TEST BANK
,TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
,Effec�ive Leadership & Managemen� in Nursing, 9e
(Sullivan) Chap�er 1 In�roducing Nursing Managemen�
1) A nurse manager is par�icipa�ing in �he heal�hcare organiza�ion's s�ra�egic
planning commi��ee. Which fac�or is �he primary driving force and con�rolling fac�or
in new ini�ia�ives �his commi��ee migh� recommend?
1. Cos� of care
2. Access �o care
3. Availabili�y of care
4. Quali�y of care
Answer: 1
Explana�ion: 1. While all of �he op�ions given are driving forces in �oday's heal�hcare
environmen�, �he cos� of providing care is s�ill �he primary issue. Cos� of care
con�rols access, availabili�y, and quali�y.
2. Access �o care is con�rolled by �he abili�y �o pay.
3. Care will no� be available if i� canno� be funded.
4. Heal�hcare providers do no� like �o correla�e quali�y wi�h cos�, bu� �he
economic reali�y is �ha� quali�y care mus� also be funded care.
Cogni�ive Level: Applying
Clien� Need: Safe Effec�ive Care Environmen�
Clien� Need Sub: Managemen� of Care
Nursing/In� Conc: Nursing Process: Evalua�ion/Leadership
Learning Ou�come: 1-1: Explain changes �o heal�hcare over �he pas� decade, including
�hose resul�ing from implemen�a�ion of �he Affordable Care Ac�; demands �o reduce
errors and improve pa�ien� safe�y; and evolving medical and communica�ion
�echnology.
, 2) A nurse has been invi�ed �o discuss heal�hcare cos�s a� a senior ci�izens'
club. Wha� informa�ion should �he nurse plan �o include in �his discussion?
1. While heal�hcare cos�s con�inue �o rise, �he percen�age of �he Uni�ed S�a�es
(U.S.) economy spen� on heal�hcare has slowly declined �o less �han 12%.
2. Regula�ions brough� abou� by �he Pa�ien� Pro�ec�ion and Affordable Care Ac�
(PPACA) should bring financial relief �o heal�hcare consumers.
3. The Uni�ed S�a�es spends more money on heal�hcare �han any o�her coun�ry.
4. Heal�hcare spending in �he Uni�ed S�a�es is slowly declining due �o passage of bills
such as �he Pa�ien� Pro�ec�ion and Affordable Care Ac� (PPACA).
Answer: 2
Explana�ion: 1. In 2009, heal�hcare cos�s consumed more �han 17% of �he
coun�ry's gross domes�ic produc�.
2. Implemen�a�ion of PPACA and i�s regula�ions have no� been formula�ed.
3. The Uni�ed S�a�es spends more �han $2.5 �rillion on heal�hcare annually, more
�han any o�her coun�ry.
4. While �his ac� has been passed, i� is no� opera�ionalized. Heal�hcare spending
con�inues �o rise.
Cogni�ive Level: Analyzing
Clien� Need: Safe Effec�ive Care Environmen�
Clien� Need Sub: Managemen� of Care
Nursing/In� Conc: Nursing Process: Planning/Educa�ion
Learning Ou�come: 1-1: Explain changes �o heal�hcare over �he pas� decade, including
�hose resul�ing from implemen�a�ion of �he Affordable Care Ac�; demands �o reduce
errors and improve pa�ien� safe�y; and evolving medical and communica�ion
�echnology.
3) A 70-year-old clien� develops a ca�he�er-induced urinary �rac� infec�ion. Which
s�a�emen� by �he nurse would indica�e �o �he nurse manager a need for addi�ional
unders�anding of �his si�ua�ion?
1. "I wonder if �here was a break of s�erili�y when �his ca�he�er was inser�ed."
2. "Thankfully we can �rea� �his wi�h an an�ibio�ic."
3. "This could po�en�ially cos� �he hospi�al a lo� of money."
4. "I will �alk �o my unlicensed assis�an�s abou� proper urinary ca�he�er care."
