Effective Leadership & Management in Nursing (9th Edition – Sullivan) | Test Bank – Chapter 1: Introducing Nursing Management

,EffectivecLeadershipc&cManagementcincNursing,c9ec(Sullivan)cChapt
erc1c IntroducingcNursingcManagement

1) Acnursecmanagerciscparticipatingcincthechealthcarecorganization'scstrategiccplanningccommittee.c
Whichcfactorciscthecprimarycdrivingcforcecandccontrollingcfactorcincnewcinitiativescthisccommitteecm
ightcrecommend?
1. Costcofccare
2. Accessctoccare
3. Availabilitycofccare
4. Qualitycofccarec
Answer:c 1
Explanation:c 1.cWhilecallcofcthecoptionscgivencarecdrivingcforcescinctoday'schealthcarecenvironment
,ctheccostcofcprovidingccareciscstillcthecprimarycissue.cCostcofccareccontrolscaccess,cavailability,candcq
uality.
2. Accessctoccarecisccontrolledcbycthecabilityctocpay.
3. Carecwillcnotcbecavailablecifcitccannotcbecfunded.
4. Healthcarecproviderscdocnotclikectoccorrelatecqualitycwithccost,cbutcthececonomiccrealityciscthatcq
ualityccarecmustcalsocbecfundedccare.
CognitivecLevel:c Applying
ClientcNeed:c SafecEffectivecCarecEnvironmentcClie
ntcNeedcSub:c ManagementcofcCare
Nursing/IntcConc:c NursingcProcess:cEvaluation/Leadership
LearningcOutcome:c 1-
1:cExplaincchangesctochealthcarecovercthecpastcdecade,cincludingcthosecresultingcfromcimplementati
oncofcthecAffordablecCarecAct;cdemandsctocreducecerrorscandcimprovecpatientcsafety;candcevolvingc
medicalcandccommunicationctechnology.

,2) Acnursechascbeencinvitedctocdiscusschealthcareccostscatcacseniorccitizens'cclub.cWhatcin
formationcshouldcthecnursecplanctocincludecincthiscdiscussion?
1. Whilechealthcareccostsccontinuectocrise,cthecpercentagecofcthecUnitedcStatesc(U.S.)ceconomycs
pentconchealthcarechascslowlycdeclinedctoclesscthanc12%.
2. RegulationscbroughtcaboutcbycthecPatientcProtectioncandcAffordablecCarecActc(PPACA)cshouldcb
ringcfinancialcreliefctochealthcarecconsumers.
3. ThecUnitedcStatescspendscmorecmoneyconchealthcarecthancanycotherccountry.
4. HealthcarecspendingcincthecUnitedcStatesciscslowlycdecliningcduectocpassagecofcbillscsuchcascthecPa
tientcProtectioncandcAffordablecCarecActc(PPACA).
Answer:c 2
Explanation:c 1.cInc2009,chealthcareccostscconsumedcmorecthanc17%cofctheccountry'scgrosscdomesti
ccproduct.
2. ImplementationcofcPPACAcandcitscregulationschavecnotcbeencformulated.
3. ThecUnitedcStatescspendscmorecthanc$2.5ctrillionconchealthcarecannually,cmorecthancanycothercc
ountry.
4. Whilecthiscactchascbeencpassed,citciscnotcoperationalized.cHealthcarecspendingccontinuesctocrise.cC
ognitivecLevel:c Analyzing
ClientcNeed:c SafecEffectivecCarecEnvironmentcClie
ntcNeedcSub:c ManagementcofcCare
Nursing/IntcConc:c NursingcProcess:cPlanning/Education
LearningcOutcome:c 1-
1:cExplaincchangesctochealthcarecovercthecpastcdecade,cincludingcthosecresultingcfromcimplementati
oncofcthecAffordablecCarecAct;cdemandsctocreducecerrorscandcimprovecpatientcsafety;candcevolvingc
medicalcandccommunicationctechnology.

