TESTBANK
,Effective Leadership & Management in
x x x x
Nursing, 9e (Sullivan)Chapter 1
x x x ki x
Introducin
g Nursing Management
x x
1) Anurse xmanager xis xparticipating xin xthe xhealthcare xorganization's
xstrategic xplanning xcommittee. xWhich xfactor xis xthe xprimary xdriving xforce
xand xcontrolling xfactor xin xnew xinitiativest his xcommittee xmight
ki
xrecommend?
1. Cost xof xcare
2. Access xto xcare
3. Availability xofxcare
4. Qualityxof
careAnswer: x1
k
i
Explanation: x1. xWhile xall xof xthe xoptions xgiven xare xdriving xforces xin xtoday's
xhealthcare xenvironment, xthe xcost xof xproviding xcare xis xstill xthe xprimary xissue.
xCost xof xcare xcontrols xaccess,availability, xand xquality.
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2. Access xto xcare xis xcontrolled xby xthe xability xto xpay.
3. Care xwill xnot xbe xavailable xif xit xcannot xbe xfunded.
4. Healthcare xproviders xdo xnot xlike xto xcorrelate xquality xwith xcost, xbut xthe
xeconomic xreality xis t hat xquality xcare xmust xalso xbe xfunded xcare.
ki
Cognitive xLevel: x Applying
x Client xNeed: Safe
xEffective xCare
EnvironmentClient xNeed xSub:
k
i
Manageme
nt xof xCare
Nursing/Int xConc: Nursing xProcess: xEvaluation/Leadership
Learning xOutcome: x1-1: xExplain xchanges xto xhealthcare xover xthe xpast xdecade,
xincluding xthoser esulting xfrom ximplementation xof xthe xAffordable xCare xAct;
ki
xdemands xto xreduce xerrors xand ximprove xpatient xsafety; xand xevolving xmedical
xand xcommunication xtechnology.
,2) Anurse xhas xbeen xinvited xto xdiscuss xhealthcare xcosts xat xa xsenior
xcitizens' xclub. xWhati nformation xshould xthe xnurse xplan xto xinclude
ki
xin xthis xdiscussion?
1. While xhealthcare xcosts xcontinue xto xrise, xthe xpercentage xof xthe xUnited
xStates x(U.S.) xeconomyspent xon xhealthcare xhas xslowly xdeclined xto xless
xthan x12%.
2. Regulations xbrought xabout xby xthe xPatient xProtection xand Affordable
ki
xCareAct x(PPACA)s hould xbring xfinancial xrelief xto xhealthcare
ki
xconsumers.
3. The xUnited xStates xspends xmore xmoney xon xhealthcare xthan xany xother xcountry.
4. Healthcare xspending xin xthe xUnited xStates xis xslowly xdeclining xdue xto xpassage
xof xbills xsuch xas t he xPatient xProtection xandxAffordable xCareAct x(PPACA).
ki
Answer: 2
Explanation: x1. xIn x2009, xhealthcare xcosts xconsumed xmore xthan x17% xof xthe
xcountry's xgrossd omestic xproduct.
ki
2. Implementation xof xPPACAand xits xregulations xhave xnot xbeen xformulated.
3. The xUnited xStates xspends xmore xthan x$2.5 xtrillion xon xhealthcare xannually,
xmore xthan xanyother xcountry.
4. While xthis xact xhas xbeen xpassed, xit xis xnot xoperationalized. xHealthcare
xspending xcontinues xtor ise. ki
Cognitive xLevel: x Analyzing
xClient xNeed:Safe xEffective
xCare
EnvironmentClient xNeed xSub:
k
i
Manageme
nt xof xCare
Nursing/Int xConc: Nursing xProcess: xPlanning/Education
Learning xOutcome: x1-1: xExplain xchanges xto xhealthcare xover xthe xpast xdecade,
xincluding xthoser esulting xfrom ximplementation xof xthe xAffordable xCare xAct;
ki
xdemands xto xreduce xerrors xand ximprove xpatient xsafety; xand xevolving xmedical
xand xcommunication xtechnology.
3) A x70-year-old xclient xdevelops xa xcatheter-induced xurinary xtract xinfection.
xWhich xstatement xby xthe xnurse xwould xindicate xto xthe xnurse xmanager xa xneed
xfor xadditional xunderstanding xof xthissituation? ki
1. "I xwonder xif xthere xwas xa xbreak xof xsterility xwhen xthis xcatheter xwas xinserted."
