TEST BANK
u
,TEST BANK FORu u
EFFECTIVE LEADER u
SHIP AND MANAGE
u u
MENT IN NURSING, u u u
9TH EDITION,ELEA
u u
NOR
J. SULLIVAN
u
,EffectiveuLeadershipu&uManagementuinuNursing,u9eu(Sullivan)uChapte
ru1u IntroducinguNursinguManagement
1) Aunurseumanageruisuparticipatinguinutheuhealthcareuorganization'sustrategicuplanningucommit
tee.uWhichufactoruisutheuprimaryudrivinguforceuanducontrollingufactoruinunewuinitiativesuthisucom
mitteeumighturecommend?
1. Costuofucare
2. Accessutoucare
3. Availabilityuofucare
4. Qualityuofucareu
Answer:u 1
Explanation:u 1.uWhileualluofutheuoptionsugivenuareudrivinguforcesuinutoday'suhealthcareuenvironm
ent,utheucostuofuprovidingucareuisustillutheuprimaryuissue.uCostuofucareucontrolsuaccess,uavailability
,uanduquality.
2. Accessutoucareuisucontrolledubyutheuabilityutoupay.
3. Careuwillunotubeuavailableuifuitucannotubeufunded.
4. Healthcareuprovidersudounotulikeutoucorrelateuqualityuwithucost,ubututheueconomicurealityuisut
hatuqualityucareumustualsoubeufundeducare.
CognitiveuLevel:u Applying
ClientuNeed:u SafeuEffectiveuCareuEnvironmentuClien
tuNeeduSub:u ManagementuofuCare
Nursing/IntuConc:u NursinguProcess:uEvaluation/Leadership
LearninguOutcome:u 1-
1:uExplainuchangesutouhealthcareuoverutheupastudecade,uincludinguthoseuresultingufromuimplemen
tationuofutheuAffordableuCareuAct;udemandsutoureduceuerrorsuanduimproveupatientusafety;uanduev
olvingumedicaluanducommunicationutechnology.
, 2) Aunurseuhasubeenuinvitedutoudiscussuhealthcareucostsuatuauseniorucitizens'uclub.uWhatui
nformationushouldutheunurseuplanutouincludeuinuthisudiscussion?
1. Whileuhealthcareucostsucontinueutourise,utheupercentageuofutheuUniteduStatesu(U.S.)ueconomyus
pentuonuhealthcareuhasuslowlyudeclinedutoulessuthanu12%.
2. RegulationsubroughtuaboutubyutheuPatientuProtectionuanduAffordableuCareuActu(PPACA)us
houldubringufinancialureliefutouhealthcareuconsumers.
3. TheuUniteduStatesuspendsumoreumoneyuonuhealthcareuthanuanyuotherucountry.
4. HealthcareuspendinguinutheuUniteduStatesuisuslowlyudecliningudueutoupassageuofubillsusuchuasut
heuPatientuProtectionuanduAffordableuCareuActu(PPACA).
Answer:u 2
Explanation:u 1.uInu2009,uhealthcareucostsuconsumedumoreuthanu17%uofutheucountry'sugrossudome
sticuproduct.
2. ImplementationuofuPPACAuanduitsuregulationsuhaveunotubeenuformulated.
3. TheuUniteduStatesuspendsumoreuthanu$2.5utrillionuonuhealthcareuannually,umoreuthanuanyuo
therucountry.
4. Whileuthisuactuhasubeenupassed,uituisunotuoperationalized.uHealthcareuspendingucontinuesutour
ise.
CognitiveuLevel:u Analyzing
ClientuNeed:u SafeuEffectiveuCareuEnvironmentuClien
tuNeeduSub:u ManagementuofuCare
Nursing/IntuConc:u NursinguProcess:uPlanning/Education
LearninguOutcome:u 1-
1:uExplainuchangesutouhealthcareuoverutheupastudecade,uincludinguthoseuresultingufromuimplemen
tationuofutheuAffordableuCareuAct;udemandsutoureduceuerrorsuanduimproveupatientusafety;uanduev
olvingumedicaluanducommunicationutechnology.
3) Au70-year-olduclientudevelopsuaucatheter-
induceduurinaryutractuinfection.uWhichustatementubyutheunurseuwoulduindicateutoutheunurseuman
ageruauneeduforuadditionaluunderstandinguofuthisusituation?
