TESTBANK
,Effective Leadership & Management in Nursin
v v v v v
g, 9e (Sullivan)Chapter 1
v v k
i v
Introducing
Nursing Management
v v
1) Anursevmanagervisvparticipatingvinvthevhealthcarevorganization'svstrategicvplanningv
committee.vWhichvfactorvisvthevprimaryvdrivingvforcevandvcontrollingvfactorvinvnewvin
itiativesthisvcommitteevmightvrecommend?
ki
1. Costvofvcare
2. Accessvtovcare
3. Availabilityvofvcare
4. Qualityvof
careAnswer:v1ki
Explanation:v1.vWhilevallvofvthevoptionsvgivenvarevdrivingvforcesvinvtoday'svhealthcarevenvironm
ent,vthevcostvofvprovidingvcarevisvstillvthevprimaryvissue.vCostvofvcarevcontrolsvaccess,availabilit
ki
y,vandvquality.
2. Accessvtovcarevisvcontrolledvbyvthevabilityvtovpay.
3. Carevwillvnotvbevavailablevifvitvcannotvbevfunded.
4. Healthcarevprovidersvdovnotvlikevtovcorrelatevqualityvwithvcost,vbutvtheveconomicvrealityvi
st hat vqualityvcarevmustvalsovbevfundedvcare.
ki
CognitivevLevel:v Applyingv Clien
tvNeed: SafevEffectivevCare
EnvironmentClientvNeedvSub: ki
Management
vofvCare
Nursing/IntvConc: NursingvProcess:vEvaluation/Leadership
LearningvOutcome:v1-
1:vExplainvchangesvtovhealthcarevovervthevpastvdecade,vincludingvthoseresultingvfromvimplem
ki
entationvofvthevAffordablevCarevAct;vdemandsvtovreduceverrorsvandvimprovevpatientvsafety;van
dvevolvingvmedicalvandvcommunicationvtechnology.
,2) Anursevhasvbeenvinvitedvtovdiscussvhealthcarevcostsvatvavseniorvcitizens'vclub.v
Whatinformationvshouldvthevnursevplanvtovincludevinvthisvdiscussion?
ki
1. Whilevhealthcarevcostsvcontinuevtovrise,vthevpercentagevofvthevUnitedvStatesv(U.S.)ve
conomyspentvonvhealthcarevhasvslowlyvdeclinedvtovlessvthanv12%.
2. RegulationsvbroughtvaboutvbyvthevPatientvProtectionvand AffordablevCareActv
ki
(PPACA)shouldvbringvfinancialvreliefvtovhealthcarevconsumers.
ki
3. ThevUnitedvStatesvspendsvmorevmoneyvonvhealthcarevthanvanyvothervcountry.
4. HealthcarevspendingvinvthevUnitedvStatesvisvslowlyvdecliningvduevtovpassagevofvbillsvsuchva
st he vPatientvProtectionvandvAffordablevCareActv(PPACA).
ki
Answer: 2
Explanation:v1.vInv2009,vhealthcarevcostsvconsumedvmorevthanv17%vofvthevcountry'svgrossdome
ki
sticvproduct.
2. ImplementationvofvPPACAandvitsvregulationsvhavevnotvbeenvformulated.
3. ThevUnitedvStatesvspendsvmorevthanv$2.5vtrillionvonvhealthcarevannually,vmorevthanva
nyothervcountry.
4. Whilevthisvactvhasvbeenvpassed,vitvisvnotvoperationalized.vHealthcarevspendingvcontinuesvt
orise.ki
CognitivevLevel:v AnalyzingvClie
ntvNeed: SafevEffectivevCare
EnvironmentClientvNeedvSub: ki
Management
vofvCare
Nursing/IntvConc: NursingvProcess:vPlanning/Education
LearningvOutcome:v1-
1:vExplainvchangesvtovhealthcarevovervthevpastvdecade,vincludingvthoseresultingvfromvimplem
ki
entationvofvthevAffordablevCarevAct;vdemandsvtovreduceverrorsvandvimprovevpatientvsafety;van
dvevolvingvmedicalvandvcommunicationvtechnology.
3) Av70-year-oldvclientvdevelopsvavcatheter-
inducedvurinaryvtractvinfection.vWhichvstatementvbyvthevnursevwouldvindicatevtovthevnursevma
nagervavneedvforvadditionalvunderstandingvofvthissituation?
ki
1. "Ivwondervifvtherevwasvavbreakvofvsterilityvwhenvthisvcathetervwasvinserted."
