Managing & Coordinating Nursing Care 4th Edition By J.K – Test Bank

 

 

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Sample Test

Chapter 03

1.	Which of the following is a good reason to have a meeting?
	A)	To coordinate action or exchange information
	B)	To ensure that everyone is at work
	C)	To assert your role as leader
	D)	Because people expect frequent meetings

 

 

2.	You are the nurse manager. Which of the following should be your priority?
	A)	A nursing assistant wanting to discuss his vacation time
	B)	A physician asking that you call him regarding the results of an ordered hematocrit
	C)	The patient in room 205 who just fell
	D)	The patient complaining about his lunch and wanting your attention

 

 

3.	You are the charge nurse. Which of the following tasks should you delegate to the LPN (LVN)?
	A)	Giving the epidural pain medication
	B)	Leading the patient care conference
	C)	Counting the linen for inventory
	D)	Passing the noon oral medications

 

 

4.	In which part of the budget would one find major renovations?
	A)	Operating budget
	B)	Capital budget
	C)	Administrative budget
	D)	Equipment budget

 

 

5.	Because of a new contract, you must budget for an increase in nurses’ salaries. Under which budget category would you apply for this increase?
	A)	Capital budget
	B)	Operating budget
	C)	Supply budget
	D)	Construction budget

 

 

6.	Of the following, which is the best way in which a staff nurse might become involved in the budget process?
	A)	Providing timely budget requests
	B)	Reporting to the supervisor extended lunch breaks taken by fellow workers
	C)	Looking for ways to reuse supplies
	D)	Seeking shortcuts to charting

 

 

7.	The nurse working in the emergency department knows that the policy of the hospital states that no individuals without insurance will be treated. Uninsured individuals will be directed to go to the county hospital emergency department. A woman in labor enters and the nurse determines that this woman is very near delivery and would not make it to the other hospital before delivering. Is it ethical for the nurse to send the woman to the other emergency department to conform to the hospital policy? Why or why not?
	A)	No, because the hospital should not be allowed to set such policies.
	B)	No, because the nurse has an independent duty to avoid harm to those seeking care.
	C)	Yes, because as an employee the nurse’s duty is to the hospital.
	D)	Yes, because the nurse may or may not be correct in her assessment.

 

 

8.	The nurse is discharging a patient based on a critical pathway. The patient suddenly shows signs of a beginning complication. The unit manager states, “There is nothing that can be done, the allotted days of hospital stay are over, and the cost controls will not allow the patient to stay.” In this case, would the limit on length of stay, imposed by the health plan, protect the health care institution and its employees from a successful malpractice action? Why or why not?
	A)	Yes, because they have no control over the health plan decisions.
	B)	Yes, because they are discharging a patient according to a predetermined critical pathway.
	C)	No, because anyone can sue for anything, anytime.
	D)	No, because health care professionals are always accountable for their own decisions about patient care.

 

 

9.	Which of the following provides the greatest opportunity for cost containment in a nursing department’s expenses?
	A)	Equipment
	B)	Supplies
	C)	Environmental assessment
	D)	Salaries

 

 

10.	A coworker says to a fellow nurse, “An ordinary nurse can’t have any effect on the cost of health care. I don’t know why you worry about it.” The nurse’s most accurate reply is:
	A)	“There are many costs associated with complications that nurses can prevent.”
	B)	“You are probably right, but it makes me feel better if I try something.”
	C)	“Well, by not using sterile supplies, I know that I am really cutting costs.”
	D)	“If I talk about costs, maybe those who really can affect costs, like doctors, will begin to pay attention.”

 

 

11.	Which of the following is the area on the patient’s bill where the cost of nursing care has appeared?
	A)	Special nursing services
	B)	Patient care maintenance
	C)	An integral part of the daily room rate
	D)	Itemized expenses

 

 

12.	In a capitated health plan, which entity is at greatest financial risk?
	A)	Provider
	B)	Health plan
	C)	Individual
	D)	Government

 

 

13.	John Thomsen, age 76, is admitted to the hospital for a hip replacement. Which of the following sources would you expect to pay a good share of his hospital bill?
	A)	His employer
	B)	Medicare
	C)	His son
	D)	A state insurance plan

 

 

14.	What are the factors affecting rising health care costs? (Mark all that apply.)
	A)	Fear of litigation
	B)	Aging population
	C)	Administrative costs
	D)	Judicious use of staff
	E)	Overuse of resources

 

 

15.	Cost ____________ includes all efforts directed toward preventing the steep rise in costs of health care.

 

 

16.	What are the factors influencing a patients’ access to health care? (Mark all that apply.)
	A)	Do they have the time?
	B)	Can a relative or friend go with them?
	C)	Can they afford it?
	D)	Is it available near their home?
	E)	Is it viewed as culturally sensitive?

