Question 1

UCPs are allowed to perform tasks with patients in which situation?&#10;A)When tasks are delegated by another UCP.&#10;B)When asked by the patient.&#10;C)With another UCP.&#10;D)When tasks are delegated by an RN.

Accepted Answer

An institution's policies,procedures,and job descriptions for UCPs provide specific guidelines regarding which tasks or activities can be delegated.UCPs are not allowed to perform actions authorized for RNs unless these tasks have been properly delegated by an RN,and they can perform such actions only if they are within the UCP's job description and employer policy.It is not appropriate to perform tasks that are delegated by another UCP,when asked by the patient,or with another UCP.

Question 2

The nursing management team in a facility is investigating a nursing care delivery model that involves staff members working under the direction of an RN leader.What does this model reflect?&#10;A)Team nursing.&#10;B)Primary nursing.&#10;C)Functional nursing.&#10;D)Total patient care.

Accepted Answer

In team nursing,an RN leads a team that is composed of other RNs,registered psychiatric nurses or licensed practical nurses,and UCPs.The team members provide direct patient care to groups of patients,under the direction of the RN team leader.Primary nursing is a model of care delivery whereby an RN assumes responsibility for a caseload of patients over time.Typically,the RN selects the patients for his or her caseload and cares for those patients during their hospitalization or stay in the health care setting.Functional nursing is task focused,not patient focused;in a functional nursing model,tasks are divided,with each nurse assuming responsibility for specific tasks.In a total patient care model,an RN is responsible for all aspects of care for one or more patients.The RN may delegate aspects of care but retains accountability for care of all assigned patients.

Question 3

Nursing management in a facility is considering a nursing care delivery model that involves the division of tasks,with each nurse assuming the responsibility for particular tasks.What is this model referred to as?

A)Total patient care.
B)Functional nursing.
C)Team nursing.
D)Primary nursing.

Functional nursing.

Accepted Answer

Functional nursing is task-focused,not patient-focused.In this model,tasks are divided,with each nurse assuming responsibility for specific tasks.In the total patient care model,a registered nurse (RN)is responsible for all aspects of care for one or more patients.The RN may delegate aspects of care but retains accountability for care of all assigned patients.In team nursing,an RN leads a team that is composed of other RNs,registered psychiatric nurses or licensed practical nurses,and unregulated care providers (UCPs).The team members provide direct patient care to groups of patients,under the direction of the RN team leader.UCPs are given patient assignments rather than being assigned particular tasks.In the primary nursing model,an RN assumes responsibility for a caseload of patients over time.Typically,the RN selects the patients for his or her caseload and cares for the same patients during their hospitalization or stay in the health care setting.

Question 4

A management structure in which traditional units are reorganized into business units is called what?&#10;A)Matrix.&#10;B)Centralized.&#10;C)Decentralized.&#10;D)Participatory.

Accepted Answer

In a matrix management structure,traditional units are reorganized into business units.Staff may report to several managers who may be from a variety of professional practice backgrounds.Traditional units are not reorganized into business units in centralized,decentralized,or participatory management structures.

Question 5

Which term characterizes the duties and activities that an individual is employed to perform?&#10;A)Autonomy.&#10;B)Authority.&#10;C)Responsibility.&#10;D)Accountability.

Accepted Answer

The duties and activities that an individual is employed to perform reflect responsibility.Autonomy is the freedom of choice and responsibility for choices.Authority is the right to act in areas in which a nurse has been given and accepts responsibility according to legislation,standards,and the code of ethics.Accountability refers to being answerable for one's actions.

Question 6

A nurse has delegated a task to an unregulated care provider (UCP).Which of the following is the nurse responsible for? (Select all that apply. )&#10;A)Performing the task safely.&#10;B)Maintaining accountability of the task.&#10;C)Ensuring the task is within the UCP's job description.&#10;D)Supervising the UCP if required.&#10;E)Providing clear instructions when delegating a task.

Accepted Answer

When delegating a task to a UCP,the nurse is responsible for maintaining accountability for the task,ensuring that the task is within the UCP's job description,supervising the UCP if required by policy,and providing clear instructions about the task.The UCP is responsible for performing the task safely.

Question 7

The nurse on the unit is determining which activities may be delegated to an unregulated care provider (UCP).A number of factors are included in the nurse's decision.Assuming that the UCP is competent,the RN may safely delegate which of the following activities?

A)Ambulation of stable patients.
B)Documenting an admission history for a new patient.
C)Performance of the initial transfer of a postoperative patient.
D)Administering medications prepared by the RN.

