Question 1

The nurse administrator is considering employing an advanced practice nurse. The administrator would refer to which documents to determine this nurse's role in the hospital's nursing care delivery model?

Accepted Answer

A

Question 2

The nurse's chief function is to collaboratively plan, coordinate, and evaluate services in a cost-effective manner. The nurse fulfills which role within the care delivery system?

Accepted Answer

The role of a case manager involves coordinating and evaluating services in a cost-effective manner, which is the chief function mentioned in the question. Options A, B, and C refer to advanced nursing roles that involve direct patient care and specialization, rather than care coordination and evaluation.

Question 3

Which characteristics of the primary nursing model make it a good match with the goals of the IOM and National Quality Forum? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Primary nursing supports the IOM and National Quality Forum’s goals by creating possibilities for collaborative success with other healthcare professionals, supporting efforts to make patient care safer, and allowing the nurse to coordinate care across many disciplines. Option A is incorrect because there is no evidence to support the claim that primary nursing is less expensive. Option E is incorrect because primary nursing actually increases the need for communication and documentation, as the RN is responsible for coordinating care and communicating with all members of the healthcare team.

Question 4

A hospital utilizes the functional nursing care delivery system, and patient satisfaction scores have been falling in each quarter of the past year. What is a likely reason for this decrease? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The functional nursing care delivery system, where tasks are divided among team members with each member responsible for certain tasks rather than holistic patient care, can lead to patients feeling a lack of personal connection and confidence in their caregivers (C) and experiencing fragmented care (E), as they may interact with multiple staff members for different needs. This fragmentation can make care feel impersonal and disjointed, contributing to lower patient satisfaction scores.

Question 5

A hospital's nursing administration is considering moving to a patient-centered care model. What are the benefits of this model?

Accepted Answer

The patient-centered care model focuses on providing care that is tailored to the individual needs and preferences of each patient. This approach has been shown to increase patient satisfaction and improve overall health outcomes. While it may require more time and resources from nursing staff, the benefits of improved patient outcomes and satisfaction make this model worthwhile for many healthcare facilities. Options A, B, and D are not accurate benefits of a patient-centered care model.

Question 6

The nurse manager has been charged with evaluating whether the current system of team nursing is efficient and cost-effective for the unit. Which statement supports the cost-effectiveness of team nursing on this unit?

Accepted Answer

Team nursing is considered cost-effective because it utilizes a mix of staff, including unlicensed assistive personnel (UAPs), under the delegation of a registered nurse (RN). This approach can reduce costs by allowing RNs to focus on more complex care needs while UAPs handle basic care tasks, optimizing the use of human resources within a healthcare setting.

Question 7

A registered nurse desires to work at a hospital close to her home. A nurse who works at the hospital tells her that he spends much of his day delegating to unlicensed assistive personnel UAPs). The nurse realizes that the hospital practices one of which types of care delivery? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A registered nurse desires to work at...

Question 8

A registered nurse RN) wants to delegate the insertion of an intravenous catheter IV) to a licensed practical nurse LPN/LVN). The RN bases the decision to delegate on which factor?

Accepted Answer

The RN should base the decision to delegate on whether or not it is within the scope of practice for the LPN/LVN according to the state's nurse practice act. Delegation should not be based on the RN's lack of time or skills, but rather on the education and competency of the LPN/LVN.

Question 9

A nurse executive is writing the job description for the hospital's newly created case manager position. Which job responsibilities should the executive include? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The case manager's responsibilities include collaborating across disciplines to plan patient care, coordinating care to increase cost-effectiveness, and reducing fragmentation of care. Developing nursing service work schedules and determining when a patient can be discharged from the facility are not typically part of the case manager's role.

Question 10

How would the nurse explain how acute care nursing is different from community-based care?

Accepted Answer

Acute care nursing is focused on providing care for patients who are experiencing an acute illness or injury and require short-term nursing interventions. This is different from community-based care, which focuses on promoting the health of individuals, families, and communities in a more preventative and long-term way. In acute care, the nurse's goal is to stabilize the patient's condition and provide necessary treatment to promote recovery, whereas community-based care focuses on promoting health and wellness through education and support.

Question 11

A clinic has instituted a program of disease management. The nurse administrator would describe the clinic's work using which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Disease management typically involves addressing chronic illnesses that are costly to manage. Proactive case management is an essential part of this process, which includes prevention and early detection/intervention to avoid costly long-term care. Patient anonymity is always protected by clinic regulations and is not unique to disease management programs.

Question 12

The nurse is aware that skill in collaboration will be necessary for success as changes occur in the delivery of health care. The nurse should develop which skills in preparation for these changes? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is aware that skill in...

