymwithmcost,mbutmthemeconomicmreality
mismthatmqualitymcaremmustmalsombemfundedmcare.
CognitivemLevel:m Applying
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mEvaluation/Leadership
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
https://www.stuvia.com/user/angelinas
,2) Amnursemhasmbeenminvitedmtomdiscussmhealthcaremcostsmatmamseniormcitizens'mclub.mW
hatminformationmshouldmthemnursemplanmtomincludeminmthismdiscussion?
1. Whilemhealthcaremcostsmcontinuemtomrise,mthempercentagemofmthemUnitedmStatesm(U.S.)mecono
mymspentmonmhealthcaremhasmslowlymdeclinedmtomlessmthanm12%.
2. RegulationsmbroughtmaboutmbymthemPatientmProtectionmandmAffordablemCaremActm(PPAC
A)mshouldmbringmfinancialmreliefmtomhealthcaremconsumers.
3. ThemUnitedmStatesmspendsmmoremmoneymonmhealthcaremthanmanymothermcountry.
4. HealthcaremspendingminmthemUnitedmStatesmismslowlymdecliningmduemtompassagemofmbillsmsuch
masmthemPatientmProtectionmandmAffordablemCaremActm(PPACA).
Answer:m 2
Explanation:m1.mInm2009,mhealthcaremcostsmconsumedmmoremthanm17%mofmthemcountry'smgrossmd
omesticmproduct.
2. ImplementationmofmPPACAmandmitsmregulationsmhavemnotmbeenmformulated.
3. ThemUnitedmStatesmspendsmmoremthanm$2.5mtrillionmonmhealthcaremannually,mmoremthanma
nymothermcountry.
4. Whilemthismactmhasmbeenmpassed,mitmismnotmoperationalized.mHealthcaremspendingmcontinuesm
tomrise.
CognitivemLevel:m Analyzing
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mPlanning/Education
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
3) Am70-year-oldmclientmdevelopsmamcatheter-
inducedmurinarymtractminfection.mWhichmstatementmbymthemnursemwouldmindicatemtomthemnursem
managermamneedmformadditionalmunderstandingmofmthismsituation?
1. "Imwondermifmtheremwasmambreakmofmsterilitymwhenmthismcathetermwasminserted."
2. "Thankfullymwemcanmtreatmthismwithmanmantibiotic."
3. "Thismcouldmpotentiallymcostmthemhospitalmamlotmofmmoney."
4. "Imwillmtalkmtommymunlicensedmassistantsmaboutmpropermurinarymcathetermcare
."mAnswer:m2
Explanation:m 1.mWonderingmaboutmambreakminmsterilitymindicatesmthatmthemnursemismconcernedma
boutmthemprocessmthatmmightmhavemcontributedmtomthisminfection.
2. Themnursemwhomfocusesmonmtakingmcaremofmthemresultsmofmampotentialmmedicalmmistakemism
notmacceptingmthemseriousnessmofmthemsituation.
3. ThemCentersmformMedicaremandmMedicaidmServicesmnomlongermcovermthemcostsmincurredm
bymmedicalmmistakes.mThismurinarymtractminfectionmcouldmcostmthemhospitalmthemcostmofmtreat
ment,mincludingmincreasedmlengthmofmstay.
4. Themnursemhasmidentifiedmthatmimpropermcaremmaymresultminmpoormoutcomesmformthemclie
nt.mCognitivemLevel:m Applying
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mEvaluation/Education
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
https://www.stuvia.com/user/angelinas
, 4) Whichmhealthcaremsituationsmreflectmthemphilosophymofmqualitymmanagementmasmdesignedm
bymDeming?
Selectmallmthatmapply.
1. Amnursemasksmvisitorsmtomleavembecausemitmismaftermvisitingmhours.
2. Atm2:00mp.m.mthemnursemordersmamlunchmtraymformamclientmwhomhasmjustmbeenmremovedmfr
ommnothingmbymmouthm(NPO)mstatus.
