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Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
rr rr rr rr rr rr rr rr
r 1 Introducing Nursing Management
rr r r rr rr
1) A nurse manager is participating in the healthcare organization's strategic planning commi
rr rr rr rr rr rr rr rr rr rr rr
ttee. Which factor is the primary driving force and controlling factor in new initiatives this com
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
mittee might recommend? rr rr
1. Cost of care rr rr
2. Access to care rr rr
3. Availability of care rr rr
4. Quality of care r rr rr
Answer: 1 r r
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
r r rr rr rr rr rr rr rr rr rr rr rr rr rr
ment, the cost of providing care is still the primary issue. Cost of care controls access, availabilit
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
y, and quality.
rr rr
2. Access to care is controlled by the ability to pay.
rr rr rr rr rr rr rr rr rr
3. Care will not be available if it cannot be funded.
rr rr rr rr rr rr rr rr rr
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is t
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
hat quality care must also be funded care.
rr rr rr rr rr rr rr
Cognitive Level: Applying rr r r
Client Need: Safe Effective Care Environment Clien
rr rr rr rr rr rr
t Need Sub: Management of Care
rr rr r r rr rr
Nursing/Int Conc: Nursing Process: Evaluation/Leadership rr r r rr rr
Learning Outcome: 1- rr r r
1: Explain changes to healthcare over the past decade, including those resulting from implemen
rr rr rr rr rr rr rr rr rr rr rr rr rr
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
olving medical and communication technology.
rr rr rr rr
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2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub. r
rr rr rr rr rr rr rr rr rr r rr rr rr
What rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
rr rr rr rr rr rr rr rr rr rr
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.) re
rr rr rr rr rr rr r rr r rr rr rr rr
conomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
rr rr rr rr rr rr rr rr rr rr
2. Regulationsrbrought raboutrbyrtherPatientrProtectionrandrAffordablerCarerAct r( r r r r r r rr
PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
rr rr rr rr rr rr rr
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
rr rr rr rr rr r rr rr rr rr rr
4. Healthcare rspending rin rthe rUnited rStates ris rslowlyrdeclining rdue rto rpassage rof rbills rsu
rr rr rr rr rr rr rr r rr rr rr rr rr rr
ch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
rr rr rr rr rr rr rr rr rr
Answer: r 2 r r rr
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross rd
r r rr r rr r rr rr rr r rr r rr rr rr rr
omestic rproduct. r
2. Implementationrof rPPACArand rits rregulations rhave rnot rbeen rformulated. r rr r rr rr r rr rr
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmorerthan ran
r rr rr r r rr rr rr r rr rr r rr
y rother rcountry.
rr rr
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending rc
rr rr rr rr rr rr rr rr rr rr rr rr
ontinues rto rrise. rr rr
Cognitive rLevel: r Analyzing r r r rr
ClientrNeed: r SaferEffectiverCarerEnvironment rCli
r rr rr r r r rr
ent rNeed rSub: r Management rof rCare
rr rr r r rr rr rr
Nursing/Int rConc: r NursingrProcess: rPlanning/Education r r r rr r r
Learning rOutcome: r 1- rr r r rr
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimpl
rr rr rr rr rr rr rr rr rr rr rr rr rr
ementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsafe
rr rr rr rr r rr rr rr rr rr rr rr rr
ty; rand revolving rmedical rand rcommunication rtechnology.
rr rr rr rr rr rr
3) A r70-year-old rclient rdevelops ra rcatheter-
rr rr rr rr rr
induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe rn
rr rr rr rr rr rr rr rr rr rr rr rr rr
urse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
rr rr rr rr rr rr rr rr rr
1. "Irwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
r rr rr r rr rr rr rr r rr rr rr rr
2. "Thankfullyrwe rcan rtreat rthis rwith ran rantibiotic." r rr rr rr r rr rr
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
rr rr rr rr rr rr rr rr rr
4. "I rwill rtalk rto rmyrunlicensed rassistants rabout rproper rurinaryrcatheter rc
r rr rr rr r rr rr r r r rr
are." rAnswer: r 2 rr r r rr
Explanation: r 1.rWondering rabout ra rbreak rin rsterilityrindicates rthat rthe rnurse ris rconcerned rab
r r rr r r r r rr r r rr r rr r rr rr
out rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
rr rr rr rr rr rr rr rr rr
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake ris
rr rr rr rr rr r rr rr r rr rr r rr rr rr rr
rnot raccepting rthe rseriousness rof rthe rsituation.
