,EffectivegLeadershipg&gManagementgingNursing,g9eg(Sullivan)gChapt
erg1g IntroducinggNursinggManagement
1) Agnursegmanagergisgparticipatinggingtheghealthcaregorganization'sgstrategicgplanninggcommittee.g
Whichgfactorgisgthegprimarygdrivinggforcegandgcontrollinggfactorgingnewginitiativesgthisgcommitteeg
mightgrecommend?
1. Costgofgcare
2. Accessgtogcare
3. Availabilitygofgcare
4. Qualitygofgcareg
Answer:g 1
Explanation:g 1.gWhilegallgofgthegoptionsggivengaregdrivinggforcesgingtoday'sghealthcaregenvironmen
t,gthegcostgofgprovidinggcaregisgstillgthegprimarygissue.gCostgofgcaregcontrolsgaccess,gavailability,gand
gquality.
2. Accessgtogcaregisgcontrolledgbygthegabilitygtogpay.
3. Caregwillgnotgbegavailablegifgitgcannotgbegfunded.
4. Healthcaregprovidersgdognotglikegtogcorrelategqualitygwithgcost,gbutgthegeconomicgrealitygisgthatgq
ualitygcaregmustgalsogbegfundedgcare.
CognitivegLevel:g Applying
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gEvaluation/Leadership
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
,2) Agnurseghasgbeenginvitedgtogdiscussghealthcaregcostsgatgagseniorgcitizens'gclub.gWhatgi
nformationgshouldgthegnursegplangtogincludegingthisgdiscussion?
1. Whileghealthcaregcostsgcontinuegtogrise,gthegpercentagegofgthegUnitedgStatesg(U.S.)geconomygs
pentgonghealthcareghasgslowlygdeclinedgtoglessgthang12%.
2. RegulationsgbroughtgaboutgbygthegPatientgProtectiongandgAffordablegCaregActg(PPACA)gshouldg
bringgfinancialgreliefgtoghealthcaregconsumers.
3. ThegUnitedgStatesgspendsgmoregmoneygonghealthcaregthanganygothergcountry.
4. HealthcaregspendinggingthegUnitedgStatesgisgslowlygdeclininggduegtogpassagegofgbillsgsuchgasgthegP
atientgProtectiongandgAffordablegCaregActg(PPACA).
Answer:g 2
Explanation:g 1.gIng2009,ghealthcaregcostsgconsumedgmoregthang17%gofgthegcountry'sggrossgdomesti
cgproduct.
2. ImplementationgofgPPACAgandgitsgregulationsghavegnotgbeengformulated.
3. ThegUnitedgStatesgspendsgmoregthang$2.5gtrilliongonghealthcaregannually,gmoregthanganygothergc
ountry.
4. Whilegthisgactghasgbeengpassed,gitgisgnotgoperationalized.gHealthcaregspendinggcontinuesgtogrise.g
CognitivegLevel:g Analyzing
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gPlanning/Education
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
3) Ag70-year-oldgclientgdevelopsgagcatheter-
inducedgurinarygtractginfection.gWhichgstatementgbygthegnursegwouldgindicategtogthegnursegmanag
ergagneedgforgadditionalgunderstandinggofgthisgsituation?
1. "Igwondergifgtheregwasgagbreakgofgsterilitygwhengthisgcathetergwasginserted."
2. "Thankfullygwegcangtreatgthisgwithgangantibiotic."
3. "Thisgcouldgpotentiallygcostgtheghospitalgaglotgofgmoney."
4. "Igwillgtalkgtogmygunlicensedgassistantsgaboutgpropergurinarygcathetergcare."g
Answer:g 2
Explanation:g 1.gWonderinggaboutgagbreakgingsterilitygindicatesgthatgthegnursegisgconcernedgaboutgth
egprocessgthatgmightghavegcontributedgtogthisginfection.
2. Thegnursegwhogfocusesgongtakinggcaregofgthegresultsgofgagpotentialgmedicalgmistakegisgnotga
cceptinggthegseriousnessgofgthegsituation.
3. ThegCentersgforgMedicaregandgMedicaidgServicesgnoglongergcovergthegcostsgincurredgbyg
medicalgmistakes.gThisgurinarygtractginfectiongcouldgcostgtheghospitalgthegcostgofgtreatment,gi
ncludinggincreasedglengthgofgstay.
