Stuvia.com72-
72The72Marketplace72to72Buy72and72Sell72your72Study72Mat
erial
Effective72Leadership72&72Management72in72Nursing,729e72(Sullivan)72
Chapter7217 2 Introducing72Nursing72Management
1) A72nurse72manager72is72participating72in72the72healthcare72organization's72strategic72plann
ing72committee.72Which72factor72is72the72primary72driving72force72and72controlling72factor72in
72new72initiatives72this72committee72might72recommend?
1. Cost72of72care
2. Access72to72care
3. Availability72of72care
4. Quality72of72ca
re72Answer:7 2 1
Explanation:7 2 1.72While72all72of72the72options72given72are72driving72forces72in72today's72heal
thcare72environment,72the72cost72of72providing72care72is72still72the72primary72issue.72Cost72of72c
are72controls72access,72availability,72and72quality.
2. Access72to72care72is72controlled72by72the72ability72to72pay.
3. Care72will72not72be72available72if72it72cannot72be72funded.
4. Healthcare72providers72do72not72like72to72correlate72quality72with72cost,72but72the72econo
mic72reality72is72that72quality72care72must72also72be72funded72care.
Cognitive72Level:7 2 Applying
Client72Need:7 2 Safe72Effective72Care72Environment7
2Client72Need72Sub:7 2 Management72of72Care
Nursing/Int72Conc:7 2 Nursing72Process:72Evaluation/Leadership
Learning72Outcome:7 2 1-
1:72Explain72changes72to72healthcare72over72the72past72decade,72including72those72resulting72fr
om72implementation72of72the72Affordable72Care72Act;72demands72to72reduce72errors72and72im
prove72patient72safety;72and72evolving72medical72and72communication72technology.
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ail.com
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72The72Marketplace72to72Buy72and72Sell72your72Study72Mat
erial
2) Arnurse72rhas72rbeen72rinvited72rto72rdiscuss72rhealthcare72rcosts72rat72ra72rsenior72rcitiz
ens'72rclub.72rWhat72rinformation72rshould72rthe72rnurse72rplan72rto72rinclude72rin72rthi
s72rdiscussion?
1. While72rhealthcare72rcosts72rcontinue72rto72rrise,72rthe72rpercentage72rof72rthe72rUnited72rSta
tes72r(U.S.)72reconomy72rspent72ron72rhealthcare72rhas72rslowly72rdeclined72rto72rless72rthan
72r12%.
2. Regulationsrbrought72rabout72rbyrthe72rPatient72rProtection72randrAffordable72rCar
erAct72r(PPACA)72rshould72rbring72rfinancial72rrelief72rto72rhealthcare72rconsumer
s.
3. The72rUnited72rStates72rspends72rmore72rmoney72ron72rhealthcare72rthan72rany72rother72rcountry.
4. Healthcare72rspending72rin72rthe72rUnited72rStates72ris72rslowly72rdeclining72rdue72rto72rpassag
e72rof72rbills72rsuch72ras72rthe72rPatient72rProtection72rand72rAffordable72rCare72rAct72r(PPAC
A).
Answer:7 2 r72 2
Explanation:7 2 r721.72rIn72r2009,72rhealthcare72rcosts72rconsumed72rmore72rthan72r17%72rof72rthe72rco
untry's72rgross72rdomestic72rproduct.
2. Implementation72rof72rPPACArand72rits72rregulations72rhave72rnot72rbeen72rformulated.
3. The72rUnited72rStates72rspends72rmore72rthan72r$2.572rtrillion72ron72rhealthcare72rannually,72r
more72rthan72rany72rother72rcountry.
4. While72rthis72ract72rhas72rbeen72rpassed,72rit72ris72rnot72roperationalized.72rHealthcare72
rspending72rcontinues72rto72rrise.
Cognitive72rLevel:72r72Analyzing
Client72rNeed:72r72Safe72rEffective72rCare72rEnvironme
nt72rClient72rNeed72rSub:7 2 r72Management72rof72rCa
re
Nursing/Int72rConc:72 r72 Nursing72rProcess:72rPlanning/Education
Learning72rOutcome:7 2 r721-
1:72rExplain72rchanges72rto72rhealthcare72rover72rthe72rpast72rdecade,72rincluding72rthose72rresulting
72rfrom72rimplementation72rof72rthe72rAffordable72rCare72rAct;72rdemands72rto72rreduce72rerrors72r
and72rimprove72rpatient72rsafety;72rand72revolving72rmedical72rand72rcommunication72rtechnology.
