Test Bank for Effective Leadership and Management in Nursing, 9th Edition by Sullivan. all 27 chapters complete

Test Bank
n

,EffectivenLeadershipn&nManagementninnNursing,n9en c
(Sullivan)
Chaptern1n IntroducingnNursingnManagement
1) nAnnursenmanagernisnparticipatingninnthenhealthcarenorga
nization'snstrategicnplanningncommittee.nWhichnfactornisnth
enprimaryndrivingnforcenandncontrollingnfactorninnnewniniti
ativesthisncommitteenmightnrecommend?
1. Costnofncare
2. Accessntoncare
3. Availabilitynofncare
4. Qualitynofncare
nAnswer:n1

Explanation:n1.nWhilenallnofnthenoptionsngivennarendrivingnforce
sninntoday'snhealthcarenenvironment,nthencostnof
providingncarenisnstillnthenprimarynissue.nCostnofncarencontrolsnaccess,availability,nandnquality.
2. Accessntoncarenisncontrollednbynthenabilityntonpay.
3. Carenwillnnotnbenavailablenifnitncannotnbenfunded.
4. Healthcarenprovidersndonnotnlikentoncorrelatenqualitynwithncost,nbutntheneconomicnrealitynisnt
hatnqualityncarenmustnalsonbenfundedncare.
CognitivenLevel:n Applying
ClientnNeed:n SafenEffectivenCarenEnvironmentnClie
ntnNeednSub:n ManagementnofnCare
Nursing/IntnConc:n NursingnProcess:nEvaluation/Leadership
LearningnOutcome:n1-
1:nExplainnchangesntonhealthcarenovernthenpastndecade,nincludingnthosenresultingnfromnimpleme
ntationnofnthenAffordablenCarenAct;ndemandsntonreducenerrorsnandnimprovenpatientnsafety;nandn
evolvingnmedicalnandncommunicationntechnology.

,2) Annursenhasnbeenninvitedntondiscussnhealthcarencostsnatnanseniorncitizens'nclub.nWhatni
nformationnshouldnthennursenplanntonincludeninnthisndiscussion?
1. Whilenhealthcarencostsncontinuentonrise,nthenpercentagenofnthenUnitednStatesn(U.S.)neconomyns
pentnonnhealthcarenhasnslowlyndeclinedntonlessnthann12%.
2. RegulationsnbroughtnaboutnbynthenPatientnProtectionnandnAffordablenCarenActn(PPACA)ns
houldnbringnfinancialnreliefntonhealthcarenconsumers.
3. ThenUnitednStatesnspendsnmorenmoneynonnhealthcarenthannanynotherncountry.
4. HealthcarenspendingninnthenUnitednStatesnisnslowlyndecliningnduentonpassagenofnbillsnsuchnasnt
henPatientnProtectionnandnAffordablenCarenActn(PPACA).
Answer:n 2
Explanation:n1.nInn2009,nhealthcarencostsnconsumednmorenthann17%nofnthencountry'sngrossndom
esticnproduct.
2. ImplementationnofnPPACAnandnitsnregulationsnhavennotnbeennformulated.
3. ThenUnitednStatesnspendsnmorenthann$2.5ntrillionnonnhealthcarenannually,nmorenthannanyno
therncountry.
4. Whilenthisnactnhasnbeennpassed,nitnisnnotnoperationalized.nHealthcarenspendingncontinuesntonr
ise.
CognitivenLevel:n Analyzing
ClientnNeed:n SafenEffectivenCarenEnvironmentnClie
ntnNeednSub:n ManagementnofnCare
Nursing/IntnConc:n NursingnProcess:nPlanning/Education
LearningnOutcome:n1-
1:nExplainnchangesntonhealthcarenovernthenpastndecade,nincludingnthosenresultingnfromnimpleme
ntationnofnthenAffordablenCarenAct;ndemandsntonreducenerrorsnandnimprovenpatientnsafety;nandn
evolvingnmedicalnandncommunicationntechnology.

