Test Bank for Effective Leadership and Management in Nursing 9th Edition by Eleanor Sullivan | Complete All Chapters Exam Questions & Verified A+ Answers Study Guide 2023–2024 | ISBN 9780134153117

Test Bank For Effective Leadership And Management In Nursing
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9th Edition By Eleanor Sullivan | Complete All Chapters Questions
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And Verified A+ Answers Guide 2023–2024
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https://www.stuvia.com/user/angelinas

,Effective Leadership & Management in Nursing, 9e
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(Sullivan)
Chapter1 Introducing Nursing Management
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1) A nurse manager is participating in the healthcare
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organization's strategic planning committee. Whichfactor is
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the primary driving force and controlling factor in new
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initiativesthis committee might recommend?
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1. Cost of care n n




2. Access to care n n




3. Availabilityof care n n




4. Qualityofcare n n




Answer: 1
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Explanation: 1. While all of theoptions given are driving forces n n n n n n n n n n




in today's healthcare environment, the cost of
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providing care is still the primary issue. Cost of care controls access,availability, and quality.
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2. Access to care is controlled bythe 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 that
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quality care must also be funded care.
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Cognitive Level: Applying n n




ClientNeed: SafeEffective CareEnvironment
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Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Leadershipn n n n




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and
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improve patient safety; and evolving medical and communication technology.
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,2) Anursehas been invited to discuss healthcare costs at a senior citizens' club. What
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information should the nurse plan to include in this discussion?
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1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
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spent on healthcare has slowly declined to less than 12%.
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2. Regulations broughtabout bythePatient Protection and Affordable CareAct (PPACA) n n n n n n n n n n n




should bring financial relief to healthcare consumers.
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3. The United States spends more money on healthcare than any other country.
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4. Healthcare spending in the United States is slowly declining due to passage of bills such as the
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Patient Protection and Affordable Care Act (PPACA).
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Answer: 2 n




Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domestic
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product.
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2. Implementation of PPACAand its regulations have not been formulated. n n n n n n n n n




3. The United States spends more than $2.5 trillion on healthcare annually, more than any other
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country.
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4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
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Cognitive Level: Analyzing n n




ClientNeed: SafeEffective CareEnvironment
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Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Planning/Education n n n n




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and
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improve patient safety; and evolving medical and communication technology.
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3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by
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the nurse would indicate to the nurse manager a need for additional understanding of this
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situation?
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1. "Iwonder if there was a break of sterility when this catheter was inserted."
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2. "Thankfully we can treat this with an antibiotic." n n n n n n n




3. "This could potentially cost the hospital a lot of money."
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4. "Iwill talk to myunlicensed assistants about proper urinarycatheter care."
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Answer: 2
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Explanation: 1.Wondering about a break in sterility indicates that the nurse is concerned about the
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process that might have contributed to this infection.
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2. The nurse who focuses on taking care of the results of a potential medical mistake is not
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accepting the seriousness of the situation.
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3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred by
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medical mistakes. This urinary tract infection could cost the hospital the cost of treatment,
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including increased length of stay.
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4. The nurse has identified that improper care may result in poor outcomes for the client.
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Cognitive Level: Applying
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ClientNeed: SafeEffective CareEnvironment
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Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Evaluation/Education n n n n




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and
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improve patient safety; and evolving medical and communication technology.
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4) Which healthcare situations reflect the philosophy of quality management as designed by
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Deming?
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Select all that apply.
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, 1. Anurse asks visitors to leave because it is after visiting hours.
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2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from
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nothing by mouth (NPO) status.
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3. Anurse tells the manager that a housekeeper's work is not up to standards.
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4. Anurse volunteers to take a Spanish language class to be able to communicate with clients.
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5. Anurse who has not made a medication error in two years asks for a salary increase.
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Answer: 2, 3, 4
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Explanation: 1.The philosophy of quality management is focus on the needs of the client. If there
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is no reason for the visitors to leave other than it is after visiting hours, this is not focused on client
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need.
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2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is an
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example of quality management.
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3. Quality management empowers the employee to evaluate quality.
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4. This nurse has seen a need and is working to improve the quality of service. This is quality
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management.
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5. Salary increases can be tied to quality improvement initiatives, but just asking for an
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increase is not quality management.
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Cognitive Level: Applying n n




ClientNeed: SafeEffective CareEnvironment
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Client Need Sub: Management of Care
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Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
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Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
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resulting from implementation of the Affordable Care Act; demands to reduce errors and
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improve patient safety; and evolving medical and communication technology.
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https://www.stuvia.com/user/angelinas