Exam 12: Care Delivery Strategies

In transitioning to a primary nursing model, it is important for a nurse manager who enjoys a high level of control over patient care to understand that his or her decision making at the patient care level:

To effectively delegate in a team nursing environment, the RN team leader must be familiar with the legal and organizational roles of each group of personnel and must:

In comparing team and functional models of care, a nurse manager favors the team model.In particular, she finds that the team model:

The nurse manager is comparing functional nursing and primary nursing for potential adoption.The nurse manager determines that patient and nurse satisfaction in primary nursing are:

A nurse manager questions the true difference between primary nursing and total patient care.After careful consideration of both models, the nurse manager concludes that primary nursing differs significantly from total patient care in:

For a nurse manager in the functional nursing model, an approach that will assist in maintaining staff satisfaction in this specific model is:

In a small rural nursing home, a director of nursing decides, because of a shortage of nurses, to implement a partnership model to help with basic tasks that comply with state rules regarding delegation.What type of design constitutes a partnership care delivery model?

The nurse case manager is working with a client admitted for end-stage renal disease.The case manager's major goal during this hospitalization for this patient is to:

During times of nursing shortages and increased nursing costs in health care, which of the following nursing care delivery models might come under greatest scrutiny?

The case method of care delivery could be best justified in which of the following scenarios?

The relief charge nurse has assigned a newly licensed baccalaureate-prepared nurse to be one of the team leaders for the 3-11 shift.In making this decision, the charge nurse has overlooked this nurse's:

In an acute care unit, the nurse manager utilizes the functional nursing method as the care delivery model.The nurse manager's main responsibility is the needs of the:

Your organization has made a decision to implement TCAB in your hospital.As a manager, what strategies would you use to implement TCAB? (Select all that apply.)

In considering whether or not to accept a job offer as a nurse manager at a Magnet hospital, you look at an environment that you might encounter as a head nurse at the hospital.You determine that you could expect to:

You are the nurse manager of a nursing service organization that provides around-the-clock care to clients in their homes.To achieve maximum reimbursement for a client who is recovering from a hip replacement, the nursing staff most likely will follow the nursing care guidelines presented in the:

A conflict develops between an associate nurse and a primary nurse over the assessment of a patient with pulmonary edema.Based on her assessment of the patient, the associate nurse insists that it is her role to change the care plan because she is the one who has made the assessment.As the nurse manager, you clarify that:

A patient complains to the charge nurse that she has no idea who "her nurse" is on any given day."I ask one nurse for my pills and she says, 'That's not my job.' I ask the pill nurse about my lab tests and she says that I should ask another nurse." The nursing care delivery model most likely employed in this situation is:

A patient is admitted to a medical unit with pulmonary edema.His primary nurse admits him and then provides a written plan of care.What type of educational preparation best fits the role of primary nurse?

Case managed care may enhance profit in a for-profit health organization by:

You are considering putting forward a proposal to move the model of care from team nursing to a primary nursing hybrid: patient-focused care model.In considering this proposal, you recognize that significant costs specific to operationalizing this model are related to: