STUDY NOTES & REFERENCE GUIDE
Test Bank
courseroomsity - Stuvia | Page 1 of 467
, STUDY NOTES & REFERENCE GUIDE
Effective Leadership & Management in Nursing, 9e
(Sullivan)
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 initiativesthis committee might recommend?
1. Cost of care
2. Access to care
3. Availability of care
4. Quality of
care Answer: 1
Explanation: 1. While all of the options given 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.
2. Access to care is controlled by the ability to pay.
3. Care will not be available if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality
is that quality care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
courseroomsity - Stuvia | Page 2 of 467
, STUDY NOTES & REFERENCE GUIDE
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?
1. While healthcare costs continue to rise, the percentage of the United States (U.S.)
economy spent on healthcare has slowly declined to less than 12%.
2. Regulations brought about by the Patient Protection and Affordable Care Act
(PPACA) should bring financial relief to healthcare consumers.
3. The United States spends more money on healthcare than any other country.
4. Healthcare spending in the United States is slowly declining due to passage of bills such
as the Patient Protection and Affordable Care Act (PPACA).
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross
domestic product.
2. Implementation of PPACA and its regulations have not been formulated.
3. The United States spends more than $2.5 trillion on healthcare annually, more than
any other country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues
to rise.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
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?
1. "I wonder if there was a break of sterility when this catheter was inserted."
2. "Thankfully we can treat this with an antibiotic."
3. "This could potentially cost the hospital a lot of money."
4. "I will talk to my unlicensed assistants about proper urinary catheter
care." Answer: 2
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned
about the process that might have contributed to this infection.
2. The nurse who focuses on taking care of the results of a potential medical mistake is not
accepting the seriousness of the situation.
3. 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.
4. The nurse has identified that improper care may result in poor outcomes for the
client. Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
4) Which healthcare situations reflect the philosophy of quality management as designed by
Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
courseroomsity - Stuvia | Page 3 of 467
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Select all that apply.
1. A nurse asks visitors to leave because it is after visiting hours.
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed
from nothing by mouth (NPO) status.
3. A nurse tells the manager that a housekeeper's work is not up to standards.
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
5. A nurse who has not made a medication error in two years asks for a salary
increase. Answer: 2, 3, 4
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If
there is no reason for the visitors to leave other than it is after visiting hours, this is not
focused on client need.
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs.
This is an example of quality management.
3. Quality management empowers the employee to evaluate quality.
4. This nurse has seen a need and is working to improve the quality of service. This is
quality management.
5. Salary increases can be tied to quality improvement initiatives, but just asking for
an increase is not quality management.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
courseroomsity - Stuvia | Page 4 of 467
Test Bank
courseroomsity - Stuvia | Page 1 of 467
, STUDY NOTES & REFERENCE GUIDE
Effective Leadership & Management in Nursing, 9e
(Sullivan)
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 initiativesthis committee might recommend?
1. Cost of care
2. Access to care
3. Availability of care
4. Quality of
care Answer: 1
Explanation: 1. While all of the options given 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.
2. Access to care is controlled by the ability to pay.
3. Care will not be available if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality
is that quality care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
courseroomsity - Stuvia | Page 2 of 467
, STUDY NOTES & REFERENCE GUIDE
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?
1. While healthcare costs continue to rise, the percentage of the United States (U.S.)
economy spent on healthcare has slowly declined to less than 12%.
2. Regulations brought about by the Patient Protection and Affordable Care Act
(PPACA) should bring financial relief to healthcare consumers.
3. The United States spends more money on healthcare than any other country.
4. Healthcare spending in the United States is slowly declining due to passage of bills such
as the Patient Protection and Affordable Care Act (PPACA).
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross
domestic product.
2. Implementation of PPACA and its regulations have not been formulated.
3. The United States spends more than $2.5 trillion on healthcare annually, more than
any other country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues
to rise.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
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?
1. "I wonder if there was a break of sterility when this catheter was inserted."
2. "Thankfully we can treat this with an antibiotic."
3. "This could potentially cost the hospital a lot of money."
4. "I will talk to my unlicensed assistants about proper urinary catheter
care." Answer: 2
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned
about the process that might have contributed to this infection.
2. The nurse who focuses on taking care of the results of a potential medical mistake is not
accepting the seriousness of the situation.
3. 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.
4. The nurse has identified that improper care may result in poor outcomes for the
client. Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
4) Which healthcare situations reflect the philosophy of quality management as designed by
Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
courseroomsity - Stuvia | Page 3 of 467
, STUDY NOTES & REFERENCE GUIDE
Select all that apply.
1. A nurse asks visitors to leave because it is after visiting hours.
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed
from nothing by mouth (NPO) status.
3. A nurse tells the manager that a housekeeper's work is not up to standards.
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
5. A nurse who has not made a medication error in two years asks for a salary
increase. Answer: 2, 3, 4
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If
there is no reason for the visitors to leave other than it is after visiting hours, this is not
focused on client need.
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs.
This is an example of quality management.
3. Quality management empowers the employee to evaluate quality.
4. This nurse has seen a need and is working to improve the quality of service. This is
quality management.
5. Salary increases can be tied to quality improvement initiatives, but just asking for
an increase is not quality management.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
resulting from implementation of the Affordable Care Act; demands to reduce errors and
improve patient safety; and evolving medical and communication technology.
courseroomsity - Stuvia | Page 4 of 467
