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Distribution of this document is illegal
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The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
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r 1 Introducing Nursing Management
9i 9 i 9i 9i
1) A nurse manager is participating in the healthcare organization's strategic planning comm
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ittee. Which factor is the primary driving force and controlling factor in new initiatives this co
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
mmittee might recommend? 9i 9i
1. Cost of care 9i 9i
2. Access to care 9i 9i
3. Availability of care 9i 9i
4. Quality of care 9i 9i 9
Answer: 1
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Explanation: 1. While all of the options given are driving forces in today's healthcare enviro
9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
nment, the cost of providing care is still the primary issue. Cost of care controls access, availab
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ility, and quality. 9i 9i
2. Access to care is controlled by the ability to pay.
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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
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
that quality care must also be funded care.
9i 9i 9i 9i 9i 9i 9i
Cognitive Level: Applying 9i 9 i
Client Need: Safe Effective Care Environment Clie
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nt Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership 9i 9 i 9i 9i
Learning Outcome: 1- 9i 9 i
1: Explain changes to healthcare over the past decade, including those resulting from impleme
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9
evolving medical and communication technology.
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Downloaded9iby:9iPASSGRADES9i|
Distribution9iof9ithis9idocument9iis9iillegal
, Stuvia.com9i-
The Marketplace to Buy and Sell your Study Material
2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub. r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
What rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.) r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
economy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct r 9i 9i 9i 9i 9i 9i 9i
(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
9i 9i 9i 9i 9i 9i 9i
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills rs
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
uch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
9i 9i 9i 9i 9i 9i 9i 9i 9i
Answer: r 2 9 i 9i
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross r
9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
domestic rproduct. 9i
2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. 9i 9i 9i 9i 9i 9i 9i 9i
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan ra
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ny rother rcountry.
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4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
continues rto rrise. 9i 9i
Cognitive rLevel: r Analyzing 9i 9 i 9i
Client rNeed: r Safe rEffective rCare rEnvironment rCli
9i 9i 9i 9i 9i 9i 9i
ent rNeed rSub: r Management rof rCare
9i 9i 9 i 9i 9i 9i
Nursing/Int rConc: r Nursing rProcess: rPlanning/Education 9i 9 i 9i 9i 9i
Learning rOutcome: r 1- 9i 9 i 9i
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimp
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
lementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsa
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
fety; rand revolving rmedical rand rcommunication rtechnology.
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3) A r70-year-old rclient rdevelops ra rcatheter-
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induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe r
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nurse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
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1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
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2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." 9i 9i 9i 9i 9i 9i 9i
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
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4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
care." rAnswer: r 2 9i 9 i 9i
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned ra
9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
bout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
9i 9i 9i 9i 9i 9i 9i 9i 9i
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake ri
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
s rnot raccepting rthe rseriousness rof rthe rsituation.
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3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rincur
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
red rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rcost ro
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
f rtreatment, rincluding rincreased rlength rof rstay.
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4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe rc
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
lient. rCognitive rLevel: r Applying
9i 9i 9 i 9i
Client rNeed: r Safe rEffective rCare rEnvironment rCli
9i 9i 9i 9i 9i 9i 9i
ent rNeed rSub: r Management rof rCare
9i 9i 9 i 9i 9i 9i
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Education 9i 9 i 9i 9i 9i
Learning rOutcome: r 1- 9i 9 i 9i
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimp
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
lementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsa
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
fety; rand revolving rmedical rand rcommunication rtechnology.
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4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
by rDeming?9i
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Note:9irCredit9irwill9ri be9irgiven only9irif9irallto9ircorrect
Buy and 9Sell your Study Material
irchoices9irand9irno9irincorrect9irchoices9irare9irselected.
Downloaded9iby:9iPASSGRADES9i|
Distribution9iof9ithis9idocument9iis9iillegal
m
Distribution of this document is illegal
, Stuvia.com9i-
The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
9i 9i 9i 9i 9i 9i 9i 9i
r 1 Introducing Nursing Management
9i 9 i 9i 9i
1) A nurse manager is participating in the healthcare organization's strategic planning comm
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ittee. Which factor is the primary driving force and controlling factor in new initiatives this co
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
mmittee might recommend? 9i 9i
1. Cost of care 9i 9i
2. Access to care 9i 9i
3. Availability of care 9i 9i
4. Quality of care 9i 9i 9
Answer: 1
i 9 i
Explanation: 1. While all of the options given are driving forces in today's healthcare enviro
9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
nment, the cost of providing care is still the primary issue. Cost of care controls access, availab
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ility, and quality. 9i 9i
2. Access to care is controlled by the ability to pay.
9i 9i 9i 9i 9i 9i 9i 9i 9i
3. Care will not be available if it cannot be funded.
9i 9i 9i 9i 9i 9i 9i 9i 9i
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
that quality care must also be funded care.