3) A72r70-year-old72rclient72rdevelops72ra72rcatheter-
induced72rurinary72rtract72rinfection.72rWhich72rstatement72rby72rthe72rnurse72rwould72rindicat
e72rto72rthe72rnurse72rmanager72ra72rneed72rfor72radditional72runderstanding72rof72rthis72rsituati
on?
1. "I72rwonder72rif72rthere72rwas72ra72rbreak72rof72rsterility72rwhen72rthis72rcatheter72rwas72rinserted."
2. "Thankfully72rwe72rcan72rtreat72rthis72rwith72ran72rantibiotic."
3. "This72rcould72rpotentially72rcost72rthe72rhospital72ra72rlot72rof72rmoney."
4. "I72rwill72rtalk72rto72rmy72runlicensed72rassistants72rabout72rproper72rurinary72
rcatheter72rcare."72rAnswer:7 2 r722
Explanation:7 2 r721.72rWondering72rabout72ra72rbreak72rin72rsterility72rindicates72rthat72rthe72rnurse72ris
72rconcerned72rabout72rthe72rprocess72rthat72rmight72rhave72rcontributed72rto72rthis72rinfection.
2. The72rnurse72rwho72rfocuses72ron72rtaking72rcare72rof72rthe72rresults72rof72ra72rpotential72rmedi
cal72rmistake72ris72rnot72raccepting72rthe72rseriousness72rof72rthe72rsituation.
3. The72rCenters72rfor72rMedicare72rand72rMedicaid72rServices72rno72rlonger72rcover72rthe72r
costs72rincurred72rby72rmedical72rmistakes.72rThis72rurinary72rtract72rinfection72rcould72rcost72r
the72rhospital72rthe72rcost72rof72rtreatment,72rincluding72rincreased72rlength72rof72rstay.
4. The72rnurse72rhas72ridentified72rthat72rimproper72rcare72rmay72rresult72rin72rpoor72routcom
es72rfor72rthe72rclient.72rCognitive72rLevel:7 2 r72Applying
Client72rNeed:72r72Safe72rEffective72rCare72rEnvironme
nt72rClient72rNeed72rSub:7 2 r72Management72rof72rCa
re
Nursing/Int72rConc:72 r72 Nursing72rProcess:72rEvaluation/Education
Downloaded72by:72PASSGRADES72|72clintonwanjala4@gm
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Distribution72of72this72document72is72illegal
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Learning72rOutcome:7 272The72Marketplace72to72Buy72and72Sell72your72Study72Mat
r721-
erial
1:72rExplain72rchanges72rto72rhealthcare72rover72rthe72rpast72rdecade,72rincluding72rthose72rresulting
72rfrom72rimplementation72rof72rthe72rAffordable72rCare72rAct;72rdemands72rto72rreduce72rerrors72r
and72rimprove72rpatient72rsafety;72rand72revolving72rmedical72rand72rcommunication72rtechnology.
4) Which72rhealthcare72rsituations72rreflect72rthe72rphilosophy72rof72rquality72rmanagement72ras72
rdesigned72rby72rDeming?
Note:72rCredit72rwill72rbe72rgiven72ronly72rif72rall72rcorrect72rchoices72rand72rno72rincorrect72rchoices72rare72rsel
ected.
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72The72Marketplace72to72Buy72and72Sell72your72Study72Mat
erial
Select72rall72rthat72rapply.
1. Arnurse72rasks72rvisitors72rto72rleave72rbecause72rit72ris72rafter72rvisiting72rhours.
2. At72r2:0072rp.m.72rthe72rnurse72rorders72ra72rlunch72rtray72rfor72ra72rclient72rwho72rhas72rjust72rb
een72rremoved72rfrom72rnothing72rby72rmouth72r(NPO)72rstatus.
3. Arnurse72rtells72rthe72rmanager72rthat72ra72rhousekeeper's72rwork72ris72rnot72rup72rto72rstandards.
4. Arnurse72rvolunteers72rto72rtake72ra72rSpanish72rlanguage72rclass72rto72rbe72rable72rto72rcommunicate72rwith72r
clients.