2. "Thankfullyvwevcanvtreatvthisvwithvanvantibiotic."
3. "Thisvcouldvpotentiallyvcostvthevhospitalvavlotvofvmoney."
4. "Ivwillvtalkvtovmyvunlicensedvassistantsvaboutvpropervurinaryvcatheterv
care."Answer:v2
Explanation:
1.vWonderingvaboutvavbreakvinvsterilityvindicatesvthatvthevnursevisv
concernedaboutvthevprocessvthatvmightvhavevcontributedvtovthisvinfection.
ki
2. Thevnursevwhovfocusesvonvtakingvcarevofvthevresultsvofvavpotentialvmedicalvmistakevisvn
otacceptingvthevseriousnessvofvthevsituation.
ki
3. ThevCentersvforvMedicarevandvMedicaidvServicesvnovlongervcovervthevcostsvincurredvbyv
medicalvmistakes.vThisvurinaryvtractvinfectionvcouldvcostvthevhospitalvthevcostvofvtreatment,ki
includingvincreasedvlengthvofvstay.
4. Thevnursevhasvidentifiedvthatvimpropervcarevmayvresultvinvpoorvoutcomesvforvthevc
lient.CognitivevLevel: Applying
ClientvNeed:
SafevEffectivevCarevEnvironme
ntClientvNeedvSub:
ki
ManagementvofvCare
Nursing/IntvConc: NursingvProcess:vEvaluation/Education
LearningvOutcome:v1-
1:vExplainvchangesvtovhealthcarevovervthevpastvdecade,vincludingvthoseresultingvfromvimplem
ki
entationvofvthevAffordablevCarevAct;vdemandsvtovreduceverrorsvandvimprovevpatientvsafety;van
, dvevolvingvmedicalvandvcommunicationvtechnology.
4) Whichvhealthcarevsituationsvreflectvthevphilosophyvofvqualityvmanagementvasvdesignedvby
Deming?
Note:vCreditvwillvbevgivenvonlyvifvallvcorrectvchoicesvandvnovincorrectvchoicesvarevselected.
,Effective Leadership & Management in Nursin
v v v v v
g, 9e (Sullivan)Chapter 1
v v k
i v
Introducing
Nursing Management
v v
1) Anursevmanagervisvparticipatingvinvthevhealthcarevorganization'svstrategicvplanningv
committee.vWhichvfactorvisvthevprimaryvdrivingvforcevandvcontrollingvfactorvinvnewvin
itiativesthisvcommitteevmightvrecommend?
ki
1. Costvofvcare
2. Accessvtovcare
3. Availabilityvofvcare
4. Qualityvof
careAnswer:v1ki
Explanation:v1.vWhilevallvofvthevoptionsvgivenvarevdrivingvforcesvinvtoday'svhealthcarevenvironm
ent,vthevcostvofvprovidingvcarevisvstillvthevprimaryvissue.vCostvofvcarevcontrolsvaccess,availabilit
ki
y,vandvquality.
2. Accessvtovcarevisvcontrolledvbyvthevabilityvtovpay.
3. Carevwillvnotvbevavailablevifvitvcannotvbevfunded.
4. Healthcarevprovidersvdovnotvlikevtovcorrelatevqualityvwithvcost,vbutvtheveconomicvrealityvi
st hat vqualityvcarevmustvalsovbevfundedvcare.
ki
CognitivevLevel:v Applyingv Clien
tvNeed: SafevEffectivevCare
EnvironmentClientvNeedvSub: ki
Management
vofvCare
Nursing/IntvConc: NursingvProcess:vEvaluation/Leadership
LearningvOutcome:v1-
1:vExplainvchangesvtovhealthcarevovervthevpastvdecade,vincludingvthoseresultingvfromvimplem
ki
entationvofvthevAffordablevCarevAct;vdemandsvtovreduceverrorsvandvimprovevpatientvsafety;van
dvevolvingvmedicalvandvcommunicationvtechnology.
,2) Anursevhasvbeenvinvitedvtovdiscussvhealthcarevcostsvatvavseniorvcitizens'vclub.v
Whatinformationvshouldvthevnursevplanvtovincludevinvthisvdiscussion?
ki
1. Whilevhealthcarevcostsvcontinuevtovrise,vthevpercentagevofvthevUnitedvStatesv(U.S.)ve
conomyspentvonvhealthcarevhasvslowlyvdeclinedvtovlessvthanv12%.
