EFFECTIVE LEADERSHIP AND MANAGEMENT IN
NURSING STUDY GUIDE – 350 EXAM
QUESTIONS|BASED ON ELEANOR J. SULLIVAN'S
*EFFECTIVE LEADERSHIP AND MANAGEMENT
IN NURSING* (9TH EDITION)
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?
A) Cost of care
B) Access to care
C) Availability of care
D) Quality of care
Answer: A
Rationale: While all options are important driving forces in healthcare, the
cost of providing care remains the primary issue because it directly controls
access, availability, and quality. Quality care must be financially sustainable.
,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?
A) Healthcare costs as a percentage of the U.S. economy have slowly declined
to less than 12%
B) Regulations brought about by the Patient Protection and Affordable Care
Act (PPACA) should bring financial relief to healthcare consumers
C) The United States spends more money on healthcare than any other
country
D) Healthcare spending in the United States is slowly declining due to passage
of the PPACA
Answer: C
Rationale: The U.S. spends more than $2.5 trillion on healthcare annually,
more than any other nation. The percentage of GDP spent on healthcare has
not declined below 12%, and PPACA regulations were not fully formulated at
the time of publication.
3. A 70yearold client develops a catheterinduced urinary tract infection.
Which statement by the nurse would indicate to the nurse manager a need for
additional understanding of this situation?
A) "I wonder if there was a break of sterility when this catheter was inserted."
B) "Thankfully we can treat this with an antibiotic."
C) "This could potentially cost the hospital a lot of money."
D) "I will talk to my unlicensed assistants about proper urinary catheter
care."
,Answer: B
Rationale: While the infection can be treated, the nurse should recognize that
many catheterassociated infections are preventable. The focus should be on
prevention and the broader impact on patient safety and healthcare costs.
4. A nurse manager is reviewing the "Magnet Recognition Program." What is
the primary focus of this program?
A) Increasing nurse salaries
B) Recognizing healthcare organizations that provide excellent nursing care
C) Certifying individual nurses as experts
D) Reducing hospital admission rates
Answer: B
Rationale: The Magnet Recognition Program recognizes healthcare
organizations that provide excellent nursing care and demonstrate
professional nursing practice. It is not about individual certification or salary
increases.
5. A client who was discharged yesterday is very upset about the quality of
care received during hospitalization for gastric surgery. What options for
reporting concerns does this client have? (Select all that apply.)
A) There is no mechanism for complaint because the client is no longer
hospitalized
, B) The client can indicate dissatisfaction on the survey often sent to clients
after discharge
C) The client can call the hospital administration
D) The client can make a formal complaint through the American Nursing
Association (ANA)
E) The client can make a public report through the Agency for Healthcare
Research and Quality (AHRQ)
Answer: B, C, E
Rationale: Clients can still voice concerns after discharge through satisfaction
surveys, phone calls to administration, and public reports through AHRQ. The
ANA is not a forum for complaints about care in a specific hospitalization.
6. A client needs a highrisk surgical procedure. According to the Leapfrog
Group, the client should choose which hospital for care during this procedure?
A) The hospital closest to the client's home
B) The hospital that has done the greatest number of these surgeries in the
last two years
C) The hospital chosen by the client's primary healthcare provider
D) The hospital with the highest performance ratings for patient satisfaction
Answer: B
Rationale: The Leapfrog Group recommends that patients choose hospitals
that have performed the greatest number of specific highrisk procedures, as
higher volume is associated with better outcomes.
NURSING STUDY GUIDE – 350 EXAM
QUESTIONS|BASED ON ELEANOR J. SULLIVAN'S
*EFFECTIVE LEADERSHIP AND MANAGEMENT
IN NURSING* (9TH EDITION)
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?
A) Cost of care
B) Access to care
C) Availability of care
D) Quality of care
Answer: A
Rationale: While all options are important driving forces in healthcare, the
cost of providing care remains the primary issue because it directly controls
access, availability, and quality. Quality care must be financially sustainable.
,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?
A) Healthcare costs as a percentage of the U.S. economy have slowly declined
to less than 12%
B) Regulations brought about by the Patient Protection and Affordable Care
Act (PPACA) should bring financial relief to healthcare consumers
C) The United States spends more money on healthcare than any other
country
D) Healthcare spending in the United States is slowly declining due to passage
of the PPACA
Answer: C
Rationale: The U.S. spends more than $2.5 trillion on healthcare annually,
more than any other nation. The percentage of GDP spent on healthcare has
not declined below 12%, and PPACA regulations were not fully formulated at
the time of publication.
3. A 70yearold client develops a catheterinduced urinary tract infection.
Which statement by the nurse would indicate to the nurse manager a need for
additional understanding of this situation?
A) "I wonder if there was a break of sterility when this catheter was inserted."
B) "Thankfully we can treat this with an antibiotic."
C) "This could potentially cost the hospital a lot of money."
D) "I will talk to my unlicensed assistants about proper urinary catheter
care."
,Answer: B
Rationale: While the infection can be treated, the nurse should recognize that
many catheterassociated infections are preventable. The focus should be on
prevention and the broader impact on patient safety and healthcare costs.
4. A nurse manager is reviewing the "Magnet Recognition Program." What is
the primary focus of this program?
A) Increasing nurse salaries
B) Recognizing healthcare organizations that provide excellent nursing care
C) Certifying individual nurses as experts
D) Reducing hospital admission rates
Answer: B
Rationale: The Magnet Recognition Program recognizes healthcare
organizations that provide excellent nursing care and demonstrate
professional nursing practice. It is not about individual certification or salary
increases.
5. A client who was discharged yesterday is very upset about the quality of
care received during hospitalization for gastric surgery. What options for
reporting concerns does this client have? (Select all that apply.)
A) There is no mechanism for complaint because the client is no longer
hospitalized
, B) The client can indicate dissatisfaction on the survey often sent to clients
after discharge
C) The client can call the hospital administration
D) The client can make a formal complaint through the American Nursing
Association (ANA)
E) The client can make a public report through the Agency for Healthcare
Research and Quality (AHRQ)
Answer: B, C, E
Rationale: Clients can still voice concerns after discharge through satisfaction
surveys, phone calls to administration, and public reports through AHRQ. The
ANA is not a forum for complaints about care in a specific hospitalization.
6. A client needs a highrisk surgical procedure. According to the Leapfrog
Group, the client should choose which hospital for care during this procedure?
A) The hospital closest to the client's home
B) The hospital that has done the greatest number of these surgeries in the
last two years
C) The hospital chosen by the client's primary healthcare provider
D) The hospital with the highest performance ratings for patient satisfaction
Answer: B
Rationale: The Leapfrog Group recommends that patients choose hospitals
that have performed the greatest number of specific highrisk procedures, as
higher volume is associated with better outcomes.
