TEST BANK
,TEST BANK FOR
x% x%
EFFECTIVE LEADER x%
SHIP AND MANAGE
x% x%
MENT IN NURSING, x% x% x%
9TH EDITION,ELEA
x% x%
NOR
J. SULLIVAN
x%
,Effective Leadership & Management in Nursing, 9e (Sullivan) Cha
x% x% x% x% x% x% x% x%
pter 1 Introducing Nursing Management
x% x % x% x%
1) A nurse manager is participating in the healthcare organization's strategic planning c
x% x% x% x% x% x% x% x% x% x% x%
ommittee. Which factor is the primary driving force and controlling factor in new initia
x% x% x% x% x% x% x% x% x% x% x% x% x%
tives this committee might recommend?
x% x% x% x%
1. Cost of care x% x%
2. Access to care x% x%
3. Availability of care x% x%
4. Quality of car x% x%
e Answer: 1
x% x %
Explanation: 1. While all of the options given are driving forces in today's healthcare
x % x% x% x% x% x% x% x% x% x% x% x% x% x%
environment, the cost of providing care is still the primary issue. Cost of care controls a
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
ccess, availability, and quality.
x% x% x%
2. Access to care is controlled by the ability to pay.
x% x% x% x% x% x% x% x% x%
3. Care will not be available if it cannot be funded.
x% x% x% x% x% x% x% x% x%
4. Healthcare providers do not like to correlate quality with cost, but the economic rea
x% x% x% x% x% x% x% x% x% x% x% x% x%
lity is that quality care must also be funded care.
x% x% x% x% x% x% x% x% x%
Cognitive Level: Applying x% x %
Client Need: Safe Effective Care Environment C
x% x % x% x% x% x%
lient Need Sub: Management of Care
x% x% x % x% x%
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
x% x % x% x%
Learning Outcome: 1- x% x %
1: Explain changes to healthcare over the past decade, including those resulting from im
x% x% x% x% x% x% x% x% x% x% x% x% x%
plementation of the Affordable Care Act; demands to reduce errors and improve patient
x% x% x% x% x% x% x% x% x% x% x% x% x
%safety; and evolving medical and communication technology.
x% x% x% x% x% x%
, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club.
x% x% x% x% x% x% x% x% x% x% x% x% x% x
%What information should the nurse plan to include in this discussion?
x% x% x% x% x% x% x% x% x% x%
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) eco
x% x% x% x% x% x% x% x% x% x% x% x% x%
nomy spent on healthcare has slowly declined to less than 12%.
x% x% x% x% x% x% x% x% x% x%
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPA
x% x% x% x% x% x% x% x% x% x% x%
CA) should bring financial relief to healthcare consumers.
x% x% x% x% x% x% x%
3. The United States spends more money on healthcare than any other country.
x% x% x% x% x% x% x% x% x% x% x%
4. Healthcare spending in the United States is slowly declining due to passage of bills s
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
uch as the Patient Protection and Affordable Care Act (PPACA).
x% x% x% x% x% x% x% x% x%
Answer: 2 x %
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gro
x % x% x% x% x% x% x% x% x% x% x% x% x%
ss domestic product.
x% x%
2. Implementation of PPACA and its regulations have not been formulated.x% x% x% x% x% x% x% x% x%
3. The United States spends more than $2.5 trillion on healthcare annually, more tha
x% x% x% x% x% x% x% x% x% x% x% x%
n any other country.
x% x% x%
4. While this act has been passed, it is not operationalized. Healthcare spending contin
x% x% x% x% x% x% x% x% x% x% x% x%
ues to rise.
x% x%
Cognitive Level: Analyzing x% x %
Client Need: Safe Effective Care Environment C
x% x % x% x% x% x%
lient Need Sub: Management of Care
x% x% x % x% x%
Nursing/Int Conc: Nursing Process: Planning/Education
x% x % x% x%
Learning Outcome: 1- x% x %
1: Explain changes to healthcare over the past decade, including those resulting from im
x% x% x% x% x% x% x% x% x% x% x% x% x%
plementation of the Affordable Care Act; demands to reduce errors and improve patient
x% x% x% x% x% x% x% x% x% x% x% x% x
%safety; and evolving medical and communication technology.
x% x% x% x% x% x%
3) A 70-year-old client develops a catheter-
x% x% x% x% x%
induced urinary tract infection. Which statement by the nurse would indicate to the nu
x% x% x% x% x% x% x% x% x% x% x% x% x%
rse manager a need for additional understanding of this situation?