9i 9i 9i 9i 9i 9i 9i
Cognitive Level: Applying 9i 9 i
Client Need: Safe Effective Care Environment Clie
9i 9 i 9i 9i 9i 9i
nt Need Sub: Management of Care
9i 9i 9 i 9i 9i
Nursing/Int Conc: Nursing Process: Evaluation/Leadership 9i 9 i 9i 9i
Learning Outcome: 1- 9i 9 i
1: Explain changes to healthcare over the past decade, including those resulting from impleme
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ntation of the Affordable Care Act; demands to reduce errors and improve patient safety; and
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9
evolving medical and communication technology.
i 9i 9i 9i 9i
Downloaded9iby:9iPASSGRADES9i|
Distribution9iof9ithis9idocument9iis9iillegal
, Stuvia.com9i-
The Marketplace to Buy and Sell your Study Material
2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub. r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
What rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.) r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
economy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct r 9i 9i 9i 9i 9i 9i 9i
(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
9i 9i 9i 9i 9i 9i 9i
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills rs
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
uch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
9i 9i 9i 9i 9i 9i 9i 9i 9i
Answer: r 2 9 i 9i
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross r
9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
domestic rproduct. 9i
2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. 9i 9i 9i 9i 9i 9i 9i 9i
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan ra
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ny rother rcountry.
9i 9i
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
continues rto rrise. 9i 9i
Cognitive rLevel: r Analyzing 9i 9 i 9i
Client rNeed: r Safe rEffective rCare rEnvironment rCli
9i 9i 9i 9i 9i 9i 9i
ent rNeed rSub: r Management rof rCare
9i 9i 9 i 9i 9i 9i
Nursing/Int rConc: r Nursing rProcess: rPlanning/Education 9i 9 i 9i 9i 9i
Learning rOutcome: r 1- 9i 9 i 9i
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimp
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
lementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsa
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
fety; rand revolving rmedical rand rcommunication rtechnology.
9i 9i 9i 9i 9i 9i
3) A r70-year-old rclient rdevelops ra rcatheter-
9i 9i 9i 9i 9i
induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
nurse rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
9i 9i 9i 9i 9i 9i 9i 9i 9i
1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." 9i 9i 9i 9i 9i 9i 9i
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
9i 9i 9i 9i 9i 9i 9i 9i 9i
4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
care." rAnswer: r 2 9i 9 i 9i
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned ra
9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
bout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
9i 9i 9i 9i 9i 9i 9i 9i 9i
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake ri
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
s rnot raccepting rthe rseriousness rof rthe rsituation.
9i 9i 9i 9i 9i 9i 9i
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rincur
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
red rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rcost ro
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
f rtreatment, rincluding rincreased rlength rof rstay.
9i 9i 9i 9i 9i 9i
4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe rc
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
lient. rCognitive rLevel: r Applying
9i 9i 9 i 9i
Client rNeed: r Safe rEffective rCare rEnvironment rCli
9i 9i 9i 9i 9i 9i 9i
ent rNeed rSub: r Management rof rCare
9i 9i 9 i 9i 9i 9i
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Education 9i 9 i 9i 9i 9i
Learning rOutcome: r 1- 9i 9 i 9i
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimp
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
lementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsa
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
fety; rand revolving rmedical rand rcommunication rtechnology.
9i 9i 9i 9i 9i 9i
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
by rDeming?9i
Downloaded9iby:9iPASSGRADES9i|
Distribution9iof9ithis9idocument9iis9iillegal
, Stuvia.com9i-
The 9irMarketplace
Note:9irCredit9irwill9ri be9irgiven only9irif9irallto9ircorrect
Buy and 9Sell your Study Material
irchoices9irand9irno9irincorrect9irchoices9irare9irselected.
Downloaded9iby:9iPASSGRADES9i|
Distribution9iof9ithis9idocument9iis9iillegal
