Test Bank for Effective Leadership and Management in Nursing 9th Edition Sullivan Complete Guide 2023–2024 All Chapters ISBN 9780134153117 Exam Prep PDF

b




Test Bank For:
b b




Effective-Leadership-And-Management-In-Nursing-
9th-Edition-Sullivan2023-2024isbn-No-10-
0134153111-Isbn-No-13-978-0134153117all-Chapters
(1) b




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,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?
b b b b




1. Cost of care b b




2. Access to care b b




3. Availabilityof care b b




4. Qualityofcare b b




Answer: 1
b b




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




in today's healthcare environment, the cost of
b b b b b b b




providing care is still the primary issue. Cost of care controls access,availability, and quality.
b b b b b b b b b b b b b




2. Access to care is controlled bythe ability to pay.
b b b b b b b b b




3. Care will not be available if it cannot be funded.
b b b b b b b b b




4. Healthcare providers do not like to correlate quality with cost, but the economic reality is that
b b b b b b b b b b b b b b b




quality care must also be funded care.
b b b b b b b




Cognitive Level: Applying b b




ClientNeed: SafeEffective CareEnvironment
b b b b b




Client Need Sub: Management of Care
b b b b b b




Nursing/Int Conc: Nursing Process: Evaluation/Leadershipb b b b




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
b b b b b b b b b b b b




resulting from implementation of the Affordable Care Act; demands to reduce errors and
b b b b b b b b b b b b b




improve patient safety; and evolving medical and communication technology.
b b b b b b b b b




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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?
b b b b b b b b b b




1. While healthcare costs continue to rise, the percentage of the United States (U.S.) economy
b b b b b b b b b b b b b




spent on healthcare has slowly declined to less than 12%.
b b b b b b b b b b




2. Regulations broughtabout bythePatient Protection and Affordable CareAct (PPACA) b b b b b b b b b b b




should bring financial relief to healthcare consumers.
b b b b b b b




3. The United States spends more money on healthcare than any other country.
b b b b b b b b b b b




4. Healthcare spending in the United States is slowly declining due to passage of bills such as the
b b b b b b b b b b b b b b b b




Patient Protection and Affordable Care Act (PPACA).
b b b b b b b




Answer: 2 b




Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gross domestic
b b b b b b b b b b b b b b




product.
b




2. Implementation of PPACA and its regulations have not been formulated. b b b b b b b b b




3. The United States spends more than $2.5 trillion on healthcare annually, more than any other
b b b b b b b b b b b b b b




country.
b




4. While this act has been passed, it is not operationalized. Healthcare spending continues to rise.
b b b b b b b b b b b b b b




Cognitive Level: Analyzing b b




ClientNeed: SafeEffective CareEnvironment
b b b b b




Client Need Sub: Management of Care
b b b b b b




Nursing/Int Conc: Nursing Process: Planning/Education b b b b




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
b b b b b b b b b b b b




resulting from implementation of the Affordable Care Act; demands to reduce errors and
b b b b b b b b b b b b b




improve patient safety; and evolving medical and communication technology.
b b b b b b b b b




3) A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by
b b b b b b b b b b b




the nurse would indicate to the nurse manager a need for additional understanding of this
b b b b b b b b b b b b b b b




situation?
b




1. "Iwonder if there was a break of sterility when this catheter was inserted."
b b b b b b b b b b b b b




2. "Thankfully we can treat this with an antibiotic." b b b b b b b




3. "This could potentially cost the hospital a lot of money."
b b b b b b b b b




4. "Iwill talk to myunlicensed assistants about proper urinarycatheter care."
b b b b b b b b b b b




Answer: 2
b b




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.
b b b b b b b b




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.
b b b b b b




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,
b b b b b b b b b b b b b b




including increased length of stay.
b b b b b




4. The nurse has identified that improper care may result in poor outcomes for the client.
b b b b b b b b b b b b b b




Cognitive Level: Applying
b b b




ClientNeed: SafeEffective CareEnvironment
b b b b b




Client Need Sub: Management of Care
b b b b b b




Nursing/Int Conc: Nursing Process: Evaluation/Education b b b b




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
b b b b b b b b b b b b




resulting from implementation of the Affordable Care Act; demands to reduce errors and
b b b b b b b b b b b b b




improve patient safety; and evolving medical and communication technology.
b b b b b b b b b




4) Which healthcare situations reflect the philosophy of quality management as designed by
b b b b b b b b b b b




Deming?
b




Select all that apply.
b b b




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, 1. Anurse asks visitors to leave because it is after visiting hours.
b b b b b b b b b b b




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.
b b b b b




3. Anurse tells the manager that a housekeeper's work is not up to standards.
b b b b b b b b b b b b b




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
b b b b




Explanation: 1.The philosophy of quality management is focus on the needs of the client. If there
b b b b b b b b b b b b b b b b




is no reason for the visitors to leave other than it is after visiting hours, this is not focused on client
b b b b b b b b b b b b b b b b b b b b b




need.
b




2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is an
b b b b b b b b b b b b b b b b b




example of quality management.
b b b b




3. Quality management empowers the employee to evaluate quality.
b b b b b b b




4. This nurse has seen a need and is working to improve the quality of service. This is quality
b b b b b b b b b b b b b b b b b




management.
b




5. Salary increases can be tied to quality improvement initiatives, but just asking for an
b b b b b b b b b b b b b




increase is not quality management.
b b b b b




Cognitive Level: Applying b b




ClientNeed: SafeEffective CareEnvironment
b b b b b




Client Need Sub: Management of Care
b b b b b b




Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
b b b b b b




Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including those
b b b b b b b b b b b b




resulting from implementation of the Affordable Care Act; demands to reduce errors and
b b b b b b b b b b b b b




improve patient safety; and evolving medical and communication technology.
b b b b b b b b b




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