3) Ac70-year-oldcclientcdevelopscaccatheter-
inducedcurinaryctractcinfection.cWhichcstatementcbycthecnursecwouldcindicatectocthecnursecmanage
rcacneedcforcadditionalcunderstandingcofcthiscsituation?
1. "Icwondercifctherecwascacbreakcofcsterilitycwhencthisccathetercwascinserted."
2. "Thankfullycweccanctreatcthiscwithcancantibiotic."
3. "Thisccouldcpotentiallyccostcthechospitalcaclotcofcmoney."
4. "Icwillctalkctocmycunlicensedcassistantscaboutcpropercurinaryccatheterccare."c
Answer:c 2
Explanation:c 1.cWonderingcaboutcacbreakcincsterilitycindicatescthatcthecnurseciscconcernedcaboutcthe
cprocesscthatcmightchaveccontributedctocthiscinfection.

2. Thecnursecwhocfocusesconctakingccarecofcthecresultscofcacpotentialcmedicalcmistakeciscnotcac
ceptingcthecseriousnesscofcthecsituation.
3. ThecCenterscforcMedicarecandcMedicaidcServicescnoclongerccoverctheccostscincurredcbycm
edicalcmistakes.cThiscurinaryctractcinfectionccouldccostcthechospitalctheccostcofctreatment,cincl
udingcincreasedclengthcofcstay.
4. Thecnursechascidentifiedcthatcimproperccarecmaycresultcincpoorcoutcomescforcthecclient.cC
ognitivecLevel:c Applying
ClientcNeed:c SafecEffectivecCarecEnvironmentcClie
ntcNeedcSub:c ManagementcofcCare
Nursing/IntcConc:c NursingcProcess:cEvaluation/Education
LearningcOutcome:c 1-
1:cExplaincchangesctochealthcarecovercthecpastcdecade,cincludingcthosecresultingcfromcimplementati
oncofcthecAffordablecCarecAct;cdemandsctocreducecerrorscandcimprovecpatientcsafety;candcevolvingc
medicalcandccommunicationctechnology.

4) Whichchealthcarecsituationscreflectcthecphilosophycofcqualitycmanagementcascdesignedcby

, Deming?
Note:cCreditcwillcbecgivenconlycifcallccorrectcchoicescandcnocincorrectcchoicescarecselected.
Selectcallcthatcapply.
1. Acnursecaskscvisitorsctocleavecbecausecitciscaftercvisitingchours.
2. Atc2:00cp.m.cthecnursecorderscaclunchctraycforcacclientcwhochascjustcbeencremovedcfromcnothingcby
cmouthc(NPO)cstatus.

3. Acnursectellscthecmanagercthatcachousekeeper'scworkciscnotcupctocstandards.
4. AcnursecvolunteersctoctakecacSpanishclanguagecclassctocbecablectoccommunicatecwithcclients.
5. Acnursecwhochascnotcmadecacmedicationcerrorcinctwocyearscaskscforcacsalarycincrease.cA
nswer:c 2,c3,c4
Explanation:c 1.cThecphilosophycofcqualitycmanagementciscfocusconcthecneedscofcthecclient.cIfctherec
iscnocreasoncforcthecvisitorsctocleavecothercthancitciscaftercvisitingchours,cthisciscnotcfocusedconcclientc
need.
2. Evencthoughc2:00cp.m.ciscafterc"lunchtime,"cthiscnurseciscfocusedconcthecclient'scneeds.cThisciscan
cexamplecofcqualitycmanagement.

3. Qualitycmanagementcempowerscthecemployeectocevaluatecquality.
4. Thiscnursechascseencacneedcandciscworkingctocimprovecthecqualitycofcservice.cThisciscqualitycm
anagement.
5. Salarycincreasesccancbectiedctocqualitycimprovementcinitiatives,cbutcjustcaskingcforcancincreasecisc
notcqualitycmanagement.
CognitivecLevel:c Applying
ClientcNeed:c SafecEffectivecCarecEnvironmentcClie
ntcNeedcSub:c ManagementcofcCare
Nursing/IntcConc:c NursingcProcess:cImplementation/QualitycofcPractice
LearningcOutcome:c 1-
1:cExplaincchangesctochealthcarecovercthecpastcdecade,cincludingcthosecresultingcfromcimplementati
oncofcthecAffordablecCarecAct;cdemandsctocreducecerrorscandcimprovecpatientcsafety;candcevolvingc
medicalcandccommunicationctechnology.