TEST BANK FOR Effective Leadership and Management in Nursing 9th Edition by Eleanor Sullivan ISBN:978-0134153117 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

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,Effective Leadership & Management in Nursing, 9e (Sullivan) Chap
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ter 1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning committee
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. Which factor is the primary driving force and controlling factor in new initiatives this commit
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tee might recommend?
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1. Cost of care ma ma



2. Access to care ma ma



3. Availability of care ma ma



4. Quality of care ma ma



Answer: 1
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Explanation: 1. While all of the options given are driving forces in today's healthcare environ
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ment, the cost of providing care is still the primary issue. Cost of care controls access, availabi
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lity, and 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 th
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at quality care must also be funded care.
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Cognitive Level: Applying ma m a



Client Need: Safe Effective Care Environment Cl
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ient Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership
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Learning Outcome: 1- ma m a



1: Explain changes to healthcare over the past decade, including those resulting from impleme
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ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
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evolving medical and communication technology.
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,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
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at information should 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.) econom
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y spent 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) shoul
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d 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 t
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he Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 m a



Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross do
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mestic product. ma



2. Implementation of PPACA and its regulations have not been formulated. ma ma ma ma ma ma ma ma ma



3. The United States spends more than $2.5 trillion on healthcare annually, more than any othe
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r country.
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4. While this act has been passed, it is not operationalized. Healthcare spending continues to ris
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e. Cognitive Level: Analyzing
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Client Need: Safe Effective Care Environment Cl
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ient Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Planning/Educationma m a ma ma



Learning Outcome: 1- ma m a



1: Explain changes to healthcare over the past decade, including those resulting from impleme
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ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
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evolving medical and communication technology.
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3) A 70-year-old client develops a catheter-
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induced urinary tract infection. Which statement by the nurse would indicate to the nurse ma
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nager 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." ma ma ma ma ma ma ma



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.
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" Answer: 2
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Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned abo
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ut the 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 n
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ot accepting the seriousness of the situation.
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3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred b
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y medical mistakes. This urinary tract infection could cost the hospital the cost of treatm
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ent, including increased length of stay.
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4. The nurse has identified that improper care may result in poor outcomes for the clien
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t. Cognitive Level: Applying
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Client Need: Safe Effective Care Environment Cl
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ient Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Education
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Learning Outcome: 1- ma m a



1: Explain changes to healthcare over the past decade, including those resulting from impleme
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, ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
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evolving medical and communication technology.
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