2. RegulationsvbroughtvaboutvbyvthevPatientvProtectionvand AffordablevCareActv
ki
(PPACA)shouldvbringvfinancialvreliefvtovhealthcarevconsumers.
ki
3. ThevUnitedvStatesvspendsvmorevmoneyvonvhealthcarevthanvanyvothervcountry.
4. HealthcarevspendingvinvthevUnitedvStatesvisvslowlyvdecliningvduevtovpassagevofvbillsvsuchva
st he vPatientvProtectionvandvAffordablevCareActv(PPACA).
ki
Answer: 2
Explanation:v1.vInv2009,vhealthcarevcostsvconsumedvmorevthanv17%vofvthevcountry'svgrossdome
ki
sticvproduct.
2. ImplementationvofvPPACAandvitsvregulationsvhavevnotvbeenvformulated.
3. ThevUnitedvStatesvspendsvmorevthanv$2.5vtrillionvonvhealthcarevannually,vmorevthanva
nyothervcountry.
4. Whilevthisvactvhasvbeenvpassed,vitvisvnotvoperationalized.vHealthcarevspendingvcontinuesvt
orise.ki
CognitivevLevel:v AnalyzingvClie
ntvNeed: SafevEffectivevCare
EnvironmentClientvNeedvSub: ki
Management
vofvCare
Nursing/IntvConc: NursingvProcess:vPlanning/Education
LearningvOutcome:v1-
1:vExplainvchangesvtovhealthcarevovervthevpastvdecade,vincludingvthoseresultingvfromvimplem
ki
entationvofvthevAffordablevCarevAct;vdemandsvtovreduceverrorsvandvimprovevpatientvsafety;van
dvevolvingvmedicalvandvcommunicationvtechnology.
3) Av70-year-oldvclientvdevelopsvavcatheter-
inducedvurinaryvtractvinfection.vWhichvstatementvbyvthevnursevwouldvindicatevtovthevnursevma
nagervavneedvforvadditionalvunderstandingvofvthissituation?
ki
1. "Ivwondervifvtherevwasvavbreakvofvsterilityvwhenvthisvcathetervwasvinserted."
2. "Thankfullyvwevcanvtreatvthisvwithvanvantibiotic."
3. "Thisvcouldvpotentiallyvcostvthevhospitalvavlotvofvmoney."
4. "Ivwillvtalkvtovmyvunlicensedvassistantsvaboutvpropervurinaryvcatheterv
care."Answer:v2
Explanation:
1.vWonderingvaboutvavbreakvinvsterilityvindicatesvthatvthevnursevisv
concernedaboutvthevprocessvthatvmightvhavevcontributedvtovthisvinfection.
ki
2. Thevnursevwhovfocusesvonvtakingvcarevofvthevresultsvofvavpotentialvmedicalvmistakevisvn
otacceptingvthevseriousnessvofvthevsituation.
ki
3. ThevCentersvforvMedicarevandvMedicaidvServicesvnovlongervcovervthevcostsvincurredvbyv
medicalvmistakes.vThisvurinaryvtractvinfectionvcouldvcostvthevhospitalvthevcostvofvtreatment,ki
includingvincreasedvlengthvofvstay.
4. Thevnursevhasvidentifiedvthatvimpropervcarevmayvresultvinvpoorvoutcomesvforvthevc
lient.CognitivevLevel: Applying
ClientvNeed:
SafevEffectivevCarevEnvironme
ntClientvNeedvSub:
ki
ManagementvofvCare
Nursing/IntvConc: NursingvProcess:vEvaluation/Education
LearningvOutcome:v1-
1:vExplainvchangesvtovhealthcarevovervthevpastvdecade,vincludingvthoseresultingvfromvimplem
ki
entationvofvthevAffordablevCarevAct;vdemandsvtovreduceverrorsvandvimprovevpatientvsafety;van
, dvevolvingvmedicalvandvcommunicationvtechnology.
4) Whichvhealthcarevsituationsvreflectvthevphilosophyvofvqualityvmanagementvasvdesignedvby
Deming?
Note:vCreditvwillvbevgivenvonlyvifvallvcorrectvchoicesvandvnovincorrectvchoicesvarevselected.
