TEST BANK
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,TEST BANK FOR fk fk
EFFECTIVE LEADER fk
SHIP AND MANAGE
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MENT IN NURSING, fk fk fk
9TH EDITION,ELEA
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NOR
J. SULLIVAN
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,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 committ
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ee. Which factor is the primary driving force and controlling factor in new initiatives this com
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mittee might recommend? fk fk
1. Cost of care fk fk
2. Access to care fk fk
3. Availability of care fk fk
4. Quality of care fk fk fk
Answer: 1 f k
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
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ment, the cost of providing care is still the primary issue. Cost of care controls access, availabilit
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y, and quality.
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2. Access to care is controlled by the ability to pay. fk fk fk fk fk fk fk fk fk
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 th
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at quality care must also be funded care.
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Cognitive Level: Applying fk f k
Client Need: Safe Effective Care Environment Clien
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t Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership fk f k fk fk
Learning Outcome: 1- fk f k
1: Explain changes to healthcare over the past decade, including those resulting from implement
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ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
lving medical and communication technology.
fk fk fk fk
, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What in
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
formation should the nurse plan to include in this discussion?
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1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy s
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pent 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) s fk fk fk fk fk fk fk fk fk fk fk fk
hould bring 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 th
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
e Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 f k
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross dome
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stic product.
fk
2. Implementation of PPACA and its regulations have not been formulated. fk fk fk fk fk fk fk fk fk
3. The United States spends more than $2.5 trillion on healthcare annually, more than any ot
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her country.
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4. While this act has been passed, it is not operationalized. Healthcare spending continues to ri
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se.
Cognitive Level: Analyzing fk f k
Client Need: Safe Effective Care Environment Clien
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t Need Sub: Management of Care
fk fk f k fk fk
Nursing/Int Conc: Nursing Process: Planning/Education fk f k fk fk
Learning Outcome: 1- fk f k
1: Explain changes to healthcare over the past decade, including those resulting from implement
fk fk fk fk fk fk fk fk fk fk fk fk fk
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
lving medical and communication technology.
fk fk fk fk
3) A 70-year-old client develops a catheter-
fk fk fk fk fk
induced urinary tract infection. Which statement by the nurse would indicate to the nurse man
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ager 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." fk fk fk fk fk fk fk
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."
fk fk fk fk fk fk fk fk fk fk fk fk
Answer: 2 f k
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about
f k fk fk fk fk fk fk fk fk fk fk fk fk fk fk
the 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 ac
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cepting the seriousness of the situation.
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3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
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medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, in
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
cluding increased length of stay. fk fk fk fk
4. The nurse has identified that improper care may result in poor outcomes for the client. C
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ognitive Level: Applying fk f k
Client Need: Safe Effective Care Environment Clien
fk f k fk fk fk fk
t Need Sub: Management of Care
fk fk f k fk fk
Nursing/Int Conc: Nursing Process: Evaluation/Education fk f k fk fk
Learning Outcome: 1- fk f k
1: Explain changes to healthcare over the past decade, including those resulting from implement
fk fk fk fk fk fk fk fk fk fk fk fk fk
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
lving medical and communication technology.
fk fk fk fk
4) Which healthcare situations reflect the philosophy of quality management as designed by
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Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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fk
,TEST BANK FOR fk fk
EFFECTIVE LEADER fk
SHIP AND MANAGE
fk fk
MENT IN NURSING, fk fk fk
9TH EDITION,ELEA
fk fk
NOR
J. SULLIVAN
fk
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
fk fk fk fk fk fk fk fk f
1 Introducing Nursing Management
k f k fk fk
1) A nurse manager is participating in the healthcare organization's strategic planning committ
fk fk fk fk fk fk fk fk fk fk fk
ee. Which factor is the primary driving force and controlling factor in new initiatives this com
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
mittee might recommend? fk fk
1. Cost of care fk fk
2. Access to care fk fk
3. Availability of care fk fk
4. Quality of care fk fk fk
Answer: 1 f k
Explanation: 1. While all of the options given are driving forces in today's healthcare environ
f k fk fk fk fk fk fk fk fk fk fk fk fk fk
ment, the cost of providing care is still the primary issue. Cost of care controls access, availabilit
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
y, and quality.
