Test Bank: Effective Leadership and Management
in Nursing 9th Edition by Sullivan Chapters 1-28 |
ISBN: 9780134153117 | 1-200 Questions and Answers
with Rationales
Chapter 1: Introducing Nursing Management (Questions 1-25)
Question 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) Cost of care
*Rationale: * While all of the options are driving forces in today's healthcare environment,
the cost of providing care is still the primary issue. Cost of care controls access, availability,
and quality. Access to care is controlled by the ability to pay; care will not be available if it
cannot be funded; and quality care must also be funded care .
,Question 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) While healthcare costs continue to rise, the percentage of the U.S. economy spent on
healthcare has 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 bills
such as the PPACA
Answer: C) The United States spends more money on healthcare than any other
country
*Rationale: * The United States spends more than $2.5 trillion on healthcare annually,
more than any other country. In 2009, healthcare costs consumed more than 17% of the
country's gross domestic product. Implementation of PPACA and its regulations had not
been fully formulated at the time of publication, and healthcare spending continues to
rise .
Question 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 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) "Thankfully we can treat this with an antibiotic."
*Rationale: * The nurse who focuses on taking care of the results of a potential medical
mistake is not accepting the seriousness of the situation. The Centers for Medicare and
Medicaid Services no longer cover the costs incurred by medical mistakes. This urinary
tract infection could cost the hospital the cost of treatment, including increased length of
stay. Wondering about a break in sterility and discussing proper care with assistants
indicate appropriate concern .
,Question 4
Which healthcare situations reflect the philosophy of quality management as designed
by Deming? (Select all that apply.)
A) A nurse asks visitors to leave because it is after visiting hours
B) At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed
from NPO status
C) A nurse tells the manager that a housekeeper's work is not up to standards
D) A nurse volunteers to take a Spanish language class to be able to communicate with
clients
E) A nurse who has not made a medication error in two years asks for a salary increase
Answer: B, C, D
*Rationale: * The philosophy of quality management focuses on the needs of the client.
Ordering a lunch tray at 2:00 p.m. for a client just removed from NPO status is focused on
client needs. Quality management empowers employees to evaluate quality. Volunteering
to take a Spanish class to improve communication with clients demonstrates quality
improvement. Asking visitors to leave simply because it is after visiting hours does not
focus on client needs, and asking for a salary increase is not a quality management
initiative .
Question 5
Which statement best defines management?
A) A process of coordination and integration of resources through group activities of
planning, organizing, coordinating, directing, and controlling to accomplish specific
institutional goals and objectives
B) A process of planning and directing human effort to attain established objectives
C) A process by which organizational goals are met through the use of the right
resources
D) A process of working with executives to allocate capital, technology, and equipment
resources
, Answer: A) A process of coordination and integration of resources through group
activities of planning, organizing, coordinating, directing, and controlling to
accomplish specific institutional goals and objectives
*Rationale: * Management is best defined as the process of coordination and integration
of resources through group activities to accomplish specific institutional goals and
objectives. This definition encompasses the key functions of planning, organizing,
coordinating, directing, and controlling that are essential to management practice .
Question 6
According to the text, what has been a major driver of healthcare reform over the past
decade?
A) Increased number of nursing schools
B) Demands to reduce medical errors and improve patient safety
C) Expansion of private health insurance
D) Shortage of physicians
Answer: B) Demands to reduce medical errors and improve patient safety
*Rationale: * Demands to reduce medical errors and improve patient safety have been a
major driver of healthcare reform over the past decade. This focus was reinforced by the
Institute of Medicine reports and the implementation of the Affordable Care Act, which
shifted emphasis from quantity to quality of care .
Question 7
A healthcare system is considering applying to the Magnet Recognition Program. The
leaders of this health system should prepare to address how many qualities or "Forces
of Magnetism"?
A) 10
B) 12
C) 14
D) 16
Answer: C) 14
in Nursing 9th Edition by Sullivan Chapters 1-28 |
ISBN: 9780134153117 | 1-200 Questions and Answers
with Rationales
Chapter 1: Introducing Nursing Management (Questions 1-25)
Question 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) Cost of care
*Rationale: * While all of the options are driving forces in today's healthcare environment,
the cost of providing care is still the primary issue. Cost of care controls access, availability,
and quality. Access to care is controlled by the ability to pay; care will not be available if it
cannot be funded; and quality care must also be funded care .
,Question 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) While healthcare costs continue to rise, the percentage of the U.S. economy spent on
healthcare has 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 bills
such as the PPACA
Answer: C) The United States spends more money on healthcare than any other
country
*Rationale: * The United States spends more than $2.5 trillion on healthcare annually,
more than any other country. In 2009, healthcare costs consumed more than 17% of the
country's gross domestic product. Implementation of PPACA and its regulations had not
been fully formulated at the time of publication, and healthcare spending continues to
rise .
Question 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 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) "Thankfully we can treat this with an antibiotic."
*Rationale: * The nurse who focuses on taking care of the results of a potential medical
mistake is not accepting the seriousness of the situation. The Centers for Medicare and
Medicaid Services no longer cover the costs incurred by medical mistakes. This urinary
tract infection could cost the hospital the cost of treatment, including increased length of
stay. Wondering about a break in sterility and discussing proper care with assistants
indicate appropriate concern .
,Question 4
Which healthcare situations reflect the philosophy of quality management as designed
by Deming? (Select all that apply.)
A) A nurse asks visitors to leave because it is after visiting hours
B) At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed
from NPO status
C) A nurse tells the manager that a housekeeper's work is not up to standards
D) A nurse volunteers to take a Spanish language class to be able to communicate with
clients
E) A nurse who has not made a medication error in two years asks for a salary increase
Answer: B, C, D
*Rationale: * The philosophy of quality management focuses on the needs of the client.
Ordering a lunch tray at 2:00 p.m. for a client just removed from NPO status is focused on
client needs. Quality management empowers employees to evaluate quality. Volunteering
to take a Spanish class to improve communication with clients demonstrates quality
improvement. Asking visitors to leave simply because it is after visiting hours does not
focus on client needs, and asking for a salary increase is not a quality management
initiative .
Question 5
Which statement best defines management?
A) A process of coordination and integration of resources through group activities of
planning, organizing, coordinating, directing, and controlling to accomplish specific
institutional goals and objectives
B) A process of planning and directing human effort to attain established objectives
C) A process by which organizational goals are met through the use of the right
resources
D) A process of working with executives to allocate capital, technology, and equipment
resources
, Answer: A) A process of coordination and integration of resources through group
activities of planning, organizing, coordinating, directing, and controlling to
accomplish specific institutional goals and objectives
*Rationale: * Management is best defined as the process of coordination and integration
of resources through group activities to accomplish specific institutional goals and
objectives. This definition encompasses the key functions of planning, organizing,
coordinating, directing, and controlling that are essential to management practice .
Question 6
According to the text, what has been a major driver of healthcare reform over the past
decade?
A) Increased number of nursing schools
B) Demands to reduce medical errors and improve patient safety
C) Expansion of private health insurance
D) Shortage of physicians
Answer: B) Demands to reduce medical errors and improve patient safety
*Rationale: * Demands to reduce medical errors and improve patient safety have been a
major driver of healthcare reform over the past decade. This focus was reinforced by the
Institute of Medicine reports and the implementation of the Affordable Care Act, which
shifted emphasis from quantity to quality of care .
Question 7
A healthcare system is considering applying to the Magnet Recognition Program. The
leaders of this health system should prepare to address how many qualities or "Forces
of Magnetism"?
A) 10
B) 12
C) 14
D) 16
Answer: C) 14
