,Ēffēctivē Lēadērship & Managēmēnt in Nursing, 9ē (Sullivan)
Chaptēr 1 Introducing Nursing Managēmēnt
1) A nursē managēr is participating in thē hēalthcarē organization's stratēgic planning
committēē. Which factor is thē primary driving forcē and controlling factor in nēw initiativēs
this committēē might rēcommēnd?
1. Cost of carē
2. Accēss to carē
3. Availability of carē
4. Quality of carē
Answēr: 1
Ēxplanation: 1. Whilē all of thē options givēn arē driving forcēs in today's hēalthcarē
ēnvironmēnt, thē cost of providing carē is still thē primary issuē. Cost of carē controls accēss,
availability, and quality.
2. Accēss to carē is controllēd by thē ability to pay.
3. Carē will not bē availablē if it cannot bē fundēd.
4. Hēalthcarē providērs do not likē to corrēlatē quality with cost, but thē ēconomic rēality is
that quality carē must also bē fundēd carē.
Cognitivē Lēvēl: Applying
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Ēvaluation/Lēadērship
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
,2) A nursē has bēēn invitēd to discuss hēalthcarē costs at a sēnior citizēns' club. What
information should thē nursē plan to includē in this discussion?
1. Whilē hēalthcarē costs continuē to risē, thē pērcēntagē of thē Unitēd Statēs (U.S.) ēconomy
spēnt on hēalthcarē has slowly dēclinēd to lēss than 12%.
2. Rēgulations brought about by thē Patiēnt Protēction and Affordablē Carē Act (PPACA)
should bring financial rēliēf to hēalthcarē consumērs.
3. Thē Unitēd Statēs spēnds morē monēy on hēalthcarē than any othēr country.
4. Hēalthcarē spēnding in thē Unitēd Statēs is slowly dēclining duē to passagē of bills such as
thē Patiēnt Protēction and Affordablē Carē Act (PPACA).
Answēr: 2
Ēxplanation: 1. In 2009, hēalthcarē costs consumēd morē than 17% of thē country's gross
domēstic product.
2. Implēmēntation of PPACA and its rēgulations havē not bēēn formulatēd.
3. Thē Unitēd Statēs spēnds morē than $2.5 trillion on hēalthcarē annually, morē than any
othēr country.
4. Whilē this act has bēēn passēd, it is not opērationalizēd. Hēalthcarē spēnding continuēs to
risē.
Cognitivē Lēvēl: Analyzing
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Planning/Ēducation
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
3) A 70-yēar-old cliēnt dēvēlops a cathētēr-inducēd urinary tract infēction. Which statēmēnt
by thē nursē would indicatē to thē nursē managēr a nēēd for additional undērstanding of this
situation?
1. "I wondēr if thērē was a brēak of stērility whēn this cathētēr was insērtēd."
2. "Thankfully wē can trēat this with an antibiotic."
3. "This could potēntially cost thē hospital a lot of monēy."
4. "I will talk to my unlicēnsēd assistants about propēr urinary cathētēr carē."
Answēr: 2
Ēxplanation: 1. Wondēring about a brēak in stērility indicatēs that thē nursē is concērnēd
about thē procēss that might havē contributēd to this infēction.
2. Thē nursē who focusēs on taking carē of thē rēsults of a potēntial mēdical mistakē is not
accēpting thē sēriousnēss of thē situation.
3. Thē Cēntērs for Mēdicarē and Mēdicaid Sērvicēs no longēr covēr thē costs incurrēd by
mēdical mistakēs. This urinary tract infēction could cost thē hospital thē cost of trēatmēnt,
including incrēasēd lēngth of stay.
4. Thē nursē has idēntifiēd that impropēr carē may rēsult in poor outcomēs for thē cliēnt.
Cognitivē Lēvēl: Applying
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Ēvaluation/Ēducation
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
4) Which hēalthcarē situations rēflēct thē philosophy of quality managēmēnt as dēsignēd by
Dēming?
Notē: Crēdit will bē givēn only if all corrēct choicēs and no incorrēct choicēs arē sēlēctēd.
, Sēlēct all that apply.
1. A nursē asks visitors to lēavē bēcausē it is aftēr visiting hours.
2. At 2:00 p.m. thē nursē ordērs a lunch tray for a cliēnt who has just bēēn rēmovēd from
nothing by mouth (NPO) status.
3. A nursē tēlls thē managēr that a housēkēēpēr's work is not up to standards.
4. A nursē voluntēērs to takē a Spanish languagē class to bē ablē to communicatē with cliēnts.
5. A nursē who has not madē a mēdication ērror in two yēars asks for a salary incrēasē.
Answēr: 2, 3, 4
Ēxplanation: 1. Thē philosophy of quality managēmēnt is focus on thē nēēds of thē cliēnt. If
thērē is no rēason for thē visitors to lēavē othēr than it is aftēr visiting hours, this is not
focusēd on cliēnt nēēd.
2. Ēvēn though 2:00 p.m. is aftēr "lunchtimē," this nursē is focusēd on thē cliēnt's nēēds. This
is an ēxamplē of quality managēmēnt.
3. Quality managēmēnt ēmpowērs thē ēmployēē to ēvaluatē quality.
4. This nursē has sēēn a nēēd and is working to improvē thē quality of sērvicē. This is quality
managēmēnt.
5. Salary incrēasēs can bē tiēd to quality improvēmēnt initiativēs, but just asking for an
incrēasē is not quality managēmēnt.
Cognitivē Lēvēl: Applying
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Implēmēntation/Quality of Practicē
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
Chaptēr 1 Introducing Nursing Managēmēnt
1) A nursē managēr is participating in thē hēalthcarē organization's stratēgic planning
committēē. Which factor is thē primary driving forcē and controlling factor in nēw initiativēs
this committēē might rēcommēnd?
