Chapter 06 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 06 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse has taken an employment position in a healthcare facility that advertises itself as being part of a network. What can the nurse expect in this organization?

1. This hospital is part of a vertically integrated corporation that owns and manages a group of health facilities.
2. This hospital is an independent organization, but is in agreement with a number of other healthcare facilities that agree to deliver specific services.
3. This hospital has agreed to provide a continuum of services to a defined population and to be accountable for the outcomes and health status of that population.
4. This hospital has joined with another hospital to become one organization.

Correct Answer: 2

Rationale 1: A system refers to a corporation that owns or manages health facilities, often using vertical integration.

Rationale 2: A network consists of a number of healthcare facilities that agree to deliver specific services, with each facility remaining an independent organization.

Rationale 3: An organized delivery system provides or arranges to provide a coordinated continuum of services to a defined population, and is willing to be held clinically and fiscally accountable for the outcomes and the health status of the population serviced.

Rationale 4: A merger occurs when two or more organizations come together to form one organization.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Critique the development of U.S. hospitals and the role they play in the healthcare delivery system.

Page: p. 156

 

Question 2

Type: MCSA

Which statement is true about hospital classification?

1. Hospital accreditation is voluntary.
2. Licensure of hospitals is provided by the Joint Commission.
3. To provide services, a hospital must be accredited, but not necessarily licensed.
4. For a hospital to receive Medicare and Medicaid reimbursement, it must be a not-for-profit hospital.

Correct Answer: 1

Rationale 1: Hospitals are accredited by the Joint Commission, a voluntary accreditation organization, and are used by healthcare organizations.

Rationale 2: Licensure of hospitals is done by states when the hospital meets certain state standards and requirements.

Rationale 3: To provide services, a hospital must be licensed, though it does not necessarily have to be accredited.

Rationale 4: To receive Medicare and Medicaid reimbursement, the hospital must be certified to provide this care and must be accredited.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Differentiate the key methods for classifying hospitals.

Page: pp. 158-160

 

Question 3

Type: MCSA

University medical centers, pediatric hospitals, and burn centers are examples of what level of vertical integration?

1. Primary care hospital
2. Secondary care hospital
3. Tertiary care hospital
4. Specialty care hospital

Correct Answer: 3

Rationale 1: Primary care hospitals are part of a comprehensive healthcare system providing outpatient or ambulatory care services.

Rationale 2: Secondary care facilities require greater sophistication in equipment and skills than is seen in ambulatory surgical centers.

Rationale 3: Tertiary-level hospitals require greater skills and equipment then primary and secondary care hospitals do, and are much more specialized.

Rationale 4: Specialty care hospitals fall under the classification of tertiary care hospitals.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Differentiate the key methods for classifying hospitals.

Page: pp. 158-160

 

Question 4

Type: MCSA

New public relations materials are being developed for the hospital. Each department has been asked to submit a short description of its key activities. Which information should be used in the PR materials?

1. Administration is responsible primarily for ensuring quality and safety of care.
2. Respiratory Care Services provide goal-directed, purposeful activity to patients with disorders of the cardiopulmonary system.
3. Information Management is focused on services that provide organized education designed to enhance skills of staff members or teach new skills.
4. Social Work Services assists individuals and their families in addressing social, emotional, and economic stresses associated wit illness or injury.

Correct Answer: 4

Rationale 1: Although the administration is concerned with ensuring quality and safety, it typically is high-level management that provides direction and supports the work of the total organization.

Rationale 2: Respiratory Care Services delivers care to provide ventilatory support, and Clinical Respiratory Services provides activity to patients with cardiopulmonary needs.

Rationale 3: Information Management is responsible for computer resources and data collection.

Rationale 4: Social Work Services is responsible for meeting the psychosocial and economic needs of patients and their families.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Compare the key departments found in most hospitals.

Page: pp. 160-162