Question 1

With modular nursing, who checks the completion of tasks assigned to a team member?

Accepted Answer

A)  The charge nurse 
B)  The area manager 
C)  The team leader 
D)  Another team member 
A)  The charge nurse 
B)  The area manager 
C)  The team leader 
D)  Another team member C

Question 2

Which statement best describes functional nursing care delivery?

Accepted Answer

A)  Nursing care is holistic and patient centered 
B)  The nurse must be a licensed person 
C)  Emphasis is on getting work done through tasks 
D)  It is also known as total patient care 
A)  Nursing care is holistic and patient centered 
B)  The nurse must be a licensed person 
C)  Emphasis is on getting work done through tasks 
D)  It is also known as total patient care C

Question 3

What is the most important component in being well organized and increasing productivity on the unit?

Accepted Answer

A)  Adequate resources 
B)  A well-trained staff 
C)  A well-thought-out plan 
D)  Time to carry out your duties 
A)  Adequate resources 
B)  A well-trained staff 
C)  A well-thought-out plan 
D)  Time to carry out your duties C

Question 4

A nurse has accepted a position as a staff nurse and will practice primary care nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment?

Accepted Answer

A)  Planning nursing care independently of others 
B)  Assigning work according to the expertise of group members 
C)  Being responsible for care planning 24 hours a day 
D)  Carrying out the majority of personal care for your patients 
A)  Planning nursing care independently of others 
B)  Assigning work according to the expertise of group members 
C)  Being responsible for care planning 24 hours a day 
D)  Carrying out the majority of personal care for your patients

Question 5

Where did critical pathways originate from?

Accepted Answer

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

Question 6

Which statement demonstrates an understanding of the factors that are considered when a change in the care delivery system is being proposed? Select all that apply.

Accepted Answer

A)  "We have determined that our level of care would improve if we provided it differently." 
B)  "It's questionable whether our current nursing staff is large enough to support the proposed change." 
C)  "We will discuss our proposed change with the multidisciplinary team members." 
D)  "Administration has been supportive of the planned change in our care delivery system." 
A)  "We have determined that our level of care would improve if we provided it differently." 
B)  "It's questionable whether our current nursing staff is large enough to support the proposed change." 
C)  "We will discuss our proposed change with the multidisciplinary team members." 
D)  "Administration has been supportive of the planned change in our care delivery system."

Question 7

What is one of the most important differences between case management and disease management?

Accepted Answer

A)  Disease management referrals begin in the hospital inpatient setting 
B)  Disease management is a collaborative process to meet patient needs 
C)  High-cost population groups are targeted in disease management 
D)  Disease management treatment is episodic 
A)  Disease management referrals begin in the hospital inpatient setting 
B)  Disease management is a collaborative process to meet patient needs 
C)  High-cost population groups are targeted in disease management 
D)  Disease management treatment is episodic

Question 8

Which statement best describes case management?

Accepted Answer

A)  Clinical outcomes should occur within a prescribed time frame 
B)  Case managers do not provide direct patient care 
C)  Managed care practice is a unit-based model of care 
D)  The goal is outcome management for every patient 
A)  Clinical outcomes should occur within a prescribed time frame 
B)  Case managers do not provide direct patient care 
C)  Managed care practice is a unit-based model of care 
D)  The goal is outcome management for every patient

Question 9

Which is a true statement about the patterns of patient care management?

Accepted Answer

A)  Functional nursing is organized according to the desires of the worker 
B)  Primary nursing and total patient care are synonymous 
C)  Team leading includes the concept of patient care conferences 
D)  Case load nursing provides little autonomy for nurses 
A)  Functional nursing is organized according to the desires of the worker 
B)  Primary nursing and total patient care are synonymous 
C)  Team leading includes the concept of patient care conferences 
D)  Case load nursing provides little autonomy for nurses

Question 10

When work is redesigned, it frequently has consequences for employees that must be considered. What consequences must be considered?
1) Professional interactions
2) Degree of autonomy
3) Employee evaluation
4) Communication patterns

Accepted Answer

A)  1, 2, 3 
B)  1, 2, 4 
C)  1, 3, 4 
D)  2, 3, 4 
A)  1, 2, 3 
B)  1, 2, 4 
C)  1, 3, 4 
D)  2, 3, 4

Question 11

What is included in an MAP?
1) Critical path
2) Nursing care plan
3) Indication of times when nursing interventions occur
4) Nurses follow the care plan to facilitate expected outcomes

Accepted Answer

A)  1, 2, 3 
B)  1, 2, 4 
C)  1, 3, 4 
D)  2, 3, 4 
A)  1, 2, 3 
B)  1, 2, 4 
C)  1, 3, 4 
D)  2, 3, 4

Question 12

Which statement is correct concerning primary nursing care?

Accepted Answer

A)  Requires minimal RN staffing 
B)  Is easy to implement 
C)  Provides challenging work 
D)  Has proved to be a failure 
A)  Requires minimal RN staffing 
B)  Is easy to implement 
C)  Provides challenging work 
D)  Has proved to be a failure

Question 13

What type of nursing uses mini teams, typically an RN and unlicensed health-care workers, to provide care to a small group of patients who are centralized geographically?

