1 Copyright © 201 8 Pearson Education, Inc. Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter 28 Imagining the Future 1) Having an adequate number of staff per client affects what factors? 1. Infections 2. Mortality 3. Length of stay 4. Charges 5. Fall rates Answer: 1, 2, 3, 5 Explanation: 1. Having an adequate number of nurses per client affects the rate of infection, mortality, length of stay, urinary tract infections, hospital -acquired pneumonia, and fall rates. 2. Having an adequate number of nurses per client affects the r ate of infection, mortality, length of stay, urinary tract infections, hospital -acquired pneumonia, and fall rates. 3. Having an adequate number of nurses per client affects the rate of infection, mortality, length of stay, urinary tract infections, hospit al-acquired pneumonia, and fall rates. 4. Having an adequate number of nurses per client affects the rate of infection, mortality, length of stay, urinary tract infections, hospital -acquired pneumonia, and fall rates. 5. Having an adequate number of nurses per client affects the rate of infection, mortality, length of stay, urinary tract infections, hospital -acquired pneumonia, and fall rates. Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nurs ing/Int Conc: Nursing Process: Evaluation/Resource Utilization Learning Outcome: 28 -3: Assess changes affecting the future in healthcare. 2) The ________ changed how healthcare is reimbursed. Answer: Affordable Care Act Explanation: The Affordable Car e Act changed how healthcare is reimbursed. (This question only has 1 answer for each blank, so you can use the heading Global rationale for it). Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Evaluation/Education Learning Outcome: 28 -3: Assess changes affecting the future in healthcare. 2 Copyright © 201 8 Pearson Education, Inc. 3) What reforms did the Affordable Care Act (ACA) enact? 1. More affordable coverage 2. Stronger Medicare program 3. Stro nger consumer rights and protections 4. Stronger Medicaid program 5. Less taxing for programs such as Medicaid Answer: 1, 2, 3 Explanation: 1. The ACA enacted the following reforms: more affordable coverage, stronger Medicare program, and stronger consum er rights and protections. 2. The ACA enacted the following reforms: more affordable coverage, stronger Medicare program, and stronger consumer rights and protections. 3. The ACA enacted the following reforms: more affordable coverage, stronger Medicare program, and stronger consumer rights and protections. 4. The ACA enacted the following reforms: more affordable coverage, stronger Medicare program, and stronger consumer rights and protections. 5. The ACA enacted the following reforms: more affordable cove rage, stronger Medicare program, and stronger consumer rights and protections. Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Evaluation/Education Learning Outcome: 28 -3: Assess changes affecting the future in healthcare. 4) One possible future includes which of the following wildcards? 1. Plausible occurrences 2. Unforeseen events 3. Probable future 4. Extension of the past Answer: 2 Explanation: 1. A po ssible future includes wildcards, which are unforeseen events. 2. A possible future includes wildcards, which are unforeseen events. 3. A possible future includes wildcards, which are unforeseen events. 4. A possible future includes wildcards, which are un foreseen events. Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Evaluation/Education Learning Outcome: 28 -2: Evaluate predictions about society's future.