Effective Leadership & Management in Nursing 9th Edition Test Bank – Graded A+ with Rationales

,Effective Leadership & Management in Nursin
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g, 9e (Sullivan)Chapter 1
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Introducing
Nursing Management
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1) Anurseqmanagerqisqparticipatingqinqtheqhealthcareqorganization'sq strategicqplanningq
committee.qWhichqfactorqisqtheqprimaryqdrivingqforceqandqcontrollingqfactorqinqnewq in
itiativesthisqcommitteeqmightqrecommend?
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1. Costqofqcare
2. Accessqtoqcare
3. Availabilityqofqcare
4. Qualityqof
careAnswer:q1ki



Explanation:q1.qWhileqallqofqtheqoptionsq givenqareqdrivingqforcesqinqtoday'sqhealthcareqenvironm
ent,qtheqcostqofqprovidingqcareqisqstillqtheqprimaryqissue.qCostqofqcareqcontrolsqaccess,availabilit
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y,qandqquality.
2. Accessqtoqcareqisqcontrolledqbyqtheqabilityqtoqpay.
3. Careqwillqnotqbeqavailableq ifqitqcannotqbeqfunded.
4. Healthcareqprovidersqdoqnotqlikeqtoqcorrelateqqualityqwithqcost,qbutqtheqeconomicqrealityqi
st hat qqualityqcareqmustqalsoqbeqfundedqcare.
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CognitiveqLevel:q Applyingq Clien
tqNeed: SafeqEffectiveqCare
EnvironmentC lientqNeedq Sub: ki



Management
qofqCare

Nursing/IntqConc: NursingqProcess:qEvaluation/Leadership
LearningqOutcome:q1-
1:qExplainqchangesqtoqhealthcareqoverqtheqpastqdecade,qincludingqthoseresultingqfromqimplem
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entationqofqtheqAffordableqCareqAct;qdemandsqtoqreduceqerrorsqandqimproveqpatientqsafety;qan
dqevolvingq medicalqandqcommunicationqtechnology.

,2) Anurseqhasqbeenqinvitedqtoqdiscuss qhealthcareqcostsqatqaqseniorqcitizens'qclub.q
Whatinformationq shouldqtheqnurseqplanqtoqincludeq inqthisqdiscussion?
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1. Whileqhealthcareqcostsqcontinueqtoqrise,qtheqpercentageqofqtheqUnitedqStatesq(U.S.)qe
conomyspentqonqhealthcareqhasqslowlyqdeclinedqtoqlessqthanq12%.
2. RegulationsqbroughtqaboutqbyqtheqPatientqProtectionqand AffordableqCareActq
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(PPACA)should qbringqfinancialqreliefqtoqhealthcareqconsumers.
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3. TheqUnitedqStatesqspendsqmoreqmoneyqonqhealthcareqthanqanyqotherqcountry.
4. Healthcareqspendingqin qtheqUnitedqStatesqisqslowlyqdecliningqdueqtoqpassageqofqbillsqsuchqa
st he qPatientqProtectionqandqAffordableqCareActq(PPACA).
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Answer: 2
Explanation:q1.qInq2009,qhealthcareqcostsqconsumedqmoreqthanq17%qofqtheqcountry'sqgrossdome
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sticqproduct.
2. ImplementationqofqPPACAandqitsqregulationsq haveqnotqbeenqformulated.
3. TheqUnitedqStatesqspends qmoreqthanq$2.5qtrillionqonqhealthcareqannually,qmoreqthanqa
nyotherqcountry.
4. Whileqthisqactqhasqbeenqpassed,qitqisqnotqoperationalized.qHealthcareqspendingqcontinuesqt
or ise.
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CognitiveqLevel:q AnalyzingqClie
ntqNeed: SafeqEffectiveqCare
EnvironmentC lientqNeedq Sub:ki



Management
qofqCare

Nursing/IntqConc: NursingqProcess:qPlanning/Education
LearningqOutcome:q1-
1:qExplainqchangesqtoqhealthcareqoverqtheqpastqdecade,qincludingqthoseresultingqfromqimplem
ki



entationqofqtheqAffordableqCareqAct;qdemandsqtoqreduceqerrorsqandqimproveqpatientqsafety;qan
dqevolvingq medicalqandqcommunicationqtechnology.

3) Aq70-year-oldqclientqdevelopsqaqcatheter-
inducedqurinaryqtractqinfection.qWhichqstatementqbyqtheqnurseqwouldqindicateqtoqtheqnurseqma
nagerqaqneedqforqadditionalqunderstandingqofqthissituation?
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1. "Iqwonderqifqthereqwasqaqbreakqofqsterilityqwhenqthisqcatheterqwasqinserted."
2. "Thankfullyqweqcanqtreatqthisqwithqanqantibiotic."
3. "This qcouldqpotentiallyqcostqtheqhospitalqaqlotqofqmoney."
4. "Iqwillqtalkqtoqmyqunlicensedqassistantsqaboutqproperqurinaryqcatheterq
care."Answer:q2
Explanation:
1.qWonderingqaboutqaqbreakqinqsterilityqindicatesqthatqtheqnurseqisq
concernedaboutqtheqprocessqthatqmightqhaveqcontributedqtoqthisqinfection.
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2. Theqnurseqwhoqfocusesqonqtakingqcareqofqtheqresultsqofqaqpotentialqmedicalqmistakeqisqn
otacceptingqtheqseriousnessqofqtheqsituation.
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3. TheqCentersqforqMedicareqandqMedicaidqServicesqnoqlongerqcoverqtheqcostsqincurredqbyq
medicalq mistakes.qThisqurinaryqtractqinfectionqcouldqcostqtheqhospitalqtheqcostqofqtreatment,ki



includingq increasedqlengthqofqstay.
4. Theqnurseqhasqidentifiedqthatqimproperqcareqmayqresultqinqpoor qoutcomesqforqtheqc
lient.CognitiveqLevel: Applying
ClientqNeed:
SafeqEffectiveqCareqEnvironme
ntC lientqNeedq Sub:
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ManagementqofqCare
Nursing/IntqConc: NursingqProcess:qEvaluation/Education
LearningqOutcome:q1-
1:qExplainqchangesqtoqhealthcareqoverqtheqpastqdecade,qincludingqthoseresultingqfromqimplem
ki



entationqofqtheqAffordableqCareqAct;qdemandsqtoqreduceqerrorsqandqimproveqpatientqsafety;qan

, dqevolvingq medicalqandqcommunicationqtechnology.

4) Whichqhealthcareqsituationsqreflectqtheqphilosophyqofqqualityqmanagementqasqdesignedqby
Deming?
Note:qCreditqwillqbeqgivenqonlyqif qallqcorrectqchoicesqandqnoqincorrectqchoicesqareqselected.