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Effective Leadership and Management in Nursing, 9th edition
By Eleanor Sullivan
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, TABLE OF CONTENT
PART I: UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS
1. Introducing Nursing Management
2. Designing Organizations
3. Delivering Nursing Care
4. Leading, Managing, and Following
5. Initiating and Managing Change
6. Managing and Improving Quality
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7. Understanding Legal and Ethical Issues
8. Understanding Power and Politics
PART 2: LEARNING KEY SKILLS IN NURSING MANAGEMENT
9. Thinking Critically, Making Decisions, Solving Problems
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10. Communicating Effectively
11. Delegating Successfully
12. Building and Managing Teams
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13. Handling Conflict
14. Managing Time
PART 3: MANAGING RESOURCES
15. Budgeting and Managing Fiscal Resources
16. Recruiting and Selecting Staff
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17. Staffing and Scheduling
18. Motivating and Developing Staff
19. Evaluating Staff Performance
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20. Feedback and Coaching, Disciplining, and Terminating Staff
21. Managing Absenteeism, Reducing Turnover, Retaining Staff
22. Dealing with Disruptive Staff Problem
23. Preparing for Emergencies
24. Preventing Workplace Violence
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25. Handling Collective Bargaining Issues
PART 4: TAKING CARE OF YOURSELF
26. Managing Stress
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27. Advancing Your Career
PART 5: LOOKING TO THE FUTURE
28. Imagining the Future
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Effective Leadership & Management in Nursing, 9e (Sullivan) All Answers
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
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2. Access to care
3. Availability of care
4. Quality of care
Answer: 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,
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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.
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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
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resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve 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 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.
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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).
Answer: 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.
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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.
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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 technology.
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3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by
the nurse would indicate to the nurse manager a need for additional understanding of this
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situation?
1. "I wonder if there was a break of sterility when this catheter was inserted."
2. "Thankfully we can treat this with an antibiotic."
3. "This could potentially cost the hospital a lot of money."
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
Answer: 2
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about
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the process that might have contributed to this infection.
2. The nurse who focuses on taking care of the results of a potential medical mistake is not
accepting the seriousness of the situation.
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
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medical mistakes. This urinary tract infection could cost the hospital the cost of treatment,
including increased length of stay.
4. The nurse has identified that improper care may result in poor outcomes for the client.
Cognitive Level: Applying
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Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/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 technology.
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Effective Leadership and Management in Nursing, 9th edition
By Eleanor Sullivan
TE
S TS
O
LU
TI
O
N
, TABLE OF CONTENT
PART I: UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS
1. Introducing Nursing Management
2. Designing Organizations
3. Delivering Nursing Care
4. Leading, Managing, and Following
5. Initiating and Managing Change
6. Managing and Improving Quality
TE
7. Understanding Legal and Ethical Issues
8. Understanding Power and Politics
PART 2: LEARNING KEY SKILLS IN NURSING MANAGEMENT
9. Thinking Critically, Making Decisions, Solving Problems
S
10. Communicating Effectively
11. Delegating Successfully
12. Building and Managing Teams
TS
13. Handling Conflict
14. Managing Time
PART 3: MANAGING RESOURCES
15. Budgeting and Managing Fiscal Resources
16. Recruiting and Selecting Staff
O
17. Staffing and Scheduling
18. Motivating and Developing Staff
19. Evaluating Staff Performance
LU
20. Feedback and Coaching, Disciplining, and Terminating Staff
21. Managing Absenteeism, Reducing Turnover, Retaining Staff
22. Dealing with Disruptive Staff Problem
23. Preparing for Emergencies
24. Preventing Workplace Violence
TI
25. Handling Collective Bargaining Issues
PART 4: TAKING CARE OF YOURSELF
26. Managing Stress
O
27. Advancing Your Career
PART 5: LOOKING TO THE FUTURE
28. Imagining the Future
N
, iuytrew All Chapters
Effective Leadership & Management in Nursing, 9e (Sullivan) All Answers
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
TE
2. Access to care
3. Availability of care
4. Quality of care
Answer: 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,
S
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.
TS
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
O
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
LU
TI
O
N
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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.
TE
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).
Answer: 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.
S
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.
TS
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 technology.
O
3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by
the nurse would indicate to the nurse manager a need for additional understanding of this
LU
situation?
1. "I wonder if there was a break of sterility when this catheter was inserted."
2. "Thankfully we can treat this with an antibiotic."
3. "This could potentially cost the hospital a lot of money."
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
Answer: 2
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about
TI
the process that might have contributed to this infection.
2. The nurse who focuses on taking care of the results of a potential medical mistake is not
accepting the seriousness of the situation.
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
O
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment,
including increased length of stay.
4. The nurse has identified that improper care may result in poor outcomes for the client.
Cognitive Level: Applying
N
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/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 technology.
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