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Effective Leadership and Management in Nursing 7th Edition by Eleanor J. Sullivan - Test Bank
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Effective Leadership and Management in Nursing 7th Edition by Eleanor J. Sullivan - Test Bank

Effective Leadership and Management in Nursing 7th Edition by Eleanor J. Sullivan - Test Bank   Instant Download - Complete Test Bank With Answers     Sample Questions Are Posted Below 9) The RN working on an orthopedic unit has a postoperative client with a hip replacement who is nottransferring well from bed to chair …

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Effective Leadership and Management in Nursing 7th Edition by Eleanor J. Sullivan – Test Bank

 

Instant Download – Complete Test Bank With Answers

 

 

Sample Questions Are Posted Below

9) The RN working on an orthopedic unit has a postoperative client with a hip replacement who is not
transferring well from bed to chair and has fallen behind on the mobility training program. Which is the nurseʹs
priority action?
1. Page the surgeon.
2. Contact the family to discuss pre–op mobility problems.
3. Instruct physical therapy to increase treatments to QID.
4. Inform the case manager of variance in critical pathway.
Answer: 4
Explanation: 1. The case manager tracks all variances, reports to the collaborative team, and may revise the
critical pathway. Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical therapy is not within the scope of nursing.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. The case manager tracks all variances, reports to the collaborative team, and may revise the
critical pathway. Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical therapy is not within the scope of nursing.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. The case manager tracks all variances, reports to the collaborative team, and may revise the
critical pathway. Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical therapy is not within the scope of nursing.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. The case manager tracks all variances, reports to the collaborative team, and may revise the
critical pathway. Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical therapy is not within the scope of nursing.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–3: Discuss the positive and negative aspects of different systems.
Test Taking Tip: The word ʺfallen behindʺ indicates a schedule. The only option that
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 58
10) Hospital X is concerned about the low customer satisfaction ratings and poor evaluation on quality indicators.
The nurse managers are asked to implement a nursing delivery system that is cost effective and improves both
customer satisfaction and quality of care. Which nursing delivery system should the managers implement?
1. Functional nursing
2. Total patient care
3. Patient–centered nursing
4. Team nursing
Answer: 3
Explanation: 1. The focus of patient–centered nursing is the promotion of efficiency, quality, and cost control.
Functional nursing is cost effective but lacks continuity of care. Total patient care is costly and
less efficient for nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client dissatisfaction.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. The focus of patient–centered nursing is the promotion of efficiency, quality, and cost control.
Functional nursing is cost effective but lacks continuity of care. Total patient care is costly and
less efficient for nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client dissatisfaction.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. The focus of patient–centered nursing is the promotion of efficiency, quality, and cost control.
Functional nursing is cost effective but lacks continuity of care. Total patient care is costly and
less efficient for nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client dissatisfaction.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. The focus of patient–centered nursing is the promotion of efficiency, quality, and cost control.
Functional nursing is cost effective but lacks continuity of care. Total patient care is costly and
less efficient for nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client dissatisfaction.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–3: Discuss the positive and negative aspects of different systems.
Test Taking Tip: The correct option will be the one that accomplishes all three goals. If the delivery system is not cost
effective and does not improve client satisfaction and quality of care, pick another option.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 59
11) Which indicates the new graduate nurse understands why it is necessary to structure nursing care? Select all
that apply.
1. Coordinate care to a group of clients.
2. Organize responsibilities.
3. Ensure the staff leaves on time.
4. Improve physician efficiency.
5. Cluster care to allow rest periods.
6. Provide skilled care by skilled staff.
Answer: 1, 2, 5, 6
Explanation: 1. Nursing care is organized in the method most likely to coordinate care responsibilities to a
specific group of clients. It is important to allow the client rest periods and to have the person
most skilled in an area, give the care in that area. Leaving on time and physician efficiency are
not part of the decision process as to which system is the best to implement.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. Nursing care is organized in the method most likely to coordinate care responsibilities to a
specific group of clients. It is important to allow the client rest periods and to have the person
most skilled in an area, give the care in that area. Leaving on time and physician efficiency are
not part of the decision process as to which system is the best to implement.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. Nursing care is organized in the method most likely to coordinate care responsibilities to a
specific group of clients. It is important to allow the client rest periods and to have the person
most skilled in an area, give the care in that area. Leaving on time and physician efficiency are
not part of the decision process as to which system is the best to implement.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. Nursing care is organized in the method most likely to coordinate care responsibilities to a
specific group of clients. It is important to allow the client rest periods and to have the person
most skilled in an area, give the care in that area. Leaving on time and physician efficiency are
not part of the decision process as to which system is the best to implement.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
5. Nursing care is organized in the method most likely to coordinate care responsibilities to a
specific group of clients. It is important to allow the client rest periods and to have the person
most skilled in an area, give the care in that area. Leaving on time and physician efficiency are
not part of the decision process as to which system is the best to implement.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
6. Nursing care is organized in the method most likely to coordinate care responsibilities to a
specific group of clients. It is important to allow the client rest periods and to have the person
most skilled in an area, give the care in that area. Leaving on time and physician efficiency are
not part of the decision process as to which system is the best to implement.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–1: Describe how the delivery system structures nursing care.
Test Taking Tip: Think about the outcome of each and choose those applicable in the given situation.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 60
12) Which is the most important consideration in choosing a structure for nursing care?
1. Cost
2. Timeliness
3. Client need
4. Efficiency
Answer: 3
Explanation: 1. While all four options are important, client need takes precedence over the others because
