1
Copyright © 2018 Pearson Education, Inc.
br br br br br
VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
br br br br br br br br
r 1 Introducing Nursing Management
br b r br br
1) A nurse manager is participating in the healthcare organization's strategic planning committee.
br br br br br br br br br br br br
Which factor is the primary driving force and controlling factor in new initiatives this committee
br br br br br br br br br br br br br br br
might recommend? br
1. Cost of care br br
2. Access to care br br
3. Availability of care br br
4. Quality of care br br br
Answer: 1 b r
Explanation: 1. While all of the options given are driving forces in today's healthcare environme
b r br br br br br br br br br br br br br
nt, the cost of providing care is still the primary issue. Cost of care controls access, availability, an
br br br br br br br br br br br br br br br br br
d quality.
br
2. Access to care is controlled by the ability to pay.
br br br br br br br br br
3. Care will not be available if it cannot be funded.
br br br br br br br br br
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is that q
br br br br br br br br br br br br br br br br
uality care must also be funded care.
br br br br br br
Cognitive Level: Applying br b r
Client Need: Safe Effective Care Environment Cli
br b r br br br br
ent Need Sub: Management of Care
br br b r br br
Nursing/Int Conc: Nursing Process: Evaluation/Leadership br b r br br
Learning Outcome: 1- br b r
1: Explain changes to healthcare over the past decade, including those resulting from implementat
br br br br br br br br br br br br br
ion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvin
br br br br br br br br br br br br br br br
g medical and communication technology.
br br br br
2
Copyright © 2018 Pearson Education, Inc. br br br br br
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What i
br br br br br br br br br br br br br br br
nformation should the nurse plan to include in this discussion?
br br br br br br br br br
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy s
br br br br br br br br br br br br br br
pent on healthcare has slowly declined to less than 12%.
br br br br br br br br br
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should b
br br br br br br br br br br br br br
ring financial relief to healthcare consumers.
br br br br br
3. The United States spends more money on healthcare than any other country.
br br br br br br br br br br br
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the P
br br br br br br br br br br br br br br br br br
atient Protection and Affordable Care Act (PPACA).
br br br br br br
Answer: 2 b r
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domest
b r br br br br br br br br br br br br br
ic product.
br
2. Implementation of PPACA and its regulations have not been formulated. br br br br br br br br br
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other c
br br br br br br br br br br br br br br br
ountry.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise. C
br br br br br br br br br br br br br br br
ognitive Level: Analyzing br b r
Client Need: Safe Effective Care Environment Cli
br b r br br br br
ent Need Sub: Management of Care
br br b r br br
Nursing/Int Conc: Nursing Process: Planning/Education br b r br br
Learning Outcome: 1- br b r
1: Explain changes to healthcare over the past decade, including those resulting from implementat
br br br br br br br br br br br br br
ion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvin
br br br br br br br br br br br br br br br
g medical and communication technology.
br br br br
3) A 70-year-old client develops a catheter-
br br br br br
induced urinary tract infection. Which statement by the nurse would indicate to the nurse manag
br br br br br br br br br br br br br br
er a need for additional understanding of this situation?
br br br br br br br br
1. "I wonder if there was a break of sterility when this catheter was inserted."
br br br br br br br br br br br br br
2. "Thankfully we can treat this with an antibiotic." br br br br br br br
3. "This could potentially cost the hospital a lot of money."
br br br br br br br br br
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
br br br br br br br br br br br br
Answer: 2 b r
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about th
b r br br br br br br br br br br br br br br
e process that might have contributed to this infection.
br br br br br br br br
2. The nurse who focuses on taking care of the results of a potential medical mistake is not ac
br br br br br br br br br br br br br br br br br
cepting the seriousness of the situation.
br br br br br
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
br br br br br br br br br br br br br br
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, i
br br br br br br br br br br br br br br
ncluding increased length of stay. br br br br
4. The nurse has identified that improper care may result in poor outcomes for the client. C
br br br br br br br br br br br br br br br
ognitive Level: Applying br b r
Client Need: Safe Effective Care Environment Cli
br b r br br br br
ent Need Sub: Management of Care
br br b r br br
Nursing/Int Conc: Nursing Process: Evaluation/Education br b r br br
Learning Outcome: 1- br b r
1: Explain changes to healthcare over the past decade, including those resulting from implementat
br br br br br br br br br br br br br
3
Copyright © 2018 Pearson Education, Inc. br br br br br
VERIFIEDBRAINBOOSTER
, ion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvin
br br br br br br br br br br br br br br br
g medical and communication technology.
br br br br
4
Copyright © 2018 Pearson Education, Inc.
br br br br br
VERIFIEDBRAINBOOSTER
Copyright © 2018 Pearson Education, Inc.
