Test Bank: Effective Leadership and Management in Nursing 9th Edition by Sullivan - Ch. 1-28, 9780134153117, with Rationales

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Effective Leadership & Management in Nursing, 9e (Sullivan) Chapt
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er 1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning com
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mittee. Which factor is the primary driving force and controlling factor in new initiatives th
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is committee might recommend?
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1. Cost of care y1 y1


2. Access to care y1 y1


3. Availability of care y1 y1


4. Quality of care y1 y1


Answer: 1
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Explanation: 1. While all of the options given are driving forces in today's healthcare envi
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ronment, the cost of providing care is still the primary issue. Cost of care controls access, av
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ailability, and quality. y1 y1


2. Access to care is controlled by the ability to pay.
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3. Care will not be available if it cannot be funded.
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4. Healthcare providers do not like to correlate quality with cost, but the economic reality
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is that quality care must also be funded care.
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Cognitive Level: Applying y1 y 1


Client Need: Safe Effective Care Environment Clie
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nt Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership
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Learning Outcome: 1- y1 y 1


1: Explain changes to healthcare over the past decade, including those resulting from imple
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mentation of the Affordable Care Act; demands to reduce errors and improve patient safet
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y; and evolving medical and communication technology.
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2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub
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. rWhat rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
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1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.
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) reconomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
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2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct y1 y1 y1 y1 y1 y1 y


1r(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
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3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
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4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills
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y1rsuch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
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Answer: r 2 y 1 y1


Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgros
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s rdomestic rproduct.
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2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. y1 y1 y1 y1 y1 y1 y1 y1


3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan
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y1rany rother rcountry. y1 y1


4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspendin
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g rcontinues rto rrise.
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Cognitive rLevel: r Analyzing y1 y 1 y1


Client rNeed: r Safe rEffective rCare rEnvironment rC
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lient rNeed rSub: r Management rof rCare
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Nursing/Int rConc: r Nursing rProcess: rPlanning/Education y1 y 1 y1 y1 y1


Learning rOutcome: r 1- y1 y 1 y1


1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom ri
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mplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpati
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ent rsafety; rand revolving rmedical rand rcommunication rtechnology.
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3) A r70-year-old rclient rdevelops ra rcatheter-
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induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe
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rnurse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
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1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
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2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." y1 y1 y1 y1 y1 y1 y1


3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
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4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter
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rcare." rAnswer: r 2
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Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned
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rabout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
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2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistak
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e ris rnot raccepting rthe rseriousness rof rthe rsituation.
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3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rinc
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urred rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rc
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ost rof rtreatment, rincluding rincreased rlength rof rstay.
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4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe
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rclient. rCognitive rLevel: r Applying
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Client rNeed: r Safe rEffective rCare rEnvironment rC
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lient rNeed rSub: r Management rof rCare
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Nursing/Int rConc: r Nursing rProcess: rEvaluation/Educationy1 y 1 y1 y1 y1


Learning rOutcome: r 1- y1 y 1 y1


1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom ri
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mplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpati
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ent rsafety; rand revolving rmedical rand rcommunication rtechnology.
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4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigne
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d rby rDeming?
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