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Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter
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1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare organization's strategic planning committ
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ee. Which factor is the primary driving force and controlling factor in new initiatives this commi
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ttee might recommend?
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1. Cost of care 0 0
2. Access to care 0 0
3. Availability of care 0 0
4. Quality of care 0 0 0
Answer: 1 0
Explanation: 1. While all of the options given are driving forces in today's healthcare environme
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nt, the cost of providing care is still the primary issue. Cost of care controls access, availability, an
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d quality.
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2. Access to care is controlled by the ability to pay.
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3. Care will not be available if it cannot be funded.
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4. Healthcare providers do not like to correlate quality with cost, but the economic reality is th
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at quality care must also be funded care.
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Cognitive Level: Applying 0 0
Client Need: Safe Effective Care Environment Client
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Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadership 0 0 0 0
Learning Outcome: 1- 0 0
1: Explain changes to healthcare over the past decade, including those resulting from implement
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ation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evol
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ving medical and communication technology.
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2) Arnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub. r
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What rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
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1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.) re
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conomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
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2. Regulationsrbrought rabout rbyrthe rPatient rProtection randrAffordable rCarerAct r 0 0 0 0 0 0 0
(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
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3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
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4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills rsu
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ch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
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Answer: r 2 0 0
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross rd
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omestic rproduct. 0
2. Implementation rof rPPACArand rits rregulations rhave rnot rbeen rformulated. 0 0 0 0 0 0 0 0
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan ra
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ny rother rcountry.
0 0
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending rc
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ontinues rto rrise. 0 0
Cognitive rLevel: r Analyzing 0 0 0
Client rNeed: r Safe rEffective rCare rEnvironment rCli
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ent rNeed rSub: r Management rof rCare
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Nursing/Int rConc: r Nursing rProcess: rPlanning/Education
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Learning rOutcome: r 1- 0 0 0
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimpl
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ementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsafet
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y; rand revolving rmedical rand rcommunication rtechnology.
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3) A r70-year-old rclient rdevelops ra rcatheter-
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induced rurinary rtract rinfection. rWhich rstatement rby rthe rnurse rwould rindicate rto rthe rnur
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se rmanager ra rneed rfor radditional runderstanding rof rthis rsituation?
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1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
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2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic." 0 0 0 0 0 0 0
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
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4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter rc
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are." rAnswer: r 2 0 0 0
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned rab
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out rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
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2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake ris
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rnot raccepting rthe rseriousness rof rthe rsituation.
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3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts rincurre
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d rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe rcost rof rtr
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eatment, rincluding rincreased rlength rof rstay.
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4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe rcl
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ient. rCognitive rLevel: r Applying
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Client rNeed: r Safe rEffective rCare rEnvironment rCli
0 0 0 0 0 0 0
ent rNeed rSub: r Management rof rCare
0 0 0 0 0 0
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Education
0 0 0 0 0
Learning rOutcome: r 1- 0 0 0
1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding rthose rresulting rfrom rimpl
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ementation rof rthe rAffordable rCare rAct; rdemands rto rreduce rerrors rand rimprove rpatient rsafet
0 0 0 0 0 0 0 0 0 0 0 0 0
y; rand revolving rmedical rand rcommunication rtechnology.
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4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned rb
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y rDeming?
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Note: rCredit rwill rbe rgiven ronly rif rall rcorrect rchoices rand rno rincorrect rchoices rare rselected.
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