Guide to Nursing Management and Leadership 8th Edition Tomey Test Bank
· Print ISBN: 9780323052382, 032305238X
· eText ISBN: 978-0-323-05238-2, 9780323063401, 0323063403
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Below you will find some free nursing test bank questions from this test bank:
Marriner Tomey: Guide to Nursing Management and Leadership,
Chapter 9: Financial Management, Cost Containment, and Marketing
- Health care costs continue to increase. All of the following contribute to rising health care costs except:
|b.||Increasing number of diseases requiring acute care|
|c.||Increased health care needs|
|d.||Increasing number of uninsured people|
Health care costs have been rising because of the aging of the population, the consequent increase in the number of individuals with chronic diseases, increased health care needs, and an increased number of uninsured people.
- Which of the following reimburses according to the cost of treatment of specific diagnosis-related groups (DRGs)?
|a.||Health promotion programs|
|b.||Managed care systems|
|c.||Prospective reimbursement system|
|d.||Health maintenance organizations|
A prospective reimbursement system encourages the implementation of cost-effective health care services. Reimbursement is based on the cost of treatment of specific DRGs rather than on per diem costs or total hospital costs divided by patient-days. The payment unit is the diagnosis rather than the patient-day.
- A system in which a fixed payment is given to a care provider per health plan participant per month for delivery of a specified amount of health care services is known as:
|b.||Health maintenance organization|
|c.||Individual provider arrangements|
A capitated system is a health care plan in which the health care provider receives a fixed amount per month (or per year) for each plan participant for delivery of a specified amount of health care services.
- What has been the impact of managed competition on nursing?
|a.||Large differential in salary among nurses with an associate degree, bachelor of science degree, and master of science degree|
|b.||Increased registered nurse staffing|
|c.||Increased use of advanced practice nurses|
|d.||Use of licensed practical nurses/licensed vocational nurses as utilization reviewers|
Managed competition exists among prepaid providers such as health maintenance organizations, preferred provider organizations, and independent practice associations and leads to increased use of advanced practice nurses as substitutes for physicians and psychologists.
- How should nurse managers face the challenge of globalization?
|a.||Participate in the World Health Organization to help prevent a pandemic|
|b.||Assure that adequate disease testing equipment is in place|
|c.||Conduct research to develop new diagnostic tests|
|d.||Screen all patients to prevent an epidemic|
Nurse managers and others need to prepare for a large-scale infectious disease outbreak. Clinical care protocols should be developed, alternate space use designs should be planned, and adequate disease testing equipment should be put in place.
- A nurse manager acts as a fiscal manager on the unit. The nurse manager’s most likely duty is to:
|a.||Be proactive in the fiscal planning|
|b.||Guide the formulation of justification for requests for resources|
|c.||Coordinate the fiscal planning|
The fiscal manager coordinates fiscal planning, plans to budget, organizes the justification, implements the budget process, determines resource requirements within the existing constraints, and evaluates technology.
- A nurse manager has to submit a proposal to the administration for the staffing needs of the intensive care unit. The nurse manager will be working with what type of budget?
|d.||Capital expenditure budget|
Personnel budgets estimate the cost of direct labor required to fulfill the agency’s objectives. The nurse manager decides on the types of nursing care necessary to meet the nursing needs of the estimated patient population.
- The nurse manager assessed the need for a new flotation bed for patients with severe decubitus ulcers on the unit. The nurse manager reported this information to the chief nursing officer, who reviewed which budget to plan for replenishment of this equipment on the unit?
|b.||Capital expenditure budget|
Capital expenditures include expenditures on physical items, such as replacement or expansion of the plant, major equipment, and inventories.
- The nurse manager reviews the unit’s budget quarterly. One advantage of such a budget review is that:
|a.||It is time consuming and expensive|
|b.||Corrective measures can be taken|
|c.||The budget converts organizational performance into monetary values|
|d.||The budget supersedes the agency goals|
One advantage of budgeting is that the weakness in the organization can be revealed and corrective measures can be taken.
- The hospital established the financial responsibilities of the personnel who are part of the budgetary process. The function of the nurse managers and department heads during the budgetary process is to:
|a.||Provide general planning expertise|
|b.||Formulate and execute the budget by using guidelines|
|c.||Establish a completion timetable|
|d.||Prepare and review goals and objectives, and compile the budgets for their departments|
Department heads formulate and review goals and objectives and prepare the budgets for their departments.
- The hospital is promoting a healthy living program for its employees. On what part of cost containment is the hospital focusing?
Healthy living programs, such as promotion of exercise activities, stocking of heart-wise foods in the cafeteria, and smoking cessation classes, may help keep workers healthy and thus reduce sick time, absenteeism, and health care costs.