Accepted Answer

A)  Total patient care 
B)  Functional nursing 
C)  Modular nursing 
D)  Primary care nursing 
A)  Total patient care 
B)  Functional nursing 
C)  Modular nursing 
D)  Primary care nursing

Question 14

Which concept should a care delivery system support? Select all that apply.

Accepted Answer

A)  Organization 
B)  Nursing process 
C)  Cost effectiveness 
D)  Patient satisfaction 
A)  Organization 
B)  Nursing process 
C)  Cost effectiveness 
D)  Patient satisfaction

Question 15

The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of?

Accepted Answer

A)  Team nursing 
B)  Case method nursing 
C)  Primary care delivery 
D)  Functional nursing care 
A)  Team nursing 
B)  Case method nursing 
C)  Primary care delivery 
D)  Functional nursing care

Question 16

What is the positive patient outcome during a single shift of case method nursing? Select all that apply.

Accepted Answer

A)  Clear lines of responsibility 
B)  Nursing autonomy 
C)  Holistic patient care 
D)  Unfragmented care 
A)  Clear lines of responsibility 
B)  Nursing autonomy 
C)  Holistic patient care 
D)  Unfragmented care

Question 17

What was the focus historically for case management?

Accepted Answer

A)  Individual patient 
B)  Care for populations 
C)  Group of patients with same chronic illness 
D)  Group of patients with same acute need for surgery 
A)  Individual patient 
B)  Care for populations 
C)  Group of patients with same chronic illness 
D)  Group of patients with same acute need for surgery

Question 18

What nursing model provides the foundation for matching patient needs with nursing competencies?

Accepted Answer

A)  Primary nursing practice 
B)  Differentiated nursing practice 
C)  Modular nursing 
D)  Case management 
A)  Primary nursing practice 
B)  Differentiated nursing practice 
C)  Modular nursing 
D)  Case management

Question 19

What is the primary outcome resulting from the implementation of the functional nursing care delivery system?

Accepted Answer

A)  A cost-effective method of care delivery 
B)  Another permanent care delivery option 
C)  Ancillary staff with varying levels of training and education 
D)  A care delivery system addressing the needs of the baby boom patient 
A)  A cost-effective method of care delivery 
B)  Another permanent care delivery option 
C)  Ancillary staff with varying levels of training and education 
D)  A care delivery system addressing the needs of the baby boom patient

Question 20

What is necessary when implementing care multidisciplinary action plans (MAPs)?

Accepted Answer

A)  Caregivers alter the plan as they deem necessary 
B)  Variances be indicated for patient deviations 
C)  Time frames for implementation be left open 
D)  Critical paths not be considered in care planning 
A)  Caregivers alter the plan as they deem necessary 
B)  Variances be indicated for patient deviations 
C)  Time frames for implementation be left open 
D)  Critical paths not be considered in care planning

Exam 14: Organizing Pationt Care

With modular nursing, who checks the completion of tasks assigned to a team member?

Which statement best describes functional nursing care delivery?

What is the most important component in being well organized and increasing productivity on the unit?

A nurse has accepted a position as a staff nurse and will practice primary care nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment?

Where did critical pathways originate from?

Which statement demonstrates an understanding of the factors that are considered when a change in the care delivery system is being proposed? Select all that apply.

What is one of the most important differences between case management and disease management?

Which statement best describes case management?

Which is a true statement about the patterns of patient care management?

When work is redesigned, it frequently has consequences for employees that must be considered. What consequences must be considered? 1) Professional interactions 2) Degree of autonomy 3) Employee evaluation 4) Communication patterns

What is included in an MAP? 1) Critical path 2) Nursing care plan 3) Indication of times when nursing interventions occur 4) Nurses follow the care plan to facilitate expected outcomes

Which statement is correct concerning primary nursing care?

What type of nursing uses mini teams, typically an RN and unlicensed health-care workers, to provide care to a small group of patients who are centralized geographically?

Which concept should a care delivery system support? Select all that apply.

The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of?

What is the positive patient outcome during a single shift of case method nursing? Select all that apply.

What was the focus historically for case management?

What nursing model provides the foundation for matching patient needs with nursing competencies?

What is the primary outcome resulting from the implementation of the functional nursing care delivery system?

What is necessary when implementing care multidisciplinary action plans (MAPs)?

Decision Making, Problem Solving Critical Thinking, and Clinical Reasoning: Requisites for Successful Leadership and Management

Classical Vierws of Leadership and Management

Twenty-First-Century Thinking About Leadership and Management

Ethical Issues

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Patient, Sübordinate, Worklace, and Professional Advocacy

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Career Planning and Development in Nursing

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Organizational, Politicil, Ane Personal Power

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Socializing and Educating Staff in a Learning Organization

Staffing Needs and Soheduling

Creating a Motivating Climate

Organizational, Interpersonal, and Group Communication

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Problem Employees: Rule Breakers, Marginal Employees, and the Chemically or Psychologically Impaired

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