Deck 15: Professional Practice Models

Question 1

The presence of a nurse professional practice model (PPM) is the nurse's: (Select all that apply.)

A) control over practice.
B) career focus.
C) job satisfaction.
D) psychological needs.

Answer 1

control over practice.
job satisfaction.

Question 2

Which nursing care model was prominent before the Great Depression?

A) Functional nursing
B) Group nursing
C) Hospital staffing
D) Private duty nursing

Answer 2

Private duty nursing

Question 3

The responsibility for making decisions about and designing strategies to create a climate and environmental context around the provision of nursing and health care services lies with:

A) staff nurses.
B) care councils.
C) the nurse manager.
D) executive leadership.

Answer 3

executive leadership.

Question 4

Which of the following nursing care models are hospital based? (Select all that apply.)

A) Case management
B) Functional
C) Private duty
D) Team

Question 5

The determination of a care delivery model or system of care delivery depends on: (Select all that apply.)

A) fiscal responsibility.
B) accountability to the consumer.
C) government reimbursement.
D) the organization's philosophy.
E) quality and safety considerations.

Question 6

Lilly, an RN, works full time in her client's home providing total care for him. She bathes and dresses him, provides tracheostomy care and wound care, and feeds him. She is paid directly by her client. This type of nursing care is commonly known as:

A) primary nursing.
B) functional nursing.
C) case management.
D) private duty nursing.

Question 7

An example of a traditional nursing care delivery model is:

A) case management.
B) patient- and family-centered care.
C) transitional care.
D) patient-centered medical home.

Question 8

Professional practice models (PPMs) refer to the conceptual framework and philosophy of nursing within an organization. The core elements of a PPM include: (Select all that apply.)

A) goals.
B) values.
C) leadership.
D) collaborative relationships.
E) care delivery model.

Question 9

The conceptual framework and philosophy under which the method of delivery of nursing care is a component is known as:

A) core values.
B) mission statement.
C) care delivery model.
D) professional practice model (PPM).

Question 10

Which of the following is true about team nursing?

A) It includes only registered nurses (RNs) and licensed practical/vocational nurses (LPN/LVNs).
B) Each team member has his or her own patient assignments.
C) Team members must have dual degrees.
D) The nurse with a bachelor's of science in nursing degree is the leader of the team.

Question 11

Critical paths:

A) are designed only for critical care or trauma patients.
B) determine lifesaving interventions for a specific population.
C) outline optimal care and time milestones for the routine patient.
D) provide a list of supplies and equipment needed for care.

Question 12

A well-known conceptual framework by Donabedian (1988) is used to promote positive outcomes in an organization. The framework is composed of concepts related to: (Select all that apply.)

A) structure.
B) outcomes.
C) processes.
D) values.
E) quality.

Question 13

Stakeholders are informed of an organization's key goals through its:

A) vision.
B) values statement.
C) mission statement.
D) organizational philosophy.

Question 14

Functional nursing:

A) divided and distributed nursing tasks.
B) enhanced client-oriented care.
C) provided a smooth care delivery system.
D) was expensive once implemented.

Question 15

Janice is assigned to pass medications this shift. Mary is assigned to do wound care, Jennifer will give all the baths, and Jim will take all the vital signs. This model of nursing care is called _____ nursing.

A) team
B) primary
C) modular
D) functional

Question 16

Mary Lou is a nurse in the critical care unit. She works 12-hour shifts. Each shift she is assigned to one or two critical care patients. She is responsible for planning and delivering the care and treatment for each one of the patients she is assigned to. This is an example of which nursing model?

A) Team nursing
B) Managed care
C) Total patient care
D) Functional nursing

Question 17

Positive work environments are often found in Magnet-designated organizations. Organizational structures associated with Magnet-like healthy work environments are: (Select all that apply.)

A) professional development opportunities.
B) interdisciplinary collaboration.
C) top-down approach to governance.
D) decreased workloads.
E) culture of safety.

Question 18

Primary nursing is a type of care delivery in which the nurse:

A) cares for a patient 24 hours a day.
B) is responsible for the client's daily care.
C) monitors care from admission to discharge.
D) provides total care for the patient.

Question 19

A patient is admitted with congestive heart failure, diabetes mellitus, and dementia. He has a new dark spot on the top of his toes on his right foot. The nurse contacts the primary care physician, consults with the wound care specialist nurse, writes a nursing order for a referral to the diabetic educator, and contacts the discharge planner to facilitate future discharge plans. Which of the following care delivery models best describes how the nurse is providing care?

A) Case management
B) Group nursing
C) Functional nursing
D) Private duty nursing

Question 20

A professional practice model is a:

A) conceptual framework and philosophy of nursing within an organization.
B) staffing grid that outlines nursing unit work schedules.
C) mechanism by which care is actually provided to patients and families.
D) blueprint for developing specific measurable objectives and actions.

Question 21

Policies and procedures are two functional elements of an organization that are extensions of the mission statements. The similarities between policies and procedures include: (Select all that apply.)

A) a need for regular, periodic reviews.
B) a means for accomplishing goals and objectives.
C) general guidelines for decision making about actions.
D) a need for the smooth functioning of any work group or organization.
E) a need to be very detailed as to how to perform a specific procedure on a specific unit.

Question 22

A(n) _____ is a written plan that identifies key, critical, or predictable incidents that must occur at set times to achieve client outcomes within an appropriate length of stay in a hospital setting.

Question 23

Disadvantages of private duty nursing include: (Select all that apply.)

A) private duty nurses have a great degree of autonomy.
B) private duty being a costly model.
C) job security being tenuous and irregular.
D) the nurse's focus being entirely on one client's needs.
E) nurses maintaining close relationships with colleagues.

Question 24

Organizations need to integrate the behaviors of employees to avoid random chaos and maintain some order, function, and structure. A(n) _____ is a guideline that has been formalized. It directs the action for thinking about and solving recurring problems related to the objectives of the organization.

Question 25

A(n) _____ is the operational mechanism by which care is actually provided to patients and families.

Question 26

Nurses still struggle to create a healthy work environment. The standards of a healthy work environment include: (Select all that apply.)

A) staffing ratios.
B) true collaboration.
C) powerful leadership.
D) meaningful recognition.
E) skilled communication.