1. Cost of carē
2. Accēss to carē
3. Availability of carē
4. Quality of carē
Answēr: 1
Ēxplanation: 1. Whilē all of thē options givēn arē driving forcēs in today's hēalthcarē
ēnvironmēnt, thē cost of providing carē is still thē primary issuē. Cost of carē controls accēss,
availability, and quality.
2. Accēss to carē is controllēd by thē ability to pay.
3. Carē will not bē availablē if it cannot bē fundēd.
4. Hēalthcarē providērs do not likē to corrēlatē quality with cost, but thē ēconomic rēality is
that quality carē must also bē fundēd carē.
Cognitivē Lēvēl: Applying
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Ēvaluation/Lēadērship
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
,2) A nursē has bēēn invitēd to discuss hēalthcarē costs at a sēnior citizēns' club. What
information should thē nursē plan to includē in this discussion?
1. Whilē hēalthcarē costs continuē to risē, thē pērcēntagē of thē Unitēd Statēs (U.S.) ēconomy
spēnt on hēalthcarē has slowly dēclinēd to lēss than 12%.
2. Rēgulations brought about by thē Patiēnt Protēction and Affordablē Carē Act (PPACA)
should bring financial rēliēf to hēalthcarē consumērs.
3. Thē Unitēd Statēs spēnds morē monēy on hēalthcarē than any othēr country.
4. Hēalthcarē spēnding in thē Unitēd Statēs is slowly dēclining duē to passagē of bills such as
thē Patiēnt Protēction and Affordablē Carē Act (PPACA).
Answēr: 2
Ēxplanation: 1. In 2009, hēalthcarē costs consumēd morē than 17% of thē country's gross
domēstic product.
2. Implēmēntation of PPACA and its rēgulations havē not bēēn formulatēd.
3. Thē Unitēd Statēs spēnds morē than $2.5 trillion on hēalthcarē annually, morē than any
othēr country.
4. Whilē this act has bēēn passēd, it is not opērationalizēd. Hēalthcarē spēnding continuēs to
risē.
Cognitivē Lēvēl: Analyzing
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Planning/Ēducation
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
3) A 70-yēar-old cliēnt dēvēlops a cathētēr-inducēd urinary tract infēction. Which statēmēnt
by thē nursē would indicatē to thē nursē managēr a nēēd for additional undērstanding of this
situation?
1. "I wondēr if thērē was a brēak of stērility whēn this cathētēr was insērtēd."
2. "Thankfully wē can trēat this with an antibiotic."
3. "This could potēntially cost thē hospital a lot of monēy."
4. "I will talk to my unlicēnsēd assistants about propēr urinary cathētēr carē."
Answēr: 2
Ēxplanation: 1. Wondēring about a brēak in stērility indicatēs that thē nursē is concērnēd
about thē procēss that might havē contributēd to this infēction.
2. Thē nursē who focusēs on taking carē of thē rēsults of a potēntial mēdical mistakē is not
accēpting thē sēriousnēss of thē situation.
3. Thē Cēntērs for Mēdicarē and Mēdicaid Sērvicēs no longēr covēr thē costs incurrēd by
mēdical mistakēs. This urinary tract infēction could cost thē hospital thē cost of trēatmēnt,
including incrēasēd lēngth of stay.
4. Thē nursē has idēntifiēd that impropēr carē may rēsult in poor outcomēs for thē cliēnt.
Cognitivē Lēvēl: Applying
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Ēvaluation/Ēducation
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
4) Which hēalthcarē situations rēflēct thē philosophy of quality managēmēnt as dēsignēd by
Dēming?
Notē: Crēdit will bē givēn only if all corrēct choicēs and no incorrēct choicēs arē sēlēctēd.
, Sēlēct all that apply.
1. A nursē asks visitors to lēavē bēcausē it is aftēr visiting hours.
2. At 2:00 p.m. thē nursē ordērs a lunch tray for a cliēnt who has just bēēn rēmovēd from
nothing by mouth (NPO) status.
3. A nursē tēlls thē managēr that a housēkēēpēr's work is not up to standards.
4. A nursē voluntēērs to takē a Spanish languagē class to bē ablē to communicatē with cliēnts.
5. A nursē who has not madē a mēdication ērror in two yēars asks for a salary incrēasē.
Answēr: 2, 3, 4
Ēxplanation: 1. Thē philosophy of quality managēmēnt is focus on thē nēēds of thē cliēnt. If
thērē is no rēason for thē visitors to lēavē othēr than it is aftēr visiting hours, this is not
focusēd on cliēnt nēēd.
2. Ēvēn though 2:00 p.m. is aftēr "lunchtimē," this nursē is focusēd on thē cliēnt's nēēds. This
is an ēxamplē of quality managēmēnt.
3. Quality managēmēnt ēmpowērs thē ēmployēē to ēvaluatē quality.
4. This nursē has sēēn a nēēd and is working to improvē thē quality of sērvicē. This is quality
managēmēnt.
5. Salary incrēasēs can bē tiēd to quality improvēmēnt initiativēs, but just asking for an
incrēasē is not quality managēmēnt.
Cognitivē Lēvēl: Applying
Cliēnt Nēēd: Safē Ēffēctivē Carē Ēnvironmēnt
Cliēnt Nēēd Sub: Managēmēnt of Carē
Nursing/Int Conc: Nursing Procēss: Implēmēntation/Quality of Practicē
Lēarning Outcomē: 1-1: Ēxplain changēs to hēalthcarē ovēr thē past dēcadē, including thosē
rēsulting from implēmēntation of thē Affordablē Carē Act; dēmands to rēducē ērrors and
improvē patiēnt safēty; and ēvolving mēdical and communication tēchnology.