3) An70-year-oldnclientndevelopsnancatheter-
inducednurinaryntractninfection.nWhichnstatementnbynthennursenwouldnindicatentonthennursenman
agernanneednfornadditionalnunderstandingnofnthisnsituation?
1. "Inwondernifntherenwasnanbreaknofnsterilitynwhennthisncatheternwasninserted."
2. "Thankfullynwencanntreatnthisnwithnannantibiotic."
3. "Thisncouldnpotentiallyncostnthenhospitalnanlotnofnmoney."
4. "Inwillntalkntonmynunlicensednassistantsnaboutnpropernurinaryncatheterncare."n
Answer:n2
Explanation:n 1.nWonderingnaboutnanbreakninnsterilitynindicatesnthatnthennursenisnconcernednabout
nthenprocessnthatnmightnhavencontributedntonthisninfection.

2. Thennursenwhonfocusesnonntakingncarenofnthenresultsnofnanpotentialnmedicalnmistakenisnnotna
cceptingnthenseriousnessnofnthensituation.
3. ThenCentersnfornMedicarenandnMedicaidnServicesnnonlongerncovernthencostsnincurrednbyn
medicalnmistakes.nThisnurinaryntractninfectionncouldncostnthenhospitalnthencostnofntreatment,ni
ncludingnincreasednlengthnofnstay.
4. Thennursenhasnidentifiednthatnimproperncarenmaynresultninnpoornoutcomesnfornthenclient.n
CognitivenLevel:n Applying
ClientnNeed:n SafenEffectivenCarenEnvironmentnClie
ntnNeednSub:n ManagementnofnCare
Nursing/IntnConc:n NursingnProcess:nEvaluation/Education
LearningnOutcome:n1-
1:nExplainnchangesntonhealthcarenovernthenpastndecade,nincludingnthosenresultingnfromnimpleme
ntationnofnthenAffordablenCarenAct;ndemandsntonreducenerrorsnandnimprovenpatientnsafety;nandn
evolvingnmedicalnandncommunicationntechnology.

4) Whichnhealthcarensituationsnreflectnthenphilosophynofnqualitynmanagementnasndesignednbyn
Deming?
Note:nCreditnwillnbengivennonlynifnallncorrectnchoicesnandnnonincorrectnchoicesnarenselected.

, Selectnallnthatnapply.
1. Annursenasksnvisitorsntonleavenbecausenitnisnafternvisitingnhours.
2. Atn2:00np.m.nthennursenordersnanlunchntraynfornanclientnwhonhasnjustnbeennremovednfromnn
othingnbynmouthn(NPO)nstatus.
3. Annursentellsnthenmanagernthatnanhousekeeper'snworknisnnotnupntonstandards.
4. AnnursenvolunteersntontakenanSpanishnlanguagenclassntonbenablentoncommunicatenwithnclients.
5. Annursenwhonhasnnotnmadenanmedicationnerrorninntwonyearsnasksnfornansalarynincrease.n
Answer:n2,n3,n4
Explanation:n 1.nThenphilosophynofnqualitynmanagementnisnfocusnonnthenneedsnofnthenclient.nIfnth
erenisnnonreasonnfornthenvisitorsntonleavenothernthannitnisnafternvisitingnhours,nthisnisnnotnfocusedno
nnclientnneed.
2. Evennthoughn2:00np.m.nisnaftern"lunchtime,"nthisnnursenisnfocusednonnthenclient'snneeds.nThisni
snannexamplenofnqualitynmanagement.
3. Qualitynmanagementnempowersnthenemployeentonevaluatenquality.
4. Thisnnursenhasnseennanneednandnisnworkingntonimproventhenqualitynofnservice.nThisnisnqualityn
management.
5. Salarynincreasesncannbentiedntonqualitynimprovementninitiatives,nbutnjustnaskingnfornanni
ncreasenisnnotnqualitynmanagement.
CognitivenLevel:n Applying
ClientnNeed:n SafenEffectivenCarenEnvironmentnClie
ntnNeednSub:n ManagementnofnCare
Nursing/IntnConc:n NursingnProcess:nImplementation/QualitynofnPractice
LearningnOutcome:n1-
1:nExplainnchangesntonhealthcarenovernthenpastndecade,nincludingnthosenresultingnfromnimpleme
ntationnofnthenAffordablenCarenAct;ndemandsntonreducenerrorsnandnimprovenpatientnsafety;nandn
evolvingnmedicalnandncommunicationntechnology.