TEST BANK for Effective Leadership and
Management in Nursing 9th Edition by
Eleanor Sullivan
COMPLETE CHAPTERS 1-28 | VERIFIED Q&As
AND RATIONALES FOR EXAM PREPARATIONS |
A+ PASS GUARANTEED
TB
Ac
1
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, Chapter 1: Introducing Nursing Management
1) A nurse manager is participating in the healthcare 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 Correct Answer: 1
Explanation: 1. While all of the options given are driving forces in today's healthcare environment, the cost of
providing care is still the primary issue. Cost of care controls access, availability, and quality.
2. Access to care is controlled by the ability to pay.
3. Care will not be available if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is that quality
care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What information should the
nurse plan to include in this discussion?
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy spent on
healthcare 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 healthcare consumers.
3. The United States spends more money on healthcare than any other country.
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the Patient
Protection and Affordable Care Act (PPACA).
Correct Answer: 2
TB
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domestic product.
Ac
2
er
,2. Implementation of PPACA and its regulations have not been formulated.
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
3) 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." Correct Answer: 2
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about the process that
might have contributed to this infection.
2. The nurse who focuses on taking care of the results of a potential medical mistake is not accepting the
seriousness of the situation.
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by medical
mistakes. This urinary tract infection could cost the hospital the cost of treatment, including increased length of
stay.
4. The nurse has identified that improper care may result in poor outcomes for the client. Cognitive
Level: Applying
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
TB
Ac
3
er
, 4) Which healthcare 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.
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 nothing by
mouth (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. Correct Answer:
2, 3, 4
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If there is no reason
for the visitors to leave other than it is after visiting hours, this is not focused on client need.
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is an
example of quality management.
3. Quality management empowers the employee to evaluate quality.
4. This nurse has seen a need and is working to improve the quality of service. This is quality
management.
5. Salary increases can be tied to quality improvement initiatives, but just asking for an increase is not
quality management.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
5) 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.
Select all that apply.
TB
1. There is no mechanism for complaint because the client is no longer hospitalized.
Ac
4
er
Management in Nursing 9th Edition by
Eleanor Sullivan
COMPLETE CHAPTERS 1-28 | VERIFIED Q&As
AND RATIONALES FOR EXAM PREPARATIONS |
A+ PASS GUARANTEED
TB
Ac
1
er
, Chapter 1: Introducing Nursing Management
1) A nurse manager is participating in the healthcare 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 Correct Answer: 1
Explanation: 1. While all of the options given are driving forces in today's healthcare environment, the cost of
providing care is still the primary issue. Cost of care controls access, availability, and quality.
2. Access to care is controlled by the ability to pay.
3. Care will not be available if it cannot be funded.
4. Healthcare providers do not like to correlate quality with cost, but the economic reality is that quality
care must also be funded care.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
2) A nurse has been invited to discuss healthcare costs at a senior citizens' club. What information should the
nurse plan to include in this discussion?
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy spent on
healthcare 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 healthcare consumers.
3. The United States spends more money on healthcare than any other country.
4. Healthcare spending in the United States is slowly declining due to passage of bills such as the Patient
Protection and Affordable Care Act (PPACA).
Correct Answer: 2
TB
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domestic product.
Ac
2
er
,2. Implementation of PPACA and its regulations have not been formulated.
3. The United States spends more than $2.5 trillion on healthcare annually, more than any other country.
4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
3) 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." Correct Answer: 2
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerned about the process that
might have contributed to this infection.
2. The nurse who focuses on taking care of the results of a potential medical mistake is not accepting the
seriousness of the situation.
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by medical
mistakes. This urinary tract infection could cost the hospital the cost of treatment, including increased length of
stay.
4. The nurse has identified that improper care may result in poor outcomes for the client. Cognitive
Level: Applying
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Evaluation/Education
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
TB
Ac
3
er
, 4) Which healthcare 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.
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 nothing by
mouth (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. Correct Answer:
2, 3, 4
Explanation: 1. The philosophy of quality management is focus on the needs of the client. If there is no reason
for the visitors to leave other than it is after visiting hours, this is not focused on client need.
2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is an
example of quality management.
3. Quality management empowers the employee to evaluate quality.
4. This nurse has seen a need and is working to improve the quality of service. This is quality
management.
5. Salary increases can be tied to quality improvement initiatives, but just asking for an increase is not
quality management.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those resulting from
implementation of the Affordable Care Act; demands to reduce errors and improve patient safety; and evolving
medical and communication technology.
5) 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.
Select all that apply.
TB
1. There is no mechanism for complaint because the client is no longer hospitalized.
Ac
4
er
