Effective Leadership and Management in Nursing
9th Edition by Eleanor J. Sullivan,
Chapter 1 to 28
TEST BANK
Table of contents
PART I: UND ERSTAND ING NURSING MANAGEMENT AND
ORGANIZATIONS
1. Introd ucing Nursing Management
2. D esigning Organizations
3. D elivering Nursing Care
4. Lead ing, Managing, and Following
,5. Initiating and Managing Change
6. Managing and Improving Quality
7. Und erstand ing Legal and Ethical Issues
8. Und erstand ing Power and Politics
PART 2: LEARNING KEY SKILLS IN NURSING MANAGEMENT
9. Thinking Critically, Making D ecisions, Solving Problems
10. Communicating Effectively
11. D elegating Successfully
12. Build ing and Managing Teams
13. Hand ling Conflict
14. Managing Time
PART 3: MANAGING RESOURCES
15. Bud geting and Managing Fiscal Resources
16. Recruiting and Selecting Staff
17. Staffing and Sched uling
18. Motivating and D eveloping Staff
19. Evaluating Staff Performance
20. Feed back and Coaching, D isciplining, and Terminating Staff
21. Managing Absenteeism, Red ucing Turnover, Retaining Staff
22. D ealing with D isruptive Staff Problem
23. Preparing for Emergencies
24. Preventing Workplace Violence
25. Hand ling Collective Bargaining Issues
PART 4: TAKING CARE OF YOURSELF
26. Managing Stress
27. Ad vancing Your Career
PART 5: LOOKING TO THE FUTURE
28. Imagining the Future
,Effective Lead ership & Management in Nursing, 9e
(Sullivan) Chapter 1 Introd ucing Nursing Management
1) A nurse manager is participating in the healthcare organization's strategic
planning committee. Which factor is the primary d riving force and controlling
factor in new initiatives this 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 d riving forces in tod ay's
healthcare environment, the cost of provid ing 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 fund ed .
4. Healthcare provid ers d o not like to correlate quality with cost, but the
economic reality is that quality care must also be fund ed care.
Cognitive Level: Applying
Client Need : Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Lead ership
Learning Outcome: 1-1: Explain changes to healthcare over the past d ecad e,
includ ing those resulting from implementation of the Afford able Care Act; d
emand s to red uce errors and improve patient safety; and evolving med ical and
communication technology.
, 2) A nurse has been invited to d iscuss healthcare costs at a senior citizens'
club. What information should the nurse plan to includ e in this d
iscussion?
1. While healthcare costs continue to rise, the percentage of the United States
(U.S.) economy spent on healthcare has slowly d eclined to less than 12%.
2. Regulations brought about by the Patient Protection and Afford able Care Act
(PPACA) should bring financial relief to healthcare consumers.
3. The United States spend s more money on healthcare than any other country.
4. Healthcare spend ing in the United States is slowly d eclining d ue to passage
of bills such as the Patient Protection and Afford able Care Act (PPACA).
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's
gross d omestic prod uct.
2. Implementation of PPACA and its regulations have not been formulated .
3. The United States spend s 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 spend ing
continues to rise.
Cognitive Level: Analyzing
Client Need : Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Ed ucation
Learning Outcome: 1-1: Explain changes to healthcare over the past d ecad e,
includ ing those resulting from implementation of the Afford able Care Act; d
emand s to red uce errors and improve patient safety; and evolving med ical and
communication technology.
3) A 70-year-old client d evelops a catheter-ind uced urinary tract infection.
Which statement by the nurse would ind icate to the nurse manager a need for
ad d itional und erstand ing of this situation?
1. "I wond er 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. Wond ering about a break in sterility ind icates 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 med ical
mistake is not accepting the seriousness of the situation.
3. The Centers for Med icare and Med icaid Services no longer cover the
costs incurred by med ical mistakes. This urinary tract infection could cost the
hospital the cost of treatment, includ ing increased length of stay.
4. The nurse has id entified 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/Ed ucation
Learning Outcome: 1-1: Explain changes to healthcare over the past d ecad e,
includ ing those resulting from implementation of the Afford able Care Act; d
emand s to red uce errors and improve patient safety; and evolving med ical and
communication technology.
