1
Copyright © 2018 Pearson Education, Inc.
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VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
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1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning committee. W
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hich factor is the primary driving force and controlling factor in new initiatives this committee mig
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ht recommend?
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1. Cost of care zl zl
2. Access to care zl zl
3. Availability of care zl zl
4. Quality of care zl zl zl
Answer: 1 z l
Explanation: 1. While all of the options given are driving forces in today's healthcare environmen
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t, the cost of providing care is still the primary issue. Cost of care controls access, availability, and
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quality.
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 is that qu
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ality care must also be funded care.
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Cognitive Level: Applying zl z l
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 zl z l zl zl
Learning Outcome: 1- zl z l
1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. zl zl zl
2
Copyright © 2018 Pearson Education, Inc. zl zl zl zl zl
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What inf
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ormation should the nurse plan to include in this discussion? zl zl zl zl zl zl zl zl zl
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy sp
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ent on healthcare has slowly declined to less than 12%.
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2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should br zl zl zl zl zl zl zl zl zl zl zl zl zl
ing financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
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4. Healthcare spending in the United States is slowly declining due to passage of bills such as the Pat zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ient Protection and Affordable Care Act (PPACA).
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Answer: 2 z l
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domesti z l zl zl zl zl zl zl zl zl zl zl zl zl zl
c product.
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2. Implementation of PPACA and its regulations have not been formulated. zl zl zl zl zl zl zl zl zl
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other co
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untry.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise. C
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ognitive Level: Analyzing zl z l
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: Planning/Education zl z l zl zl
Learning Outcome: 1- zl z l
1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. zl zl zl
3) A 70-year-old client develops a catheter-
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induced urinary tract infection. Which statement by the nurse would indicate to the nurse manage
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r a need for additional understanding of this situation?
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1. "I wonder if there was a break of sterility when this catheter was inserted."
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2. "Thankfully we can treat this with an antibiotic." zl zl zl zl zl zl zl
3. "This could potentially cost the hospital a lot of money."
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4. "I will talk to my unlicensed assistants about proper urinary catheter care." A
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nswer: 2 z l
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about the
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process that might have contributed to this infection.
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2. The nurse who focuses on taking care of the results of a potential medical mistake is not acc
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epting the seriousness of the situation. zl zl zl zl zl
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by m
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edical mistakes. This urinary tract infection could cost the hospital the cost of treatment, incl
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uding increased length of stay. zl zl zl zl
4. The nurse has identified that improper care may result in poor outcomes for the client. Co
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gnitive Level: Applying zl z l
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/Education zl z l zl zl
Learning Outcome: 1- zl z l
1: Explain changes to healthcare over the past decade, including those resulting from implementati
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3
Copyright © 2018 Pearson Education, Inc. zl zl zl zl zl
VERIFIEDBRAINBOOSTER
, on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology.
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4
Copyright © 2018 Pearson Education, Inc.
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VERIFIEDBRAINBOOSTER
Copyright © 2018 Pearson Education, Inc.
zl zl zl zl zl
VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
zl zl zl zl zl zl zl zl zl
1 Introducing Nursing Management
z l zl zl
1) A nurse manager is participating in the healthcare organization's strategic planning committee. W
zl zl zl zl zl zl zl zl zl zl zl zl
hich factor is the primary driving force and controlling factor in new initiatives this committee mig
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ht recommend?
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1. Cost of care zl zl
2. Access to care zl zl
3. Availability of care zl zl
4. Quality of care zl zl zl
Answer: 1 z l
Explanation: 1. While all of the options given are driving forces in today's healthcare environmen
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t, the cost of providing care is still the primary issue. Cost of care controls access, availability, and
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quality.
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 is that qu
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ality care must also be funded care.
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Cognitive Level: Applying zl z l
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 zl z l zl zl
Learning Outcome: 1- zl z l
1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. zl zl zl
2
Copyright © 2018 Pearson Education, Inc. zl zl zl zl zl
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What inf
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ormation should the nurse plan to include in this discussion? zl zl zl zl zl zl zl zl zl
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy sp
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ent on healthcare has slowly declined to less than 12%.
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2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should br zl zl zl zl zl zl zl zl zl zl zl zl zl
ing financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
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4. Healthcare spending in the United States is slowly declining due to passage of bills such as the Pat zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ient Protection and Affordable Care Act (PPACA).
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Answer: 2 z l
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domesti z l zl zl zl zl zl zl zl zl zl zl zl zl zl
c product.
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2. Implementation of PPACA and its regulations have not been formulated. zl zl zl zl zl zl zl zl zl
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other co
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untry.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise. C
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ognitive Level: Analyzing zl z l
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: Planning/Education zl z l zl zl
Learning Outcome: 1- zl z l
1: Explain changes to healthcare over the past decade, including those resulting from implementati
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on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology. zl zl zl
3) A 70-year-old client develops a catheter-
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induced urinary tract infection. Which statement by the nurse would indicate to the nurse manage
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r a need for additional understanding of this situation?
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1. "I wonder if there was a break of sterility when this catheter was inserted."
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2. "Thankfully we can treat this with an antibiotic." zl zl zl zl zl zl zl
3. "This could potentially cost the hospital a lot of money."
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4. "I will talk to my unlicensed assistants about proper urinary catheter care." A
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nswer: 2 z l
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about the
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process that might have contributed to this infection.
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2. The nurse who focuses on taking care of the results of a potential medical mistake is not acc
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epting the seriousness of the situation. zl zl zl zl zl
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by m
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edical mistakes. This urinary tract infection could cost the hospital the cost of treatment, incl
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uding increased length of stay. zl zl zl zl
4. The nurse has identified that improper care may result in poor outcomes for the client. Co
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gnitive Level: Applying zl z l
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/Education zl z l zl zl
Learning Outcome: 1- zl z l
1: Explain changes to healthcare over the past decade, including those resulting from implementati
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3
Copyright © 2018 Pearson Education, Inc. zl zl zl zl zl
VERIFIEDBRAINBOOSTER
, on of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
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medical and communication technology.
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4
Copyright © 2018 Pearson Education, Inc.
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VERIFIEDBRAINBOOSTER