1. "Iuwonderuifuthereuwasuaubreakuofusterilityuwhenuthisucatheteruwasuinserted."
2. "Thankfullyuweucanutreatuthisuwithuanuantibiotic."
3. "Thisucouldupotentiallyucostutheuhospitaluaulotuofumoney."
4. "Iuwillutalkutoumyuunlicenseduassistantsuaboutuproperuurinaryucatheterucare."u
Answer:u 2
Explanation:u 1.uWonderinguaboutuaubreakuinusterilityuindicatesuthatutheunurseuisuconcerneduaboutu
theuprocessuthatumightuhaveucontributedutouthisuinfection.
2. Theunurseuwhoufocusesuonutakingucareuofutheuresultsuofuaupotentialumedicalumistakeuisunotua
cceptingutheuseriousnessuofutheusituation.
3. TheuCentersuforuMedicareuanduMedicaiduServicesunoulongerucoverutheucostsuincurredubyu
medicalumistakes.uThisuurinaryutractuinfectionucoulducostutheuhospitalutheucostuofutreatment,ui
ncludinguincreasedulengthuofustay.
4. Theunurseuhasuidentifieduthatuimproperucareumayuresultuinupooruoutcomesuforutheuclient.u
CognitiveuLevel:u Applying
ClientuNeed:u SafeuEffectiveuCareuEnvironmentuClien
tuNeeduSub:u ManagementuofuCare
Nursing/IntuConc:u NursinguProcess:uEvaluation/Education
LearninguOutcome:u 1-
1:uExplainuchangesutouhealthcareuoverutheupastudecade,uincludinguthoseuresultingufromuimplemen
tationuofutheuAffordableuCareuAct;udemandsutoureduceuerrorsuanduimproveupatientusafety;uanduev
olvingumedicaluanducommunicationutechnology.
4) Whichuhealthcareusituationsureflectutheuphilosophyuofuqualityumanagementuasudesignedubyu
Deming?
Note:uCredituwillubeugivenuonlyuifuallucorrectuchoicesuandunouincorrectuchoicesuareuselected.
u
,TEST BANK FORu u
EFFECTIVE LEADER u
SHIP AND MANAGE
u u
MENT IN NURSING, u u u
9TH EDITION,ELEA
u u
NOR
J. SULLIVAN
u
,EffectiveuLeadershipu&uManagementuinuNursing,u9eu(Sullivan)uChapte
ru1u IntroducinguNursinguManagement
1) Aunurseumanageruisuparticipatinguinutheuhealthcareuorganization'sustrategicuplanningucommit
tee.uWhichufactoruisutheuprimaryudrivinguforceuanducontrollingufactoruinunewuinitiativesuthisucom
mitteeumighturecommend?
1. Costuofucare
2. Accessutoucare
3. Availabilityuofucare
4. Qualityuofucareu
Answer:u 1
Explanation:u 1.uWhileualluofutheuoptionsugivenuareudrivinguforcesuinutoday'suhealthcareuenvironm
ent,utheucostuofuprovidingucareuisustillutheuprimaryuissue.uCostuofucareucontrolsuaccess,uavailability
,uanduquality.
2. Accessutoucareuisucontrolledubyutheuabilityutoupay.
3. Careuwillunotubeuavailableuifuitucannotubeufunded.
4. Healthcareuprovidersudounotulikeutoucorrelateuqualityuwithucost,ubututheueconomicurealityuisut
hatuqualityucareumustualsoubeufundeducare.
CognitiveuLevel:u Applying
ClientuNeed:u SafeuEffectiveuCareuEnvironmentuClien
tuNeeduSub:u ManagementuofuCare
Nursing/IntuConc:u NursinguProcess:uEvaluation/Leadership
LearninguOutcome:u 1-
1:uExplainuchangesutouhealthcareuoverutheupastudecade,uincludinguthoseuresultingufromuimplemen
tationuofutheuAffordableuCareuAct;udemandsutoureduceuerrorsuanduimproveupatientusafety;uanduev
olvingumedicaluanducommunicationutechnology.
, 2) Aunurseuhasubeenuinvitedutoudiscussuhealthcareucostsuatuauseniorucitizens'uclub.uWhatui
nformationushouldutheunurseuplanutouincludeuinuthisudiscussion?