Accepted Answer

An institution's policies and procedures and job description for a UCP provide specific guidelines with regard to which tasks or activities can be delegated.The nurse should match tasks to the delegate's skills,such as ambulating stable patients.An admission history for a new patient should not be prepared by a UCP;the RN should perform this task.The initial transfer of a postoperative patient should not be delegated to a UCP,as the patient would be considered unstable;the RN should perform this task.The nurse should not delegate medication administration to anyone,if the nurse prepared it;the UCP is not licensed to administer medication.

Question 8

What is a nursing manager's greatest challenge?&#10;A)Delegation.&#10;B)Communication.&#10;C)Time management.&#10;D)Clinical decision making.

Accepted Answer

Communication with staff is one of the nursing manager's greatest challenges,especially in a large work group in which change is constant.The nursing manager's greatest challenge is not delegation,time management,or clinical decision making.

Question 9

The student nurse is seeking to learn skills associated with priority setting.Among the different priorities of care,which of the following is an example of an intermediate priority?&#10;A)An obstructed airway.&#10;B)The need to urinate.&#10;C)Loss of consciousness.&#10;D)Activities of daily living in the home environment.

Accepted Answer

The need to urinate is an intermediate priority because it is a nonemergency,non-life-threatening actual or potential need.An obstructed airway is of high priority because it is an immediate threat to a patient's survival or safety.Loss of consciousness is of high priority because it is an immediate threat to a patient's survival or safety.Activities of daily living in the home environment are a fourth-order priority;they represent an actual or potential problem with which the patient or family members may need help in the future.

Question 10

The charge nurse asks an experienced nurse to admit a critically ill patient who arrives in the emergency department.What does this action exemplify?&#10;A)Evaluation.&#10;B)Supervision.&#10;C)Assignment.&#10;D)Delegation.

Accepted Answer

Assignment is the action taken when the patient or interventions are within a nurse's scope of practice.The experienced nurse is capable of taking on this patient assignment.Delegation is transferring the responsibility to perform a function or intervention to someone who would not otherwise have the authority to perform it (i.e. ,the function or intervention is not within the scope of practice or scope of employment of the care provider to whom the care is being delegated).This is not an example of evaluation or supervision.

Question 11

Accountability is a critical aspect of nursing care.Which of the following is an example of a specific decision-making process of accountability?&#10;A)Selecting the medication schedule for the patient.&#10;B)Implementing discharge teaching plans that meet individual patients' needs.&#10;C)Evaluating the patient's outcomes after implementation of care.&#10;D)Promoting participation of all staff members in unit meetings.

Accepted Answer

The answer of Accountability is a critical aspect of nursing...

Question 12

One type of nursing model is an emerging model among intraprofessional nursing teams and other health care providers who are members of the interprofessional team.What is this model called?&#10;A)Primary nursing model.&#10;B)Functional nursing model.&#10;C)Team nursing model.&#10;D)Collaborative practice model.

Accepted Answer

The answer of One type of nursing model is an...

Question 13

Creating a culture of patient safety includes which of the following? (Select all that apply. )&#10;A)Awareness of health care error.&#10;B)Ensuring feedback on safety issues.&#10;C)Commitment to a just,punitive environment.&#10;D)Promotion of a systems approach to care.&#10;E)Reporting of adverse events.

Accepted Answer

The answer of Creating a culture of patient safety includes...

Question 14

To be able to meet the needs of assigned patients and the responsibilities associated with the position,nurses must be aware of time management techniques.A time management skill for the nurse is which of the following?

A)Meeting all of the patients' needs in the early-morning hours.
B)Planning effectively and being aware of competing priorities.
C)Conducting patient assessments individually at separate times throughout the day.
D)Leaving each day unplanned to allow for adaptations in treatments.

Accepted Answer

The answer of To be able to meet the needs...

Question 15

Which of the following is a requirement for a new nurse in delegating tasks to an unregulated care provider (UCP)?&#10;A)Obtaining the UCP's voluntary acceptance of the task.&#10;B)Communicating the task in understandable terms.&#10;C)Functioning with a laissez-faire style of leadership.&#10;D)Always supervising the UCP.

Accepted Answer

The answer of Which of the following is a requirement...

Question 16

The medical centre has changed its overall management philosophy from centralized to decentralized management.What is one advantage of a decentralized management structure over a centralized structure for the nursing units?

A)Staff members are not responsible for defining their roles.
B)Nurse managers handle the difficult decisions.
C)Communication pathways are simplified.
D)Each staff member is actively involved.

Accepted Answer

The answer of The medical centre has changed its overall...

Question 17

Which of the following is one of the four elements of decision making?&#10;A)Justice.&#10;B)Responsibility.&#10;C)Accessibility.&#10;D)Resource allocation.

Accepted Answer

The answer of Which of the following is one of...

Deck 11: Nursing Leadership, management, and Collaborative Practice