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

TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
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Effective73Leadership73&73Management73in73Nursing,739e73(Sullivan)73
Chapter7317 3 Introducing73Nursing73Management

1) A73nurse73manager73is73participating73in73the73healthcare73organization's73strategic73plann
ing73committee.73Which73factor73is73the73primary73driving73force73and73controlling73factor73in
73new73initiatives73this73committee73might73recommend?
1. Cost73of73care
2. Access73to73care
3. Availability73of73care
4. Quality73of73ca
re73Answer:7 3 1
Explanation:7 3 1.73While73all73of73the73options73given73are73driving73forces73in73today's73heal
thcare73environment,73the73cost73of73providing73care73is73still73the73primary73issue.73Cost73of73c
are73controls73access,73availability,73and73quality.
2. Access73to73care73is73controlled73by73the73ability73to73pay.
3. Care73will73not73be73available73if73it73cannot73be73funded.
4. Healthcare73providers73do73not73like73to73correlate73quality73with73cost,73but73the73econo
mic73reality73is73that73quality73care73must73also73be73funded73care.
Cognitive73Level:7 3 Applying
Client73Need:7 3 Safe73Effective73Care73Environment7
3Client73Need73Sub:7 3 Management73of73Care
Nursing/Int73Conc:7 3 Nursing73Process:73Evaluation/Leadership
Learning73Outcome:7 3 1-
1:73Explain73changes73to73healthcare73over73the73past73decade,73including73those73resulting73fr
om73implementation73of73the73Affordable73Care73Act;73demands73to73reduce73errors73and73im
prove73patient73safety;73and73evolving73medical73and73communication73technology.




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2) Arnurse73rhas73rbeen73rinvited73rto73rdiscuss73rhealthcare73rcosts73rat73ra73rsenior73rcitiz
ens'73rclub.73rWhat73rinformation73rshould73rthe73rnurse73rplan73rto73rinclude73rin73rthi
s73rdiscussion?
1. While73rhealthcare73rcosts73rcontinue73rto73rrise,73rthe73rpercentage73rof73rthe73rUnited73rSta
tes73r(U.S.)73reconomy73rspent73ron73rhealthcare73rhas73rslowly73rdeclined73rto73rless73rthan
73r12%.
2. Regulationsrbrought73rabout73rbyrthe73rPatient73rProtection73randrAffordable73rCar
erAct73r(PPACA)73rshould73rbring73rfinancial73rrelief73rto73rhealthcare73rconsumer
s.
3. The73rUnited73rStates73rspends73rmore73rmoney73ron73rhealthcare73rthan73rany73rother73rcountry.
4. Healthcare73rspending73rin73rthe73rUnited73rStates73ris73rslowly73rdeclining73rdue73rto73rpassag
e73rof73rbills73rsuch73ras73rthe73rPatient73rProtection73rand73rAffordable73rCare73rAct73r(PPAC
A).
Answer:7 3 r73 2
Explanation:7 3 r731.73rIn73r2009,73rhealthcare73rcosts73rconsumed73rmore73rthan73r17%73rof73rthe73rco
untry's73rgross73rdomestic73rproduct.
2. Implementation73rof73rPPACArand73rits73rregulations73rhave73rnot73rbeen73rformulated.
3. The73rUnited73rStates73rspends73rmore73rthan73r$2.573rtrillion73ron73rhealthcare73rannually,73r
more73rthan73rany73rother73rcountry.
4. While73rthis73ract73rhas73rbeen73rpassed,73rit73ris73rnot73roperationalized.73rHealthcare73
rspending73rcontinues73rto73rrise.
Cognitive73rLevel:73r73Analyzing
Client73rNeed:73r73Safe73rEffective73rCare73rEnvironme
nt73rClient73rNeed73rSub:7 3 r73Management73rof73rCa
re
Nursing/Int73rConc:73 r73 Nursing73rProcess:73rPlanning/Education
Learning73rOutcome:7 3 r731-
1:73rExplain73rchanges73rto73rhealthcare73rover73rthe73rpast73rdecade,73rincluding73rthose73rresulting
73rfrom73rimplementation73rof73rthe73rAffordable73rCare73rAct;73rdemands73rto73rreduce73rerrors73r
and73rimprove73rpatient73rsafety;73rand73revolving73rmedical73rand73rcommunication73rtechnology.

3) A73r70-year-old73rclient73rdevelops73ra73rcatheter-
induced73rurinary73rtract73rinfection.73rWhich73rstatement73rby73rthe73rnurse73rwould73rindicat
e73rto73rthe73rnurse73rmanager73ra73rneed73rfor73radditional73runderstanding73rof73rthis73rsituati
on?
1. "I73rwonder73rif73rthere73rwas73ra73rbreak73rof73rsterility73rwhen73rthis73rcatheter73rwas73rinserted."
2. "Thankfully73rwe73rcan73rtreat73rthis73rwith73ran73rantibiotic."
3. "This73rcould73rpotentially73rcost73rthe73rhospital73ra73rlot73rof73rmoney."
4. "I73rwill73rtalk73rto73rmy73runlicensed73rassistants73rabout73rproper73rurinary73
rcatheter73rcare."73rAnswer:7 3 r732
Explanation:7 3 r731.73rWondering73rabout73ra73rbreak73rin73rsterility73rindicates73rthat73rthe73rnurse73ris
73rconcerned73rabout73rthe73rprocess73rthat73rmight73rhave73rcontributed73rto73rthis73rinfection.
2. The73rnurse73rwho73rfocuses73ron73rtaking73rcare73rof73rthe73rresults73rof73ra73rpotential73rmedi
cal73rmistake73ris73rnot73raccepting73rthe73rseriousness73rof73rthe73rsituation.
3. The73rCenters73rfor73rMedicare73rand73rMedicaid73rServices73rno73rlonger73rcover73rthe73r
costs73rincurred73rby73rmedical73rmistakes.73rThis73rurinary73rtract73rinfection73rcould73rcost73r
the73rhospital73rthe73rcost73rof73rtreatment,73rincluding73rincreased73rlength73rof73rstay.
4. The73rnurse73rhas73ridentified73rthat73rimproper73rcare73rmay73rresult73rin73rpoor73routcom
es73rfor73rthe73rclient.73rCognitive73rLevel:7 3 r73Applying
Client73rNeed:73r73Safe73rEffective73rCare73rEnvironme
nt73rClient73rNeed73rSub:7 3 r73Management73rof73rCa
re
Nursing/Int73rConc:73 r73 Nursing73rProcess:73rEvaluation/Education
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Learning73rOutcome:7 373The73Marketplace73to73Buy73and73Sell73your73Study73Mat
r731-
erial
1:73rExplain73rchanges73rto73rhealthcare73rover73rthe73rpast73rdecade,73rincluding73rthose73rresulting
73rfrom73rimplementation73rof73rthe73rAffordable73rCare73rAct;73rdemands73rto73rreduce73rerrors73r
and73rimprove73rpatient73rsafety;73rand73revolving73rmedical73rand73rcommunication73rtechnology.

4) Which73rhealthcare73rsituations73rreflect73rthe73rphilosophy73rof73rquality73rmanagement73ras73
rdesigned73rby73rDeming?
Note:73rCredit73rwill73rbe73rgiven73ronly73rif73rall73rcorrect73rchoices73rand73rno73rincorrect73rchoices73rare73rsel
ected.




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