TEST BANK FOR EFFECTIVE
se se se se
LEADERSHIP AND MANAGEMENT IN
se se se se se
NURSING 9TH EDITION ELEANOR
se se se se se
J.SULLIVAN-latest -2023-2024
se se
,Nursing Management se
1) A nurse manager is participating in the healthcare organization's strategic planning
se se se se se se se se se se
committee. Which factor is the primary driving force and controlling factor in new initiatives
se se se se se se se se se se se se se se
this committee might recommend?
se se se se
1. Cost of care se se
2. Access to care se se
3. Availability of care se se
4. Quality of care se se
Answer: 1
se se
Explanation: 1. While all of the options given are driving forces in today's healthcare
se se se se se se se se se se se se se
environment, the cost of providing care is still the primary issue. Cost of care controls access,
se se se se se se se se se se se se se se se se
availability, and quality.
se se se
2. Access to care is controlled by the ability to pay.
se se se se se se se se se
3. Care will not be available if it cannot be funded.
se se se se se se se se se
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
se se se se se se se se se se se se se se
that quality care must also be funded care.
se se se se se se se se
Cognitive Level: Applying se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
se s e se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What
se se se se se se se se se se se se se se
information should the nurse plan to include in this discussion?
se se se se se se se se se se
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
se se se se se se se se se se se se se
spent on healthcare has slowly declined to less than 12%.
se se se se se se se se se se
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) se se se se se se se se se se se
should bring financial relief to healthcare consumers.
se se se se se se se
3. The United States spends more money on healthcare than any other country.
se se se se se se se se se se se
4. Healthcare spending in the United States is slowly declining due to passage of bills such as
se se se se se se se se se se se se se se se
the Patient Protection and Affordable Care Act (PPACA).
se se se se se se se se
Answer: 2 s e
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross
se se se se se se se se se se se se se
domestic product.
se se
2. Implementation of PPACA and its regulations have not been formulated. se se se se se se se se se
3. The United States spends more than $2.5 trillion on healthcare annually, more than any
se se se se se se se se se se se se se
other country.
se se
4. While this act has been passed, it is not operationalized. Healthcare spending continues to
se se se se se se se se se se se se se
rise.
se
Cognitive Level: Analyzing se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Planning/Education se s e se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement
se se se se se se se se se se
by the nurse would indicate to the nurse manager a need for additional understanding of this
se se se se se se se se se se se se se se se se
situation?
se
1. "I wonder if there was a break of sterility when this catheter was inserted."
se se se se se se se se se se se se se
2. "Thankfully we can treat this with an antibiotic." se se se se se se se
3. "This could potentially cost the hospital a lot of money."
se se se se se se se se se
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
se se se se se se se se se se se
Answer: 2
se se
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned
s e se se se se se se se se se se se se
about the process that might have contributed to this infection.
se se se se se se se se se se
2. The nurse who focuses on taking care of the results of a potential medical mistake is not
se se se se se se se se se se se se se se se se
accepting the seriousness of the situation.
se se se se se se
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
se se se se se se se se se se se se se
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment,
se se se se se se se se se se se se se se
including increased length of stay.
se se se se se
4. The nurse has identified that improper care may result in poor outcomes for the client.
se se se se se se se se se se se se se se
Cognitive Level: Applying
se se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Evaluation/Education se s e se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
4) Which healthcare situations reflect the philosophy of quality management as designed by
se se se se se se se se se se se
Deming?
se
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
se se se se se se se se se se se se se se se
, Select all that apply.
se se se
1. A nurse asks visitors to leave because it is after visiting hours.
se se se se se se se se se se se
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from
se se se se se se se se se se se se se se se se se
nothing by mouth (NPO) status.
se se se se se
3. A nurse tells the manager that a housekeeper's work is not up to standards.
se se se se se se se se se se se se se
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
se se se se se se se se se se se se se se se
5. A nurse who has not made a medication error in two years asks for a salary increase.
se se se se se se se se se se se se se se se se
Answer: 2, 3, 4
se se se se
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If
s e se se se se se se se se se se se se se se
there is no reason for the visitors to leave other than it is after visiting hours, this is not
se se se se se se se se se se se se se se se se se se se
focused on client need.
se se se se
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This
se se se se se se se se se se se se se se se
is an example of quality management.
se se se se se se
3. Quality management empowers the employee to evaluate quality.
se se se se se se se
4. This nurse has seen a need and is working to improve the quality of service. This is quality
se se se se se se se se se se se se se se se se se
management.
se
5. Salary increases can be tied to quality improvement initiatives, but just asking for an
se se se se se se se se se se se se se
increase is not quality management.
