TEST BANK
qy
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapt
qy qy qy qy qy qy qy qy
er 1 Introducing Nursing Management
qy q y qy qy
1) A nurse manager is participating in the healthcare organization's strategic planning com
qy qy qy qy qy qy qy qy qy qy qy
mittee. Which factor is the primary driving force and controlling factor in new initiatives t
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
his committee might recommend?
qy qy qy
1. Cost of care qy qy
2. Access to care qy qy
3. Availability of care qy qy
4. Quality of care qy qy
qyAnswer: 1 q y
Explanation: 1. While all of the options given are driving forces in today's healthcare envi
q y qy qy qy qy qy qy qy qy qy qy qy qy qy
ronment, the cost of providing care is still the primary issue. Cost of care controls access, a
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
vailability, and quality. qy qy
2. Access to care is controlled by the ability to pay.
qy qy qy qy qy qy qy qy qy
3. Care will not be available if it cannot be funded.
qy qy qy qy qy qy qy qy qy
4. Healthcare providers do not like to correlate quality with cost, but the economic reality
qy qy qy qy qy qy qy qy qy qy qy qy qy q
yis that quality care must also be funded care.
qy qy qy qy qy qy qy qy
Cognitive Level: Applying qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
qy q y qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
at information should the nurse plan to include in this discussion?
qy qy qy qy qy qy qy qy qy qy
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) econo
qy qy qy qy qy qy qy qy qy qy qy qy qy
my spent on healthcare has slowly declined to less than 12%.
qy qy qy qy qy qy qy qy qy qy
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA
qy qy qy qy qy qy qy qy qy qy qy
) should bring financial relief to healthcare consumers.
qy qy qy qy qy qy qy
3. The United States spends more money on healthcare than any other country.
qy qy qy qy qy qy qy qy qy qy qy
4. Healthcare spending in the United States is slowly declining due to passage of bills such
qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
yas the Patient Protection and Affordable Care Act (PPACA).
qy qy qy qy qy qy qy qy
Answer: 2 q y
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross d
q y qy qy qy qy qy qy qy qy qy qy qy qy qy
omestic product. qy
2. Implementation of PPACA and its regulations have not been formulated. qy qy qy qy qy qy qy qy qy
3. The United States spends more than $2.5 trillion on healthcare annually, more than a
qy qy qy qy qy qy qy qy qy qy qy qy qy
ny other country.
qy qy
4. While this act has been passed, it is not operationalized. Healthcare spending continues
qy qy qy qy qy qy qy qy qy qy qy qy qy
to rise. qy
Cognitive Level: Analyzing qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Planning/Educationqy q y qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
3) A 70-year-old client develops a catheter-
qy qy qy qy qy
induced urinary tract infection. Which statement by the nurse would indicate to the nurse
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
manager a need for additional understanding of this situation?
qy qy qy qy qy qy qy qy
1. "I wonder if there was a break of sterility when this catheter was inserted."
qy qy qy qy qy qy qy qy qy qy qy qy qy
2. "Thankfully we can treat this with an antibiotic." qy qy qy qy qy qy qy
3. "This could potentially cost the hospital a lot of money."
qy qy qy qy qy qy qy qy qy
4. "I will talk to my unlicensed assistants about proper urinary catheter care
qy qy qy qy qy qy qy qy qy qy qy
." Answer: 2
qy q y
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned a
q y qy qy qy qy qy qy qy qy qy qy qy qy qy
bout the process that might have contributed to this infection.
qy qy qy qy qy qy qy qy qy
2. The nurse who focuses on taking care of the results of a potential medical mistake is
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
not accepting the seriousness of the situation.
qy qy qy qy qy qy
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred
qy qy qy qy qy qy qy qy qy qy qy qy qy
by medical mistakes. This urinary tract infection could cost the hospital the cost of treat
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ment, including increased length of stay.
