Chapter 11 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 11 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

A committee of hospice nurses at a managed care organization is trying to determine what consumers want and need most. What is the best source of relevant information?

1. The hospice’s human resources officer
2. Families of current and recent hospice patients
3. Hospice nurses from a wide sample of hospices
4. The managed care organization representatives who interact directly with patients

Correct Answer: 2

Rationale 1: The human resources officer is involved in obtaining persons to provide care, but is not as central a consumer as are families and patients.

Rationale 2: Since hospice care is directed toward patients and their families, and family most often survive the patient, they together constitute the best source of consumer data.

Rationale 3: Nurses plan and provide care, but are not as central a consumer as are families and patients.

Rationale 4: Representatives of managed care are involved in obtaining and planning care, but are not as central a consumer as are families and patients.

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; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Examine the history of healthcare consumerism and its impact on healthcare.

Page: p. 288

 

Question 2

Type: MCMA

A nurse administrator is planning for the expected increase in healthcare needed for the baby boomer generation. Which attributes of this generation should be considered in this planning?

Standard Text: Select all that apply.

1. This generation is directly assertive.
2. This generation has grown accustomed to managed care and is comfortable with it.
3. This generation is respectful toward health professionals and very grateful for care.
4. This generation defers to their primary care provider and directs healthcare concerns through that person.
5. This generation can be politically demanding as healthcare consumers.

Correct Answer: 1,5

Rationale 1: This generation has experience and a history of being outspoken.

Rationale 2: Managed care has been met with consumer complaints and opposition from this generation.

Rationale 3: Previous generations were more passive and respectful of healthcare professionals.

Rationale 4: Previous generations were more passive and submissive toward healthcare professionals.

Rationale 5: This generation has been very politically active on numerous issues, including healthcare.

Global Rationale: NA

Cognitive Level: Analyzing

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; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Examine the history of healthcare consumerism and its impact on healthcare.

Page:  289

 

Question 3

Type: MCSA

For the nurse interested in impacting public policy regarding healthcare consumerism, which involvement and activity is recommended?

1. Joining nursing associations.
2. Participating in Internet chat and blog sites.
3. Reading health-related stories and articles in popular magazines and newspapers.
4. Encouraging individual patients to formulate and submit their healthcare needs directly to their insurance companies.

Correct Answer: 1

Rationale 1: Large professional organizations, such as nursing associations have programs, data, consultants, and lobbyists that can impact public policy most effectively and powerfully.

Rationale 2: The general Internet tends to be unreliable as a source of information and the multitude of websites is scattered and chaotic in its effect on the public and upon political figures.

Rationale 3: Popular magazines and newspapers would not support this nurse’s need to become politically active as much as joining a professional organization.

Rationale 4: Nurses can best advocate for their patients in public and political arenas by direct and concerted involvement and action.

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; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Assess the relationship between public policy and the healthcare consumer.

Page:  pp. 289-290

 

Question 4

Type: MCSA

A public health team is conducting strategic planning for the next five years of service to the community. The group is reviewing the Healthy People initiative. What help will this be to strategic planning?

1. This initiative specifies the role of nurse practitioners over the coming decade.
2. This initiative lists consumer responsibilities for prevention of cardiac and other diseases.
3. This initiative recommends deinstitutionalization of healthcare in favor of alternative medicine.
4. This initiative outlines goals for preventative health measures, including objectives for age groups and populations.

Correct Answer: 4

Rationale 1: This is not a part of the Healthy People initiative.

Rationale 2: This is not a part of the Healthy People initiative.

Rationale 3: This is not a part of the Healthy People initiative.

Rationale 4: The Healthy People initiatives list specific objectives for health and longevity by age and population.

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; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

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

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 03. Compare and contrast the consumer implications of Healthy People and the Institute of Medicine reports (Quality Chasm series).

Page: pp. 291-292

 

Question 5

Type: MCSA

A patient asks the nurse about the use of information from websites for verifying diagnostic and treatment decisions made by a primary health provider. Which response, made by the nurse, would be most helpful to this patient?

1. “A computer search of the diagnosis should help you verify the accuracy of the diagnosis and treatment.”
2. “You can only count on accurate and useful information if it comes from university or hospital websites.”
3. “That is a dangerous practice, because it undermines your relationship with your primary health provider.”
4. “You can gain general information that way, but be sure to discuss specific websites and information with your primary health provider.”

Correct Answer: 4

Rationale 1: Websites can be very misleading if taken at face value.

Rationale 2: While this information may be more accurate, misunderstanding or misapplying the information can still occur.

Rationale 3: Healthcare providers generally appreciate a patient who is involved in his or her own care and who is trying to learn more about his or her illness and health.

Rationale 4: The Internet offers an extensive array of professional information and amateur opinion that can serve as a starting point for discussion of diagnosis and treatment with one’s primary health provider.

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; VI. Interprofessional communication and collaboration for improving patient health outcomes; 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 04. Assess how technology plays a role in consumer healthcare information.

Page:  p. 292