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

hapter 1 Introducing Nursing Management
1) When planning client care the nurse must be aware that current changes in health care are primarily driven by:
1. Cost of care.
2. Access to care.
3. Availability of care.
4. Quality of care.
Answer: 1
Explanation:

1. Cost is the primary factor driving the changes in health care. Rising costs also affect access to
care, availability of care, and quality of care.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension
2. Cost is the primary factor driving the changes in health care. Rising costs also affect access to
care, availability of care, and quality of care.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension
3. Cost is the primary factor driving the changes in health care. Rising costs also affect access to
care, availability of care, and quality of care.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension
4. Cost is the primary factor driving the changes in health care. Rising costs also affect access to
care, availability of care, and quality of care.
Nursing Process: Planning
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension

Learning Outcome: 1-1: Describe the forces that are changing the health care system.
Test Taking Tip: Look for the option that affects all the others.

Effective Leadership and Mgmt in Nursing, 7e (Sullivan) -- CVC 12/3/08 -- Page 1

2) Which is the United States largest and most expensive health care program?
1. Medicaid
2. Medicare
3. Social Security
4. Temporary Assistance for Needy Families (TANF)
Answer: 2
Explanation:

1. Medicare is the governments largest health care financing program. It serves 40 million people
who are elderly and have disabilities. Medicaid is a smaller health care program that serves the
poor. Social Security and TANF are not health care programs.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension
2. Medicare is the governments largest health care financing program. It serves 40 million people
who are elderly and have disabilities. Medicaid is a smaller health care program that serves the
poor. Social Security and TANF are not health care programs.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension
3. Medicare is the governments largest health care financing program. It serves 40 million people
who are elderly and have disabilities. Medicaid is a smaller health care program that serves the
poor. Social Security and TANF are not health care programs.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension
4. Medicare is the governments largest health care financing program. It serves 40 million people
who are elderly and have disabilities. Medicaid is a smaller health care program that serves the
poor. Social Security and TANF are not health care programs.
Nursing Process: Implementation
Category of Client Need: Safe, Effective Care Environment
Cognitive Level: Comprehension

Learning Outcome: 1-1: Describe the forces that are changing the health care system.
Test Taking Tip: Reduce the options by those that are not specifically health care programs--Social Security and
Temporary Assistance for Needy Families.

Effective Leadership and Mgmt in Nursing, 7e (Sullivan) -- CVC 12/3/08 -- Page 2

3) The nurse explains to the family of an elderly client that the client cannot stay in the hospital for rehabilitation
from a hip replacement because Medicare and personal insurance will not continue to pay for hospital care.
Which is the correct way for the nurse to explain diagnostic-related groups (DRGs) to the family?
1. Group of clients with the same diagnosis
2. Fee for service payment plan
3. Group of related diagnoses applying to one client
4. Prospective system of payment for health care
Answer: 4
Explanation: