TESTBANK
,Effective Leadership & Management in Nursing h h h h h
, 9e (Sullivan)Chapter 1
h h k
i h
Introducing
Nursing Management
h h
1) Anurse manager is participating in the healthcare organization's strategic planning co
h h h h h h h h h h
mmittee. Which factor is the primary driving force and controlling factor in new initiati
h h h h h h h h h h h h h
vesthis committee might recommend?
ki h h h
1. Cost of care h h
2. Access to care h h
3. Availabilityofcare h h
4. Qualityof h
careAnswer: 1 ki h
Explanation: 1. While all of the options given are driving forces in today's healthcare environment
h h h h h h h h h h h h h h
, the cost of providing care is still the primary issue. Cost of care controls access,availability, and
h h h h h h h h h h h h h h h ki h h
quality.
2. Access to care is controlled by the ability to pay.
h h h h h h h h h
3. Care will not be available if it cannot be funded.
h h h h h h h h h
4. Healthcare providers do not like to correlate quality with cost, but the economic reality ist h
h h h h h h h h h h h h h h ki
at quality care must also be funded care.
h h h h h h h
Cognitive Level: Applying Client h h h h
Need: Safe Effective Care h h
EnvironmentClient Need Sub: ki h h
Management
hof Care h
Nursing/Int Conc: Nursing Process: Evaluation/Leadership h h h
Learning Outcome: 1- h h
1: Explain changes to healthcare over the past decade, including thoseresulting from implemen
h h h h h h h h h h ki h h
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
h h h h h h h h h h h h h h h
ving medical and communication technology.
h h h h
,2) Anurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
h h h h h h h h h h h h h
atinformation should the nurse plan to include in this discussion?
ki h h h h h h h h h
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) eco
h h h h h h h h h h h h h
nomyspent on healthcare has slowly declined to less than 12%. h h h h h h h h h
2. Regulations brought about by the Patient Protection and Affordable CareAct (P h h h h h h h ki h h
PACA)should bring financial relief to healthcare consumers.
ki h h h h h h
3. The United States spends more money on healthcare than any other country.
h h h h h h h h h h h
4. Healthcare spending in the United States is slowly declining due to passage of bills such ast h
h h h h h h h h h h h h h h h ki
e Patient Protection andAffordable CareAct (PPACA).
h h h h h h
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's grossdomesti
h h h h h h h h h h h h h ki
c product.
h
2. Implementation of PPACAand its regulations have not been formulated. h h h h h h h h
3. The United States spends more than $2.5 trillion on healthcare annually, more than any
h h h h h h h h h h h h h
other country. h
4. While this act has been passed, it is not operationalized. Healthcare spending continues tori
h h h h h h h h h h h h h ki
se.
Cognitive Level: Analyzing Clien h h h
t Need:
h Safe Effective Care h h
EnvironmentClient Need Sub: ki h h
Management
hof Care h
Nursing/Int Conc: Nursing Process: Planning/Education h h h
Learning Outcome: 1- h h
1: Explain changes to healthcare over the past decade, including thoseresulting from implemen
h h h h h h h h h h ki h h
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
h h h h h h h h h h h h h h h
ving medical and communication technology.
h h h h
3) A 70-year-old client develops a catheter-
h h h h h
induced urinary tract infection. Which statement by the nurse would indicate to the nurse mana
h h h h h h h h h h h h h h
ger a need for additional understanding of thissituation?
h h h h h h h ki
1. "I wonder if there was a break of sterility when this catheter was inserted."
h h h h h h h h h h h h h
2. "Thankfully we can treat this with an antibiotic." h h h h h h h
3. "This could potentially cost the hospital a lot of money."
h h h h h h h h h
4. "I will talk to my unlicensed assistants about proper urinary catheter car
h h h h h h h h h h h
e."Answer: 2 h
Explanation:
1. Wondering about a break in sterility indicates that the nurse is co h h h h h h h h h h h h
ncernedabout the process that might have contributed to this infection.
ki h h h h h h h h h
2. The nurse who focuses on taking care of the results of a potential medical mistake is nota
h h h h h h h h h h h h h h h h ki
ccepting the seriousness of the situation. h h h h h
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by me
h h h h h h h h h h h h h h
dical mistakes. This urinary tract infection could cost the hospital the cost of treatment,inclu
h h h h h h h h h h h h h ki
ding increased length of stay.
h h h h
4. The nurse has identified that improper care may result in poor outcomes for the clie
h h h h h h h h h h h h h h
nt.Cognitive Level: Applying h
Client Need: h
Safe Effective Care Environme h h h
ntClient Need Sub:
ki h h
Management of Care h h
Nursing/Int Conc: Nursing Process: Evaluation/Education h h h
Learning Outcome: 1- h h
1: Explain changes to healthcare over the past decade, including thoseresulting from implemen
h h h h h h h h h h ki h h
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
h h h h h h h h h h h h h h h
, ving medical and communication technology.
h h h h
4) Which healthcare situations reflect the philosophy of quality management as designed byDe
h h h h h h h h h h h
ming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
h h h h h h h h h h h h h h h
,Effective Leadership & Management in Nursing h h h h h
, 9e (Sullivan)Chapter 1
h h k
i h
Introducing
Nursing Management
h h
1) Anurse manager is participating in the healthcare organization's strategic planning co
h h h h h h h h h h
mmittee. Which factor is the primary driving force and controlling factor in new initiati
h h h h h h h h h h h h h
vesthis committee might recommend?
ki h h h
1. Cost of care h h
2. Access to care h h
3. Availabilityofcare h h
4. Qualityof h
careAnswer: 1 ki h
Explanation: 1. While all of the options given are driving forces in today's healthcare environment
h h h h h h h h h h h h h h
, the cost of providing care is still the primary issue. Cost of care controls access,availability, and
h h h h h h h h h h h h h h h ki h h
quality.
2. Access to care is controlled by the ability to pay.
h h h h h h h h h
3. Care will not be available if it cannot be funded.
h h h h h h h h h
4. Healthcare providers do not like to correlate quality with cost, but the economic reality ist h
h h h h h h h h h h h h h h ki
at quality care must also be funded care.
h h h h h h h
Cognitive Level: Applying Client h h h h
Need: Safe Effective Care h h
EnvironmentClient Need Sub: ki h h
Management
hof Care h
Nursing/Int Conc: Nursing Process: Evaluation/Leadership h h h
Learning Outcome: 1- h h
1: Explain changes to healthcare over the past decade, including thoseresulting from implemen
h h h h h h h h h h ki h h
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
h h h h h h h h h h h h h h h
ving medical and communication technology.
h h h h
,2) Anurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
h h h h h h h h h h h h h
atinformation should the nurse plan to include in this discussion?
ki h h h h h h h h h
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) eco
h h h h h h h h h h h h h
nomyspent on healthcare has slowly declined to less than 12%. h h h h h h h h h
2. Regulations brought about by the Patient Protection and Affordable CareAct (P h h h h h h h ki h h
PACA)should bring financial relief to healthcare consumers.
ki h h h h h h
3. The United States spends more money on healthcare than any other country.
h h h h h h h h h h h
4. Healthcare spending in the United States is slowly declining due to passage of bills such ast h
h h h h h h h h h h h h h h h ki
e Patient Protection andAffordable CareAct (PPACA).
h h h h h h
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's grossdomesti
h h h h h h h h h h h h h ki
c product.
h
2. Implementation of PPACAand its regulations have not been formulated. h h h h h h h h
3. The United States spends more than $2.5 trillion on healthcare annually, more than any
h h h h h h h h h h h h h
other country. h
4. While this act has been passed, it is not operationalized. Healthcare spending continues tori
h h h h h h h h h h h h h ki
se.
Cognitive Level: Analyzing Clien h h h
t Need:
h Safe Effective Care h h
EnvironmentClient Need Sub: ki h h
Management
hof Care h
Nursing/Int Conc: Nursing Process: Planning/Education h h h
Learning Outcome: 1- h h
1: Explain changes to healthcare over the past decade, including thoseresulting from implemen
h h h h h h h h h h ki h h
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
h h h h h h h h h h h h h h h
ving medical and communication technology.
h h h h
3) A 70-year-old client develops a catheter-
h h h h h
induced urinary tract infection. Which statement by the nurse would indicate to the nurse mana
h h h h h h h h h h h h h h
ger a need for additional understanding of thissituation?
h h h h h h h ki
1. "I wonder if there was a break of sterility when this catheter was inserted."
h h h h h h h h h h h h h
2. "Thankfully we can treat this with an antibiotic." h h h h h h h
3. "This could potentially cost the hospital a lot of money."
h h h h h h h h h
4. "I will talk to my unlicensed assistants about proper urinary catheter car
h h h h h h h h h h h
e."Answer: 2 h
Explanation:
1. Wondering about a break in sterility indicates that the nurse is co h h h h h h h h h h h h
ncernedabout the process that might have contributed to this infection.
ki h h h h h h h h h
2. The nurse who focuses on taking care of the results of a potential medical mistake is nota
h h h h h h h h h h h h h h h h ki
ccepting the seriousness of the situation. h h h h h
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by me
h h h h h h h h h h h h h h
dical mistakes. This urinary tract infection could cost the hospital the cost of treatment,inclu
h h h h h h h h h h h h h ki
ding increased length of stay.
h h h h
4. The nurse has identified that improper care may result in poor outcomes for the clie
h h h h h h h h h h h h h h
nt.Cognitive Level: Applying h
Client Need: h
Safe Effective Care Environme h h h
ntClient Need Sub:
ki h h
Management of Care h h
Nursing/Int Conc: Nursing Process: Evaluation/Education h h h
Learning Outcome: 1- h h
1: Explain changes to healthcare over the past decade, including thoseresulting from implemen
h h h h h h h h h h ki h h
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
h h h h h h h h h h h h h h h
, ving medical and communication technology.
h h h h
4) Which healthcare situations reflect the philosophy of quality management as designed byDe
h h h h h h h h h h h
ming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
h h h h h h h h h h h h h h h