1. Whileuhealthcareucostsucontinueutourise,utheupercentageuofutheuUniteduStatesu(U.S.)ueconomyus
pentuonuhealthcareuhasuslowlyudeclinedutoulessuthanu12%.
2. RegulationsubroughtuaboutubyutheuPatientuProtectionuanduAffordableuCareuActu(PPACA)us
houldubringufinancialureliefutouhealthcareuconsumers.
3. TheuUniteduStatesuspendsumoreumoneyuonuhealthcareuthanuanyuotherucountry.
4. HealthcareuspendinguinutheuUniteduStatesuisuslowlyudecliningudueutoupassageuofubillsusuchuasut
heuPatientuProtectionuanduAffordableuCareuActu(PPACA).
Answer:u 2
Explanation:u 1.uInu2009,uhealthcareucostsuconsumedumoreuthanu17%uofutheucountry'sugrossudome
sticuproduct.
2. ImplementationuofuPPACAuanduitsuregulationsuhaveunotubeenuformulated.
3. TheuUniteduStatesuspendsumoreuthanu$2.5utrillionuonuhealthcareuannually,umoreuthanuanyuo
therucountry.
4. Whileuthisuactuhasubeenupassed,uituisunotuoperationalized.uHealthcareuspendingucontinuesutour
ise.
CognitiveuLevel:u Analyzing
ClientuNeed:u SafeuEffectiveuCareuEnvironmentuClien
tuNeeduSub:u ManagementuofuCare
Nursing/IntuConc:u NursinguProcess:uPlanning/Education
LearninguOutcome:u 1-
1:uExplainuchangesutouhealthcareuoverutheupastudecade,uincludinguthoseuresultingufromuimplemen
tationuofutheuAffordableuCareuAct;udemandsutoureduceuerrorsuanduimproveupatientusafety;uanduev
olvingumedicaluanducommunicationutechnology.
3) Au70-year-olduclientudevelopsuaucatheter-
induceduurinaryutractuinfection.uWhichustatementubyutheunurseuwoulduindicateutoutheunurseuman
ageruauneeduforuadditionaluunderstandinguofuthisusituation?
1. "Iuwonderuifuthereuwasuaubreakuofusterilityuwhenuthisucatheteruwasuinserted."
2. "Thankfullyuweucanutreatuthisuwithuanuantibiotic."
3. "Thisucouldupotentiallyucostutheuhospitaluaulotuofumoney."
4. "Iuwillutalkutoumyuunlicenseduassistantsuaboutuproperuurinaryucatheterucare."u
Answer:u 2
Explanation:u 1.uWonderinguaboutuaubreakuinusterilityuindicatesuthatutheunurseuisuconcerneduaboutu
theuprocessuthatumightuhaveucontributedutouthisuinfection.
2. Theunurseuwhoufocusesuonutakingucareuofutheuresultsuofuaupotentialumedicalumistakeuisunotua
cceptingutheuseriousnessuofutheusituation.
3. TheuCentersuforuMedicareuanduMedicaiduServicesunoulongerucoverutheucostsuincurredubyu
medicalumistakes.uThisuurinaryutractuinfectionucoulducostutheuhospitalutheucostuofutreatment,ui
ncludinguincreasedulengthuofustay.
4. Theunurseuhasuidentifieduthatuimproperucareumayuresultuinupooruoutcomesuforutheuclient.u
CognitiveuLevel:u Applying
ClientuNeed:u SafeuEffectiveuCareuEnvironmentuClien
tuNeeduSub:u ManagementuofuCare
Nursing/IntuConc:u NursinguProcess:uEvaluation/Education
LearninguOutcome:u 1-
1:uExplainuchangesutouhealthcareuoverutheupastudecade,uincludinguthoseuresultingufromuimplemen
tationuofutheuAffordableuCareuAct;udemandsutoureduceuerrorsuanduimproveupatientusafety;uanduev
olvingumedicaluanducommunicationutechnology.
4) Whichuhealthcareusituationsureflectutheuphilosophyuofuqualityumanagementuasudesignedubyu
Deming?
Note:uCredituwillubeugivenuonlyuifuallucorrectuchoicesuandunouincorrectuchoicesuareuselected.