Test Bank for Effective Leadership and
Management in Nursing 8th Edition,
Sullivan
YOU CAN FIND MORE QUESTIONS AND ANSWERS, just go HERE
Chapter 1
Question 1
Type: MCSA
A nurse manager is participating in the health care organization’s strategic planning committee.
Which factor is the primary driving force and controlling factor in new initiatives this committee
might recommend?
1. Cost of care
2. Access to care
3. Availability of care
4. Quality of care
Question 2
Type: MCSA
A nurse has been invited to discuss health care costs at a senior citizens’ club. What information
should the nurse plan to include in this discussion?
1. While health care costs continue to rise, the percentage of the U.S. economy spent on health
care has slowly declined to less than 12%.
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should
bring financial relief to health care consumers.
3. The United States spends more money on health care than any other country.
4. Health care spending in the United States is slowly declining due to passage of bills such as
the Patient Protection and Affordable Care Act (PPACA).
Question 3
Type: MCSA
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 this situation?
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.”
Question 4
Type: MCMA
Which health care situations reflect the philosophy of quality management as designed by
Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
www.testbanksuccess.com
,Standard Text: Select all that apply.
1. A nurse 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 from NPO
status.
3. A nurse tells the manager that a housekeeper’s work is not up to standards.
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
5. A nurse who has not made a medication error in two years asks for a salary increase.
Question 5
Type: MCMA
A client who was discharged yesterday is very upset about the quality of care received during
hospitalization for gastric surgery. What options for reporting concerns does this client have?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. There is no mechanism for complaint as the client is no longer hospitalized.
2. The client can indicate dissatisfaction on the survey often sent to clients after discharge.
3. The client can call the hospital administration.
4. The client can make a formal complaint through the American Nursing Association.
5. The client can make a public report through the Agency for Healthcare Research and Quality.
Question 6
Type: MCSA
A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should
choose which hospital for care during this procedure?
1. The hospital closest to the client’s home
2. The hospital that has done the greatest number of these surgeries in the last two years
3. The hospital chosen by the client’s primary care physician
4. The hospital with the highest performance ratings for this procedure
Question 7
Type: MCSA
The quality management director of a large health care conglomerate wishes to initiate
benchmarking strategies to assess care. Which directive should this manager publish?
1. We will compare outcome indicators with other health care conglomerates of similar size and
organization.
2. Outcome data of hospitals within the organization will be compared to assess quality.
3. Each client care unit in the organization will establish specific unit goals for quality.
4. Each unit in the organization will create a quality monitor to assess how well unit policies are
followed.
Question 8
Type: MCSA
The nurse manager has decided to use evidence-based practice (EBP) to solve an issue and has
called staff nurses together for input. Which question, as posed by the manager, reflects the first
step of the EBP process?
1. “What outcomes are we expecting from this work?”
2. “Is anyone prepared to evaluate the statistics we will find?”
3. “What is the exact clinical issue with which we are dealing?”
4. “Where can we look for information?”
Question 9
Type: MCSA
www.testbanksuccess.com
,The nurse manager asks a staff nurse why a procedure is done in a certain manner. The nurse
replies, “I don’t know why I started doing it this way. I’ve never read any research on it, but this
technique always works for me.” The manager would place this technique into which category of
evidence?
1. Case study
2. Anecdotal
3. Nonexperimental design research
4. Statistical
Question 10
Type: MCMA
A nurse manager is directing a team of staff nurses working to solve a clinical problem using
evidence-based practice (EBP). Which manager statements would direct these nurses to the
forms of strongest clinical evidence?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “We may find studies that use only one group of subjects.”
2. “Look for articles that report on how to use evidence in other clinical situations.”
3. “The studies we want are built around the scientific approach to solving problems.”
4. “Our focus should be on studies that use both experimental and control groups to determine
intervention effectiveness.”
5. “Many articles will have information reported by someone who is an expert in the field.”
Chapter 2
Question 1
Type: MCSA
Using the classical organizational theory model, what would be the most appropriate method for
the nurse to voice concern over unfair client workload assignments?
1. Circulate a petition to all staff seeking support for change in assignment policy and present the
signed petition to the nursing supervisor.
2. Discuss the problem with the nurse’s team leader and then the charge nurse if the problem
remains unsolved.
3. Invite the vice president in charge of nursing to a unit meeting.
4. Organize a unit meeting to discuss the problem on all shifts.
Question 2
Type: MCSA
Which relationship is an example of staff authority in classical theory?
1. The shift supervisor directs the staff nurse to help another nurse admit two new clients.
2. The unit manager asks the staff nurse to participate in a unit conference.
3. The team leader asks the staff nurse to assume care of an extra client after another nurse goes
home ill.