qy qy qy qy qy
4. The nurse has identified that improper care may result in poor outcomes for the clie
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
nt. Cognitive Level: Applying
qy qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Evaluation/Education
qy q y qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
4) Which healthcare situations reflect the philosophy of quality management as designed
qy qy qy qy qy qy qy qy qy qy qy
by Deming? qy
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
, Select all that apply. qy qy qy
1. A nurse asks visitors to leave because it is after visiting hours.
qy qy qy qy qy qy qy qy qy qy qy
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed fr
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
om nothing by mouth (NPO) status.
qy qy qy qy qy
3. A nurse tells the manager that a housekeeper's work is not up to standards.
qy qy qy qy qy qy qy qy qy qy qy qy qy
4. A nurse volunteers to take a Spanish language class to be able to communicate with clien
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ts.
5. A nurse who has not made a medication error in two years asks for a salary increa
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
se. Answer: 2, 3, 4
qy q y qy qy
Explanation: 1. The philosophy of quality management is focus on the needs of the client. I
q y qy qy qy qy qy qy qy qy qy qy qy qy qy qy
f there is no reason for the visitors to leave other than it is after visiting hours, this is not f
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ocused on client need. qy qy qy
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. T
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
his is an example of quality management.
qy qy qy qy qy qy
3. Quality management empowers the employee to evaluate quality.
qy qy qy qy qy qy qy
4. This nurse has seen a need and is working to improve the quality of service. This is qual
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ity management.
qy
5. Salary increases can be tied to quality improvement initiatives, but just asking for
qy qy qy qy qy qy qy qy qy qy qy qy qy
an increase is not quality management.
qy qy qy qy qy
Cognitive Level: Applying qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
qy q y qy qy qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
qy
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapt
qy qy qy qy qy qy qy qy
er 1 Introducing Nursing Management
qy q y qy qy
1) A nurse manager is participating in the healthcare organization's strategic planning com
qy qy qy qy qy qy qy qy qy qy qy
mittee. Which factor is the primary driving force and controlling factor in new initiatives t
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
his committee might recommend?
qy qy qy
1. Cost of care qy qy
2. Access to care qy qy
3. Availability of care qy qy
4. Quality of care qy qy
qyAnswer: 1 q y
Explanation: 1. While all of the options given are driving forces in today's healthcare envi
q y qy qy qy qy qy qy qy qy qy qy qy qy qy
ronment, the cost of providing care is still the primary issue. Cost of care controls access, a
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
vailability, and quality. qy qy
2. Access to care is controlled by the ability to pay.
qy qy qy qy qy qy qy qy qy
3. Care will not be available if it cannot be funded.
qy qy qy qy qy qy qy qy qy
4. Healthcare providers do not like to correlate quality with cost, but the economic reality
qy qy qy qy qy qy qy qy qy qy qy qy qy q
yis that quality care must also be funded care.
qy qy qy qy qy qy qy qy
Cognitive Level: Applying qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
qy q y qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. Wh
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
at information should the nurse plan to include in this discussion?
qy qy qy qy qy qy qy qy qy qy
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) econo
qy qy qy qy qy qy qy qy qy qy qy qy qy
my spent on healthcare has slowly declined to less than 12%.
qy qy qy qy qy qy qy qy qy qy
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA
qy qy qy qy qy qy qy qy qy qy qy
) should bring financial relief to healthcare consumers.
qy qy qy qy qy qy qy
3. The United States spends more money on healthcare than any other country.
qy qy qy qy qy qy qy qy qy qy qy
4. Healthcare spending in the United States is slowly declining due to passage of bills such
qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
yas the Patient Protection and Affordable Care Act (PPACA).
qy qy qy qy qy qy qy qy
Answer: 2 q y
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross d
q y qy qy qy qy qy qy qy qy qy qy qy qy qy
omestic product. qy
2. Implementation of PPACA and its regulations have not been formulated. qy qy qy qy qy qy qy qy qy
3. The United States spends more than $2.5 trillion on healthcare annually, more than a
qy qy qy qy qy qy qy qy qy qy qy qy qy
ny other country.
