Stuvia.com - The Marketplace to Buy and Sell your Study Material
TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan)
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
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.
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
2) A rnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub.
rWhat rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.)
reconomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
2. Regulations rbrought rabout rby rthe rPatient rProtection rand rAffordable rCare rAct
r(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills
rsuch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
Answer: r 2
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross
rdomestic rproduct.
2. Implementation rof rPPACA rand rits rregulations rhave rnot rbeen rformulated.
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan
rany rother rcountry.
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending
rcontinues rto rrise.
Cognitive rLevel: r Analyzing
Client rNeed: r Safe rEffective rCare rEnvironment
rClient rNeed rSub: r Management rof rCare
Nursing/Int rConc: r Nursing rProcess: rPlanning/Education
Learning rOutcome: r 1-1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding
rthose rresulting rfrom rimplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce
rerrors rand rimprove rpatient rsafety; rand revolving rmedical rand rcommunication rtechnology.
3) A r70-year-old rclient rdevelops ra rcatheter-induced rurinary rtract rinfection. rWhich
rstatement rby rthe rnurse rwould rindicate rto rthe rnurse rmanager ra rneed rfor radditional
runderstanding rof rthis rsituation?
1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic."
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter
rcare." rAnswer: r 2
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned
rabout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake
ris rnot raccepting rthe rseriousness rof rthe rsituation.
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts
rincurred rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe
rcost rof rtreatment, rincluding rincreased rlength rof rstay.
4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe
rclient. rCognitive rLevel: r Applying
Client rNeed: r Safe rEffective rCare rEnvironment
rClient rNeed rSub: r Management rof rCare
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Education
Learning rOutcome: r 1-1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding
rthose rresulting rfrom rimplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce
rerrors rand rimprove rpatient rsafety; rand revolving rmedical rand rcommunication rtechnology.
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned
rby rDeming?
Note: rCredit rwill rbe rgiven ronly rif rall rcorrect rchoices rand rno rincorrect rchoices rare rselected.
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Select rall rthat rapply.
1. A rnurse rasks rvisitors rto rleave rbecause rit ris rafter rvisiting rhours.
2. At r2:00 rp.m. rthe rnurse rorders ra rlunch rtray rfor ra rclient rwho rhas rjust rbeen rremoved
rfrom rnothing rby rmouth r(NPO) rstatus.
3. A rnurse rtells rthe rmanager rthat ra rhousekeeper's rwork ris rnot rup rto rstandards.
4. A rnurse rvolunteers rto rtake ra rSpanish rlanguage rclass rto rbe rable rto rcommunicate rwith rclients.
5. A rnurse rwho rhas rnot rmade ra rmedication rerror rin rtwo ryears rasks rfor ra rsalary
rincrease. rAnswer: r 2, r3, r4
Explanation: r 1. rThe rphilosophy rof rquality rmanagement ris rfocus ron rthe rneeds rof rthe
rclient. rIf rthere ris rno rreason rfor rthe rvisitors rto rleave rother rthan rit ris rafter rvisiting rhours,
rthis ris rnot rfocused ron rclient rneed.
2. Even rthough r2:00 rp.m. ris rafter r"lunchtime," rthis rnurse ris rfocused ron rthe rclient's rneeds.
rThis ris ran rexample rof rquality rmanagement.
3. Quality rmanagement rempowers rthe remployee rto revaluate rquality.
4. This rnurse rhas rseen ra rneed rand ris rworking rto rimprove rthe rquality rof rservice. rThis ris
rquality rmanagement.
5. Salary rincreases rcan rbe rtied rto rquality rimprovement rinitiatives, rbut rjust rasking
rfor ran rincrease ris rnot rquality rmanagement.
Cognitive rLevel: r Applying
Client rNeed: r Safe rEffective rCare rEnvironment
rClient rNeed rSub: r Management rof rCare
Nursing/Int rConc: r Nursing rProcess: rImplementation/Quality rof rPractice
Learning rOutcome: r 1-1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding
rthose rresulting rfrom rimplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce
rerrors rand rimprove rpatient rsafety; rand revolving rmedical rand rcommunication rtechnology.
Downloaded by: PASSGRADES |
Distribution of this document is illegal
TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Effective Leadership & Management in Nursing, 9e (Sullivan)
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
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.
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
2) A rnurse rhas rbeen rinvited rto rdiscuss rhealthcare rcosts rat ra rsenior rcitizens' rclub.
rWhat rinformation rshould rthe rnurse rplan rto rinclude rin rthis rdiscussion?
1. While rhealthcare rcosts rcontinue rto rrise, rthe rpercentage rof rthe rUnited rStates r(U.S.)
reconomy rspent ron rhealthcare rhas rslowly rdeclined rto rless rthan r12%.
2. Regulations rbrought rabout rby rthe rPatient rProtection rand rAffordable rCare rAct
r(PPACA) rshould rbring rfinancial rrelief rto rhealthcare rconsumers.
3. The rUnited rStates rspends rmore rmoney ron rhealthcare rthan rany rother rcountry.
4. Healthcare rspending rin rthe rUnited rStates ris rslowly rdeclining rdue rto rpassage rof rbills
rsuch ras rthe rPatient rProtection rand rAffordable rCare rAct r(PPACA).
Answer: r 2
Explanation: r 1. rIn r2009, rhealthcare rcosts rconsumed rmore rthan r17% rof rthe rcountry's rgross
rdomestic rproduct.
