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TEST BANK FOR EFFECTIVE
LEADERSHIP AND MANAGEMENT IN
NURSING 9TH EDITION ELEANOR
J.SULLIVAN-latest -2023-2024



Nursing Management ui




1) A nurse manager is participating in the healthcare organization's strategic planning
ui ui ui ui ui ui ui ui ui ui



committee. Which factor is the primary driving force and controlling factor in new
ui ui ui ui ui ui ui ui ui ui ui ui ui



initiativesthis committee might recommend?
ui ui ui ui ui



1. Cost of care ui ui



2. Access to care ui ui



3. Availability of care ui ui



4. Quality of ui



careAnswer: 1
ui ui ui



Explanation: 1. While all of the options given are driving forces in today's healthcare
ui ui ui ui ui ui ui ui ui ui ui ui ui



environment, the cost of providing care is still the primary issue. Cost of care controls
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



access,availability, and quality.
ui ui ui ui



2. Access to care is controlled by the ability to pay.
ui ui ui ui ui ui ui ui ui



3. Care will not be available if it cannot be funded.
ui ui ui ui ui ui ui ui ui



4. Healthcare providers do not like to correlate quality with cost, but the economic reality
ui ui ui ui ui ui ui ui ui ui ui ui ui



isthat quality care must also be funded care.
ui ui ui ui ui ui ui ui ui



Cognitive Level: Applying ui u i



Client Need: Safe Effective Care
ui u i ui ui



EnvironmentClient Need Sub: Management
ui ui ui ui u i



of Care
ui ui



Nursing/Int Conc: Nursing Process: Evaluation/Leadership
ui u i ui ui



Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including
ui ui ui ui ui ui ui ui ui ui ui



thoseresulting from implementation of the Affordable Care Act; demands to reduce errors
ui ui ui ui ui ui ui ui ui ui ui ui ui



and improve patient safety; and evolving medical and communication technology.
ui ui ui ui ui ui ui ui ui ui

,2) A nurse has been invited to discuss healthcare costs at a senior citizens' club.
ui ui ui ui ui ui ui ui ui ui ui ui ui



Whatinformation should the nurse plan to include in this discussion?
ui ui ui ui ui ui ui ui ui ui ui



1. While healthcare costs continue to rise, the percentage of the United States (U.S.)
ui ui ui ui ui ui ui ui ui ui ui ui



economyspent on healthcare has slowly declined to less than 12%.
ui ui ui ui ui ui ui ui ui ui ui



2. Regulations brought about by the Patient Protection and Affordable Care Act ui ui ui ui ui ui ui ui ui ui



(PPACA)should bring financial relief to healthcare consumers.
ui ui ui ui ui ui ui ui



3. The United States spends more money on healthcare than any other country.
ui ui ui ui ui ui ui ui ui ui ui



4. Healthcare spending in the United States is slowly declining due to passage of bills suchui ui ui ui ui ui ui ui ui ui ui ui ui ui



asthe Patient Protection and Affordable Care Act (PPACA).
ui ui ui ui ui ui ui ui ui



Answer: 2 u i



Explanation: 1. In 2009, healthcare costs consumed more than 17% of the country's ui ui ui ui ui ui ui ui ui ui ui ui



grossdomestic product.
ui ui ui



2. Implementation of PPACA and its regulations have not been formulated. ui ui ui ui ui ui ui ui ui



3. The United States spends more than $2.5 trillion on healthcare annually, more than
ui ui ui ui ui ui ui ui ui ui ui ui



anyother country.
ui ui ui



4. While this act has been passed, it is not operationalized. Healthcare spending continues
ui ui ui ui ui ui ui ui ui ui ui ui



torise.
ui ui



Cognitive Level: Analyzing ui u i



Client Need: Safe Effective Care ui u i ui ui



EnvironmentClient Need Sub: Management
ui ui ui ui u i



of Care
ui ui



Nursing/Int Conc: Nursing Process: Planning/Education ui u i ui ui



Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including
ui ui ui ui ui ui ui ui ui ui ui



thoseresulting from implementation of the Affordable Care Act; demands to reduce errors
ui ui ui ui ui ui ui ui ui ui ui ui ui



and improve patient safety; and evolving medical and communication technology.
ui ui ui ui ui ui ui ui ui ui