2. "Thankfully xwe xcan xtreat xthis xwith xan xantibiotic."
3. "This xcould xpotentially xcost xthe xhospital xa xlot xof xmoney."
4. "I xwill xtalk xto xmy xunlicensed xassistants xabout xproper xurinary
xcatheter xcare."Answer: x2
Explanation: 1.xWondering xabout xa xbreak xin xsterility xindicates xthat xthe
xnurse xis xconcerneda bout xthe xprocess xthat xmight xhave xcontributed
ki
xto xthis xinfection.
2. The xnurse xwho xfocuses xon xtaking xcare xof xthe xresults xof xa xpotential
xmedical xmistake xis xnota ccepting xthe xseriousness xof xthe xsituation.
ki
3. The xCenters xfor xMedicare xand xMedicaid xServices xno xlonger xcover xthe xcosts
xincurred xby xmedical xmistakes. xThis xurinary xtract xinfection xcould xcost xthe
xhospital xthe xcost xof xtreatment,including xincreased xlength xof xstay.
ki
4. The xnurse xhas xidentified xthat ximproper xcare xmay xresult xin xpoor
xoutcomes xfor xthe xclient.Cognitive xLevel: Applying
, Client xNeed: Safe xEffective xCare
xEnvironmentClient xNeed xSub:
ki
Management xof xCare
Nursing/Int xConc: Nursing xProcess: xEvaluation/Education
Learning xOutcome: x1-1: xExplain xchanges xto xhealthcare xover xthe xpast xdecade,
xincluding xthoser esulting xfrom ximplementation xof xthe xAffordable xCare xAct;
ki
xdemands xto xreduce xerrors xand ximprove xpatient xsafety; xand xevolving xmedical
xand xcommunication xtechnology.
4) Which xhealthcare xsituations xreflect xthe xphilosophy xof xquality xmanagement xas
xdesigned xbyDeming?
Note: xCredit xwill xbe xgiven xonly xif xall xcorrect xchoices xand xno xincorrect xchoices xare xselected.
,Effective Leadership & Management in
x x x x
Nursing, 9e (Sullivan)Chapter 1
x x x ki x
Introducin
g Nursing Management
x x
1) Anurse xmanager xis xparticipating xin xthe xhealthcare xorganization's
xstrategic xplanning xcommittee. xWhich xfactor xis xthe xprimary xdriving xforce
xand xcontrolling xfactor xin xnew xinitiativest his xcommittee xmight
ki
xrecommend?
1. Cost xof xcare
2. Access xto xcare
3. Availability xofxcare
4. Qualityxof
careAnswer: x1
k
i
Explanation: x1. xWhile xall xof xthe xoptions xgiven xare xdriving xforces xin xtoday's
xhealthcare xenvironment, xthe xcost xof xproviding xcare xis xstill xthe xprimary xissue.
xCost xof xcare xcontrols xaccess,availability, xand xquality.
ki
2. Access xto xcare xis xcontrolled xby xthe xability xto xpay.
3. Care xwill xnot xbe xavailable xif xit xcannot xbe xfunded.
4. Healthcare xproviders xdo xnot xlike xto xcorrelate xquality xwith xcost, xbut xthe
xeconomic xreality xis t hat xquality xcare xmust xalso xbe xfunded xcare.
ki
Cognitive xLevel: x Applying
x Client xNeed: Safe
xEffective xCare
EnvironmentClient xNeed xSub:
k
i
Manageme
nt xof xCare
Nursing/Int xConc: Nursing xProcess: xEvaluation/Leadership
Learning xOutcome: x1-1: xExplain xchanges xto xhealthcare xover xthe xpast xdecade,
xincluding xthoser esulting xfrom ximplementation xof xthe xAffordable xCare xAct;
ki
xdemands xto xreduce xerrors xand ximprove xpatient xsafety; xand xevolving xmedical
xand xcommunication xtechnology.
,2) Anurse xhas xbeen xinvited xto xdiscuss xhealthcare xcosts xat xa xsenior
xcitizens' xclub. xWhati nformation xshould xthe xnurse xplan xto xinclude
ki
xin xthis xdiscussion?
