Test Bank: Effective Leadership and Management in Nursing, 9th Edition by
Sullivan
**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, the cost of providing care is the primary issue. Cost
controls access, availability, and quality—quality care must also be funded care .
**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 have declined to less than 12% of the U.S. economy
B) The PPACA will bring financial relief to healthcare consumers
C) The United States spends more money on healthcare than any other country
D) Healthcare spending in the U.S. is slowly declining
**Answer: C**
**Rationale:** The U.S. spends more than $2.5 trillion on healthcare annually, more than any other
country. Healthcare costs have not declined; in 2009 they consumed over 17% of GDP .
**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**
,**Rationale:** The nurse who focuses only on treating the results of a potential medical mistake is
not accepting the seriousness of the situation. CMS no longer covers costs incurred by medical
mistakes .
**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 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 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:** Quality management focuses on client needs (B). It empowers employees to evaluate
quality (C). It encourages staff to identify needs and improve service quality (D). Option A is not client-
focused if no reason exists for visitors to leave .
**5. A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should
choose which hospital for care?**
A) The hospital closest to the client's home
B) The hospital that has done the greatest number of these surgeries
C) The hospital chosen by the client's primary healthcare provider
D) The hospital with the highest performance ratings for this procedure
**Answer: D**
**Rationale:** The Leapfrog Group focuses on quality indicators, including the use of higher-
performing hospitals for high-risk procedures .
**6. The quality management director wishes to initiate benchmarking strategies. Which directive
should this manager publish?**
A) Compare outcome indicators with other healthcare conglomerates of similar size
B) Compare outcome data of hospitals within the organization
C) Establish specific unit goals for quality
D) Create a quality monitor to assess how well unit policies are followed
, **Answer: A**
**Rationale:** Benchmarking uses an organization's outcome data and compares it with that of a
similar organization to address strengths and challenges .
**7. A client who was discharged yesterday is very upset about the quality of care. 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 sent after discharge
C) The client can call the hospital administration
D) The client can make a formal complaint through the ANA
E) The client can make a public report through the AHRQ
**Answer: B, C, E**
**Rationale:** Client satisfaction surveys and telephone calls are mechanisms for discussing care
issues. The AHRQ has a mechanism for reporting care issues. ANA is not a forum for complaints about
a specific hospitalization .
**8. The nurse manager has four different generations represented in the nursing staff. Which
statements indicate the manager is wise about how to deal with this generational mix? (Select all that
apply.)**
A) "I don't see why everyone can't just get along."
B) "Generation X nurses are just lazy."
C) "Our Generation Y nurses help keep us up on new technology."
D) "The most loyal of all my nurses are the traditionalists."
E) "I expect that our next manager will come from my group of baby boomers."
**Answer: C, D, E**
**Rationale:** Generation Y is technically savvy. Traditionalists are typically loyal and respectful of
authority. Baby boomers typically value professional and personal growth. The manager should not
stereotype generational groups .
**9. A healthcare system is considering applying to the Magnet Recognition Program. The leaders
should prepare to address how many "Forces of Magnetism"?**
A) 10
B) 12
Sullivan
**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, the cost of providing care is the primary issue. Cost
controls access, availability, and quality—quality care must also be funded care .
**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 have declined to less than 12% of the U.S. economy
B) The PPACA will bring financial relief to healthcare consumers
C) The United States spends more money on healthcare than any other country
D) Healthcare spending in the U.S. is slowly declining
**Answer: C**
**Rationale:** The U.S. spends more than $2.5 trillion on healthcare annually, more than any other
country. Healthcare costs have not declined; in 2009 they consumed over 17% of GDP .
**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**
,**Rationale:** The nurse who focuses only on treating the results of a potential medical mistake is
not accepting the seriousness of the situation. CMS no longer covers costs incurred by medical
mistakes .
**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 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 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:** Quality management focuses on client needs (B). It empowers employees to evaluate
quality (C). It encourages staff to identify needs and improve service quality (D). Option A is not client-
focused if no reason exists for visitors to leave .
**5. A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should
choose which hospital for care?**
A) The hospital closest to the client's home
B) The hospital that has done the greatest number of these surgeries
C) The hospital chosen by the client's primary healthcare provider
D) The hospital with the highest performance ratings for this procedure
**Answer: D**
**Rationale:** The Leapfrog Group focuses on quality indicators, including the use of higher-
performing hospitals for high-risk procedures .
**6. The quality management director wishes to initiate benchmarking strategies. Which directive
should this manager publish?**
A) Compare outcome indicators with other healthcare conglomerates of similar size
B) Compare outcome data of hospitals within the organization
C) Establish specific unit goals for quality
D) Create a quality monitor to assess how well unit policies are followed
, **Answer: A**
**Rationale:** Benchmarking uses an organization's outcome data and compares it with that of a
similar organization to address strengths and challenges .
**7. A client who was discharged yesterday is very upset about the quality of care. 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 sent after discharge
C) The client can call the hospital administration
D) The client can make a formal complaint through the ANA
E) The client can make a public report through the AHRQ
**Answer: B, C, E**
**Rationale:** Client satisfaction surveys and telephone calls are mechanisms for discussing care
issues. The AHRQ has a mechanism for reporting care issues. ANA is not a forum for complaints about
a specific hospitalization .
**8. The nurse manager has four different generations represented in the nursing staff. Which
statements indicate the manager is wise about how to deal with this generational mix? (Select all that
apply.)**
A) "I don't see why everyone can't just get along."
B) "Generation X nurses are just lazy."
C) "Our Generation Y nurses help keep us up on new technology."
D) "The most loyal of all my nurses are the traditionalists."
E) "I expect that our next manager will come from my group of baby boomers."
**Answer: C, D, E**
**Rationale:** Generation Y is technically savvy. Traditionalists are typically loyal and respectful of
authority. Baby boomers typically value professional and personal growth. The manager should not
stereotype generational groups .
**9. A healthcare system is considering applying to the Magnet Recognition Program. The leaders
should prepare to address how many "Forces of Magnetism"?**
A) 10
B) 12
