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 committ...
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TEST BANK FOR
EFFECTIVE
LEADERSHIP AND
MANAGEMENT IN
NURSING, 9TH
EDITION, ELEANOR
J. SULLIVAN
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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.
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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.
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