Answer: 2
Explana�ion: 1. Wondering abou� a break in s�erili�y indica�es �ha� �he nurse is
concerned abou� �he process �ha� migh� have con�ribu�ed �o �his infec�ion.
2. The nurse who focuses on �aking care of �he resul�s of a po�en�ial medical mis�ake
is no� accep�ing �he seriousness of �he si�ua�ion.
3. The Cen�ers for Medicare and Medicaid Services no longer cover �he cos�s incurred
by medical mis�akes. This urinary �rac� infec�ion could cos� �he hospi�al �he
cos� of �rea�men�, including increased leng�h of s�ay.
4. The nurse has iden�ified�ha� impropercaremayresul� in poorou�comes for�heclien�.
[ [ [ [ [ [ [ [ [ [ [ [
Cogni�ive Level: Applying [ [[ [
Clien� Need: SafeEffec�iveCareEnvironmen�
[ [[ [ [ [ [
Clien� NeedSub: Managemen� ofCare
[ [ [[ [ [ [
Nursing/In� Conc: NursingProcess: Evalua�ion/Educa�ion[ [[ [ [ [
LearningOu�come: 1- [ [[
1: Explain changes �oheal�hcareover�hepas� decade, including�hoseresul�ingfrom implem
[ [ [ [ [ [ [ [ [ [ [ [ [
en�a�ion of�heAffordable CareAc�; demands �o reduceerrorsand improve pa�ien� safe�y;
[ [ [ [ [ [ [ [ [ [ [ [ [ [
andevolvingmedical and communica�ion �echnology.
[ [ [ [ [
4)Whichheal�hcaresi�ua�ions reflec� �hephilosophyofquali�ymanagemen� as designed
[ [ [ [ [ [ [ [ [ [ [ [
byDeming? [
No𝔱e:Credi𝔱will be givenonlyif allcorrec𝔱choicesand no incorrec𝔱choices areselec𝔱ed.
[ [ [ [ [ [ [ [ [ [ [ [ [ [ [
,TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
,Effec�ive Leadership & Managemen� in Nursing, 9e
(Sullivan) Chap�er 1 In�roducing Nursing Managemen�
1) A nurse manager is par�icipa�ing in �he heal�hcare organiza�ion's s�ra�egic
planning commi��ee. Which fac�or is �he primary driving force and con�rolling fac�or
in new ini�ia�ives �his commi��ee migh� recommend?
1. Cos� of care
2. Access �o care
3. Availabili�y of care
4. Quali�y of care
Answer: 1
Explana�ion: 1. While all of �he op�ions given are driving forces in �oday's heal�hcare
environmen�, �he cos� of providing care is s�ill �he primary issue. Cos� of care
con�rols access, availabili�y, and quali�y.
2. Access �o care is con�rolled by �he abili�y �o pay.
3. Care will no� be available if i� canno� be funded.
4. Heal�hcare providers do no� like �o correla�e quali�y wi�h cos�, bu� �he
economic reali�y is �ha� quali�y care mus� also be funded care.
Cogni�ive Level: Applying
Clien� Need: Safe Effec�ive Care Environmen�
Clien� Need Sub: Managemen� of Care
Nursing/In� Conc: Nursing Process: Evalua�ion/Leadership
Learning Ou�come: 1-1: Explain changes �o heal�hcare over �he pas� decade, including
�hose resul�ing from implemen�a�ion of �he Affordable Care Ac�; demands �o reduce
errors and improve pa�ien� safe�y; and evolving medical and communica�ion
�echnology.
, 2) A nurse has been invi�ed �o discuss heal�hcare cos�s a� a senior ci�izens'
club. Wha� informa�ion should �he nurse plan �o include in �his discussion?
1. While heal�hcare cos�s con�inue �o rise, �he percen�age of �he Uni�ed S�a�es
(U.S.) economy spen� on heal�hcare has slowly declined �o less �han 12%.