1. While xhealthcare xcosts xcontinue xto xrise, xthe xpercentage xof xthe xUnited
xStates x(U.S.) xeconomyspent xon xhealthcare xhas xslowly xdeclined xto xless
xthan x12%.
2. Regulations xbrought xabout xby xthe xPatient xProtection xand Affordable
ki
xCareAct x(PPACA)s hould xbring xfinancial xrelief xto xhealthcare
ki
xconsumers.
3. The xUnited xStates xspends xmore xmoney xon xhealthcare xthan xany xother xcountry.
4. Healthcare xspending xin xthe xUnited xStates xis xslowly xdeclining xdue xto xpassage
xof xbills xsuch xas t he xPatient xProtection xandxAffordable xCareAct x(PPACA).
ki
Answer: 2
Explanation: x1. xIn x2009, xhealthcare xcosts xconsumed xmore xthan x17% xof xthe
xcountry's xgrossd omestic xproduct.
ki
2. Implementation xof xPPACAand xits xregulations xhave xnot xbeen xformulated.
3. The xUnited xStates xspends xmore xthan x$2.5 xtrillion xon xhealthcare xannually,
xmore xthan xanyother xcountry.
4. While xthis xact xhas xbeen xpassed, xit xis xnot xoperationalized. xHealthcare
xspending xcontinues xtor ise. ki
Cognitive xLevel: x Analyzing
xClient xNeed:Safe xEffective
xCare
EnvironmentClient xNeed xSub:
k
i
Manageme
nt xof xCare
Nursing/Int xConc: Nursing xProcess: xPlanning/Education
Learning xOutcome: x1-1: xExplain xchanges xto xhealthcare xover xthe xpast xdecade,
xincluding xthoser esulting xfrom ximplementation xof xthe xAffordable xCare xAct;
ki
xdemands xto xreduce xerrors xand ximprove xpatient xsafety; xand xevolving xmedical
xand xcommunication xtechnology.
3) A x70-year-old xclient xdevelops xa xcatheter-induced xurinary xtract xinfection.
xWhich xstatement xby xthe xnurse xwould xindicate xto xthe xnurse xmanager xa xneed
xfor xadditional xunderstanding xof xthissituation? ki
1. "I xwonder xif xthere xwas xa xbreak xof xsterility xwhen xthis xcatheter xwas xinserted."
2. "Thankfully xwe xcan xtreat xthis xwith xan xantibiotic."
3. "This xcould xpotentially xcost xthe xhospital xa xlot xof xmoney."
4. "I xwill xtalk xto xmy xunlicensed xassistants xabout xproper xurinary
xcatheter xcare."Answer: x2
Explanation: 1.xWondering xabout xa xbreak xin xsterility xindicates xthat xthe
xnurse xis xconcerneda bout xthe xprocess xthat xmight xhave xcontributed
ki
xto xthis xinfection.
2. The xnurse xwho xfocuses xon xtaking xcare xof xthe xresults xof xa xpotential
xmedical xmistake xis xnota ccepting xthe xseriousness xof xthe xsituation.
ki
3. The xCenters xfor xMedicare xand xMedicaid xServices xno xlonger xcover xthe xcosts
xincurred xby xmedical xmistakes. xThis xurinary xtract xinfection xcould xcost xthe
xhospital xthe xcost xof xtreatment,including xincreased xlength xof xstay.
ki
4. The xnurse xhas xidentified xthat ximproper xcare xmay xresult xin xpoor
xoutcomes xfor xthe xclient.Cognitive xLevel: Applying
, Client xNeed: Safe xEffective xCare
xEnvironmentClient xNeed xSub:
ki
Management xof xCare
Nursing/Int xConc: Nursing xProcess: xEvaluation/Education
Learning xOutcome: x1-1: xExplain xchanges xto xhealthcare xover xthe xpast xdecade,
xincluding xthoser esulting xfrom ximplementation xof xthe xAffordable xCare xAct;
ki
xdemands xto xreduce xerrors xand ximprove xpatient xsafety; xand xevolving xmedical
xand xcommunication xtechnology.
4) Which xhealthcare xsituations xreflect xthe xphilosophy xof xquality xmanagement xas
xdesigned xbyDeming?
Note: xCredit xwill xbe xgiven xonly xif xall xcorrect xchoices xand xno xincorrect xchoices xare xselected.