3. Amnursemtellsmthemmanagermthatmamhousekeeper'smworkmismnotmupmtomstandards.
4. AmnursemvolunteersmtomtakemamSpanishmlanguagemclassmtombemablemtomcommunicatemwithmclients.
5. Amnursemwhomhasmnotmmademammedicationmerrorminmtwomyearsmasksmformamsalarymincrea
se.mAnswer:m2,m3,m4
Explanation:m 1.mThemphilosophymofmqualitymmanagementmismfocusmonmthemneedsmofmthemclient.m
Ifmtheremismnomreasonmformthemvisitorsmtomleavemothermthanmitmismaftermvisitingmhours,mthismismnot
mfocusedmonmclientmneed.
2. Evenmthoughm2:00mp.m.mismafterm"lunchtime,"mthismnursemismfocusedmonmthemclient'smneeds.mT
hismismanmexamplemofmqualitymmanagement.
3. Qualitymmanagementmempowersmthememployeemtomevaluatemquality.
4. Thismnursemhasmseenmamneedmandmismworkingmtomimprovemthemqualitymofmservice.mThismismqual
itymmanagement.
5. Salarymincreasesmcanmbemtiedmtomqualitymimprovementminitiatives,mbutmjustmaskingmform
anmincreasemismnotmqualitymmanagement.
CognitivemLevel:m Applying
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mImplementation/QualitymofmPractice
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
https://www.stuvia.com/user/angelinas
m
https://www.stuvia.com/user/angelinas
,EffectivemLeadershipm&mManagementminmNursing,m9em
(Sullivan)
Chapterm1m IntroducingmNursingmManagement
1) Amnursemmanagermismparticipatingminmthemhealthcaremor
ganization'smstrategicmplanningmcommittee.mWhichmfactormi
smthemprimarymdrivingmforcemandmcontrollingmfactorminmne
wminitiativesthismcommitteemmightmrecommend?
1. Costmofmcare
2. Accessmtomcare
3. Availabilitymofmcare
4. Qualitymofmcar
emAnswer:m1
Explanation:m1.mWhilemallmofmthemoptionsmgivenmaremdrivingmfo
rcesminmtoday'smhealthcaremenvironment,mthemcostmof
providingmcaremismstillmthemprimarymissue.mCostmofmcaremcontrolsmaccess,availability,mandmquality.
2. Accessmtomcaremismcontrolledmbymthemabilitymtompay.
3. Caremwillmnotmbemavailablemifmitmcannotmbemfunded.
4. Healthcaremprovidersmdomnotmlikemtomcorrelatemqualitymwithmcost,mbutmthemeconomicmreality
mismthatmqualitymcaremmustmalsombemfundedmcare.
CognitivemLevel:m Applying
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mEvaluation/Leadership
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
https://www.stuvia.com/user/angelinas
,2) Amnursemhasmbeenminvitedmtomdiscussmhealthcaremcostsmatmamseniormcitizens'mclub.mW
hatminformationmshouldmthemnursemplanmtomincludeminmthismdiscussion?
1. Whilemhealthcaremcostsmcontinuemtomrise,mthempercentagemofmthemUnitedmStatesm(U.S.)mecono
mymspentmonmhealthcaremhasmslowlymdeclinedmtomlessmthanm12%.
2. RegulationsmbroughtmaboutmbymthemPatientmProtectionmandmAffordablemCaremActm(PPAC
A)mshouldmbringmfinancialmreliefmtomhealthcaremconsumers.
3. ThemUnitedmStatesmspendsmmoremmoneymonmhealthcaremthanmanymothermcountry.
4. HealthcaremspendingminmthemUnitedmStatesmismslowlymdecliningmduemtompassagemofmbillsmsuch
masmthemPatientmProtectionmandmAffordablemCaremActm(PPACA).
Answer:m 2
Explanation:m1.mInm2009,mhealthcaremcostsmconsumedmmoremthanm17%mofmthemcountry'smgrossmd
omesticmproduct.
2. ImplementationmofmPPACAmandmitsmregulationsmhavemnotmbeenmformulated.
3. ThemUnitedmStatesmspendsmmoremthanm$2.5mtrillionmonmhealthcaremannually,mmoremthanma
nymothermcountry.
4. Whilemthismactmhasmbeenmpassed,mitmismnotmoperationalized.mHealthcaremspendingmcontinuesm
tomrise.