x% x% x% x% x% x% x% x% x%
1. "I wonder if there was a break of sterility when this catheter was inserted."
x% x% x% x% x% x% x% x% x% x% x% x% x%
2. "Thankfully we can treat this with an antibiotic." x% x% x% x% x% x% x%
3. "This could potentially cost the hospital a lot of money."
x% x% x% x% x% x% x% x% x%
4. "I will talk to my unlicensed assistants about proper urinary catheter c
x% x% x% x% x% x% x% x% x% x% x%
are." Answer: 2 x% x %
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerne
x % x% x% x% x% x% x% x% x% x% x% x% x%
d about the process that might have contributed to this infection.
x% x% x% x% x% x% x% x% x% x%
2. The nurse who focuses on taking care of the results of a potential medical mistake
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
x%is not accepting the seriousness of the situation.
x% x% x% x% x% x% x%
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurr
x% x% x% x% x% x% x% x% x% x% x% x%
ed by medical mistakes. This urinary tract infection could cost the hospital the cost
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
of treatment, including increased length of stay.
x% x% x% x% x% x%
4. The nurse has identified that improper care may result in poor outcomes for the
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
client. Cognitive Level: Applying
x% x% x %
Client Need: Safe Effective Care Environment C
x% x % x% x% x% x%
lient Need Sub: Management of Care
x% x% x % x% x%
Nursing/Int Conc: Nursing Process: Evaluation/Education
x% x % x% x%
Learning Outcome: 1- x% x %
1: Explain changes to healthcare over the past decade, including those resulting from im
x% x% x% x% x% x% x% x% x% x% x% x% x%
plementation of the Affordable Care Act; demands to reduce errors and improve patient
x% x% x% x% x% x% x% x% x% x% x% x% x
%safety; and evolving medical and communication technology.
x% x% x% x% x% x%
4) Which healthcare situations reflect the philosophy of quality management as designe
x% x% x% x% x% x% x% x% x% x%
d by Deming?
x% x%
Note: Credit will be given only if all correct choices and no incorrect choices are selecte
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
d.
,TEST BANK FOR
x% x%
EFFECTIVE LEADER x%
SHIP AND MANAGE
x% x%
MENT IN NURSING, x% x% x%
9TH EDITION,ELEA
x% x%
NOR
J. SULLIVAN
x%
,Effective Leadership & Management in Nursing, 9e (Sullivan) Cha
x% x% x% x% x% x% x% x%
pter 1 Introducing Nursing Management
x% x % x% x%
1) A nurse manager is participating in the healthcare organization's strategic planning c
x% x% x% x% x% x% x% x% x% x% x%
ommittee. Which factor is the primary driving force and controlling factor in new initia
x% x% x% x% x% x% x% x% x% x% x% x% x%
tives this committee might recommend?
x% x% x% x%
1. Cost of care x% x%
2. Access to care x% x%
3. Availability of care x% x%
4. Quality of car x% x%
e Answer: 1
x% x %
Explanation: 1. While all of the options given are driving forces in today's healthcare
x % x% x% x% x% x% x% x% x% x% x% x% x% x%
environment, the cost of providing care is still the primary issue. Cost of care controls a
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
ccess, availability, and quality.
x% x% x%
2. Access to care is controlled by the ability to pay.
x% x% x% x% x% x% x% x% x%
3. Care will not be available if it cannot be funded.
x% x% x% x% x% x% x% x% x%
4. Healthcare providers do not like to correlate quality with cost, but the economic rea
x% x% x% x% x% x% x% x% x% x% x% x% x%
lity is that quality care must also be funded care.
x% x% x% x% x% x% x% x% x%
Cognitive Level: Applying x% x %
Client Need: Safe Effective Care Environment C
x% x % x% x% x% x%
lient Need Sub: Management of Care
x% x% x % x% x%
Nursing/Int Conc: Nursing Process: Evaluation/Leadership
x% x % x% x%
Learning Outcome: 1- x% x %
1: Explain changes to healthcare over the past decade, including those resulting from im
x% x% x% x% x% x% x% x% x% x% x% x% x%
plementation of the Affordable Care Act; demands to reduce errors and improve patient
x% x% x% x% x% x% x% x% x% x% x% x% x
%safety; and evolving medical and communication technology.
x% x% x% x% x% x%
, 2) A nurse has been invited to discuss healthcare costs at a senior citizens' club.
x% x% x% x% x% x% x% x% x% x% x% x% x% x
%What information should the nurse plan to include in this discussion?