2. Implementation rof rPPACA rand rits rregulations rhave rnot rbeen rformulated.
3. The rUnited rStates rspends rmore rthan r$2.5 rtrillion ron rhealthcare rannually, rmore rthan
rany rother rcountry.
4. While rthis ract rhas rbeen rpassed, rit ris rnot roperationalized. rHealthcare rspending
rcontinues rto rrise.
Cognitive rLevel: r Analyzing
Client rNeed: r Safe rEffective rCare rEnvironment
rClient rNeed rSub: r Management rof rCare
Nursing/Int rConc: r Nursing rProcess: rPlanning/Education
Learning rOutcome: r 1-1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding
rthose rresulting rfrom rimplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce
rerrors rand rimprove rpatient rsafety; rand revolving rmedical rand rcommunication rtechnology.
3) A r70-year-old rclient rdevelops ra rcatheter-induced rurinary rtract rinfection. rWhich
rstatement rby rthe rnurse rwould rindicate rto rthe rnurse rmanager ra rneed rfor radditional
runderstanding rof rthis rsituation?
1. "I rwonder rif rthere rwas ra rbreak rof rsterility rwhen rthis rcatheter rwas rinserted."
2. "Thankfully rwe rcan rtreat rthis rwith ran rantibiotic."
3. "This rcould rpotentially rcost rthe rhospital ra rlot rof rmoney."
4. "I rwill rtalk rto rmy runlicensed rassistants rabout rproper rurinary rcatheter
rcare." rAnswer: r 2
Explanation: r 1. rWondering rabout ra rbreak rin rsterility rindicates rthat rthe rnurse ris rconcerned
rabout rthe rprocess rthat rmight rhave rcontributed rto rthis rinfection.
2. The rnurse rwho rfocuses ron rtaking rcare rof rthe rresults rof ra rpotential rmedical rmistake
ris rnot raccepting rthe rseriousness rof rthe rsituation.
3. The rCenters rfor rMedicare rand rMedicaid rServices rno rlonger rcover rthe rcosts
rincurred rby rmedical rmistakes. rThis rurinary rtract rinfection rcould rcost rthe rhospital rthe
rcost rof rtreatment, rincluding rincreased rlength rof rstay.
4. The rnurse rhas ridentified rthat rimproper rcare rmay rresult rin rpoor routcomes rfor rthe
rclient. rCognitive rLevel: r Applying
Client rNeed: r Safe rEffective rCare rEnvironment
rClient rNeed rSub: r Management rof rCare
Nursing/Int rConc: r Nursing rProcess: rEvaluation/Education
Learning rOutcome: r 1-1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding
rthose rresulting rfrom rimplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce
rerrors rand rimprove rpatient rsafety; rand revolving rmedical rand rcommunication rtechnology.
4) Which rhealthcare rsituations rreflect rthe rphilosophy rof rquality rmanagement ras rdesigned
rby rDeming?
Note: rCredit rwill rbe rgiven ronly rif rall rcorrect rchoices rand rno rincorrect rchoices rare rselected.
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Select rall rthat rapply.
1. A rnurse rasks rvisitors rto rleave rbecause rit ris rafter rvisiting rhours.
2. At r2:00 rp.m. rthe rnurse rorders ra rlunch rtray rfor ra rclient rwho rhas rjust rbeen rremoved
rfrom rnothing rby rmouth r(NPO) rstatus.
3. A rnurse rtells rthe rmanager rthat ra rhousekeeper's rwork ris rnot rup rto rstandards.
4. A rnurse rvolunteers rto rtake ra rSpanish rlanguage rclass rto rbe rable rto rcommunicate rwith rclients.
5. A rnurse rwho rhas rnot rmade ra rmedication rerror rin rtwo ryears rasks rfor ra rsalary
rincrease. rAnswer: r 2, r3, r4
Explanation: r 1. rThe rphilosophy rof rquality rmanagement ris rfocus ron rthe rneeds rof rthe
rclient. rIf rthere ris rno rreason rfor rthe rvisitors rto rleave rother rthan rit ris rafter rvisiting rhours,
rthis ris rnot rfocused ron rclient rneed.
2. Even rthough r2:00 rp.m. ris rafter r"lunchtime," rthis rnurse ris rfocused ron rthe rclient's rneeds.
rThis ris ran rexample rof rquality rmanagement.
3. Quality rmanagement rempowers rthe remployee rto revaluate rquality.
4. This rnurse rhas rseen ra rneed rand ris rworking rto rimprove rthe rquality rof rservice. rThis ris
rquality rmanagement.
5. Salary rincreases rcan rbe rtied rto rquality rimprovement rinitiatives, rbut rjust rasking
rfor ran rincrease ris rnot rquality rmanagement.
Cognitive rLevel: r Applying
Client rNeed: r Safe rEffective rCare rEnvironment
rClient rNeed rSub: r Management rof rCare
Nursing/Int rConc: r Nursing rProcess: rImplementation/Quality rof rPractice
Learning rOutcome: r 1-1: rExplain rchanges rto rhealthcare rover rthe rpast rdecade, rincluding
rthose rresulting rfrom rimplementation rof rthe rAffordable rCare rAct; rdemands rto rreduce
rerrors rand rimprove rpatient rsafety; rand revolving rmedical rand rcommunication rtechnology.
Downloaded by: PASSGRADES |
Distribution of this document is illegal