se se se se se
Cognitive Level: Applying se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
se s e se se se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
se se se se
LEADERSHIP AND MANAGEMENT IN
se se se se se
NURSING 9TH EDITION ELEANOR
se se se se se
J.SULLIVAN-latest -2023-2024
se se
,Nursing Management se
1) A nurse manager is participating in the healthcare organization's strategic planning
se se se se se se se se se se
committee. Which factor is the primary driving force and controlling factor in new initiatives
se se se se se se se se se se se se se se
this committee might recommend?
se se se se
1. Cost of care se se
2. Access to care se se
3. Availability of care se se
4. Quality of care se se
Answer: 1
se se
Explanation: 1. While all of the options given are driving forces in today's healthcare
se se se se se se se se se se se se se
environment, the cost of providing care is still the primary issue. Cost of care controls access,
se se se se se se se se se se se se se se se se
availability, and quality.
se se se
2. Access to care is controlled by the ability to pay.
se se se se se se se se se
3. Care will not be available if it cannot be funded.
se se se se se se se se se
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
se se se se se se se se se se se se se se
that quality care must also be funded care.
se se se se se se se se
Cognitive Level: Applying se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
se s e se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What
se se se se se se se se se se se se se se
information should the nurse plan to include in this discussion?
se se se se se se se se se se
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
se se se se se se se se se se se se se
spent on healthcare has slowly declined to less than 12%.
se se se se se se se se se se
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) se se se se se se se se se se se
should bring financial relief to healthcare consumers.
se se se se se se se
3. The United States spends more money on healthcare than any other country.
se se se se se se se se se se se
4. Healthcare spending in the United States is slowly declining due to passage of bills such as
se se se se se se se se se se se se se se se
the Patient Protection and Affordable Care Act (PPACA).
se se se se se se se se
Answer: 2 s e
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross
se se se se se se se se se se se se se
domestic product.
se se
2. Implementation of PPACA and its regulations have not been formulated. se se se se se se se se se
3. The United States spends more than $2.5 trillion on healthcare annually, more than any
se se se se se se se se se se se se se
other country.
se se
4. While this act has been passed, it is not operationalized. Healthcare spending continues to
se se se se se se se se se se se se se
rise.
se
Cognitive Level: Analyzing se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Planning/Education se s e se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement
se se se se se se se se se se
by the nurse would indicate to the nurse manager a need for additional understanding of this
se se se se se se se se se se se se se se se se
situation?
se
1. "I wonder if there was a break of sterility when this catheter was inserted."
se se se se se se se se se se se se se
2. "Thankfully we can treat this with an antibiotic." se se se se se se se
3. "This could potentially cost the hospital a lot of money."
se se se se se se se se se
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
se se se se se se se se se se se
Answer: 2
se se
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned
s e se se se se se se se se se se se se
about the process that might have contributed to this infection.
se se se se se se se se se se
2. The nurse who focuses on taking care of the results of a potential medical mistake is not
se se se se se se se se se se se se se se se se
accepting the seriousness of the situation.
se se se se se se
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
se se se se se se se se se se se se se
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment,
se se se se se se se se se se se se se se
including increased length of stay.
se se se se se
4. The nurse has identified that improper care may result in poor outcomes for the client.
se se se se se se se se se se se se se se
Cognitive Level: Applying
se se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Evaluation/Education se s e se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
4) Which healthcare situations reflect the philosophy of quality management as designed by
se se se se se se se se se se se
Deming?
se
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
se se se se se se se se se se se se se se se
, Select all that apply.
se se se
1. A nurse asks visitors to leave because it is after visiting hours.
se se se se se se se se se se se
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from
se se se se se se se se se se se se se se se se se
nothing by mouth (NPO) status.
se se se se se
3. A nurse tells the manager that a housekeeper's work is not up to standards.
se se se se se se se se se se se se se
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
se se se se se se se se se se se se se se se
5. A nurse who has not made a medication error in two years asks for a salary increase.
se se se se se se se se se se se se se se se se
Answer: 2, 3, 4
se se se se
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If
s e se se se se se se se se se se se se se se
there is no reason for the visitors to leave other than it is after visiting hours, this is not
se se se se se se se se se se se se se se se se se se se
focused on client need.
se se se se
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This
se se se se se se se se se se se se se se se
is an example of quality management.
se se se se se se
3. Quality management empowers the employee to evaluate quality.
se se se se se se se
4. This nurse has seen a need and is working to improve the quality of service. This is quality
se se se se se se se se se se se se se se se se se
management.
se
5. Salary increases can be tied to quality improvement initiatives, but just asking for an
se se se se se se se se se se se se se
increase is not quality management.
se se se se se
Cognitive Level: Applying se s e
Client Need: Safe Effective Care Environment
se s e se se se
Client Need Sub: Management of Care
se se se s e se se
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
se s e se se se se
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
se se se se se se se se se se se se
resulting from implementation of the Affordable Care Act; demands to reduce errors and
se se se se se se se se se se se se se
improve patient safety; and evolving medical and communication technology.
se se se se se se se se se
