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Effective Leadership & Management in Nursing, 9e (Sullivan) Chapt
y1 y1 y1 y1 y1 y1 y1 y1
er 1 Introducing Nursing Management
y1 y 1 y1 y1
1) A nurse manager is participating in the healthcare organization's strategic planning com
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mittee. Which factor is the primary driving force and controlling factor in new initiatives th
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
is committee might recommend?
y1 y1 y1
1. Cost of care y1 y1
2. Access to care y1 y1
3. Availability of care y1 y1
4. Quality of care y1 y1
Answer: 1
y1 y 1
Explanation: 1. While all of the options given are driving forces in today's healthcare envi
y 1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ronment, the cost of providing care is still the primary issue. Cost of care controls access, av
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ailability, and quality. y1 y1
2. Access to care is controlled by the ability to pay.
y1 y1 y1 y1 y1 y1 y1 y1 y1
3. Care will not be available if it cannot be funded.
y1 y1 y1 y1 y1 y1 y1 y1 y1
4. Healthcare providers do not like to correlate quality with cost, but the economic reality
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
is that quality care must also be funded care.
y1 y1 y1 y1 y1 y1 y1 y1
Cognitive Level: Applying y1 y 1
Client Need: Safe Effective Care Environment Clie
y1 y1 y1 y1 y1 y1
nt Need Sub: Management of Care
y1 y1 y 1 y1 y1
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
y1 y 1 y1 y1
Learning Outcome: 1- y1 y 1
1: Explain changes to healthcare over the past decade, including those resulting from imple
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mentation of the Affordable Care Act; demands to reduce errors and improve patient safet
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y; and evolving medical and communication technology.
y1 y1 y1 y1 y1 y1
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Distribution of this document is illegal
, Stuvia.comy1-
The Marketplace to Buy and Sell your Study Material
2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
. rWhat rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
) reconomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct y1 y1 y1 y1 y1 y1 y
1r(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
y1 y1 y1 y1 y1 y1 y1
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y1rsuch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
y1 y1 y1 y1 y1 y1 y1 y1 y1
Answer: r 2 y 1 y1
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgros
y 1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
s rdomestic rproduct.
y1 y1
2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. y1 y1 y1 y1 y1 y1 y1 y1
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y1rany rother rcountry. y1 y1
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspendin
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
g rcontinues rto rrise.
y1 y1 y1
Cognitive rLevel: r Analyzing y1 y 1 y1
Client rNeed: r Safe rEffective rCare rEnvironment rC
y1 y1 y1 y1 y1 y1 y1
lient rNeed rSub: r Management rof rCare
y1 y1 y 1 y1 y1 y1
Nursing/Int rConc: r Nursing rProcess: rPlanning/Education y1 y 1 y1 y1 y1
Learning rOutcome: r 1- y1 y 1 y1
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom ri
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpati
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ent rsafety; rand revolving rmedical rand rcommunication rtechnology.
y1 y1 y1 y1 y1 y1 y1
3) A r70-year-old rclient rdevelops ra rcatheter-
y1 y1 y1 y1 y1
induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rnurse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." y1 y1 y1 y1 y1 y1 y1
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
y1 y1 y1 y1 y1 y1 y1 y1 y1
4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rcare." rAnswer: r 2
y1 y1 y 1 y1
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned
y 1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rabout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistak
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
e ris rnot raccepting rthe rseriousness rof rthe rsituation.
y1 y1 y1 y1 y1 y1 y1 y1
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rinc
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
urred rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rc
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ost rof rtreatment, rincluding rincreased rlength rof rstay.
y1 y1 y1 y1 y1 y1 y1
4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rclient. rCognitive rLevel: r Applying
y1 y1 y1 y 1 y1
Client rNeed: r Safe rEffective rCare rEnvironment rC
y1 y1 y1 y1 y1 y1 y1
lient rNeed rSub: r Management rof rCare
y1 y1 y 1 y1 y1 y1
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Educationy1 y 1 y1 y1 y1
Learning rOutcome: r 1- y1 y 1 y1
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom ri
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpati
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ent rsafety; rand revolving rmedical rand rcommunication rtechnology.
y1 y1 y1 y1 y1 y1 y1
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigne
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
d rby rDeming?
y1 y1
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Distribution of this document is illegal
, Stuvia.comy1-
The y1Marketplace
Note:y1rCredity1rwilly1rbey1rgiven toy1rcorrect
ronlyy1rify1rall Buy and y1rSell your Study
choices Material
y1randy1rnoy1rincorrecty1rchoicesy1rarey1rselected.
Downloadedy1by:y1PASSGRADESy1|
m
Distribution of this document is illegal
m
Distribution of this document is illegal
, Stuvia.comy1-
The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan) Chapt
y1 y1 y1 y1 y1 y1 y1 y1
er 1 Introducing Nursing Management
y1 y 1 y1 y1
1) A nurse manager is participating in the healthcare organization's strategic planning com
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mittee. Which factor is the primary driving force and controlling factor in new initiatives th
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
is committee might recommend?
y1 y1 y1
1. Cost of care y1 y1
2. Access to care y1 y1
3. Availability of care y1 y1
4. Quality of care y1 y1
Answer: 1
y1 y 1
Explanation: 1. While all of the options given are driving forces in today's healthcare envi
y 1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ronment, the cost of providing care is still the primary issue. Cost of care controls access, av
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ailability, and quality. y1 y1
2. Access to care is controlled by the ability to pay.
y1 y1 y1 y1 y1 y1 y1 y1 y1
3. Care will not be available if it cannot be funded.
y1 y1 y1 y1 y1 y1 y1 y1 y1
4. Healthcare providers do not like to correlate quality with cost, but the economic reality
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
is that quality care must also be funded care.
y1 y1 y1 y1 y1 y1 y1 y1
Cognitive Level: Applying y1 y 1
Client Need: Safe Effective Care Environment Clie
y1 y1 y1 y1 y1 y1
nt Need Sub: Management of Care
y1 y1 y 1 y1 y1
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
y1 y 1 y1 y1
Learning Outcome: 1- y1 y 1
1: Explain changes to healthcare over the past decade, including those resulting from imple
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mentation of the Affordable Care Act; demands to reduce errors and improve patient safet
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y; and evolving medical and communication technology.
y1 y1 y1 y1 y1 y1
Downloadedy1by:y1PASSGRADESy1|
m
Distribution of this document is illegal
, Stuvia.comy1-
The Marketplace to Buy and Sell your Study Material
2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
. rWhat rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
) reconomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct y1 y1 y1 y1 y1 y1 y
1r(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
y1 y1 y1 y1 y1 y1 y1
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y1rsuch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
y1 y1 y1 y1 y1 y1 y1 y1 y1
Answer: r 2 y 1 y1
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgros
y 1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
s rdomestic rproduct.
y1 y1
2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. y1 y1 y1 y1 y1 y1 y1 y1
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y1rany rother rcountry. y1 y1
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspendin
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
g rcontinues rto rrise.
y1 y1 y1
Cognitive rLevel: r Analyzing y1 y 1 y1
Client rNeed: r Safe rEffective rCare rEnvironment rC
y1 y1 y1 y1 y1 y1 y1
lient rNeed rSub: r Management rof rCare
y1 y1 y 1 y1 y1 y1
Nursing/Int rConc: r Nursing rProcess: rPlanning/Education y1 y 1 y1 y1 y1
Learning rOutcome: r 1- y1 y 1 y1
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom ri
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpati
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ent rsafety; rand revolving rmedical rand rcommunication rtechnology.
y1 y1 y1 y1 y1 y1 y1
3) A r70-year-old rclient rdevelops ra rcatheter-
y1 y1 y1 y1 y1
induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rnurse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." y1 y1 y1 y1 y1 y1 y1
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
y1 y1 y1 y1 y1 y1 y1 y1 y1
4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rcare." rAnswer: r 2
y1 y1 y 1 y1
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned
y 1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rabout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistak
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
e ris rnot raccepting rthe rseriousness rof rthe rsituation.
y1 y1 y1 y1 y1 y1 y1 y1
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rinc
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
urred rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rc
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ost rof rtreatment, rincluding rincreased rlength rof rstay.
y1 y1 y1 y1 y1 y1 y1
4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
rclient. rCognitive rLevel: r Applying
y1 y1 y1 y 1 y1
Client rNeed: r Safe rEffective rCare rEnvironment rC
y1 y1 y1 y1 y1 y1 y1
lient rNeed rSub: r Management rof rCare
y1 y1 y 1 y1 y1 y1
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Educationy1 y 1 y1 y1 y1
Learning rOutcome: r 1- y1 y 1 y1
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom ri
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
mplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpati
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
ent rsafety; rand revolving rmedical rand rcommunication rtechnology.
y1 y1 y1 y1 y1 y1 y1
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigne
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
d rby rDeming?
y1 y1
Downloadedy1by:y1PASSGRADESy1|
m
Distribution of this document is illegal
, Stuvia.comy1-
The y1Marketplace
Note:y1rCredity1rwilly1rbey1rgiven toy1rcorrect
ronlyy1rify1rall Buy and y1rSell your Study
choices Material
y1randy1rnoy1rincorrecty1rchoicesy1rarey1rselected.
Downloadedy1by:y1PASSGRADESy1|
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Distribution of this document is illegal