fk fk
2. Access to care is controlled by the ability to pay. fk fk fk fk fk fk fk fk fk
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 th
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
at quality care must also be funded care.
fk fk fk fk fk fk fk
Cognitive Level: Applying fk f k
Client Need: Safe Effective Care Environment Clien
fk f k fk fk fk fk
t Need Sub: Management of Care
fk fk f k fk fk
Nursing/Int Conc: Nursing Process: Evaluation/Leadership fk f k fk fk
Learning Outcome: 1- fk f k
1: Explain changes to healthcare over the past decade, including those resulting from implement
fk fk fk fk fk fk fk fk fk fk fk fk fk
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
lving medical and communication technology.
fk fk fk fk
, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What in
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
formation should the nurse plan to include in this discussion?
fk fk fk fk fk fk fk fk fk
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy s
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
pent on healthcare has slowly declined to less than 12%.
fk fk fk fk fk fk fk fk fk
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) s fk fk fk fk fk fk fk fk fk fk fk fk
hould bring financial relief to healthcare consumers.
fk fk fk fk fk fk
3. The United States spends more money on healthcare than any other country.
fk fk fk fk fk fk fk fk fk fk fk
4. Healthcare spending in the United States is slowly declining due to passage of bills such as th
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
e Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 f k
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross dome
f k fk fk fk fk fk fk fk fk fk fk fk fk fk
stic product.
fk
2. Implementation of PPACA and its regulations have not been formulated. fk fk fk fk fk fk fk fk fk
3. The United States spends more than $2.5 trillion on healthcare annually, more than any ot
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
her country.
fk
4. While this act has been passed, it is not operationalized. Healthcare spending continues to ri
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
se.
Cognitive Level: Analyzing fk f k
Client Need: Safe Effective Care Environment Clien
fk f k fk fk fk fk
t Need Sub: Management of Care
fk fk f k fk fk
Nursing/Int Conc: Nursing Process: Planning/Education fk f k fk fk
Learning Outcome: 1- fk f k
1: Explain changes to healthcare over the past decade, including those resulting from implement
fk fk fk fk fk fk fk fk fk fk fk fk fk
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
lving medical and communication technology.
fk fk fk fk
3) A 70-year-old client develops a catheter-
fk fk fk fk fk
induced urinary tract infection. Which statement by the nurse would indicate to the nurse man
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ager a need for additional understanding of this situation?
fk fk fk fk fk fk fk fk
1. "I wonder if there was a break of sterility when this catheter was inserted."
fk fk fk fk fk fk fk fk fk fk fk fk fk
2. "Thankfully we can treat this with an antibiotic." fk fk fk fk fk fk fk
3. "This could potentially cost the hospital a lot of money."
fk fk fk fk fk fk fk fk fk
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
fk fk fk fk fk fk fk fk fk fk fk fk
Answer: 2 f k
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about
f k fk fk fk fk fk fk fk fk fk fk fk fk fk fk
the process that might have contributed to this infection.
fk fk fk fk fk fk fk fk
2. The nurse who focuses on taking care of the results of a potential medical mistake is not ac
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
cepting the seriousness of the situation.
fk fk fk fk fk
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, in
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
cluding increased length of stay. fk fk fk fk
4. The nurse has identified that improper care may result in poor outcomes for the client. C
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ognitive Level: Applying fk f k
Client Need: Safe Effective Care Environment Clien
fk f k fk fk fk fk
t Need Sub: Management of Care
fk fk f k fk fk
Nursing/Int Conc: Nursing Process: Evaluation/Education fk f k fk fk
Learning Outcome: 1- fk f k
1: Explain changes to healthcare over the past decade, including those resulting from implement
fk fk fk fk fk fk fk fk fk fk fk fk fk
ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
lving medical and communication technology.
fk fk fk fk
4) Which healthcare situations reflect the philosophy of quality management as designed by
fk fk fk fk fk fk fk fk fk fk fk fk
Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