5. Arnurse72rwho72rhas72rnot72rmade72ra72rmedication72rerror72rin72rtwo72ryears72rasks72rf
or72ra72rsalary72rincrease.72rAnswer:7 2 r722,72r3,72r4
Explanation:7 2 r721.72rThe72rphilosophy72rof72rquality72rmanagement72ris72rfocus72ron72rthe72rneeds7
2rof72rthe72rclient.72rIf72rthere72ris72rno72rreason72rfor72rthe72rvisitors72rto72rleave72rother72rthan72rit72ris
72rafter72rvisiting72rhours,72rthis72ris72rnot72rfocused72ron72rclient72rneed.
2. Even72rthough72r2:0072rp.m.72ris72rafter72r"lunchtime,"72rthis72rnurse72ris72rfocused72ron72rthe72rcli
ent's72rneeds.72rThis72ris72ran72rexample72rof72rquality72rmanagement.
3. Qualityrmanagement72rempowers72rthe72remployee72rto72revaluate72rquality.
4. This72rnurse72rhas72rseen72ra72rneed72rand72ris72rworking72rto72rimprove72rthe72rquality72rof72rser
vice.72rThis72ris72rquality72rmanagement.
5. Salary72rincreases72rcan72rbe72rtied72rto72rquality72rimprovement72rinitiatives,72rbut72rju
st72rasking72rfor72ran72rincrease72ris72rnot72rquality72rmanagement.
Cognitive72rLevel:72r72Applying
Client72rNeed:72r72Safe72rEffective72rCare72rEnvironme
nt72rClient72rNeed72rSub:7 2 r72Management72rof72rCa
re
Nursing/Int72rConc:72r72Nursing72rProcess:72rImplementation/Quality72rof72rPractice
Learning72rOutcome:7 2 r721-
1:72rExplain72rchanges72rto72rhealthcare72rover72rthe72rpast72rdecade,72rincluding72rthose72rresulting
72rfrom72rimplementation72rof72rthe72rAffordable72rCare72rAct;72rdemands72rto72rreduce72rerrors72r
and72rimprove72rpatient72rsafety;72rand72revolving72rmedical72rand72rcommunication72rtechnology.
Downloaded72by:72PASSGRADES72|72clintonwanjala4@gm
ail.com
Distribution72of72this72document72is72illegal
72The72Marketplace72to72Buy72and72Sell72your72Study72Mat
erial
Effective72Leadership72&72Management72in72Nursing,729e72(Sullivan)72
Chapter7217 2 Introducing72Nursing72Management
1) A72nurse72manager72is72participating72in72the72healthcare72organization's72strategic72plann
ing72committee.72Which72factor72is72the72primary72driving72force72and72controlling72factor72in
72new72initiatives72this72committee72might72recommend?
1. Cost72of72care
2. Access72to72care
3. Availability72of72care
4. Quality72of72ca
re72Answer:7 2 1
Explanation:7 2 1.72While72all72of72the72options72given72are72driving72forces72in72today's72heal
thcare72environment,72the72cost72of72providing72care72is72still72the72primary72issue.72Cost72of72c
are72controls72access,72availability,72and72quality.
2. Access72to72care72is72controlled72by72the72ability72to72pay.
3. Care72will72not72be72available72if72it72cannot72be72funded.
4. Healthcare72providers72do72not72like72to72correlate72quality72with72cost,72but72the72econo
mic72reality72is72that72quality72care72must72also72be72funded72care.
Cognitive72Level:7 2 Applying
Client72Need:7 2 Safe72Effective72Care72Environment7
2Client72Need72Sub:7 2 Management72of72Care
Nursing/Int72Conc:7 2 Nursing72Process:72Evaluation/Leadership
Learning72Outcome:7 2 1-
1:72Explain72changes72to72healthcare72over72the72past72decade,72including72those72resulting72fr
om72implementation72of72the72Affordable72Care72Act;72demands72to72reduce72errors72and72im
prove72patient72safety;72and72evolving72medical72and72communication72technology.
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ail.com
Distribution72of72this72document72is72illegal
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72The72Marketplace72to72Buy72and72Sell72your72Study72Mat
erial
2) Arnurse72rhas72rbeen72rinvited72rto72rdiscuss72rhealthcare72rcosts72rat72ra72rsenior72rcitiz
ens'72rclub.72rWhat72rinformation72rshould72rthe72rnurse72rplan72rto72rinclude72rin72rthi
s72rdiscussion?