rr rr rr rr rr rr
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rincurr
rr rr rr rr rr rr rr rr rr rr rr rr
ed rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rcost rof r
rr rr rr r rr r rr rr rr r rr rr rr rr rr
treatment, rincluding rincreased rlength rof rstay. rr rr rr rr rr
4. The rnurse rhas ridentified rthat rimproper rcare rmayrresult rin rpoor routcomes rfor rthe rcli
rr rr r rr rr rr rr r rr r r rr r rr
ent. rCognitive rLevel: r Applying
rr rr r r rr
ClientrNeed: r SaferEffectiverCarerEnvironment rCli
r rr rr r r r rr
ent rNeed rSub: r Management rof rCare
rr rr r r rr rr rr
Nursing/Int rConc: r NursingrProcess: rEvaluation/Education r r r rr r r
Learning rOutcome: r 1- rr r r rr
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimpl
rr rr rr rr rr rr rr rr rr rr rr rr rr
ementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsafe
rr rr rr rr r rr rr rr rr rr rr rr rr
ty; rand revolving rmedical rand rcommunication rtechnology.
rr rr rr rr rr rr
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned r
rr rr rr rr rr rr rr rr rr rr rr
byrDeming? r
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Note:rrrCreditrrrwillrrrberrgiven torrrcorrect
ronlyrrrifrrrall Buy and Sell your Study Material
rrrchoicesrrrandrrrnorrrincorrectrrrchoicesrrrarerrrselected.
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The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
rr rr rr rr rr rr rr rr
r 1 Introducing Nursing Management
rr r r rr rr
1) A nurse manager is participating in the healthcare organization's strategic planning commi
rr rr rr rr rr rr rr rr rr rr rr
ttee. Which factor is the primary driving force and controlling factor in new initiatives this com
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
mittee might recommend? rr rr
1. Cost of care rr rr
2. Access to care rr rr
3. Availability of care rr rr
4. Quality of care r rr rr
Answer: 1 r r
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
r r rr rr rr rr rr rr rr rr rr rr rr rr rr
ment, the cost of providing care is still the primary issue. Cost of care controls access, availabilit
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
y, and quality.
rr rr
2. Access to care is controlled by the ability to pay.
rr rr rr rr rr rr rr rr rr
3. Care will not be available if it cannot be funded.
rr rr rr rr rr rr rr rr rr
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is t
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
hat quality care must also be funded care.
rr rr rr rr rr rr rr
Cognitive Level: Applying rr r r
Client Need: Safe Effective Care Environment Clien
rr rr rr rr rr rr
t Need Sub: Management of Care
rr rr r r rr rr
Nursing/Int Conc: Nursing Process: Evaluation/Leadership rr r r rr rr
Learning Outcome: 1- rr r r
1: Explain changes to healthcare over the past decade, including those resulting from implemen
rr rr rr rr rr rr rr rr rr rr rr rr rr
tation of the Affordable Care Act; demands to reduce errors and improve patient safety; and ev
rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr
olving medical and communication technology.