CognitivemLevel:m Analyzing
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mPlanning/Education
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
3) Am70-year-oldmclientmdevelopsmamcatheter-
inducedmurinarymtractminfection.mWhichmstatementmbymthemnursemwouldmindicatemtomthemnursem
managermamneedmformadditionalmunderstandingmofmthismsituation?
1. "Imwondermifmtheremwasmambreakmofmsterilitymwhenmthismcathetermwasminserted."
2. "Thankfullymwemcanmtreatmthismwithmanmantibiotic."
3. "Thismcouldmpotentiallymcostmthemhospitalmamlotmofmmoney."
4. "Imwillmtalkmtommymunlicensedmassistantsmaboutmpropermurinarymcathetermcare
."mAnswer:m2
Explanation:m 1.mWonderingmaboutmambreakminmsterilitymindicatesmthatmthemnursemismconcernedma
boutmthemprocessmthatmmightmhavemcontributedmtomthisminfection.
2. Themnursemwhomfocusesmonmtakingmcaremofmthemresultsmofmampotentialmmedicalmmistakemism
notmacceptingmthemseriousnessmofmthemsituation.
3. ThemCentersmformMedicaremandmMedicaidmServicesmnomlongermcovermthemcostsmincurredm
bymmedicalmmistakes.mThismurinarymtractminfectionmcouldmcostmthemhospitalmthemcostmofmtreat
ment,mincludingmincreasedmlengthmofmstay.
4. Themnursemhasmidentifiedmthatmimpropermcaremmaymresultminmpoormoutcomesmformthemclie
nt.mCognitivemLevel:m Applying
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mEvaluation/Education
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
https://www.stuvia.com/user/angelinas
, 4) Whichmhealthcaremsituationsmreflectmthemphilosophymofmqualitymmanagementmasmdesignedm
bymDeming?
Selectmallmthatmapply.
1. Amnursemasksmvisitorsmtomleavembecausemitmismaftermvisitingmhours.
2. Atm2:00mp.m.mthemnursemordersmamlunchmtraymformamclientmwhomhasmjustmbeenmremovedmfr
ommnothingmbymmouthm(NPO)mstatus.
3. Amnursemtellsmthemmanagermthatmamhousekeeper'smworkmismnotmupmtomstandards.
4. AmnursemvolunteersmtomtakemamSpanishmlanguagemclassmtombemablemtomcommunicatemwithmclients.
5. Amnursemwhomhasmnotmmademammedicationmerrorminmtwomyearsmasksmformamsalarymincrea
se.mAnswer:m2,m3,m4
Explanation:m 1.mThemphilosophymofmqualitymmanagementmismfocusmonmthemneedsmofmthemclient.m
Ifmtheremismnomreasonmformthemvisitorsmtomleavemothermthanmitmismaftermvisitingmhours,mthismismnot
mfocusedmonmclientmneed.
2. Evenmthoughm2:00mp.m.mismafterm"lunchtime,"mthismnursemismfocusedmonmthemclient'smneeds.mT
hismismanmexamplemofmqualitymmanagement.
3. Qualitymmanagementmempowersmthememployeemtomevaluatemquality.
4. Thismnursemhasmseenmamneedmandmismworkingmtomimprovemthemqualitymofmservice.mThismismqual
itymmanagement.
5. Salarymincreasesmcanmbemtiedmtomqualitymimprovementminitiatives,mbutmjustmaskingmform
anmincreasemismnotmqualitymmanagement.
CognitivemLevel:m Applying
ClientmNeed:m SafemEffectivemCaremEnvironmentmCl
ientmNeedmSub:m ManagementmofmCare
Nursing/IntmConc:m NursingmProcess:mImplementation/QualitymofmPractice
LearningmOutcome:m1-
1:mExplainmchangesmtomhealthcaremovermthempastmdecade,mincludingmthosemresultingmfrommimple
mentationmofmthemAffordablemCaremAct;mdemandsmtomreducemerrorsmandmimprovempatientmsafet
y;mandmevolvingmmedicalmandmcommunicationmtechnology.
https://www.stuvia.com/user/angelinas