Deck 1: Patient Care Management

Question 1

Much like a politician,a nurse manager must exhibit leadership that inspires and motivates.In which instance is a nurse demonstrating leadership qualities?

A)A staff nurse becomes aware of increased infection rates following cardiac surgery.The nurse takes it upon herself to research the possible causes and prevention measures and to make suggestions to better protect patients.
B)A staff nurse acts quickly when a cardiac arrest is called on her patient.
C)A staff nurse notifies another staff member that she is being "pulled" today.
D)A new nurse volunteers to work when another staff member must leave work because her child is ill.

Answer 1

A staff nurse becomes aware of increased infection rates following cardiac surgery.The nurse takes it upon herself to research the possible causes and prevention measures and to make suggestions to better protect patients.

Question 2

An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery.Which of the following would the nurse expect to experience in this environment?

A)UAP taking vital signs and giving baths
B)RN taking vital signs and giving baths
C)RN delegating patient care delivery to a group of patients
D)Charge nurse delegating care delivery

Answer 2

RN delegating patient care delivery to a group of patients

Question 3

A nurse who is interested in developing clinical decision-making skills would look for a unit that practices which model for health care delivery?

A)Primary nursing
B)Team nursing
C)Functional nursing
D)Case management

Answer 3

Primary nursing

Question 4

Health care is seen and managed as a business today.Which skills are considered essential to managing health care as a business?

A)Ability to pressure staff to do what you want
B)Resource utilization
C)Cutting corners to make money
D)Providing bonuses to staff members who help the organization to save money

Question 5

The fundamental element of any patient care delivery combines work allocation with:

A)Patient acuity.
B)Leadership.
C)Clinical decision making.
D)Delegation.

Question 6

Which nursing actions demonstrate the role of management in nursing?

A)Encouraging autonomous decision making
B)Observing the documentation of appropriate charges to patients
C)Assisting in a code
D)Asking the patient/family about advance directives

Question 7

The student nurse,shadowing on a medical-surgical unit,observes the charge nurse.Which action would the student identify as a leadership quality in the nurse's actions?

A)Making patient care assignments distributed equally to staff
B)Sitting with a confused combative patient
C)Calling the nursing office for extra staff when an RN calls in sick
D)Assisting in a code

Question 8

The novice nurse is speaking with the nurse manager about their roles within the hierarchy of the institution.The nurse manager would most likely identify which role as having the most internal conflict?

A)Coordinating institutional goals with the immediate demands of the clinical area
B)Determining which of the staff members should get better raises than other members
C)Deciding which employees should be recommended for promotion
D)Determining which staff members get Christmas day off

Question 9

The student nurse learns about the advantages and disadvantages of various patient care delivery models.The student understands that besides an historical perspective of nursing practice,a patient delivery care model may need to be instituted to adapt to:

A)Alterations in available staff due to weather emergencies.
B)The financial environment of the patient population.
C)A wide range of ages among the staff.
D)A limited number of unlicensed staff on the unit.

Question 10

In which health care delivery model would the nurse expect to see "point-of-care" decision making occur?

A)Primary care nursing
B)Team nursing
C)Functional nursing
D)Modular nursing

Question 11

A nurse manager must exhibit qualities of efficiency and organization.Which nurse is demonstrating the qualities necessary for a manager?

A)A nurse becomes aware of increased infection rates following cardiac surgery.The nurse takes it upon herself to research the possible causes and prevention measures and to make suggestions to better protect patients.
B)A nurse acts quickly when a cardiac arrest is called on her patient.
C)A nurse notifies another staff member that she is being "pulled" today.
D)A nurse volunteers to work when another staff member must leave work because her child is ill.

Question 12

What should the nurse expect when working in a product-line leadership structured environment?

A)Coordination of all services within the specialty
B)Slow organizational response to environmental changes
C)Individual service goals
D)Each service area autonomous to the others

Question 13

A nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy and staff involvement in decision making.What would the nurse expect to observe on this unit?

A)Nurse manager mandates changes.
B)Staff takes responsibility for assignments.
C)Staff participates on hospital committees.
D)Nurses are recognized for excellence in practice.