2. Regula�ions brough� abou� by �he Pa�ien� Pro�ec�ion and Affordable Care Ac�
(PPACA) should bring financial relief �o heal�hcare consumers.
3. The Uni�ed S�a�es spends more money on heal�hcare �han any o�her coun�ry.
4. Heal�hcare spending in �he Uni�ed S�a�es is slowly declining due �o passage of bills
such as �he Pa�ien� Pro�ec�ion and Affordable Care Ac� (PPACA).
Answer: 2
Explana�ion: 1. In 2009, heal�hcare cos�s consumed more �han 17% of �he
coun�ry's gross domes�ic produc�.
2. Implemen�a�ion of PPACA and i�s regula�ions have no� been formula�ed.
3. The Uni�ed S�a�es spends more �han $2.5 �rillion on heal�hcare annually, more
�han any o�her coun�ry.
4. While �his ac� has been passed, i� is no� opera�ionalized. Heal�hcare spending
con�inues �o rise.
Cogni�ive Level: Analyzing
Clien� Need: Safe Effec�ive Care Environmen�
Clien� Need Sub: Managemen� of Care
Nursing/In� Conc: Nursing Process: Planning/Educa�ion
Learning Ou�come: 1-1: Explain changes �o heal�hcare over �he pas� decade, including
�hose resul�ing from implemen�a�ion of �he Affordable Care Ac�; demands �o reduce
errors and improve pa�ien� safe�y; and evolving medical and communica�ion
�echnology.
3) A 70-year-old clien� develops a ca�he�er-induced urinary �rac� infec�ion. Which
s�a�emen� by �he nurse would indica�e �o �he nurse manager a need for addi�ional
unders�anding of �his si�ua�ion?
1. "I wonder if �here was a break of s�erili�y when �his ca�he�er was inser�ed."
2. "Thankfully we can �rea� �his wi�h an an�ibio�ic."
3. "This could po�en�ially cos� �he hospi�al a lo� of money."
4. "I will �alk �o my unlicensed assis�an�s abou� proper urinary ca�he�er care."
Answer: 2
Explana�ion: 1. Wondering abou� a break in s�erili�y indica�es �ha� �he nurse is
concerned abou� �he process �ha� migh� have con�ribu�ed �o �his infec�ion.
2. The nurse who focuses on �aking care of �he resul�s of a po�en�ial medical mis�ake
is no� accep�ing �he seriousness of �he si�ua�ion.
3. The Cen�ers for Medicare and Medicaid Services no longer cover �he cos�s incurred
by medical mis�akes. This urinary �rac� infec�ion could cos� �he hospi�al �he
cos� of �rea�men�, including increased leng�h of s�ay.
4. The nurse has iden�ified�ha� impropercaremayresul� in poorou�comes for�heclien�.
[ [ [ [ [ [ [ [ [ [ [ [
Cogni�ive Level: Applying [ [[ [
Clien� Need: SafeEffec�iveCareEnvironmen�
[ [[ [ [ [ [
Clien� NeedSub: Managemen� ofCare
[ [ [[ [ [ [
Nursing/In� Conc: NursingProcess: Evalua�ion/Educa�ion[ [[ [ [ [
LearningOu�come: 1- [ [[
1: Explain changes �oheal�hcareover�hepas� decade, including�hoseresul�ingfrom implem
[ [ [ [ [ [ [ [ [ [ [ [ [
en�a�ion of�heAffordable CareAc�; demands �o reduceerrorsand improve pa�ien� safe�y;
[ [ [ [ [ [ [ [ [ [ [ [ [ [
andevolvingmedical and communica�ion �echnology.
[ [ [ [ [
4)Whichheal�hcaresi�ua�ions reflec� �hephilosophyofquali�ymanagemen� as designed
[ [ [ [ [ [ [ [ [ [ [ [
byDeming? [
No𝔱e:Credi𝔱will be givenonlyif allcorrec𝔱choicesand no incorrec𝔱choices areselec𝔱ed.
[ [ [ [ [ [ [ [ [ [ [ [ [ [ [