br br br br br
VERIFIEDBRAINBOOSTER
,Effective Leadership & Management in Nursing, 9e (Sullivan) Chapte
br br br br br br br br
r 1 Introducing Nursing Management
br b r br br
1) A nurse manager is participating in the healthcare organization's strategic planning committee.
br br br br br br br br br br br br
Which factor is the primary driving force and controlling factor in new initiatives this committee
br br br br br br br br br br br br br br br
might recommend? br
1. Cost of care br br
2. Access to care br br
3. Availability of care br br
4. Quality of care br br br
Answer: 1 b r
Explanation: 1. While all of the options given are driving forces in today's healthcare environme
b r br br br br br br br br br br br br br
nt, the cost of providing care is still the primary issue. Cost of care controls access, availability, an
br br br br br br br br br br br br br br br br br
d quality.
br
2. Access to care is controlled by the ability to pay.
br br br br br br br br br
3. Care will not be available if it cannot be funded.
br br br br br br br br br
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is that q
br br br br br br br br br br br br br br br br
uality care must also be funded care.
br br br br br br
Cognitive Level: Applying br b r
Client Need: Safe Effective Care Environment Cli
br b r br br br br
ent Need Sub: Management of Care
br br b r br br
Nursing/Int Conc: Nursing Process: Evaluation/Leadership br b r br br
Learning Outcome: 1- br b r
1: Explain changes to healthcare over the past decade, including those resulting from implementat
br br br br br br br br br br br br br
ion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvin
br br br br br br br br br br br br br br br
g medical and communication technology.
br br br br
2
Copyright © 2018 Pearson Education, Inc. br br br br br
VERIFIEDBRAINBOOSTER
,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What i
br br br br br br br br br br br br br br br
nformation should the nurse plan to include in this discussion?
br br br br br br br br br
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy s
br br br br br br br br br br br br br br
pent on healthcare has slowly declined to less than 12%.
br br br br br br br br br
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should b
br br br br br br br br br br br br br
ring financial relief to healthcare consumers.
br br br br br
3. The United States spends more money on healthcare than any other country.
br br br br br br br br br br br
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the P
br br br br br br br br br br br br br br br br br
atient Protection and Affordable Care Act (PPACA).
br br br br br br
Answer: 2 b r
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domest
b r br br br br br br br br br br br br br
ic product.
br
2. Implementation of PPACA and its regulations have not been formulated. br br br br br br br br br
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other c
br br br br br br br br br br br br br br br
ountry.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise. C
br br br br br br br br br br br br br br br
ognitive Level: Analyzing br b r
Client Need: Safe Effective Care Environment Cli
br b r br br br br
ent Need Sub: Management of Care
br br b r br br
Nursing/Int Conc: Nursing Process: Planning/Education br b r br br
Learning Outcome: 1- br b r
1: Explain changes to healthcare over the past decade, including those resulting from implementat
br br br br br br br br br br br br br
ion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvin
br br br br br br br br br br br br br br br
g medical and communication technology.
br br br br
3) A 70-year-old client develops a catheter-
br br br br br
induced urinary tract infection. Which statement by the nurse would indicate to the nurse manag
br br br br br br br br br br br br br br
er a need for additional understanding of this situation?
br br br br br br br br
1. "I wonder if there was a break of sterility when this catheter was inserted."
br br br br br br br br br br br br br
2. "Thankfully we can treat this with an antibiotic." br br br br br br br
3. "This could potentially cost the hospital a lot of money."
br br br br br br br br br
4. "I will talk to my unlicensed assistants about proper urinary catheter care."
br br br br br br br br br br br br
Answer: 2 b r
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about th
b r br br br br br br br br br br br br br br
e process that might have contributed to this infection.
br br br br br br br br
2. The nurse who focuses on taking care of the results of a potential medical mistake is not ac
br br br br br br br br br br br br br br br br br
cepting the seriousness of the situation.
br br br br br
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
br br br br br br br br br br br br br br
medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, i
br br br br br br br br br br br br br br
ncluding increased length of stay. br br br br
4. The nurse has identified that improper care may result in poor outcomes for the client. C
br br br br br br br br br br br br br br br
ognitive Level: Applying br b r
Client Need: Safe Effective Care Environment Cli
br b r br br br br
ent Need Sub: Management of Care
br br b r br br
Nursing/Int Conc: Nursing Process: Evaluation/Education br b r br br
Learning Outcome: 1- br b r
1: Explain changes to healthcare over the past decade, including those resulting from implementat
br br br br br br br br br br br br br
3
Copyright © 2018 Pearson Education, Inc. br br br br br
VERIFIEDBRAINBOOSTER
, ion of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolvin
br br br br br br br br br br br br br br br
g medical and communication technology.
br br br br
4
Copyright © 2018 Pearson Education, Inc.
br br br br br
VERIFIEDBRAINBOOSTER
