1f
Copyrightf©f2020fPearsonfEducation,fInc.f
LeadershipfandfManagementfforfNurses,f4ef(Finkelman)f
f
Chapterf2fHealthcarefPolicy,fLegalfIssues,fandfEthicsfinfHealthcarefDeliveryf
1)fWhichfoptionfrepresentsfafsituationfexemplifyingfthefneedfforfnursesftofbecomef
involvedfinfhealthcarefpolicyfdevelopment?fSelectfallfthatfapply.f
1.fThefnursefomittedfdocumentationfoffafsurgicalfdressingfchange.f
2.fThefnursefmustfhavefafnursingflicensefandfbefcertifiedfasfAffPfRfNftofprescribef
medications.f
3.fThefnursefadministeredforalfmedicationsftofthefpatientfinfthefhome.f
4.fThefnursefdiscussedfdo-not-resuscitatefdecisionsfwithfthefpatientfandftheffamily.f
Answer:f2,f4f
Explanation:f
1.fThisfscenariofrepresentsfafviolationfoffstandardsfandfafpotentialfmalpracticef
issue,fnotfanfissuefoffhealthcarefpolicy.f
2.fChangesfinflegislationfandfregulationf(whichfmightfbefinfluencedfbyfnursesf
involvedfinfhealthcarefplanning)faffectfnursingfpractice.f
3.fThisfscenariofisfunlikelyftofbefalteredfbyfchangesfinflegislationforfregulation.f
4.fThisfscenariofmightfbefalteredfbyfchangesfinflegislationforfregulation.f
PagefRef:f42-44f
CognitivefLevel:fApplyingf
ClientfNeed/Sub:fSafefandfEffectivefCarefEnvironmentf
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNfLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fImplementationf
LearningfOutcome:fLfOf01.fExplainfwhyfnursesfshouldfbefinvolvedfinfhealthcarefpolicyf
andfthefpoliticalfprocess.f
f
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fffffffffffffffffffffffffEditionfFinkelman
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Copyrightf©f2020fPearsonfEducation,fInc.f
2)fWhichfstrategyfcouldfthefnursefuseftofavoidfdisparityfinfhealthcarefdelivery?f
1.fRecognizefthefculturalfissuefrelatedftofpatientfcare.f
2.fRequestfmorefhealthfplanfoptions.f
3.fCarefforfmorefpatientsfevenfiffqualityfsuffers.f
4.fCampaignfforffixedfnurse-patientfratios.f
Answer:f1f
,Explanation:f
1.fDisparitiesfoftenfoccurfbecausefthefhealthcarefprofessionalfdoesfnotfrecognizef
culturalfdifferencesforfhasfafculturalfbias.f
2.fThisfisfafconsumerfdemandfrelatedftofinsurance.fThefnursefhasflittlefeffectfonf
thisfissue.f
3.fThisfisfanfunacceptablefstrategyftofnursing.f
4.fThisfscenariofisfunlikelyftofhavefimpactfonfhealthfdisparities.f
PagefRef:f46f
CognitivefLevel:fApplyingf
ClientfNeed/Sub:fHealthfPromotionfandfMaintenancef
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNffLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fImplementationf
LearningfOutcome:fLfOf01.fExplainfwhyfnursesfshouldfbefinvolvedfinfhealthcarefpolicyf
andfthefpoliticalfprocess.ff
f
f
f
DOWNLOADfTHEfTestfBankfforfLeadershipfandfManagementfforfNursesf4th
fffffffffffffffffffffffffEditionfFinkelman
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Copyrightf©f2020fPearsonfEducation,fInc.f
3)fWhichfoptionfbestfillustratesfafpositivefoutcomeffromfmanagedfcare?f
1.fReshapedfcurrentfpolicyf
2.fConsumerfinvolvementfinfthefhealthcarefpoliticalfprocessf
3.fIncreasefinfqualityfcarefwithfreducedfcostf
4.fManagedfcarefisfnowfthefmethodfusedfforfreimbursement.f
Answer:f2f
Explanation:f
1.fThisfisfnotfanfoutcomefoffmanagedfcare,fbutfratherfafpartfoffthefpoliticalfprocessf
regardingflegislation.f
2.fManagedfcarefresultedfinfmanyfconsumersfspeakingfoutfagainstfmanagedfcare,f
andfthisfledftofmorefdevelopedfhealthcarefconsumerism.f
3.fQualityfisfstillfafproblemfandfcostsfhavefnotfbeenfreducedfdueftofmanagedfcare.f
4.fManagedfcarefisfnotfasfstrongfasfitfwasfinfthefpast.f
PagefRef:f48f
CognitivefLevel:fApplyingf
ClientfNeed/Sub:fSafefandfEffectivefCarefEnvironmentf
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
, andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNffLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fEvaluationf
LearningfOutcome:fLfOf01.fExplainfwhyfnursesfshouldfbefinvolvedfinfhealthcarefpolicyf
andfthefpoliticalfprocess.f
f
f
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fffffffffffffffffffffffffEditionfFinkelman
nursytestbank.store
4f
Copyrightf©f2020fPearsonfEducation,fInc.f
f
4)fThefnursingfassistantfleftfafsidefrailfdownfuponfexitingfthefroomfoffafpatientfwhof
hadfjustfreturnedffromfthefrecoveryfroomfpostoperatively.fWhatfdoesfthisfscenariof
mostfcloselyfillustrate?f
1.fPersonalfinjuryf
2.fCriminalfintentf
3.fMalpracticef
4.fNegligencef
Answer:f4f
Explanationf
1.fItfisfnotfyetfclearfthatfanyfpersonalfinjuryfhasfoccurred.f
2.fTherefisfnofindicationfthatfthisfnursingfassistantfhadfanyfcriminalfintentfwhenf
leavingfthefsidefrailfdown.f
3.fMalpracticefisftheffailurefoffafprofessionalfpersonftofactfinfaccordancefwithfthef
prevailingfprofessionalfstandardsforffailureftofforeseefconsequencesfthatfaf
professionalfperson,fhavingfthefnecessaryfskillfandfeducation,fshouldfforesee.f
4.fNegligencefisftheffailureftofactfasfanfordinaryfprudentfpersonfwouldfunderfsimilarf
circumstances,fandfisfbasedfuponfthatfperson'sfeducationfandftraining.f
PagefRef:f63f
CognitivefLevel:fAnalyzingf
ClientfNeed/Sub:fSafefandfEffectivefCarefEnvironmentf
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNffLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fImplementationf
LearningfOutcome:fLfOf03.fExplainfthefimpactfofflegalfissuesfonfdecisionfmakingfinf
managementfandfpractice.f
f
DOWNLOADfTHEfTestfBankfforfLeadershipfandfManagementfforfNursesf4th
Copyrightf©f2020fPearsonfEducation,fInc.f
LeadershipfandfManagementfforfNurses,f4ef(Finkelman)f
f
Chapterf2fHealthcarefPolicy,fLegalfIssues,fandfEthicsfinfHealthcarefDeliveryf
1)fWhichfoptionfrepresentsfafsituationfexemplifyingfthefneedfforfnursesftofbecomef
involvedfinfhealthcarefpolicyfdevelopment?fSelectfallfthatfapply.f
1.fThefnursefomittedfdocumentationfoffafsurgicalfdressingfchange.f
2.fThefnursefmustfhavefafnursingflicensefandfbefcertifiedfasfAffPfRfNftofprescribef
medications.f
3.fThefnursefadministeredforalfmedicationsftofthefpatientfinfthefhome.f
4.fThefnursefdiscussedfdo-not-resuscitatefdecisionsfwithfthefpatientfandftheffamily.f
Answer:f2,f4f
Explanation:f
1.fThisfscenariofrepresentsfafviolationfoffstandardsfandfafpotentialfmalpracticef
issue,fnotfanfissuefoffhealthcarefpolicy.f
2.fChangesfinflegislationfandfregulationf(whichfmightfbefinfluencedfbyfnursesf
involvedfinfhealthcarefplanning)faffectfnursingfpractice.f
3.fThisfscenariofisfunlikelyftofbefalteredfbyfchangesfinflegislationforfregulation.f
4.fThisfscenariofmightfbefalteredfbyfchangesfinflegislationforfregulation.f
PagefRef:f42-44f
CognitivefLevel:fApplyingf
ClientfNeed/Sub:fSafefandfEffectivefCarefEnvironmentf
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNfLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fImplementationf
LearningfOutcome:fLfOf01.fExplainfwhyfnursesfshouldfbefinvolvedfinfhealthcarefpolicyf
andfthefpoliticalfprocess.f
f
DOWNLOADfTHEfTestfBankfforfLeadershipfandfManagementfforfNursesf4th
fffffffffffffffffffffffffEditionfFinkelman
nursytestbank.store
2f
Copyrightf©f2020fPearsonfEducation,fInc.f
2)fWhichfstrategyfcouldfthefnursefuseftofavoidfdisparityfinfhealthcarefdelivery?f
1.fRecognizefthefculturalfissuefrelatedftofpatientfcare.f
2.fRequestfmorefhealthfplanfoptions.f
3.fCarefforfmorefpatientsfevenfiffqualityfsuffers.f
4.fCampaignfforffixedfnurse-patientfratios.f
Answer:f1f
,Explanation:f
1.fDisparitiesfoftenfoccurfbecausefthefhealthcarefprofessionalfdoesfnotfrecognizef
culturalfdifferencesforfhasfafculturalfbias.f
