Question 1

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 meeting the individual needs and preferences of each patient, leading to higher levels of patient satisfaction with their healthcare experience. This approach can also improve communication between patients and healthcare providers, resulting in more efficient and effective care. While it may not necessarily require fewer registered nurses, it does prioritize the role of the nurse in building relationships with patients and providing personalized care. Standardizing care and reducing supply inventory are not necessarily primary benefits of a patient-centered care model.

Question 2

Which scenario is an example of correct delegation?

Accepted Answer

Delegation involves assigning tasks that are within the scope of practice of the person being delegated to. Bathing a patient is within the scope of an unlicensed assistant's duties, while assessing patient tolerance, checking lung sounds, and evaluating urine output require nursing judgment and are not appropriate for delegation to unlicensed personnel.

Question 3

Which characteristics of the primary nursing model make it a good match with the goals of the IOM and National Quality Forum?. Select all that apply.

Accepted Answer

B) Primary nursing fosters collaboration between nurses and other healthcare professionals, which aligns with the IOM and National Quality Forum's emphasis on interdisciplinary teamwork and communication.

C) Primary nursing promotes patient safety by providing continuity of care and allowing for the identification and timely resolution of potential safety issues.

D) Through coordinating care across multiple disciplines, primary nursing can improve the quality and efficiency of care, which aligns with the goals of the IOM and National Quality Forum.

A) The number of RNs is not directly related to the effectiveness of the primary nursing model, so this choice is not applicable.

E) Primary nursing actually increases the need for communication and documentation in order to ensure comprehensive patient care, so this choice is not applicable.

Question 4

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

Delegation of tasks should be based on the LPN/LVN's scope of practice according to the state's nurse practice act. This ensures that the LPN/LVN is legally able to perform the task and the RN is not assigning tasks that are outside of the LPN/LVN's legal scope of practice. The other options (A, C, and D) are not appropriate factors for delegation. The RN should not delegate tasks solely because they do not have time or because they have not performed the task recently. Additionally, the RN should evaluate the outcomes of any delegated task.

Question 5

A clinic has instituted a program of disease management. The nurse administrator would describe the clinic's work using which statements?. Select all that apply.

Accepted Answer

The program of disease management implemented by the clinic focuses on addressing high-cost chronic illnesses, proactive case management, prevention, and early detection and early intervention. Patient anonymity being protected by clinic regulations is not a statement that describes the clinic's work in disease management.

Question 6

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

Accepted Answer

Acute care nursing focuses on providing short-term interventions to stabilize a patient's condition and manage immediate health concerns, whereas community-based care focuses on long-term management and prevention of chronic conditions.

Answer: B
 This statement does not accurately reflect the difference between acute care and community-based care.

Answer: C
 Community-based care is often focused on improving a patient's functional capacity and quality of life over the long term, whereas acute care is focused on managing immediate health concerns.

Answer: D
 Nursing autonomy can vary between different settings and individual nursing roles, so it is not necessarily true that autonomy is greater in acute care practice compared to community-based care.

Question 7

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 a group of patients. The nurse is responsible for coordinating and implementing the care plan and collaborating with other healthcare team members as needed. Team nursing involves assigning tasks to different team members, functional nursing involves dividing tasks among different nurses according to their skills, and case method involves one healthcare provider assuming overall responsibility for coordinating the patient's care, but not necessarily being available 24 hours a day.

Question 8

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

The answer of The nurse administrator is considering employing an...

Question 9

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

Nurses in hospitals with magnet status have a great deal of professional autonomy, allowing them to have more control over their practice and job satisfaction. This autonomy often leads to greater job satisfaction and retention of nurses. Options A, B, and C are not characteristics commonly found in hospitals with magnet status and may actually lead to lower nurse satisfaction.

Question 10

A nurse executive is writing the job description for the hospital's newly created case manager position. Which job responsibilities should the executive include?. Select all that apply.

Accepted Answer

The main responsibilities of a case manager include collaborating across disciplines to plan patient care, coordinating care to increase cost-effectiveness, and reducing fragmentation of care. These responsibilities are important in ensuring that patients receive comprehensive and efficient care while also minimizing healthcare costs. Developing nursing service work schedules and determining when the patient can be discharged from the facility are not typically responsibilities of a case manager.

Question 11

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 12

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?. Select all that apply.

Accepted Answer

Functional nursing involves assigning specific tasks to staff members, often leading to delegation to UAPs. Team nursing involves a team led by a nurse delegating tasks to other team members, including UAPs.

Question 13

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?. 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 14

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

Primary care nursing requires a higher number of registered nurses to provide continuous care, which would be challenging during a shortage.

Question 15

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 nurse fulfilling the role of case manager is responsible for planning, coordinating, and evaluating services in a cost-effective manner. The other options listed (nurse practitioner, clinical nurse specialist, and clinical nurse leader) may also have a role in coordinating care, but it is not their primary function.

Question 16

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?. Select all that apply.

Accepted Answer

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

Question 17

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?. 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 the director of nursing services, and while education may be a component of the job, CNLs also spend time at the bedside. Therefore, options A and C are incorrect.

Question 18

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 19

The nurse works in a hospital that practices functional care delivery. Which statements represent common perceptions about this system?. Select all that apply.

Accepted Answer

Functional care delivery often involves task-oriented roles, which can lead to feelings of monotony (A), difficulty in seeing the overall impact on patient care (D), and a focus on completing tasks rather than holistic patient outcomes (E).

Question 20

Which statement describes a nurse providing community-based care?

Accepted Answer

Providing physical examinations in a free clinic is an example of a nurse providing community-based care, as it involves delivering healthcare services directly to individuals who may not have access to traditional healthcare settings. Choice A involves curriculum development, which is not directly related to healthcare delivery. Choice B involves monitoring compliance with government regulations, which is more closely related to environmental health and occupational health than community-based healthcare. Choice C involves policy development for homeless shelters, which is an important aspect of addressing social determinants of health but is not directly related to healthcare delivery.

Quiz 4: Nursing Care Delivery Systems