x% x% x% x% x% x% x% x% x% x%
1. While healthcare costs continue to rise, the percentage of the United States (U.S.) eco
x% x% x% x% x% x% x% x% x% x% x% x% x%
nomy spent on healthcare has slowly declined to less than 12%.
x% x% x% x% x% x% x% x% x% x%
2. Regulations brought about by the Patient Protection and Affordable Care Act (PPA
x% x% x% x% x% x% x% x% x% x% x%
CA) should bring financial relief to healthcare consumers.
x% x% x% x% x% x% x%
3. The United States spends more money on healthcare than any other country.
x% x% x% x% x% x% x% x% x% x% x%
4. Healthcare spending in the United States is slowly declining due to passage of bills s
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
uch as the Patient Protection and Affordable Care Act (PPACA).
x% x% x% x% x% x% x% x% x%
Answer: 2 x %
Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's gro
x % x% x% x% x% x% x% x% x% x% x% x% x%
ss domestic product.
x% x%
2. Implementation of PPACA and its regulations have not been formulated.x% x% x% x% x% x% x% x% x%
3. The United States spends more than $2.5 trillion on healthcare annually, more tha
x% x% x% x% x% x% x% x% x% x% x% x%
n any other country.
x% x% x%
4. While this act has been passed, it is not operationalized. Healthcare spending contin
x% x% x% x% x% x% x% x% x% x% x% x%
ues to rise.
x% x%
Cognitive Level: Analyzing x% x %
Client Need: Safe Effective Care Environment C
x% x % x% x% x% x%
lient Need Sub: Management of Care
x% x% x % x% x%
Nursing/Int Conc: Nursing Process: Planning/Education
x% x % x% x%
Learning Outcome: 1- x% x %
1: Explain changes to healthcare over the past decade, including those resulting from im
x% x% x% x% x% x% x% x% x% x% x% x% x%
plementation of the Affordable Care Act; demands to reduce errors and improve patient
x% x% x% x% x% x% x% x% x% x% x% x% x
%safety; and evolving medical and communication technology.
x% x% x% x% x% x%
3) A 70-year-old client develops a catheter-
x% x% x% x% x%
induced urinary tract infection. Which statement by the nurse would indicate to the nu
x% x% x% x% x% x% x% x% x% x% x% x% x%
rse manager a need for additional understanding of this situation?
x% x% x% x% x% x% x% x% x%
1. "I wonder if there was a break of sterility when this catheter was inserted."
x% x% x% x% x% x% x% x% x% x% x% x% x%
2. "Thankfully we can treat this with an antibiotic." x% x% x% x% x% x% x%
3. "This could potentially cost the hospital a lot of money."
x% x% x% x% x% x% x% x% x%
4. "I will talk to my unlicensed assistants about proper urinary catheter c
x% x% x% x% x% x% x% x% x% x% x%
are." Answer: 2 x% x %
Explanation: 1. Wondering about a break in sterility indicates that the nurse is concerne
x % x% x% x% x% x% x% x% x% x% x% x% x%
d about the process that might have contributed to this infection.
x% x% x% x% x% x% x% x% x% x%
2. The nurse who focuses on taking care of the results of a potential medical mistake
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
x%is not accepting the seriousness of the situation.
x% x% x% x% x% x% x%
3. The Centers for Medicare and Medicaid Services no longer cover the costs incurr
x% x% x% x% x% x% x% x% x% x% x% x%
ed by medical mistakes. This urinary tract infection could cost the hospital the cost
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
of treatment, including increased length of stay.
x% x% x% x% x% x%
4. The nurse has identified that improper care may result in poor outcomes for the
x% x% x% x% x% x% x% x% x% x% x% x% x% x%
client. Cognitive Level: Applying
x% x% x %
Client Need: Safe Effective Care Environment C
x% x % x% x% x% x%
lient Need Sub: Management of Care
x% x% x % x% x%
Nursing/Int Conc: Nursing Process: Evaluation/Education
x% x % x% x%
Learning Outcome: 1- x% x %
1: Explain changes to healthcare over the past decade, including those resulting from im
x% x% x% x% x% x% x% x% x% x% x% x% x%
plementation of the Affordable Care Act; demands to reduce errors and improve patient
x% x% x% x% x% x% x% x% x% x% x% x% x
%safety; and evolving medical and communication technology.
x% x% x% x% x% x%
4) Which healthcare situations reflect the philosophy of quality management as designe
x% x% x% x% x% x% x% x% x% x%
d by Deming?
x% x%
Note: Credit will be given only if all correct choices and no incorrect choices are selecte
x% x% x% x% x% x% x% x% x% x% x% x% x% x% x%
d.
