Test Bank For Effective Leadership and Management in Nursing 9th Edition By Eleanor J. Sullivan

,EffectivedLeadershipd&dManagementdindNursing,d9ed(Sullivan)d
Chapterd1d IntroducingdNursingdManagement

1) Adnursedmanagerdisdparticipatingdindthedhealthcaredorganization'sdstrategicdplanningdcommittee.d
Whichdfactordisdthedprimaryddrivingdforcedanddcontrollingdfactordindnewdinitiativesdthisdcommitteedm
ightdrecommend?
1. Costdofdcare
2. Accessdtodcare
3. Availabilitydofdcare
4. Qualitydofdcared
Answer:d1
Explanation:d1.dWhiledalldofdthedoptionsdgivendareddrivingdforcesdindtoday'sdhealthcaredenvironm
ent,dthedcostdofdprovidingdcaredisdstilldthedprimarydissue.dCostdofdcaredcontrolsdaccess,davailability
,danddquality.
2. Accessdtodcaredisdcontrolleddbydthedabilitydtodpay.
3. Caredwilldnotdbedavailabledifditdcannotdbedfunded.
4. Healthcaredprovidersddodnotdlikedtodcorrelatedqualitydwithdcost,dbutdthedeconomicdrealitydisdthatdq
ualitydcaredmustdalsodbedfundeddcare.
CognitivedLevel:d Applying
ClientdNeed:dSafedEffectivedCaredEnvironmentdC
lientdNeeddSub:d ManagementdofdCare
Nursing/IntdConc:d NursingdProcess:dEvaluation/Leadership
LearningdOutcome:d1-
1:dExplaindchangesdtodhealthcaredoverdthedpastddecade,dincludingdthosedresultingdfromdimplemen
tationdofdthedAffordabledCaredAct;ddemandsdtodreducederrorsdanddimprovedpatientdsafety;danddev
olvingdmedicaldanddcommunicationdtechnology.

,2) Adnursedhasdbeendinviteddtoddiscussdhealthcaredcostsdatdadseniordcitizens'dclub.dWhatdi
nformationdshoulddthednursedplandtodincludedindthisddiscussion?
1. Whiledhealthcaredcostsdcontinuedtodrise,dthedpercentagedofdthedUniteddStatesd(U.S.)deconomyds
pentdondhealthcaredhasdslowlyddeclineddtodlessdthand12%.
2. RegulationsdbroughtdaboutdbydthedPatientdProtectiondanddAffordabledCaredActd(PPACA)dshoulddb
ringdfinancialdreliefdtodhealthcaredconsumers.
3. ThedUniteddStatesdspendsdmoredmoneydondhealthcaredthandanydotherdcountry.
4. HealthcaredspendingdindthedUniteddStatesdisdslowlyddecliningdduedtodpassagedofdbillsdsuchdasdthedP
atientdProtectiondanddAffordabledCaredActd(PPACA).
Answer:d 2
Explanation:d1.dInd2009,dhealthcaredcostsdconsumeddmoredthand17%dofdthedcountry'sdgrossddome
sticdproduct.
2. ImplementationdofdPPACAdandditsdregulationsdhavednotdbeendformulated.
3. ThedUniteddStatesdspendsdmoredthand$2.5dtrilliondondhealthcaredannually,dmoredthandanydotherdc
ountry.
4. Whiledthisdactdhasdbeendpassed,ditdisdnotdoperationalized.dHealthcaredspendingdcontinuesdtodrise.dC
ognitivedLevel:dAnalyzing
ClientdNeed:dSafedEffectivedCaredEnvironmentdC
lientdNeeddSub:d ManagementdofdCare
Nursing/IntdConc:d NursingdProcess:dPlanning/Education
LearningdOutcome:d1-
1:dExplaindchangesdtodhealthcaredoverdthedpastddecade,dincludingdthosedresultingdfromdimplemen
tationdofdthedAffordabledCaredAct;ddemandsdtodreducederrorsdanddimprovedpatientdsafety;danddev
olvingdmedicaldanddcommunicationdtechnology.

3) Ad70-year-olddclientddevelopsdadcatheter-
induceddurinarydtractdinfection.dWhichdstatementdbydthednursedwoulddindicatedtodthednursedmanag
erdadneeddfordadditionaldunderstandingdofdthisdsituation?
1. "Idwonderdifdtheredwasdadbreakdofdsterilitydwhendthisdcatheterdwasdinserted."
2. "Thankfullydwedcandtreatdthisdwithdandantibiotic."
3. "Thisdcoulddpotentiallydcostdthedhospitaldadlotdofdmoney."
4. "Idwilldtalkdtodmydunlicenseddassistantsdaboutdproperdurinarydcatheterdcare."d
Answer:d2
Explanation:d1.dWonderingdaboutdadbreakdindsterilitydindicatesdthatdthednursedisdconcerneddaboutdth
edprocessdthatdmightdhavedcontributeddtodthisdinfection.
2. Thednursedwhodfocusesdondtakingdcaredofdthedresultsdofdadpotentialdmedicaldmistakedisdnotda
cceptingdthedseriousnessdofdthedsituation.
3. ThedCentersdfordMedicaredanddMedicaiddServicesdnodlongerdcoverdthedcostsdincurreddbyd
medicaldmistakes.dThisdurinarydtractdinfectiondcoulddcostdthedhospitaldthedcostdofdtreatment,di
ncludingdincreaseddlengthdofdstay.
4. Thednursedhasdidentifieddthatdimproperdcaredmaydresultdindpoordoutcomesdfordthedclient.dC
ognitivedLevel:dApplying
ClientdNeed:dSafedEffectivedCaredEnvironmentdC
lientdNeeddSub:d ManagementdofdCare
Nursing/IntdConc:d NursingdProcess:dEvaluation/Education
LearningdOutcome:d1-
1:dExplaindchangesdtodhealthcaredoverdthedpastddecade,dincludingdthosedresultingdfromdimplemen
tationdofdthedAffordabledCaredAct;ddemandsdtodreducederrorsdanddimprovedpatientdsafety;danddev
olvingdmedicaldanddcommunicationdtechnology.

4) Whichdhealthcaredsituationsdreflectdthedphilosophydofdqualitydmanagementdasddesigneddby

, Deming?
Note:dCreditdwilldbedgivendonlydifdalldcorrectdchoicesdanddnodincorrectdchoicesdaredselected.
Selectdalldthatdapply.
1. Adnursedasksdvisitorsdtodleavedbecauseditdisdafterdvisitingdhours.
2. Atd2:00dp.m.dthednursedordersdadlunchdtraydfordadclientdwhodhasdjustdbeendremoveddfromdnothingdb
ydmouthd(NPO)dstatus.
3. Adnursedtellsdthedmanagerdthatdadhousekeeper'sdworkdisdnotdupdtodstandards.
4. AdnursedvolunteersdtodtakedadSpanishdlanguagedclassdtodbedabledtodcommunicatedwithdclients.
5. Adnursedwhodhasdnotdmadedadmedicationderrordindtwodyearsdasksdfordadsalarydincrease.dA
nswer:d2,d3,d4
Explanation:d1.dThedphilosophydofdqualitydmanagementdisdfocusdondthedneedsdofdthedclient.dIfdther
edisdnodreasondfordthedvisitorsdtodleavedotherdthanditdisdafterdvisitingdhours,dthisdisdnotdfocuseddondcli
entdneed.
2. Evendthoughd2:00dp.m.disdafterd"lunchtime,"dthisdnursedisdfocuseddondthedclient'sdneeds.dThisdisda
ndexampledofdqualitydmanagement.
3. Qualitydmanagementdempowersdthedemployeedtodevaluatedquality.
4. Thisdnursedhasdseendadneeddanddisdworkingdtodimprovedthedqualitydofdservice.dThisdisdqualitydm
anagement.
5. Salarydincreasesdcandbedtieddtodqualitydimprovementdinitiatives,dbutdjustdaskingdfordandincreasedis
dnotdqualitydmanagement.

CognitivedLevel:d Applying
ClientdNeed:dSafedEffectivedCaredEnvironmentdC
lientdNeeddSub:d ManagementdofdCare
Nursing/IntdConc:d NursingdProcess:dImplementation/QualitydofdPractice
LearningdOutcome:d1-
1:dExplaindchangesdtodhealthcaredoverdthedpastddecade,dincludingdthosedresultingdfromdimplemen
tationdofdthedAffordabledCaredAct;ddemandsdtodreducederrorsdanddimprovedpatientdsafety;danddev
olvingdmedicaldanddcommunicationdtechnology.