3) A 70-year-old client develops a catheter-induced urinary tract infection. Which
ui ui ui ui ui ui ui ui ui



statement by the nurse would indicate to the nurse manager a need for additional
ui ui ui ui ui ui ui ui ui ui ui ui ui ui



understanding of thissituation?
ui ui ui ui



1. "I wonder if there was a break of sterility when this catheter was inserted."
ui ui ui ui ui ui ui ui ui ui ui ui ui



2. "Thankfully we can treat this with an antibiotic." ui ui ui ui ui ui ui



3. "This could potentially cost the hospital a lot of money."
ui ui ui ui ui ui ui ui ui



4. "I will talk to my unlicensed assistants about proper urinary catheter
ui ui ui ui ui ui ui ui ui ui



care."Answer: 2
ui ui ui



Explanation: 1. Wondering about a break in sterility indicates that the nurse is u i ui ui ui ui ui ui ui ui ui ui ui



concernedabout the process that might have contributed to this infection.
ui ui ui ui ui ui ui ui ui ui ui



2. The nurse who focuses on taking care of the results of a potential medical mistake is
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



notaccepting the seriousness of the situation.
ui ui ui ui ui ui ui



3. The Centers for Medicare and Medicaid Services no longer cover the costs incurred
ui ui ui ui ui ui ui ui ui ui ui ui



by medical mistakes. This urinary tract infection could cost the hospital the cost of
ui ui ui ui ui ui ui ui ui ui ui ui ui ui



treatment,including increased length of stay.
ui ui ui ui ui ui



4. The nurse has identified that improper care may result in poor outcomes for the
ui ui ui ui ui ui ui ui ui ui ui ui ui



client.Cognitive Level: Applying
ui ui ui u i



Client Need: Safe Effective Care ui u i ui ui



EnvironmentClient Need Sub: Management
ui ui ui ui u i



of Care
ui ui



Nursing/Int Conc: Nursing Process: Evaluation/Education ui u i ui ui



Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including
ui ui ui ui ui ui ui ui ui ui ui



thoseresulting from implementation of the Affordable Care Act; demands to reduce errors
ui ui ui ui ui ui ui ui ui ui ui ui ui



and improve patient safety; and evolving medical and communication technology.
ui ui ui ui ui ui ui ui ui ui




4) Which healthcare situations reflect the philosophy of quality management as designed
ui ui ui ui ui ui ui ui ui ui



byDeming?
ui ui



Note: Credit will be given only if all correct choices and no incorrect choices are selected.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui

,Select all that apply. ui ui ui



1. A nurse asks visitors to leave because it is after visiting hours.
ui ui ui ui ui ui ui ui ui ui ui



2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



fromnothing by mouth (NPO) status.
ui ui ui ui ui ui



3. A nurse tells the manager that a housekeeper's work is not up to standards.
ui ui ui ui ui ui ui ui ui ui ui ui ui



4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



5. A nurse who has not made a medication error in two years asks for a salary
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



increase.Answer: 2, 3, 4
ui ui ui ui ui



Explanation: 1. The philosophy of quality management is focus on the needs of the client. u i ui ui ui ui ui ui ui ui ui ui ui ui ui



Ifthere is no reason for the visitors to leave other than it is after visiting hours, this is not
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



focused on client need.
ui ui ui ui



2. Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui



Thisis an example of quality management.
ui ui ui ui ui ui ui



3. Quality management empowers the employee to evaluate quality. ui ui ui ui ui ui ui



4. This nurse has seen a need and is working to improve the quality of service. This is
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



qualitymanagement.
ui ui



5. Salary increases can be tied to quality improvement initiatives, but just asking for
ui ui ui ui ui ui ui ui ui ui ui ui



anincrease is not quality management.
ui ui ui ui ui ui



Cognitive Level: Applying ui u i



Client Need: Safe Effective Care ui u i ui ui



EnvironmentClient Need Sub: Management
ui ui ui ui u i



of Care
ui ui



Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice ui u i ui ui ui ui



Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including
ui ui ui ui ui ui ui ui ui ui ui



thoseresulting from implementation of the Affordable Care Act; demands to reduce errors
ui ui ui ui ui ui ui ui ui ui ui ui ui



and improve patient safety; and evolving medical and communication technology.
ui ui ui ui ui ui ui ui ui ui