nursing provides a service to the client.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. While all four options are important, client need takes precedence over the others because
nursing provides a service to the client.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. While all four options are important, client need takes precedence over the others because
nursing provides a service to the client.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. While all four options are important, client need takes precedence over the others because
nursing provides a service to the client.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–1: Describe how the delivery system structures nursing care.
Test Taking Tip: Client needs are always the most important consideration in decisions made within health care.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 61
13) Which indicates a teaching about different models of nursing care delivery systems has been unsuccessful? The
models that exist are:
1. Total patient care.
2. Integrated care.
3. Hospital care.
4. Patient–centered care.
Answer: 3
Explanation: 1. The hospital care delivery system does not exist. There is a 12 –bed hospital model in use in
Miami. All the others are correct.
Nursing Process: Evaluation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. The hospital care delivery system does not exist. There is a 12 –bed hospital model in use in
Miami. All the others are correct.
Nursing Process: Evaluation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. The hospital care delivery system does not exist. There is a 12 –bed hospital model in use in
Miami. All the others are correct.
Nursing Process: Evaluation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. The hospital care delivery system does not exist. There is a 12 –bed hospital model in use in
Miami. All the others are correct.
Nursing Process: Evaluation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–2: Describe what types of nursing care delivery systems exist.
Test Taking Tip: Pay close attention to words like ʺunsuccessful.ʺ This means the correct answer will be something that is
wrong.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 62
14) Which indicates the primary reason for the addition of the clinical microsystem as a nursing care delivery
system?
1. Those who deliver the nursing care make the most educated decisions for a particular unit.
2. Clinical decision making is best made by nursing leaders for all units within that particular hospital.
3. Those nurses working in particular service area are best suited to make decisions for the clients in that
area.
4. Clinical decision making is best made by the clients who are served by a particular unit.
Answer: 1
Explanation: 1. The clinical microsystem method began to allow those who are involved in a particular unit
make the decisions for that unit. The other options are not correct as they do not describe
decision making by those on the ʺfront linesʺ on a particular unit.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. The clinical microsystem method began to allow those who are involved in a particular unit
make the decisions for that unit. The other options are not correct as they do not describe
decision making by those on the ʺfront linesʺ on a particular unit.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. The clinical microsystem method began to allow those who are involved in a particular unit
make the decisions for that unit. The other options are not correct as they do not describe
decision making by those on the ʺfront linesʺ on a particular unit.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. The clinical microsystem method began to allow those who are involved in a particular unit
make the decisions for that unit. The other options are not correct as they do not describe
decision making by those on the ʺfront linesʺ on a particular unit.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–4: Describe the new types of delivery systems that have emerged.
Test Taking Tip: Look for patterns. There is only one option discussing decision making at the unit level.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 63
15) The newest delivery systems are organized around: Select all that apply.
1. Caring for older clients.
2. Giving care to pediatric clients.
3. Home care clients.
4. Smaller ʺunits within units.ʺ
5. Different populations.
Answer: 1, 3, 4, 5
Explanation: 1. There is no mention of a new type delivery system organized around pediatric clients.
However, all other options are correct.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. There is no mention of a new type delivery system organized around pediatric clients.
However, all other options are correct.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. There is no mention of a new type delivery system organized around pediatric clients.
However, all other options are correct.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. There is no mention of a new type delivery system organized around pediatric clients.
However, all other options are correct.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
5. There is no mention of a new type delivery system organized around pediatric clients.
However, all other options are correct.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–4: Describe the new types of delivery systems that have emerged.
Test Taking Tip: Be prepared to apply material to new situations in nursing.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 64
16) Regardless of which delivery system or combination of delivery systems is appropriate, which describes a skill
required for effective use?
1. Strict adherence
2. Flexibility
3. Resistance to change
4. Persistence
Answer: 2
Explanation: 1. Flexibility is a skill imperative when choosing a delivery system(s) for nursing care. The
system must meet client and staff needs, the organizational and unit–specific goals, as well as
remain within cost constraints. If not, flexibility allows for change to occur to alter the system
as necessary to have the desired effects. Thus, strict adherence, resistance to change, and
persistence are not correct.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
2. Flexibility is a skill imperative when choosing a delivery system(s) for nursing care. The
system must meet client and staff needs, the organizational and unit–specific goals, as well as
remain within cost constraints. If not, flexibility allows for change to occur to alter the system
as necessary to have the desired effects. Thus, strict adherence, resistance to change, and
persistence are not correct.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
3. Flexibility is a skill imperative when choosing a delivery system(s) for nursing care. The
system must meet client and staff needs, the organizational and unit–specific goals, as well as
remain within cost constraints. If not, flexibility allows for change to occur to alter the system
as necessary to have the desired effects. Thus, strict adherence, resistance to change, and
persistence are not correct.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
4. Flexibility is a skill imperative when choosing a delivery system(s) for nursing care. The
system must meet client and staff needs, the organizational and unit–specific goals, as well as
remain within cost constraints. If not, flexibility allows for change to occur to alter the system
as necessary to have the desired effects. Thus, strict adherence, resistance to change, and
persistence are not correct.
Nursing Process: Assessment
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Application
Learning Outcome: 3–5: Explain what skills are required to use the system effectively.
Test Taking Tip: Think about the volatile nature of the health care system, and choose the option that reflects that
characteristic.
Effective Leadership and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 65

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