4. Thegnurseghasgidentifiedgthatgimpropergcaregmaygresultgingpoorgoutcomesgforgthegclient.g
CognitivegLevel:g Applying
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gEvaluation/Education
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
4) Whichghealthcaregsituationsgreflectgthegphilosophygofgqualitygmanagementgasgdesignedgby
, Deming?
Note:gCreditgwillgbeggivengonlygifgallgcorrectgchoicesgandgnogincorrectgchoicesgaregselected.
Selectgallgthatgapply.
1. Agnursegasksgvisitorsgtogleavegbecausegitgisgaftergvisitingghours.
2. Atg2:00gp.m.gthegnursegordersgaglunchgtraygforgagclientgwhoghasgjustgbeengremovedgfromgnothinggb
ygmouthg(NPO)gstatus.
3. Agnursegtellsgthegmanagergthatgaghousekeeper'sgworkgisgnotgupgtogstandards.
4. AgnursegvolunteersgtogtakegagSpanishglanguagegclassgtogbegablegtogcommunicategwithgclients.
5. Agnursegwhoghasgnotgmadegagmedicationgerrorgingtwogyearsgasksgforgagsalarygincrease.g
Answer:g 2,g3,g4
Explanation:g 1.gThegphilosophygofgqualitygmanagementgisgfocusgongthegneedsgofgthegclient.gIfgthere
gisgnogreasongforgthegvisitorsgtogleavegothergthangitgisgaftergvisitingghours,gthisgisgnotgfocusedgongclien
tgneed.
2. Evengthoughg2:00gp.m.gisgafterg"lunchtime,"gthisgnursegisgfocusedgongthegclient'sgneeds.gThisgisga
ngexamplegofgqualitygmanagement.
3. Qualitygmanagementgempowersgthegemployeegtogevaluategquality.
4. Thisgnurseghasgseengagneedgandgisgworkinggtogimprovegthegqualitygofgservice.gThisgisgqualityg
management.
5. Salarygincreasesgcangbegtiedgtogqualitygimprovementginitiatives,gbutgjustgaskinggforgangincreasegi
sgnotgqualitygmanagement.
CognitivegLevel:g Applying
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gImplementation/QualitygofgPractice
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
erg1g IntroducinggNursinggManagement
1) Agnursegmanagergisgparticipatinggingtheghealthcaregorganization'sgstrategicgplanninggcommittee.g
Whichgfactorgisgthegprimarygdrivinggforcegandgcontrollinggfactorgingnewginitiativesgthisgcommitteeg
mightgrecommend?
1. Costgofgcare
2. Accessgtogcare
3. Availabilitygofgcare
4. Qualitygofgcareg
Answer:g 1
Explanation:g 1.gWhilegallgofgthegoptionsggivengaregdrivinggforcesgingtoday'sghealthcaregenvironmen
t,gthegcostgofgprovidinggcaregisgstillgthegprimarygissue.gCostgofgcaregcontrolsgaccess,gavailability,gand
gquality.
2. Accessgtogcaregisgcontrolledgbygthegabilitygtogpay.
3. Caregwillgnotgbegavailablegifgitgcannotgbegfunded.
4. Healthcaregprovidersgdognotglikegtogcorrelategqualitygwithgcost,gbutgthegeconomicgrealitygisgthatgq
ualitygcaregmustgalsogbegfundedgcare.
CognitivegLevel:g Applying
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gEvaluation/Leadership
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
,2) Agnurseghasgbeenginvitedgtogdiscussghealthcaregcostsgatgagseniorgcitizens'gclub.gWhatgi
nformationgshouldgthegnursegplangtogincludegingthisgdiscussion?
1. Whileghealthcaregcostsgcontinuegtogrise,gthegpercentagegofgthegUnitedgStatesg(U.S.)geconomygs
pentgonghealthcareghasgslowlygdeclinedgtoglessgthang12%.
2. RegulationsgbroughtgaboutgbygthegPatientgProtectiongandgAffordablegCaregActg(PPACA)gshouldg
bringgfinancialgreliefgtoghealthcaregconsumers.
3. ThegUnitedgStatesgspendsgmoregmoneygonghealthcaregthanganygothergcountry.
4. HealthcaregspendinggingthegUnitedgStatesgisgslowlygdeclininggduegtogpassagegofgbillsgsuchgasgthegP
atientgProtectiongandgAffordablegCaregActg(PPACA).
Answer:g 2
Explanation:g 1.gIng2009,ghealthcaregcostsgconsumedgmoregthang17%gofgthegcountry'sggrossgdomesti
cgproduct.