Question 14

A nurse would expect to see which action on a unit that uses the team nursing model of health care delivery?

A)The nurse makes patient care decisions at the bedside.
B)The nurse delegates patient care to other team members.
C)The nurse works on discharge plans on admission.
D)The UAP takes vital signs on the patients on one hallway.

Question 15

Which action by the nurse indicates a primary care delivery model environment?

A)Development of the plan of care by primary RN to be used on all shifts
B)Calling the physician for clarification after an illegible order is written
C)The unit secretary takes off all orders initially.
D)The charge nurse makes all patient care assignments.

Question 16

Leadership structures in health care can be centralized or decentralized.The nurse understands that she is working in a centralized structured environment when which of the following occurs?

A)All organizational decisions must be approved by the CEO.
B)Changes can be made rapidly based on immediate needs.
C)Nurses must work under a dual-authority structure.
D)Decisions can be made at the "point of care."

Question 17

In interviewing for a new position,a nurse may want to inquire about the institution's views on autonomy in the workplace for nurses.The nurse concludes that autonomy is valued when told that the unit has:

A)Infrequent "floating."
B)Self-scheduling.
C)Cover of another nurse's assignment while she or he is on break.
D)Hourly pay differential for the night shift.

Question 18

In a team nursing health care delivery model environment,the nurse would observe for which action by the staff?

A)The UAPs response all call lights.
B)The charge nurse is notified when there are patient complaints about care.
C)The UAPs response their patients' call lights.
D)The RN is notified when there are patient care complaints.

Question 19

Nurses can be leaders without being managers.Which nursing actions demonstrate leadership?

A)Assisting a new nurse with enteral tube feedings
B)Counseling a new nurse regarding attendance
C)Adjusting assignments after a staff member calls in sick
D)Calling a physician for new order clarification

Question 20

A nurse working on a unit using the primary care delivery model would expect to observe which practice specific to primary care delivery?

A)The UAP measures blood sugar levels on all patients.
B)The RN administers medications to a team of patients.
C)The RN verifies a new order for patient started on an antihypertensive with a blood pressure of 100/60 mm Hg.
D)The RN holds the morning dose of insulin for a patient scheduled for surgery later that day.

Question 21

A nurse leader,according to the American Organization of Nurse Executives (AOEN),is competent in the areas of (select all that apply):

A)Knowledge of the health care environment.
B)Communication.
C)Business management.
D)Demanding participation by the staff.
E)Providing a financial incentive.

Question 22

The patient care delivery system used by an institution should be based on which fundamental elements? Select all that apply.

A)Work allocation
B)Accountability
C)Allocation of resources
D)Mission statement
E)Leadership style

Question 23

A nurse manager encourages the nursing staff using a transformational leadership environment.The nurse manager interprets that a successful transformational environment is one in which (select all that apply):

A)A staff nurse provides advice and guidance to new nurses.
B)A clinical ladder is used for advancement.
C)A staff nurse researches an increase in surgical wound infections and makes recommendations to prevent them.
D)Annual performance appraisals are provided with competitive raises.
E)Decisions are made from the top down.

Question 24

The organizational hierarchy is used in which of the following situations? Select all that apply.

A)A staff member is observed taking money from a patient's bedside table.
B)A staff member is found to be drinking alcohol while at work.
C)A nurse refuses to care for a patient receiving peritoneal dialysis because he has not been trained on this procedure.
D)A nurse refuses to be floated to the ICU while still in orientation.
E)A nurse fails to respond to repeated requests by the UAP to check on the condition of a patient.

Question 25

To become a leader,one must develop certain personal aspects.Which of the following can be identified as competencies expected in creating leadership in oneself? Select all that apply.

A)Asking for overtime
B)Asking for certain patient assignments
C)Personal and professional accountability
D)Acquiring advanced degrees
E)Personal discipline
F)Cultural diversity of patients

Question 26

Nurse managers can best be described as people who:

A)Develop institutional goals based on staff suggestions.
B)Develop institutional goals based on a personal theory.
C)Motivate staff to meet institutional goals through positional power.
D)Inspire staff to meet institutional goals through personal power.