Test bank for effective leadership and management in nursing 9th edition eleanor j sullivan. Exam (elaborations)

,EffectiveQLeadershipQ&QManagementQinQNursing,Q9eQ(Sullivan
)QChapterQ1Q IntroducingQNursingQManagement

1) AQnurseQmanagerQisQparticipatingQinQtheQhealthcareQorganization'sQstrategicQplanningQcommitte
e.QWhichQfactorQisQtheQprimaryQdrivingQforceQandQcontrollingQfactorQinQnewQinitiativesQthisQcommi
tteeQmightQrecommend?
1. CostQofQcare
2. AccessQtoQcare
3. AvailabilityQofQcare
4. QualityQofQcar
eQAnswer:Q1
Explanation:Q1.QWhileQallQofQtheQoptionsQgivenQareQdrivingQforcesQinQtoday'sQhealthcareQenvir
onment,QtheQcostQofQprovidingQcareQisQstillQtheQprimaryQissue.QCostQofQcareQcontrolsQaccess,Qav
ailability,QandQquality.
2. AccessQtoQcareQisQcontrolledQbyQtheQabilityQtoQpay.
3. CareQwillQnotQbeQavailableQifQitQcannotQbeQfunded.
4. HealthcareQprovidersQdoQnotQlikeQtoQcorrelateQqualityQwithQcost,QbutQtheQeconomicQrealityQisQth
atQqualityQcareQmustQalsoQbeQfundedQcare.
CognitiveQLevel:Q Applying
ClientQNeed:QSafeQEffectiveQCareQEnvironmentQ
ClientQNeedQSub:Q ManagementQofQCare
Nursing/IntQConc:Q NursingQProcess:QEvaluation/Leadership
LearningQOutcome:Q1-
1:QExplainQchangesQtoQhealthcareQoverQtheQpastQdecade,QincludingQthoseQresultingQfromQimple
mentationQofQtheQAffordableQCareQAct;QdemandsQtoQreduceQerrorsQandQimproveQpatientQsafety;
QandQevolvingQmedicalQandQcommunicationQtechnology.

,2) AQnurseQhasQbeenQinvitedQtoQdiscussQhealthcareQcostsQatQaQseniorQcitizens'Qclub.QWh
atQinformationQshouldQtheQnurseQplanQtoQincludeQinQthisQdiscussion?
1. WhileQhealthcareQcostsQcontinueQtoQrise,QtheQpercentageQofQtheQUnitedQStatesQ(U.S.)Qecono
myQspentQonQhealthcareQhasQslowlyQdeclinedQtoQlessQthanQ12%.
2. RegulationsQbroughtQaboutQbyQtheQPatientQProtectionQandQAffordableQCareQActQ(PPACA)Qshou
ldQbringQfinancialQreliefQtoQhealthcareQconsumers.
3. TheQUnitedQStatesQspendsQmoreQmoneyQonQhealthcareQthanQanyQotherQcountry.
4. HealthcareQspendingQinQtheQUnitedQStatesQisQslowlyQdecliningQdueQtoQpassageQofQbillsQsuchQasQt
heQPatientQProtectionQandQAffordableQCareQActQ(PPACA).
Answer:Q 2
Explanation:Q1.QInQ2009,QhealthcareQcostsQconsumedQmoreQthanQ17%QofQtheQcountry'sQgrossQdo
mesticQproduct.
2. ImplementationQofQPPACAQandQitsQregulationsQhaveQnotQbeenQformulated.
3. TheQUnitedQStatesQspendsQmoreQthanQ$2.5QtrillionQonQhealthcareQannually,QmoreQthanQanyQoth
erQcountry.
4. WhileQthisQactQhasQbeenQpassed,QitQisQnotQoperationalized.QHealthcareQspendingQcontinuesQtoQris
e.QCognitiveQLevel:QAnalyzing
ClientQNeed:QSafeQEffectiveQCareQEnvironmentQ
ClientQNeedQSub:Q ManagementQofQCare
Nursing/IntQConc:Q NursingQProcess:QPlanning/Education
LearningQOutcome:Q1-
1:QExplainQchangesQtoQhealthcareQoverQtheQpastQdecade,QincludingQthoseQresultingQfromQimple
mentationQofQtheQAffordableQCareQAct;QdemandsQtoQreduceQerrorsQandQimproveQpatientQsafety;
QandQevolvingQmedicalQandQcommunicationQtechnology.




