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