rr rr rr rr
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Distributionrrofrrthisrrdocumentrrisrrillegal
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The Marketplace to Buy and Sell your Study Material
2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub. r
rr rr rr rr rr rr rr rr rr r rr rr rr
What rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
rr rr rr rr rr rr rr rr rr rr
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.) re
rr rr rr rr rr rr r rr r rr rr rr rr
conomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
rr rr rr rr rr rr rr rr rr rr
2. Regulationsrbrought raboutrbyrtherPatientrProtectionrandrAffordablerCarerAct r( r r r r r r rr
PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
rr rr rr rr rr rr rr
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
rr rr rr rr rr r rr rr rr rr rr
4. Healthcare rspending rin rthe rUnited rStates ris rslowlyrdeclining rdue rto rpassage rof rbills rsu
rr rr rr rr rr rr rr r rr rr rr rr rr rr
ch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
rr rr rr rr rr rr rr rr rr
Answer: r 2 r r rr
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross rd
r r rr r rr r rr rr rr r rr r rr rr rr rr
omestic rproduct. r
2. Implementationrof rPPACArand rits rregulations rhave rnot rbeen rformulated. r rr r rr rr r rr rr
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmorerthan ran
r rr rr r r rr rr rr r rr rr r rr
y rother rcountry.
rr rr
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending rc
rr rr rr rr rr rr rr rr rr rr rr rr
ontinues rto rrise. rr rr
Cognitive rLevel: r Analyzing r r r rr
ClientrNeed: r SaferEffectiverCarerEnvironment rCli
r rr rr r r r rr
ent rNeed rSub: r Management rof rCare
rr rr r r rr rr rr
Nursing/Int rConc: r NursingrProcess: rPlanning/Education r r r rr r r
Learning rOutcome: r 1- rr r r rr
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimpl
rr rr rr rr rr rr rr rr rr rr rr rr rr
ementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsafe
rr rr rr rr r rr rr rr rr rr rr rr rr
ty; rand revolving rmedical rand rcommunication rtechnology.
rr rr rr rr rr rr
3) A r70-year-old rclient rdevelops ra rcatheter-
rr rr rr rr rr
induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe rn
rr rr rr rr rr rr rr rr rr rr rr rr rr
urse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
rr rr rr rr rr rr rr rr rr
1. "Irwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
r rr rr r rr rr rr rr r rr rr rr rr
2. "Thankfullyrwe rcan rtreat rthis rwith ran rantibiotic." r rr rr rr r rr rr
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
rr rr rr rr rr rr rr rr rr
4. "I rwill rtalk rto rmyrunlicensed rassistants rabout rproper rurinaryrcatheter rc
r rr rr rr r rr rr r r r rr
are." rAnswer: r 2 rr r r rr
Explanation: r 1.rWondering rabout ra rbreak rin rsterilityrindicates rthat rthe rnurse ris rconcerned rab
r r rr r r r r rr r r rr r rr r rr rr
out rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
rr rr rr rr rr rr rr rr rr
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake ris
rr rr rr rr rr r rr rr r rr rr r rr rr rr rr
rnot raccepting rthe rseriousness rof rthe rsituation.
rr rr rr rr rr rr
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rincurr
rr rr rr rr rr rr rr rr rr rr rr rr
ed rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rcost rof r
rr rr rr r rr r rr rr rr r rr rr rr rr rr
treatment, rincluding rincreased rlength rof rstay. rr rr rr rr rr
4. The rnurse rhas ridentified rthat rimproper rcare rmayrresult rin rpoor routcomes rfor rthe rcli
rr rr r rr rr rr rr r rr r r rr r rr
ent. rCognitive rLevel: r Applying
rr rr r r rr
ClientrNeed: r SaferEffectiverCarerEnvironment rCli
r rr rr r r r rr
ent rNeed rSub: r Management rof rCare
rr rr r r rr rr rr
Nursing/Int rConc: r NursingrProcess: rEvaluation/Education r r r rr r r
Learning rOutcome: r 1- rr r r rr
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimpl
rr rr rr rr rr rr rr rr rr rr rr rr rr
ementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsafe
rr rr rr rr r rr rr rr rr rr rr rr rr
ty; rand revolving rmedical rand rcommunication rtechnology.
rr rr rr rr rr rr
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned r
rr rr rr rr rr rr rr rr rr rr rr
byrDeming? r
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The rrMarketplace
Note:rrrCreditrrrwillrrrberrgiven torrrcorrect
ronlyrrrifrrrall Buy and Sell your Study Material
rrrchoicesrrrandrrrnorrrincorrectrrrchoicesrrrarerrrselected.
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