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