Question 13

The nurse is uncomfortable with the technical skills demonstrated by a newly employed licensed practical nurse LPN/LVN). A patient is to have an indwelling urinary catheter placed. How should the nurse proceed?

Accepted Answer

Observing the LPN/LVN perform the task allows the nurse to assess their skills directly and provide immediate feedback or intervention if necessary, ensuring patient safety and promoting learning.

Question 14

The nurse works in a hospital that practices functional care delivery. Which statements represent common perceptions about this system? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse works in a hospital that...

Question 15

A state has experienced an economic downturn and a shortage of registered nurses. Which nursing care delivery model would hospital administrators be likely to avoid?

Accepted Answer

The answer of A state has experienced an economic downturn...

Question 16

Which scenario is an example of correct delegation?

Accepted Answer

The answer of Which scenario is an example of correct...

Question 17

A registered nurse is seeking employment at a hospital with magnet status after hearing about the high nurse satisfaction at this hospital. High nursing satisfaction in a hospital with magnet status rating is a result of which commonality?

Accepted Answer

High nursing satisfaction in hospitals with magnet status is often attributed to the professional autonomy of nurses. This means that nurses are given a high level of control and decision-making power in their practice, leading to higher job satisfaction and better patient outcomes. Options A, B, and C do not reflect the commonality found in magnet hospitals.

Question 18

The nurse is considering returning to school to become a clinical nurse leader CNL). The nurse would prepare for which characteristics of the new position? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Clinical nurse leaders (CNLs) focus on patient safety, quality improvement, and coordinating care provided by unit nurses. They do not serve as directors of nursing services and do not spend the majority of their time away from the bedside educating other nurses.

Question 19

Which statement describes a nurse providing community-based care?

Accepted Answer

Providing physical examinations in a free clinic is an example of community-based care, as it involves delivering healthcare services directly to individuals within a community. The other options involve roles in policy development, curriculum development, or regulatory compliance, which are not necessarily community-based care.

Question 20

The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. How would the nurse describe this care delivery system?

Accepted Answer

Primary nursing is a care delivery system in which one nurse assumes 24-hour accountability and responsibility for planning, directing, and evaluating the care of a specific group of patients. This system provides continuity of care, allowing the nurse to develop a therapeutic relationship with the patients and their families. Team nursing involves a group of nurses working together to provide care to a group of patients, with one nurse assuming the role of team leader. Functional nursing involves dividing tasks among different types of nurses, and each nurse provides the assigned care to all patients on the unit. The case method involves one nurse assuming responsibility for coordinating the care of a group of patients during their entire hospital stay.

Quiz 4: Nursing Care Delivery Systems

The nurse administrator is considering employing an advanced practice nurse. The administrator would refer to which documents to determine this nurse's role in the hospital's nursing care delivery model?

The nurse's chief function is to collaboratively plan, coordinate, and evaluate services in a cost-effective manner. The nurse fulfills which role within the care delivery system?

Which characteristics of the primary nursing model make it a good match with the goals of the IOM and National Quality Forum? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A hospital's nursing administration is considering moving to a patient-centered care model. What are the benefits of this model?

The nurse manager has been charged with evaluating whether the current system of team nursing is efficient and cost-effective for the unit. Which statement supports the cost-effectiveness of team nursing on this unit?

A registered nurse RN) wants to delegate the insertion of an intravenous catheter IV) to a licensed practical nurse LPN/LVN) . The RN bases the decision to delegate on which factor?

A nurse executive is writing the job description for the hospital's newly created case manager position. Which job responsibilities should the executive include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

How would the nurse explain how acute care nursing is different from community-based care?

A clinic has instituted a program of disease management. The nurse administrator would describe the clinic's work using which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is uncomfortable with the technical skills demonstrated by a newly employed licensed practical nurse LPN/LVN) . A patient is to have an indwelling urinary catheter placed. How should the nurse proceed?

The nurse works in a hospital that practices functional care delivery. Which statements represent common perceptions about this system? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A state has experienced an economic downturn and a shortage of registered nurses. Which nursing care delivery model would hospital administrators be likely to avoid?

Which scenario is an example of correct delegation?

A registered nurse is seeking employment at a hospital with magnet status after hearing about the high nurse satisfaction at this hospital. High nursing satisfaction in a hospital with magnet status rating is a result of which commonality?

The nurse is considering returning to school to become a clinical nurse leader CNL) . The nurse would prepare for which characteristics of the new position? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which statement describes a nurse providing community-based care?

The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. How would the nurse describe this care delivery system?