9th Edition by Eleanor J. Sullivan,
Chapter 1 to 28
TEST BANK
Table of contents
PART I: UND ERSTAND ING NURSING MANAGEMENT AND
ORGANIZATIONS
1. Introd ucing Nursing Management
2. D esigning Organizations
3. D elivering Nursing Care
4. Lead ing, Managing, and Following
,5. Initiating and Managing Change
6. Managing and Improving Quality
7. Und erstand ing Legal and Ethical Issues
8. Und erstand ing Power and Politics
PART 2: LEARNING KEY SKILLS IN NURSING MANAGEMENT
9. Thinking Critically, Making D ecisions, Solving Problems
10. Communicating Effectively
11. D elegating Successfully
12. Build ing and Managing Teams
13. Hand ling Conflict
14. Managing Time
PART 3: MANAGING RESOURCES
15. Bud geting and Managing Fiscal Resources
16. Recruiting and Selecting Staff
17. Staffing and Sched uling
18. Motivating and D eveloping Staff
19. Evaluating Staff Performance
20. Feed back and Coaching, D isciplining, and Terminating Staff
21. Managing Absenteeism, Red ucing Turnover, Retaining Staff
22. D ealing with D isruptive Staff Problem
23. Preparing for Emergencies
24. Preventing Workplace Violence
25. Hand ling Collective Bargaining Issues
PART 4: TAKING CARE OF YOURSELF
26. Managing Stress
27. Ad vancing Your Career
PART 5: LOOKING TO THE FUTURE
28. Imagining the Future
,Effective Lead ership & Management in Nursing, 9e
(Sullivan) Chapter 1 Introd ucing Nursing Management
1) A nurse manager is participating in the healthcare organization's strategic
planning committee. Which factor is the primary d riving force and controlling
factor in new initiatives this 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 d riving forces in tod ay's
healthcare environment, the cost of provid ing 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 fund ed .
4. Healthcare provid ers d o not like to correlate quality with cost, but the
economic reality is that quality care must also be fund ed care.
Cognitive Level: Applying
Client Need : Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Lead ership
Learning Outcome: 1-1: Explain changes to healthcare over the past d ecad e,
includ ing those resulting from implementation of the Afford able Care Act; d
emand s to red uce errors and improve patient safety; and evolving med ical and
communication technology.
, 2) A nurse has been invited to d iscuss healthcare costs at a senior citizens'
club. What information should the nurse plan to includ e in this d
iscussion?
1. While healthcare costs continue to rise, the percentage of the United States
(U.S.) economy spent on healthcare has slowly d eclined to less than 12%.
2. Regulations brought about by the Patient Protection and Afford able Care Act
(PPACA) should bring financial relief to healthcare consumers.
3. The United States spend s more money on healthcare than any other country.
4. Healthcare spend ing in the United States is slowly d eclining d ue to passage
of bills such as the Patient Protection and Afford able Care Act (PPACA).
Answer: 2
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's
gross d omestic prod uct.
2. Implementation of PPACA and its regulations have not been formulated .
3. The United States spend s 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 spend ing
continues to rise.
Cognitive Level: Analyzing
Client Need : Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Ed ucation
Learning Outcome: 1-1: Explain changes to healthcare over the past d ecad e,
includ ing those resulting from implementation of the Afford able Care Act; d
emand s to red uce errors and improve patient safety; and evolving med ical and
communication technology.
3) A 70-year-old client d evelops a catheter-ind uced urinary tract infection.
Which statement by the nurse would ind icate to the nurse manager a need for
ad d itional und erstand ing of this situation?
1. "I wond er 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. Wond ering about a break in sterility ind icates 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 med ical
mistake is not accepting the seriousness of the situation.
3. The Centers for Med icare and Med icaid Services no longer cover the
costs incurred by med ical mistakes. This urinary tract infection could cost the
hospital the cost of treatment, includ ing increased length of stay.
4. The nurse has id entified 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/Ed ucation
Learning Outcome: 1-1: Explain changes to healthcare over the past d ecad e,
includ ing those resulting from implementation of the Afford able Care Act; d
emand s to red uce errors and improve patient safety; and evolving med ical and
communication technology.