 

 

17.	Because of increased litigation, physicians have begun practicing “defensive medicine.” What does this mean?
	A)	Care was ordered for legal protection
	B)	Needed diagnostic tests were not ordered
	C)	Care was only given to those with insurance
	D)	Specialists were called in when not needed

 

 

18.	As a staff nurse, where can you impact the system by making suggestions to reduce redundant paperwork or streamline processes?
	A)	At the mid-management level
	B)	At the informal organizational level
	C)	At the grassroots level
	D)	At the administrative level

 

 

19.	The future of cost containment hinges on balancing what? (Mark all that apply.)
	A)	Patient satisfaction
	B)	Length of stay
	C)	Age of patients
	D)	Quality of care given
	E)	Cost of care provided

 

 

20.	Restructuring of health care organizations in an effort to contain costs might include what?
	A)	Opening trauma units
	B)	Continuing to provide community emergency care
	C)	Hiring unlicensed assistive personnel
	D)	Decreasing the number of physicians on the payroll

 

 

 

Answer Key

 

1.	A
2.	C
3.	D
4.	B
5.	B
6.	A
7.	B
8.	D
9.	B
10.	A
11.	C
12.	A
13.	B
14.	A, C, E
15.	Containment
16.	C, D, E
17.	A
18.	C
19.	A, D, E
20.	C

Chapter 4

1.	What might an individual staff nurse do to promote quality improvement?
	A)	Establish a committee to examine a problem area.
	B)	Initiate new procedures to replace those the nurse determines are outdated.
	C)	Set up a plan to evaluate a particular outcome.
	D)	Identify areas in which change is needed.

 

 

2.	What is a major characteristic of rapid process improvement?
	A)	The team assigned to the process is empowered to make changes.
	B)	Speed is of the essence regardless of who initiates the changes.
	C)	Management requires that changes be made.
	D)	It is a requirement of the Joint Commission.

 

 

3.	What strategy is best for learning what patients found most distressing about their hospital stay?
	A)	A written survey
	B)	A retrospective audit of records
	C)	Telephone interviews 1 week after discharge
	D)	A checklist provided at discharge

 

 

4.	Constant change is a characteristic of what approach to evaluation?
	A)	Quality assurance
	B)	Management by objectives
	C)	Continuous quality improvement
	D)	Scientific management

 

 

5.	The audit in which you are asked to participate will include patients who are still in the hospital. This is what type of audit?
	A)	Concurrent
	B)	Ex post facto
	C)	Prospective
	D)	Retrospective

 

 

6.	You have been asked to participate in an audit regarding care of patients with hip fractures. You will be:
	A)	Visiting patient rooms and observing the care given
	B)	Meeting with a group of nurses to review care
	C)	Planning standards for the care of patients with this diagnosis
	D)	Reviewing patient records of individuals who have been treated for a hip fracture

 

 

7.	“An admission nursing assessment will be completed within 6 hours of the patient’s admission to an inpatient unit.” This is an example of what type of standard?
	A)	Process
	B)	Outcome
	C)	Structural
	D)	Nursing specific

 

 

8.	“The postoperative infection rate will be no greater than 1% overall.” This is an example of what type of standard?
	A)	Process
	B)	Outcome
	C)	Structural
	D)	Health facility established

 

 

9.	“The emergency department shall have a qualified emergency physician present at all times.” This is an example of what type of standard?
	A)	Process
	B)	Outcome
	C)	Structural
	D)	Clinical practice

 

 

10.	In a continuous quality improvement program, quality ____________ are continuously examined.

 

 

11.	What is a nursing specific standard?
	A)	AMA guidelines for care
	B)	Nurse Practice act
	C)	JCAHO standards
	D)	Hospital staffing standards

 

 

12.	A ____________ is a specific quantitative standard to which you compare your own institution.

 

 

13.	The “100,000 Lives” campaign works toward what goals? (Mark all that apply.)
	A)	Prevent adverse drug events
	B)	Make sure all professional staff in a hospital are licensed
	C)	Deploy rapid response teams
	D)	Prevent community acquired pneumonia
	E)	Improve care of patients with myocardial infarctions

 

 

14.	Institutional goals are usually stated in broad terms and can be adapted to fit all areas of the hospital. What are the specific accomplishments that help achieve a goal?
	A)	Unit-specific goals
	B)	Objectives
	C)	Standards
	D)	Evaluations

 

 

15.	Conflict over ________ can occur within an institution.

 

 

16.	What does risk management use to lower the risk of the institution being sued?
	A)	Standards of care
	B)	Surveys
	C)	Root cause analysis
	D)	Quality assurance data

 

 

17.	Why are key indicators used in evaluation in health care?
	A)	They are the most important aspects of care.
	B)	They have been shown to relate to overall quality.
	C)	They are simple to measure.
	D)	They can demonstrate excellence in care.

 

 

18.	If every level of administration is not fully committed to quality, then the organization will not be able to __________.

 

 

19.	You are the staff educator at a small rural hospital. When planning an orientation class for new graduates, you know you have to teach about risk management. What information about the focus of risk management would you include in your class?
	A)	The focus of risk management is preventing events that could lead to institutional liability.
	B)	The focus of risk management is preventing injuries.
	C)	The focus of risk management is teaching staff about legal issues.
	D)	The focus of risk management is ensuring that documentation systems meet all appropriate standards.

 

 

20.	How are quality assurance and risk management related?
	A)	Quality assurance is focused only on patient concerns, whereas risk management covers a broader area.
	B)	Quality assurance is a tool used for risk management.
	C)	Risk management is one part of quality assurance.
	D)	They are separate programs and not related.

 

 

 

Answer Key

 

1.	D
2.	A
3.	A
4.	C
5.	A
6.	D
7.	A
8.	B
9.	C
10.	Indicators
11.	B
12.	Benchmark
13.	A, C, E
14.	B
15.	Goals
16.	D
17.	B
18.	Change
19.	A
20.	B