Test Bank For Effective Leadership and Management in Nursing 9th Edition Sullivan

TESTBANK

,EFFECTIVE LEADERSHIP & f# f#


MANAGEMENT IN NURSING, 9E
f# f# f# f#


(SULLIVAN) CHAPTER 1
f# KI f#


INTRODU
CING NURSING MANAGEMENT
f# f#




1) Anurse f#manager f#is f#participating f#in f#the f#healthcare f#organization's f#strategic
f#planning f#committee. f#Which f#factor f#is f#the f#primary f#driving f#force f#and

f#controlling f#factor f#in f#new f#initiativest his f#committee f#might f#recommend?
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1. Cost f#of f#care
2. Access f#to f#care
3. Availability f#off#care
4. Qualityf#of
careAnswer: f#1
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k



Explanation: f#1. f#While f#all f#of f#the f#options f#given f#are f#driving f#forces f#in f#today's
f#healthcare f#environment, f#the f#cost f#of f#providing f#care f#is f#still f#the f#primary f#issue. f#Cost f#of

f#care f#controls f#access,availability, f#and f#quality.
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2. Access f#to f#care f#is f#controlled f#by f#the f#ability f#to f#pay.
3. Care f#will f#not f#be f#available f#if f#it f#cannot f#be f#funded.
4. Healthcare f#providers f#do f#not f#like f#to f#correlate f#quality f#with f#cost, f#but f#the
f#economic f#reality f#ist hat f#quality f#care f#must f#also f#be f#funded f#care.
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Cognitive f#Level: f # Applying
f # Client f#Need: Safe
f#Effective f#Care

EnvironmentClient f#Need f#Sub: Management
i
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f#of f#Care

Nursing/Int f#Conc: Nursing f#Process: f#Evaluation/Leadership
Learning f#Outcome: f#1-1: f#Explain f#changes f#to f#healthcare f#over f#the f#past f#decade,
f#including f#thoser esulting f#from f#implementation f#of f#the f#Affordable f#Care f#Act; f#demands
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f#to f#reduce f#errors f#and f#improve f#patient f#safety; f#and f#evolving f#medical f#and

f#communication f#technology.

,2) Anurse f#has f#been f#invited f#to f#discuss f#healthcare f#costs f#at f#a f#senior
f#citizens' f#club. f#Whati nformation f#should f#the f#nurse f#plan f#to f#include f#in
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f#this f#discussion?

1. While f#healthcare f#costs f#continue f#to f#rise, f#the f#percentage f#of f#the f#United f#States
f#(U.S.) f#economyspent f#on f#healthcare f#has f#slowly f#declined f#to f#less f#than f#12%.

2. Regulations f#brought f#about f#by f#the f#Patient f#Protection f#and Affordable
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f#CareAct f#(PPACA)should f#bring f#financial f#relief f#to f#healthcare
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f#consumers.

3. The f#United f#States f#spends f#more f#money f#on f#healthcare f#than f#any f#other f#country.
4. Healthcare f#spending f#in f#the f#United f#States f#is f#slowly f#declining f#due f#to f#passage f#of
f#bills f#such f#as t he f#Patient f#Protection f#and#fAffordable f#CareAct f#(PPACA).
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Answer: 2
Explanation: f#1. f#In f#2009, f#healthcare f#costs f#consumed f#more f#than f#17% f#of f#the f#country's
f#grossd omestic f#product.
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2. Implementation f#of f#PPACAand f#its f# regulations f#have f#not f#been f#formulated.
3. The f#United f#States f#spends f#more f#than f#$2.5 f#trillion f#on f#healthcare f#annually, f#more
f#than f#anyother f#country.

4. While f#this f#act f#has f#been f#passed, f#it f#is f#not f#operationalized. f#Healthcare f#spending
f#continues f#tor ise.
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Cognitive f#Level: f # Analyzing
f#Client f#Need: Safe f#Effective

f#Care

EnvironmentClient f#Need f#Sub: Management
i
k



f#of f#Care

Nursing/Int f#Conc: Nursing f#Process: f#Planning/Education
Learning f#Outcome: f#1-1: f#Explain f#changes f#to f#healthcare f#over f#the f#past f#decade,
f#including f#thoser esulting f#from f#implementation f#of f#the f#Affordable f#Care f#Act; f#demands
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f#to f#reduce f#errors f#and f#improve f#patient f#safety; f#and f#evolving f#medical f#and

f#communication f#technology.




3) A f#70-year-old f#client f#develops f#a f#catheter-induced f#urinary f#tract f#infection. f#Which
f#statement f#by f#the f#nurse f#would f#indicate f#to f#the f#nurse f#manager f#a f#need f#for f#additional

f#understanding f#of f#thissituation? i
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1. "I f#wonder f#if f#there f#was f#a f#break f#of f#sterility f#when f#this f#catheter f#was f#inserted."
2. "Thankfully f#we f#can f#treat f#this f#with f#an f#antibiotic."
3. "This f#could f#potentially f#cost f#the f#hospital f#a f#lot f#of f#money."
4. "I f#will f#talk f#to f#my f#unlicensed f#assistants f#about f#proper f#urinary
f#catheter f#care."Answer: f#2

Explanation: 1.f#Wondering f#about f#a f#break f#in f#sterility f#indicates f#that f#the
f#nurse f#is f#concerneda bout f#the f#process f#that f#might f#have f#contributed f#to
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f#this f#infection.

2. The f#nurse f#who f#focuses f#on f#taking f#care f#of f#the f#results f#of f#a f#potential f#medical
f#mistake f#is f#nota ccepting f#the f#seriousness f#of f#the f#situation.
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3. The f#Centers f#for f#Medicare f#and f#Medicaid f#Services f#no f#longer f#cover f#the f#costs
f#incurred f#by f#medical f#mistakes. f#This f#urinary f#tract f#infection f#could f#cost f#the

f#hospital f#the f#cost f#of f#treatment,i ncluding f#increased f#length f#of f#stay.
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4. The f#nurse f#has f#identified f#that f#improper f#care f#may f#result f#in f#poor f#outcomes
f#for f#the f#client.Cognitive f#Level: Applying
Client f#Need: Safe f#Effective f#Care
f#EnvironmentClient f#Need f#Sub:
i
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Management f#of f#Care
Nursing/Int f#Conc: Nursing f#Process: f#Evaluation/Education
Learning f#Outcome: f#1-1: f#Explain f#changes f#to f#healthcare f#over f#the f#past f#decade,
f#including f#thoser esulting f#from f#implementation f#of f#the f#Affordable f#Care f#Act; f#demands
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, f#to f#reduce f#errors f#and f#improve f#patient f#safety; f#and f#evolving f#medical f#and
f#communication f#technology.




4) Which f#healthcare f#situations f#reflect f#the f#philosophy f#of f#quality f#management f#as
f#designed f#byDeming?

Note: f#Credit f#will f#be f#given f#only f#if f#all f#correct f#choices f#and f#no f#incorrect f#choices f#are f#selected.