1. While72rhealthcare72rcosts72rcontinue72rto72rrise,72rthe72rpercentage72rof72rthe72rUnited72rSta
tes72r(U.S.)72reconomy72rspent72ron72rhealthcare72rhas72rslowly72rdeclined72rto72rless72rthan
72r12%.
2. Regulationsrbrought72rabout72rbyrthe72rPatient72rProtection72randrAffordable72rCar
erAct72r(PPACA)72rshould72rbring72rfinancial72rrelief72rto72rhealthcare72rconsumer
s.
3. The72rUnited72rStates72rspends72rmore72rmoney72ron72rhealthcare72rthan72rany72rother72rcountry.
4. Healthcare72rspending72rin72rthe72rUnited72rStates72ris72rslowly72rdeclining72rdue72rto72rpassag
e72rof72rbills72rsuch72ras72rthe72rPatient72rProtection72rand72rAffordable72rCare72rAct72r(PPAC
A).
Answer:7 2 r72 2
Explanation:7 2 r721.72rIn72r2009,72rhealthcare72rcosts72rconsumed72rmore72rthan72r17%72rof72rthe72rco
untry's72rgross72rdomestic72rproduct.
2. Implementation72rof72rPPACArand72rits72rregulations72rhave72rnot72rbeen72rformulated.
3. The72rUnited72rStates72rspends72rmore72rthan72r$2.572rtrillion72ron72rhealthcare72rannually,72r
more72rthan72rany72rother72rcountry.
4. While72rthis72ract72rhas72rbeen72rpassed,72rit72ris72rnot72roperationalized.72rHealthcare72
rspending72rcontinues72rto72rrise.
Cognitive72rLevel:72r72Analyzing
Client72rNeed:72r72Safe72rEffective72rCare72rEnvironme
nt72rClient72rNeed72rSub:7 2 r72Management72rof72rCa
re
Nursing/Int72rConc:72 r72 Nursing72rProcess:72rPlanning/Education
Learning72rOutcome:7 2 r721-
1:72rExplain72rchanges72rto72rhealthcare72rover72rthe72rpast72rdecade,72rincluding72rthose72rresulting
72rfrom72rimplementation72rof72rthe72rAffordable72rCare72rAct;72rdemands72rto72rreduce72rerrors72r
and72rimprove72rpatient72rsafety;72rand72revolving72rmedical72rand72rcommunication72rtechnology.
3) A72r70-year-old72rclient72rdevelops72ra72rcatheter-
induced72rurinary72rtract72rinfection.72rWhich72rstatement72rby72rthe72rnurse72rwould72rindicat
e72rto72rthe72rnurse72rmanager72ra72rneed72rfor72radditional72runderstanding72rof72rthis72rsituati
on?
1. "I72rwonder72rif72rthere72rwas72ra72rbreak72rof72rsterility72rwhen72rthis72rcatheter72rwas72rinserted."
2. "Thankfully72rwe72rcan72rtreat72rthis72rwith72ran72rantibiotic."
3. "This72rcould72rpotentially72rcost72rthe72rhospital72ra72rlot72rof72rmoney."
4. "I72rwill72rtalk72rto72rmy72runlicensed72rassistants72rabout72rproper72rurinary72
rcatheter72rcare."72rAnswer:7 2 r722
Explanation:7 2 r721.72rWondering72rabout72ra72rbreak72rin72rsterility72rindicates72rthat72rthe72rnurse72ris
72rconcerned72rabout72rthe72rprocess72rthat72rmight72rhave72rcontributed72rto72rthis72rinfection.
2. The72rnurse72rwho72rfocuses72ron72rtaking72rcare72rof72rthe72rresults72rof72ra72rpotential72rmedi
cal72rmistake72ris72rnot72raccepting72rthe72rseriousness72rof72rthe72rsituation.
3. The72rCenters72rfor72rMedicare72rand72rMedicaid72rServices72rno72rlonger72rcover72rthe72r
costs72rincurred72rby72rmedical72rmistakes.72rThis72rurinary72rtract72rinfection72rcould72rcost72r
the72rhospital72rthe72rcost72rof72rtreatment,72rincluding72rincreased72rlength72rof72rstay.