3) AQ70-year-oldQclientQdevelopsQaQcatheter-
inducedQurinaryQtractQinfection.QWhichQstatementQbyQtheQnurseQwouldQindicateQtoQtheQnurseQman
agerQaQneedQforQadditionalQunderstandingQofQthisQsituation?
1. "IQwonderQifQthereQwasQaQbreakQofQsterilityQwhenQthisQcatheterQwasQinserted."
2. "ThankfullyQweQcanQtreatQthisQwithQanQantibiotic."
3. "ThisQcouldQpotentiallyQcostQtheQhospitalQaQlotQofQmoney."
4. "IQwillQtalkQtoQmyQunlicensedQassistantsQaboutQproperQurinaryQcatheterQcare
."QAnswer:Q2
Explanation:Q1.QWonderingQaboutQaQbreakQinQsterilityQindicatesQthatQtheQnurseQisQconcernedQabou
tQtheQprocessQthatQmightQhaveQcontributedQtoQthisQinfection.
2. TheQnurseQwhoQfocusesQonQtakingQcareQofQtheQresultsQofQaQpotentialQmedicalQmistakeQisQ
notQacceptingQtheQseriousnessQofQtheQsituation.
3. TheQCentersQforQMedicareQandQMedicaidQServicesQnoQlongerQcoverQtheQcostsQincurredQb
yQmedicalQmistakes.QThisQurinaryQtractQinfectionQcouldQcostQtheQhospitalQtheQcostQofQtreatm
ent,QincludingQincreasedQlengthQofQstay.
4. TheQnurseQhasQidentifiedQthatQimproperQcareQmayQresultQinQpoorQoutcomesQforQtheQclie
nt.QCognitiveQLevel:QApplying
ClientQNeed:QSafeQEffectiveQCareQEnvironmentQ
ClientQNeedQSub:Q ManagementQofQCare
Nursing/IntQConc:Q NursingQProcess:QEvaluation/Education
LearningQOutcome:Q1-
1:QExplainQchangesQtoQhealthcareQoverQtheQpastQdecade,QincludingQthoseQresultingQfromQimple
mentationQofQtheQAffordableQCareQAct;QdemandsQtoQreduceQerrorsQandQimproveQpatientQsafety;
QandQevolvingQmedicalQandQcommunicationQtechnology.




4) WhichQhealthcareQsituationsQreflectQtheQphilosophyQofQqualityQmanagementQasQdesignedQby

, Deming?
Note:QCreditQwillQbeQgivenQonlyQifQallQcorrectQchoicesQandQnoQincorrectQchoicesQareQselected.
SelectQallQthatQapply.
1. AQnurseQasksQvisitorsQtoQleaveQbecauseQitQisQafterQvisitingQhours.
2. AtQ2:00Qp.m.QtheQnurseQordersQaQlunchQtrayQforQaQclientQwhoQhasQjustQbeenQremovedQfromQnothi
ngQbyQmouthQ(NPO)Qstatus.
3. AQnurseQtellsQtheQmanagerQthatQaQhousekeeper'sQworkQisQnotQupQtoQstandards.
4. AQnurseQvolunteersQtoQtakeQaQSpanishQlanguageQclassQtoQbeQableQtoQcommunicateQwithQclients.
5. AQnurseQwhoQhasQnotQmadeQaQmedicationQerrorQinQtwoQyearsQasksQforQaQsalaryQincrea
se.QAnswer:Q2,Q3,Q4
Explanation:Q1.QTheQphilosophyQofQqualityQmanagementQisQfocusQonQtheQneedsQofQtheQclient.QIfQ
thereQisQnoQreasonQforQtheQvisitorsQtoQleaveQotherQthanQitQisQafterQvisitingQhours,QthisQisQnotQfocus
edQonQclientQneed.
2. EvenQthoughQ2:00Qp.m.QisQafterQ"lunchtime,"QthisQnurseQisQfocusedQonQtheQclient'sQneeds.QThis
QisQ
anQexampleQofQqualityQmanagement.
3. QualityQmanagementQempowersQtheQemployeeQtoQevaluateQquality.
4. ThisQnurseQhasQseenQaQneedQandQisQworkingQtoQimproveQtheQqualityQofQservice.QThisQisQquali
tyQmanagement.
5. SalaryQincreasesQcanQbeQtiedQtoQqualityQimprovementQinitiatives,QbutQjustQaskingQforQanQincrea
seQisQnotQqualityQmanagement.
CognitiveQLevel:Q Applying
ClientQNeed:QSafeQEffectiveQCareQEnvironmentQ
ClientQNeedQSub:Q ManagementQofQCare
Nursing/IntQConc:Q NursingQProcess:QImplementation/QualityQofQPractice
LearningQOutcome:Q1-
1:QExplainQchangesQtoQhealthcareQoverQtheQpastQdecade,QincludingQthoseQresultingQfromQimple
mentationQofQtheQAffordableQCareQAct;QdemandsQtoQreduceQerrorsQandQimproveQpatientQsafety;
QandQevolvingQmedicalQandQcommunicationQtechnology.