Deck 2: Organizational Structure of Health Care

Question 1

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.

Answer 1

The RN holds the morning dose of insulin for a patient scheduled for surgery later that day.

Question 2

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.

Answer 2

The nurse delegates patient care to other team members.

Question 3

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.

Answer 3

alterations in available staff due to weather emergencies.

Question 4

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 5

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 6

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 7

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

A)patient acuity.
B)leadership.
C)clinical decision making.
D)delegation.

Question 8

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

Question 9

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 10

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 11

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

Question 12

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

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

Question 13

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 14

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
F)Cultural diversity of patients