2. ImplementationgofgPPACAgandgitsgregulationsghavegnotgbeengformulated.
3. ThegUnitedgStatesgspendsgmoregthang$2.5gtrilliongonghealthcaregannually,gmoregthanganygothergc
ountry.
4. Whilegthisgactghasgbeengpassed,gitgisgnotgoperationalized.gHealthcaregspendinggcontinuesgtogrise.g
CognitivegLevel:g Analyzing
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gPlanning/Education
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
3) Ag70-year-oldgclientgdevelopsgagcatheter-
inducedgurinarygtractginfection.gWhichgstatementgbygthegnursegwouldgindicategtogthegnursegmanag
ergagneedgforgadditionalgunderstandinggofgthisgsituation?
1. "Igwondergifgtheregwasgagbreakgofgsterilitygwhengthisgcathetergwasginserted."
2. "Thankfullygwegcangtreatgthisgwithgangantibiotic."
3. "Thisgcouldgpotentiallygcostgtheghospitalgaglotgofgmoney."
4. "Igwillgtalkgtogmygunlicensedgassistantsgaboutgpropergurinarygcathetergcare."g
Answer:g 2
Explanation:g 1.gWonderinggaboutgagbreakgingsterilitygindicatesgthatgthegnursegisgconcernedgaboutgth
egprocessgthatgmightghavegcontributedgtogthisginfection.
2. Thegnursegwhogfocusesgongtakinggcaregofgthegresultsgofgagpotentialgmedicalgmistakegisgnotga
cceptinggthegseriousnessgofgthegsituation.
3. ThegCentersgforgMedicaregandgMedicaidgServicesgnoglongergcovergthegcostsgincurredgbyg
medicalgmistakes.gThisgurinarygtractginfectiongcouldgcostgtheghospitalgthegcostgofgtreatment,gi
ncludinggincreasedglengthgofgstay.
4. Thegnurseghasgidentifiedgthatgimpropergcaregmaygresultgingpoorgoutcomesgforgthegclient.g
CognitivegLevel:g Applying
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gEvaluation/Education
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
4) Whichghealthcaregsituationsgreflectgthegphilosophygofgqualitygmanagementgasgdesignedgby
, Deming?
Note:gCreditgwillgbeggivengonlygifgallgcorrectgchoicesgandgnogincorrectgchoicesgaregselected.
Selectgallgthatgapply.
1. Agnursegasksgvisitorsgtogleavegbecausegitgisgaftergvisitingghours.
2. Atg2:00gp.m.gthegnursegordersgaglunchgtraygforgagclientgwhoghasgjustgbeengremovedgfromgnothinggb
ygmouthg(NPO)gstatus.
3. Agnursegtellsgthegmanagergthatgaghousekeeper'sgworkgisgnotgupgtogstandards.
4. AgnursegvolunteersgtogtakegagSpanishglanguagegclassgtogbegablegtogcommunicategwithgclients.
5. Agnursegwhoghasgnotgmadegagmedicationgerrorgingtwogyearsgasksgforgagsalarygincrease.g
Answer:g 2,g3,g4
Explanation:g 1.gThegphilosophygofgqualitygmanagementgisgfocusgongthegneedsgofgthegclient.gIfgthere
gisgnogreasongforgthegvisitorsgtogleavegothergthangitgisgaftergvisitingghours,gthisgisgnotgfocusedgongclien
tgneed.
2. Evengthoughg2:00gp.m.gisgafterg"lunchtime,"gthisgnursegisgfocusedgongthegclient'sgneeds.gThisgisga
ngexamplegofgqualitygmanagement.
3. Qualitygmanagementgempowersgthegemployeegtogevaluategquality.
4. Thisgnurseghasgseengagneedgandgisgworkinggtogimprovegthegqualitygofgservice.gThisgisgqualityg
management.
5. Salarygincreasesgcangbegtiedgtogqualitygimprovementginitiatives,gbutgjustgaskinggforgangincreasegi
sgnotgqualitygmanagement.
CognitivegLevel:g Applying
ClientgNeed:g SafegEffectivegCaregEnvironmentgCli
entgNeedgSub:g ManagementgofgCare
Nursing/IntgConc:g NursinggProcess:gImplementation/QualitygofgPractice
LearninggOutcome:g 1-
1:gExplaingchangesgtoghealthcaregovergthegpastgdecade,gincludinggthosegresultinggfromgimplementat
iongofgthegAffordablegCaregAct;gdemandsgtogreducegerrorsgandgimprovegpatientgsafety;gandgevolvin
ggmedicalgandgcommunicationgtechnology.