2.fThisfisfafconsumerfdemandfrelatedftofinsurance.fThefnursefhasflittlefeffectfonf
thisfissue.f
3.fThisfisfanfunacceptablefstrategyftofnursing.f
4.fThisfscenariofisfunlikelyftofhavefimpactfonfhealthfdisparities.f
PagefRef:f46f
CognitivefLevel:fApplyingf
ClientfNeed/Sub:fHealthfPromotionfandfMaintenancef
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNffLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fImplementationf
LearningfOutcome:fLfOf01.fExplainfwhyfnursesfshouldfbefinvolvedfinfhealthcarefpolicyf
andfthefpoliticalfprocess.ff
f
f
f
DOWNLOADfTHEfTestfBankfforfLeadershipfandfManagementfforfNursesf4th
fffffffffffffffffffffffffEditionfFinkelman
nursytestbank.store
3f
Copyrightf©f2020fPearsonfEducation,fInc.f
3)fWhichfoptionfbestfillustratesfafpositivefoutcomeffromfmanagedfcare?f
1.fReshapedfcurrentfpolicyf
2.fConsumerfinvolvementfinfthefhealthcarefpoliticalfprocessf
3.fIncreasefinfqualityfcarefwithfreducedfcostf
4.fManagedfcarefisfnowfthefmethodfusedfforfreimbursement.f
Answer:f2f
Explanation:f
1.fThisfisfnotfanfoutcomefoffmanagedfcare,fbutfratherfafpartfoffthefpoliticalfprocessf
regardingflegislation.f
2.fManagedfcarefresultedfinfmanyfconsumersfspeakingfoutfagainstfmanagedfcare,f
andfthisfledftofmorefdevelopedfhealthcarefconsumerism.f
3.fQualityfisfstillfafproblemfandfcostsfhavefnotfbeenfreducedfdueftofmanagedfcare.f
4.fManagedfcarefisfnotfasfstrongfasfitfwasfinfthefpast.f
PagefRef:f48f
CognitivefLevel:fApplyingf
ClientfNeed/Sub:fSafefandfEffectivefCarefEnvironmentf
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
, andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNffLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fEvaluationf
LearningfOutcome:fLfOf01.fExplainfwhyfnursesfshouldfbefinvolvedfinfhealthcarefpolicyf
andfthefpoliticalfprocess.f
f
f
DOWNLOADfTHEfTestfBankfforfLeadershipfandfManagementfforfNursesf4th
fffffffffffffffffffffffffEditionfFinkelman
nursytestbank.store
4f
Copyrightf©f2020fPearsonfEducation,fInc.f
f
4)fThefnursingfassistantfleftfafsidefrailfdownfuponfexitingfthefroomfoffafpatientfwhof
hadfjustfreturnedffromfthefrecoveryfroomfpostoperatively.fWhatfdoesfthisfscenariof
mostfcloselyfillustrate?f
1.fPersonalfinjuryf
2.fCriminalfintentf
3.fMalpracticef
4.fNegligencef
Answer:f4f
Explanationf
1.fItfisfnotfyetfclearfthatfanyfpersonalfinjuryfhasfoccurred.f
2.fTherefisfnofindicationfthatfthisfnursingfassistantfhadfanyfcriminalfintentfwhenf
leavingfthefsidefrailfdown.f
3.fMalpracticefisftheffailurefoffafprofessionalfpersonftofactfinfaccordancefwithfthef
prevailingfprofessionalfstandardsforffailureftofforeseefconsequencesfthatfaf
professionalfperson,fhavingfthefnecessaryfskillfandfeducation,fshouldfforesee.f
4.fNegligencefisftheffailureftofactfasfanfordinaryfprudentfpersonfwouldfunderfsimilarf
circumstances,fandfisfbasedfuponfthatfperson'sfeducationfandftraining.f
PagefRef:f63f
CognitivefLevel:fAnalyzingf
ClientfNeed/Sub:fSafefandfEffectivefCarefEnvironmentf
Standards:fQfSfEfNfCompetencies:fPatient-centeredfcare;fTeamworkfandfcollaboration;f
qualityfimprovement,fsafetyf|fAffAfCfNfEssentialfCompetencies:fⅡ.fBasicforganizationalf
andfsystemsfleadershipfforfqualityfcarefandfpatientfsafety;fⅥ.fInterprofessionalf
communicationfandfcollaborationfforfimprovingfpatientfhealthfoutcomes;fⅤ.fHealthcaref
policy,ffinance,fandfregulatoryfenvironmentsf|fNffLfNfCompetencies:fPersonalfandf
professionalfdevelopment;frelationshipfcenteredfcare;fteamworkf|fNursing/Integratedf
Concepts:fNursingfProcess:fImplementationf
LearningfOutcome:fLfOf03.fExplainfthefimpactfofflegalfissuesfonfdecisionfmakingfinf
managementfandfpractice.f
f
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