4. The72rnurse72rhas72ridentified72rthat72rimproper72rcare72rmay72rresult72rin72rpoor72routcom
es72rfor72rthe72rclient.72rCognitive72rLevel:7 2 r72Applying
Client72rNeed:72r72Safe72rEffective72rCare72rEnvironme
nt72rClient72rNeed72rSub:7 2 r72Management72rof72rCa
re
Nursing/Int72rConc:72 r72 Nursing72rProcess:72rEvaluation/Education
Downloaded72by:72PASSGRADES72|72clintonwanjala4@gm
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Distribution72of72this72document72is72illegal
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Learning72rOutcome:7 272The72Marketplace72to72Buy72and72Sell72your72Study72Mat
r721-
erial
1:72rExplain72rchanges72rto72rhealthcare72rover72rthe72rpast72rdecade,72rincluding72rthose72rresulting
72rfrom72rimplementation72rof72rthe72rAffordable72rCare72rAct;72rdemands72rto72rreduce72rerrors72r
and72rimprove72rpatient72rsafety;72rand72revolving72rmedical72rand72rcommunication72rtechnology.
4) Which72rhealthcare72rsituations72rreflect72rthe72rphilosophy72rof72rquality72rmanagement72ras72
rdesigned72rby72rDeming?
Note:72rCredit72rwill72rbe72rgiven72ronly72rif72rall72rcorrect72rchoices72rand72rno72rincorrect72rchoices72rare72rsel
ected.
Downloaded72by:72PASSGRADES72|72clintonwanjala4@gm
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72The72Marketplace72to72Buy72and72Sell72your72Study72Mat
erial
Select72rall72rthat72rapply.
1. Arnurse72rasks72rvisitors72rto72rleave72rbecause72rit72ris72rafter72rvisiting72rhours.
2. At72r2:0072rp.m.72rthe72rnurse72rorders72ra72rlunch72rtray72rfor72ra72rclient72rwho72rhas72rjust72rb
een72rremoved72rfrom72rnothing72rby72rmouth72r(NPO)72rstatus.
3. Arnurse72rtells72rthe72rmanager72rthat72ra72rhousekeeper's72rwork72ris72rnot72rup72rto72rstandards.
4. Arnurse72rvolunteers72rto72rtake72ra72rSpanish72rlanguage72rclass72rto72rbe72rable72rto72rcommunicate72rwith72r
clients.
5. Arnurse72rwho72rhas72rnot72rmade72ra72rmedication72rerror72rin72rtwo72ryears72rasks72rf
or72ra72rsalary72rincrease.72rAnswer:7 2 r722,72r3,72r4
Explanation:7 2 r721.72rThe72rphilosophy72rof72rquality72rmanagement72ris72rfocus72ron72rthe72rneeds7
2rof72rthe72rclient.72rIf72rthere72ris72rno72rreason72rfor72rthe72rvisitors72rto72rleave72rother72rthan72rit72ris
72rafter72rvisiting72rhours,72rthis72ris72rnot72rfocused72ron72rclient72rneed.
2. Even72rthough72r2:0072rp.m.72ris72rafter72r"lunchtime,"72rthis72rnurse72ris72rfocused72ron72rthe72rcli
ent's72rneeds.72rThis72ris72ran72rexample72rof72rquality72rmanagement.
3. Qualityrmanagement72rempowers72rthe72remployee72rto72revaluate72rquality.
4. This72rnurse72rhas72rseen72ra72rneed72rand72ris72rworking72rto72rimprove72rthe72rquality72rof72rser
vice.72rThis72ris72rquality72rmanagement.
5. Salary72rincreases72rcan72rbe72rtied72rto72rquality72rimprovement72rinitiatives,72rbut72rju
st72rasking72rfor72ran72rincrease72ris72rnot72rquality72rmanagement.
Cognitive72rLevel:72r72Applying
Client72rNeed:72r72Safe72rEffective72rCare72rEnvironme
nt72rClient72rNeed72rSub:7 2 r72Management72rof72rCa
re
Nursing/Int72rConc:72r72Nursing72rProcess:72rImplementation/Quality72rof72rPractice
Learning72rOutcome:7 2 r721-
1:72rExplain72rchanges72rto72rhealthcare72rover72rthe72rpast72rdecade,72rincluding72rthose72rresulting
72rfrom72rimplementation72rof72rthe72rAffordable72rCare72rAct;72rdemands72rto72rreduce72rerrors72r
and72rimprove72rpatient72rsafety;72rand72revolving72rmedical72rand72rcommunication72rtechnology.
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