Deck 14: Organizing Pationt Care

Question 1

Which statement best describes functional nursing care delivery?

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

Answer 1

Emphasis is on getting work done through tasks

Question 2

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

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

Answer 2

Functional nursing care

Question 3

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?

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

Answer 3

Assigning work according to the expertise of group members

Question 4

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

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

Question 5

Which statement is correct concerning primary nursing care?

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

Question 6

What is the goal of case management?

A) Containing health-care costs
B) Providing challenging work
C) Enhancing professionalism
D) Decreasing length of hospital stays

Question 7

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

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

Question 8

Which statement best describes case management?

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

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

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

Question 10

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

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 11

Where did critical pathways originate from?

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

Question 12

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

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

Question 13

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

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 14

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?

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

Question 15

Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24-hour responsibility for care planning and coordination?

A) One
B) Two
C) Three
D) Four

Question 16

What was the focus historically for case management?

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 17

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

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

Question 18

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

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

Question 19

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

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

Question 20

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

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 21

Which statement demonstrates an intervention focused on the primary disadvantage of team nursing?

A) "We are working with 1 fewer team members today."
B) "The team will be meeting for a care report update in 5 minutes."
C) "Our patient assignment is comprised of both males and females"
D) "We will be having a member of the float pool on our team today."

Question 22

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.

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 23

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

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