, 5) A client who was discharged yesterday is very upset about the quality of care received
ui ui ui ui ui ui ui ui ui ui ui ui ui ui



during hospitalization for gastric surgery. What options for reporting concerns does this
ui ui ui ui ui ui ui ui ui ui ui ui



clienthave?
ui ui



Note: Credit will be given only if all correct choices and no incorrect choices are selected.
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



Select all that apply. ui ui ui



1. There is no mechanism for complaint because the client is no longer hospitalized.
ui ui ui ui ui ui ui ui ui ui ui ui



2. The client can indicate dissatisfaction on the survey often sent to clients after discharge.
ui ui ui ui ui ui ui ui ui ui ui ui ui



3. The client can call the hospital administration.
ui ui ui ui ui ui



4. The client can make a formal complaint through the American Nursing
ui ui ui ui ui ui ui ui ui ui



Association(ANA).
ui ui



5. The client can make a public report through the Agency for Healthcare Research
ui ui ui ui ui ui ui ui ui ui ui ui



andQuality (AHRQ).
ui ui ui



Answer: 2, 3, 5 u i ui ui



Explanation: 1. The client can still voice concerns even after discharge. u i ui ui ui ui ui ui ui ui ui



2. These client satisfaction surveys are a good mechanism for discussing care issues.
ui ui ui ui ui ui ui ui ui ui ui



3. Telephone calls are a means of discussing client care issues. ui ui ui ui ui ui ui ui ui



4. ANA is not a forum for complaints about care in a specific hospitalization.
ui ui ui ui ui ui ui ui ui ui ui ui



5. The AHRQ has a mechanism for reporting care
ui ui ui ui ui ui ui



issues.Cognitive Level: Analyzing
ui ui ui u i



Client Need: Safe Effective Care
ui u i ui ui



EnvironmentClient Need Sub: Management
ui ui ui ui u i



of Care
ui ui



Nursing/Int Conc: Nursing Process: Implementation/Quality of Practice
ui u i ui ui ui ui



Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including
ui ui ui ui ui ui ui ui ui ui ui



thoseresulting from implementation of the Affordable Care Act; demands to reduce errors
ui ui ui ui ui ui ui ui ui ui ui ui ui



and improve patient safety; and evolving medical and communication technology.
ui ui ui ui ui ui ui ui ui ui




6) A client needs a high-risk surgical procedure. According to the Leapfrog Group, the
ui ui ui ui ui ui ui ui ui ui ui ui



clientshould choose which hospital for care during this procedure?
ui ui ui ui ui ui ui ui ui ui



1. The hospital closest to the client's home
ui ui ui ui ui ui



2. The hospital that has done the greatest number of these surgeries in the last two years
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui



3. The hospital chosen by the client's primary healthcare provider
ui ui ui ui ui ui ui ui



4. The hospital with the highest performance ratings for this
ui ui ui ui ui ui ui ui



procedureAnswer: 4
ui ui ui



Explanation: 1. This may or may not be the best choice of hospital for this procedure.
u i ui ui ui ui ui ui ui ui ui ui ui ui ui ui



2. Just because a hospital is high volume does not mean it is high quality.
ui ui ui ui ui ui ui ui ui ui ui ui ui



3. This may or may not be the best hospital for this procedure.
ui ui ui ui ui ui ui ui ui ui ui



4. The Leapfrog Group focuses on quality indicators including the use of higher-
ui ui ui ui ui ui ui ui ui ui ui



performinghospitals for high-risk procedures. ui ui ui ui



Cognitive Level: Applying ui u i



Client Need: Safe Effective Care
ui u i ui ui



EnvironmentClient Need Sub: Management
ui ui ui ui u i



of Care
ui ui



Nursing/Int Conc: Nursing Process: Implementation/Coordination of Care
ui u i ui ui ui ui



Learning Outcome: 1-1: Explain changes to healthcare over the past decade, including
ui ui ui ui ui ui ui ui ui ui ui



thoseresulting from implementation of the Affordable Care Act; demands to reduce errors
ui ui ui ui ui ui ui ui ui ui ui ui ui



and improve patient safety; and evolving medical and communication technology.
ui ui ui ui ui ui ui ui ui ui

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