qy qy
4. While this act has been passed, it is not operationalized. Healthcare spending continues
qy qy qy qy qy qy qy qy qy qy qy qy qy
to rise. qy
Cognitive Level: Analyzing qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Planning/Educationqy q y qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
3) A 70-year-old client develops a catheter-
qy qy qy qy qy
induced urinary tract infection. Which statement by the nurse would indicate to the nurse
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
manager a need for additional understanding of this situation?
qy qy qy qy qy qy qy qy
1. "I wonder if there was a break of sterility when this catheter was inserted."
qy qy qy qy qy qy qy qy qy qy qy qy qy
2. "Thankfully we can treat this with an antibiotic." qy qy qy qy qy qy qy
3. "This could potentially cost the hospital a lot of money."
qy qy qy qy qy qy qy qy qy
4. "I will talk to my unlicensed assistants about proper urinary catheter care
qy qy qy qy qy qy qy qy qy qy qy
." Answer: 2
qy q y
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned a
q y qy qy qy qy qy qy qy qy qy qy qy qy qy
bout the process that might have contributed to this infection.
qy qy qy qy qy qy qy qy qy
2. The nurse who focuses on taking care of the results of a potential medical mistake is
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
not accepting the seriousness of the situation.
qy qy qy qy qy qy
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred
qy qy qy qy qy qy qy qy qy qy qy qy qy
by medical mistakes. This urinary tract infection could cost the hospital the cost of treat
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ment, including increased length of stay.
qy qy qy qy qy
4. The nurse has identified that improper care may result in poor outcomes for the clie
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
nt. Cognitive Level: Applying
qy qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Evaluation/Education
qy q y qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
4) Which healthcare situations reflect the philosophy of quality management as designed
qy qy qy qy qy qy qy qy qy qy qy
by Deming? qy
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
, Select all that apply. qy qy qy
1. A nurse asks visitors to leave because it is after visiting hours.
qy qy qy qy qy qy qy qy qy qy qy
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed fr
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
om nothing by mouth (NPO) status.
qy qy qy qy qy
3. A nurse tells the manager that a housekeeper's work is not up to standards.
qy qy qy qy qy qy qy qy qy qy qy qy qy
4. A nurse volunteers to take a Spanish language class to be able to communicate with clien
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ts.
5. A nurse who has not made a medication error in two years asks for a salary increa
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
se. Answer: 2, 3, 4
qy q y qy qy
Explanation: 1. The philosophy of quality management is focus on the needs of the client. I
q y qy qy qy qy qy qy qy qy qy qy qy qy qy qy
f there is no reason for the visitors to leave other than it is after visiting hours, this is not f
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ocused on client need. qy qy qy
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. T
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
his is an example of quality management.
qy qy qy qy qy qy
3. Quality management empowers the employee to evaluate quality.
qy qy qy qy qy qy qy
4. This nurse has seen a need and is working to improve the quality of service. This is qual
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ity management.
qy
5. Salary increases can be tied to quality improvement initiatives, but just asking for
qy qy qy qy qy qy qy qy qy qy qy qy qy
an increase is not quality management.
qy qy qy qy qy
Cognitive Level: Applying qy q y
Client Need: Safe Effective Care Environment Cli
qy q y qy qy qy qy
ent Need Sub: Management of Care
qy qy q y qy qy
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
qy q y qy qy qy qy
Learning Outcome: 1- qy q y
1: Explain changes to healthcare over the past decade, including those resulting from imple
qy qy qy qy qy qy qy qy qy qy qy qy qy
mentation of the Affordable Care Act; demands to reduce errors and improve patient safety
qy qy qy qy qy qy qy qy qy qy qy qy qy
; and evolving medical and communication technology.
qy qy qy qy qy qy