4. The staff nurse’s mentor calls to see how the nurse’s first day on a new unit progressed.
Question 3
Type: MCSA
The nurse manager has established a program that recognizes a different staff member each
month for contributions to client care. As a result, overall staff productivity and the number of
client compliments have increased. This is an example of which concept of organizational
theory?
www.testbanksuccess.com
, 1. Span of control
2. Line authority
3. Hawthorne effect
4. Adhocracy
Question 4
Type: MCSA
A community-owned hospital has been purchased by a health care conglomerate. The staff is
aware that the organizational theory governing the hospital is likely to change. Which statement
indicates a lack of understanding of organizational theory on the part of a staff nurse?
1. "If our new bosses want a classical organization, we can expect a strong hierarchy."
2. "If we don’t want to see lots of changes, we should hope our new bosses don’t like chaos
theory."
3. “If this new company is based on systems theory, there will be a lot of focus on how much
work we can produce.”
4. "If this new company is based on contingency theory, we will see lots of focus on how our
environment impacts our work."
Question 5
Type: MCSA
During a performance evaluation the nurse manager states, “My span of control is just too large.”
How should the unit supervisor interpret this statement?
1. The nurse manager is not capable of performing all the duties expected of the role.
2. The nurse manager may have too many staff members to manage.
3. The nurse manager is burned out and needs time away from the unit.
4. The nurse manager is not educationally prepared for the role.
Question 6
Type: MCSA
During a nurse's interview for a new job, the health benefits are described as being provided by a
health maintenance organization (HMO). What should the nurse expect from this coverage?
1. The nurse will have to choose a provider from within the HMO.
2. The nurse can obtain services from a nonparticipating provider and the HMO will pay for a
portion of the charges.
3. For an additional premium, the nurse can choose any provider.
4. By joining this HMO, the nurse is entitled to unlimited treatment and services.
Question 7
Type: MCSA
A long-term care facility’s organization reflects a functional structure. Which facility practice
reflects a basic weakness in this organizational strategy?
1. The nursing department is responsible for writing the client’s comprehensive care plan.
2. The dietary department is responsible for nutritional assessment.
3. All nursing tasks fall under the nursing department.
4. Physical and occupational therapy departments coordinate and evaluate activities of daily
living.
Question 8
Type: MCSA
A nurse practitioner and a physician have opened an office together. The nurse regularly
collaborates with the physician in client care and is a general partner in the business of the office.
This is an example of which diversification method?
www.testbanksuccess.com
Management in Nursing 8th Edition,
Sullivan
YOU CAN FIND MORE QUESTIONS AND ANSWERS, just go HERE
Chapter 1
Question 1
Type: MCSA
A nurse manager is participating in the health care organization’s strategic planning committee.
Which factor is the primary driving force and controlling factor in new initiatives this committee
might recommend?
1. Cost of care
2. Access to care
3. Availability of care
4. Quality of care
Question 2
Type: MCSA
A nurse has been invited to discuss health care costs at a senior citizens’ club. What information
should the nurse plan to include in this discussion?
1. While health care costs continue to rise, the percentage of the U.S. economy spent on health
care has slowly declined to less than 12%.
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should
bring financial relief to health care consumers.
3. The United States spends more money on health care than any other country.
4. Health care spending in the United States is slowly declining due to passage of bills such as
the Patient Protection and Affordable Care Act (PPACA).
Question 3
Type: MCSA
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 this situation?
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.”
Question 4
Type: MCMA
Which health care situations reflect the philosophy of quality management as designed by
Deming?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
www.testbanksuccess.com
,Standard Text: Select all that apply.
1. A nurse 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 from NPO
status.
3. A nurse tells the manager that a housekeeper’s work is not up to standards.
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
5. A nurse who has not made a medication error in two years asks for a salary increase.
Question 5
Type: MCMA
A client who was discharged yesterday is very upset about the quality of care received during
hospitalization for gastric surgery. What options for reporting concerns does this client have?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. There is no mechanism for complaint as the client is no longer hospitalized.
2. The client can indicate dissatisfaction on the survey often sent to clients after discharge.
3. The client can call the hospital administration.
4. The client can make a formal complaint through the American Nursing Association.
5. The client can make a public report through the Agency for Healthcare Research and Quality.
Question 6
Type: MCSA
A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should
choose which hospital for care during this procedure?
1. The hospital closest to the client’s home
2. The hospital that has done the greatest number of these surgeries in the last two years
3. The hospital chosen by the client’s primary care physician
4. The hospital with the highest performance ratings for this procedure
Question 7
Type: MCSA
The quality management director of a large health care conglomerate wishes to initiate
benchmarking strategies to assess care. Which directive should this manager publish?
1. We will compare outcome indicators with other health care conglomerates of similar size and
organization.
2. Outcome data of hospitals within the organization will be compared to assess quality.
3. Each client care unit in the organization will establish specific unit goals for quality.
4. Each unit in the organization will create a quality monitor to assess how well unit policies are
followed.
Question 8
Type: MCSA
The nurse manager has decided to use evidence-based practice (EBP) to solve an issue and has
called staff nurses together for input. Which question, as posed by the manager, reflects the first
step of the EBP process?
1. “What outcomes are we expecting from this work?”
2. “Is anyone prepared to evaluate the statistics we will find?”
3. “What is the exact clinical issue with which we are dealing?”
4. “Where can we look for information?”
Question 9
Type: MCSA
www.testbanksuccess.com
,The nurse manager asks a staff nurse why a procedure is done in a certain manner. The nurse
replies, “I don’t know why I started doing it this way. I’ve never read any research on it, but this
technique always works for me.” The manager would place this technique into which category of
evidence?
1. Case study
2. Anecdotal
3. Nonexperimental design research
4. Statistical
Question 10
Type: MCMA
A nurse manager is directing a team of staff nurses working to solve a clinical problem using
evidence-based practice (EBP). Which manager statements would direct these nurses to the
forms of strongest clinical evidence?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “We may find studies that use only one group of subjects.”
2. “Look for articles that report on how to use evidence in other clinical situations.”
3. “The studies we want are built around the scientific approach to solving problems.”
4. “Our focus should be on studies that use both experimental and control groups to determine
intervention effectiveness.”
5. “Many articles will have information reported by someone who is an expert in the field.”
Chapter 2
Question 1
Type: MCSA
Using the classical organizational theory model, what would be the most appropriate method for
the nurse to voice concern over unfair client workload assignments?
1. Circulate a petition to all staff seeking support for change in assignment policy and present the
signed petition to the nursing supervisor.
2. Discuss the problem with the nurse’s team leader and then the charge nurse if the problem
remains unsolved.
3. Invite the vice president in charge of nursing to a unit meeting.
4. Organize a unit meeting to discuss the problem on all shifts.
Question 2
Type: MCSA
Which relationship is an example of staff authority in classical theory?
1. The shift supervisor directs the staff nurse to help another nurse admit two new clients.
2. The unit manager asks the staff nurse to participate in a unit conference.
3. The team leader asks the staff nurse to assume care of an extra client after another nurse goes
home ill.
4. The staff nurse’s mentor calls to see how the nurse’s first day on a new unit progressed.
Question 3
Type: MCSA
The nurse manager has established a program that recognizes a different staff member each
month for contributions to client care. As a result, overall staff productivity and the number of
client compliments have increased. This is an example of which concept of organizational
theory?
www.testbanksuccess.com
, 1. Span of control
2. Line authority
3. Hawthorne effect
4. Adhocracy
Question 4
Type: MCSA
A community-owned hospital has been purchased by a health care conglomerate. The staff is
aware that the organizational theory governing the hospital is likely to change. Which statement
indicates a lack of understanding of organizational theory on the part of a staff nurse?
1. "If our new bosses want a classical organization, we can expect a strong hierarchy."
2. "If we don’t want to see lots of changes, we should hope our new bosses don’t like chaos
theory."
3. “If this new company is based on systems theory, there will be a lot of focus on how much
work we can produce.”
4. "If this new company is based on contingency theory, we will see lots of focus on how our
environment impacts our work."
Question 5
Type: MCSA
During a performance evaluation the nurse manager states, “My span of control is just too large.”
How should the unit supervisor interpret this statement?
1. The nurse manager is not capable of performing all the duties expected of the role.
2. The nurse manager may have too many staff members to manage.
3. The nurse manager is burned out and needs time away from the unit.
4. The nurse manager is not educationally prepared for the role.
Question 6
Type: MCSA
During a nurse's interview for a new job, the health benefits are described as being provided by a
health maintenance organization (HMO). What should the nurse expect from this coverage?
1. The nurse will have to choose a provider from within the HMO.
2. The nurse can obtain services from a nonparticipating provider and the HMO will pay for a
portion of the charges.
3. For an additional premium, the nurse can choose any provider.
4. By joining this HMO, the nurse is entitled to unlimited treatment and services.
Question 7
Type: MCSA
A long-term care facility’s organization reflects a functional structure. Which facility practice
reflects a basic weakness in this organizational strategy?
1. The nursing department is responsible for writing the client’s comprehensive care plan.
2. The dietary department is responsible for nutritional assessment.
3. All nursing tasks fall under the nursing department.
4. Physical and occupational therapy departments coordinate and evaluate activities of daily
living.
Question 8
Type: MCSA
A nurse practitioner and a physician have opened an office together. The nurse regularly
collaborates with the physician in client care and is a general partner in the business of the office.
This is an example of which diversification method?
www.testbanksuccess.com