- The nurse manager needs to determine the most economical level of inventory, because supplies represent a significant cost factor. To keep costs down, the nurse manager places small orders frequently. This is an example of reducing what kind of cost?
The carrying cost is the expense involved in holding inventories. To keep carrying costs down, the nurse manager should place small orders frequently.
- A nurse manager uses what technique to help control costs?
|a.||Delegating appropriate tasks to unlicensed personnel|
|b.||Comparing costs with those of other departments|
|c.||Calculating the break-even points on an item|
|d.||Conducting comparisons in monetary units|
Delegation of appropriate tasks to unlicensed personnel can save more expensive nurses’ time for activities requiring more knowledge and skill.
- The chief nursing officer needed to make changes in the staffing budget because the hospital was opening an additional 10 beds to the emergency department. The nursing administrator had to look at what type of costs?
Marginal costs are the extra costs created by providing care to one more service unit. They are calculated as the difference between the total costs before and after adding one additional service unit.
- The nurse manager wanted to implement a new indirect cost savings strategy on the unit. An example of an indirect cost savings strategy is:
|a.||Instituting a new 15-minute break policy|
|b.||Holding staff meetings on company time|
|c.||Charging for the coffee served to employees|
|d.||Eliminating the nurses’ lounge area|
Staff development, travel to gain new experiences, staff meetings held on company time, provision of seed money, and maintenance work can lead indirectly to cost savings.
- The hospital implemented several cost-cutting strategies to keep from closing. One strategy was the support of early retirement. What kind of strategy can the nurse manager use to keep up the morale of the unit?
|a.||Initiate an across-the-board pay cut to be fair to everyone|
|b.||Acknowledge the staff’s good work|
|c.||Encourage staff members to seek other positions for job security|
|d.||Give a pay raise to the remaining employees|
Recognition is a reward for most types of agency achievement.
- The nurse manager used the traditional model for costing out nursing services. In this model, the amount of nursing time per intensity level (NT) is calculated based on what?
NT is equal to the amount of nursing time per intensity level for a diagnosis-related group (DRG).
- One difference between the traditional model and the McCloskey model for costing out nursing services is that the McCloskey model uses:
|a.||Average nursing hourly salary (ANHS)|
|b.||Benefits across the institution (BAI)|
|c.||Indirect cost amount (ICA)|
|d.||Nursing intervention (NI)|
The equation for the McCloskey model uses nursing intervention (NI) instead of intensity level for a diagnosis-related group to cost out nursing services.
- The hospital’s board of directors sent letters to wealthy community leaders seeking donations to help build an extension to the hospital. This target group is an example of:
|a.||An exchange public|
|b.||An internal public|
|c.||A sought public|
|d.||An unwelcome public|
Sought publics are desired by the agency but are not necessarily interested in the agency. For instance, wealthy people who are potential donors could be a sought public.
- The hospital has established a wellness center that provides health education programs. To advertise this new service, the hospital conducts what type of marketing?
Social marketing applies generic marketing techniques to change the social behavior of a target audience or the well-being of society in general.
- A marketing audit of a small rural town is performed to see if the community would be interested in having a clinic that specializes in women’s and children’s services. This is what type of market targeting?
Concentrated marketing aims at a specific market segment.
- A wellness clinic was promoting a new weight loss capsule that was approved by the Food and Drug Administration. Over the last quarter, the clinic’s data revealed an increase in the sale of the product. This is an example of what stage of the product’s life cycle?
|d.||Market decline stage|
The growth stage occurs when the number of customers and the size of the market increase.
- With very few Food and Drug Administration–approved nonprescription weight loss drugs on the market, the pharmaceutical companies that produce these over-the-counter medications can establish what kind of pricing goal?
|c.||Sliding payment scale|
Profit-maximizing pricing tries to set the maximum price that demand for the product or service will bear.
- The hospital used promotions that were not paid for by the hospital. What type of publicity tool did the hospital use?
|a.||Public service announcements|
Forms of publicity include public service announcements, public relations campaigns, speakers’ bureaus, interviews, health fairs, and screening programs.
- Marketing promotion informs potential customers of the existence and availability of products and services. Because consumers have become more knowledgeable about health care, hospitals have had to become very creative in their marketing promotions. Hospitals understand that marketing promotion leads to:
|a.||Reutilization of services|
|b.||Underutilization of services|
|c.||Narrowing of services to a select group|
|d.||High bidding to get the business|
Marketing promotion leads to awareness, understanding, interest, decision, utilization, satisfaction, reutilization, and recommendations.