Question 1

The nurse manager at a cardiac rehabilitation unit was asked to select a care delivery model.Which of the following methods would be the most cost effective?

Accepted Answer

A)   Functional method.
B)   Case management method.
C)   Primary care method.
D)   Team method. B

Question 2

The chief nursing officer implements the team nursing model on the acute care units.Expectations of the team leader include which of the following? (Select all that apply.)

Accepted Answer

A)   Being attentive to the needs of the organization.
B)   Being newly graduated with a baccalaureate degree.
C)   Having several years of clinical nursing practice.
D)   Being attentive to the needs of the patient.
E)   Being attentive to the needs of the staff. C,D,E

Question 3

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:

Accepted Answer

A)   Is increased.
B)   Is decreased.
C)   Is relinquished.
D)   Remains the same. B

Question 4

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:

Accepted Answer

A)   Be able to effectively communicate with patients.
B)   Build relationships with physicians.
C)   Be able to adapt to daily changes in staffing.
D)   Adapt in communicating information to the supervisor.

Question 5

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 which way?

Accepted Answer

A)   Breadth of nursing knowledge and expertise required.
B)   Intention to provide holistic nursing.
C)   Time period of accountability.
D)   Levels and types of assessment.

Question 6

The total patient care method,or patient allocation method,of nursing care delivery is the oldest model of providing care to patients.One nurse provides total care to one or two critically ill patients,or to a group of patients.Which of the following contributes to the success of this model? (Select all that apply.)

Accepted Answer

A)   Current global nursing shortage.
B)   High costs.
C)   Provides high quality care.
D)   Engenders trust between family and nurse.

Question 7

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

Accepted Answer

A)   Case method.
B)   Team nursing.
C)   Functional nursing.
D)   Nurse case management.

Question 8

The relief charge nurse has assigned a newly registered baccalaureate-prepared nurse to be one of the team leaders for the shift from 1500 to 2300 hours.In making this decision,the charge nurse has overlooked this nurse's:

Accepted Answer

A)   Clinical expertise.
B)   Leadership ability.
C)   Communication style.
D)   Conflict-resolution skills.

Question 9

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

Accepted Answer

A)   Stable patient population with long-term care and family needs.
B)   Acute care surgical unit with predictable postsurgical outcomes and many technical procedures.
C)   Pediatric intensive care unit that heavily involves families and also patients.
D)   Home health care environment with patients who have varying degrees of acute illness.

Question 10

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

Accepted Answer

A)   Minimizing costs in areas of high resource consumption.
B)   Combining licensed and nonlicenced care providers in delivering patient care.
C)   Increasing reimbursement from third-party payers.
D)   Reducing the amount of technology used to support clinical decision-making.

Question 11

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

Accepted Answer

A)   Implementation of an all-RN staff complement.
B)   Significant changes in the physical structure of units.
C)   Orientation of staff to new roles and responsibilities.
D)   Testing and piloting technology at the patient's bedside.

Question 12

When interviewing an applicant for a position,the nurse manager describes the unit's care delivery system as one in which each nursing assistant is cross-trained to perform specific tasks,and in which the RNs handle all intravenous medications,admissions,and discharge teaching.The nurse applicant knows this nursing care delivery strategy to be:

Accepted Answer

A)   The case method.
B)   Functional nursing.
C)   Primary nursing.
D)   Nurse case management.

Question 13

You are the nurse manager of a nursing service organization that provides around-the-clock care to patients in their homes.To achieve an optimal outcome for a patient who is recovering from a hip replacement,the nursing staff will probably follow the nursing care guidelines presented in which of the following?

Accepted Answer

A)   Nursing care plan.
B)   Physician's orders.
C)   Critical pathway.
D)   Clinical practice guidelines.

Question 14

In considering whether to accept a job offer in a hospital in which the synergy model of care is used,you expect that which of the following is the driver of the necessary nurse competencies for practising within this model?

Accepted Answer

A)   Educational background of the nurse.
B)   Patient population characteristics.
C)   Interdisciplinary health care teams.
D)   National nurse-to-patient ratios.

Question 15

Nursing case management is geared to providing comprehensive care for those with complex health problems.Which of the following supports the use of a case management model? (Select all that apply.)

Accepted Answer

A)   Decreases length of stay.
B)   Increases efficient use of services.
C)   Increases nurse sense of satisfaction.
D)   Decreases human resource inequities.

Question 16

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 which of the following?

Accepted Answer

A)   The department.
B)   The unit.
C)   Staff members.
D)   The patient.

Question 17

The functional nursing model might be particularly effective in which of the following?

Accepted Answer

A)   Promoting communication among diverse team members.
B)   Facilitating multiple perspectives on the total care of a patient.
C)   Avoiding patient-provider conflict.
D)   Developing competence and confidence in unlicensed workers.

Question 18

Complex care of acutely ill patients is required on a surgical unit in which differentiated nursing practice is its model of care delivery.The concept of differentiated nursing practice is based on:

Accepted Answer

A)   Licensure status.
B)   Experience in the agency.
C)   Leadership capabilities.
D)   Education and expertise.

Question 19

In a small rural nursing home a director of nursing decides to implement a partnership model,because of a shortage of nurses,to help with certain tasks.What combination of health care providers constitutes a partnership care delivery model?

Accepted Answer

A)   RN and licensed practical nurse/licensed vocational nurse.
B)   RN and RN.
C)   RN and medication assistants.
D)   RN and certified nurses' aides.

Question 20

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

Accepted Answer

A)   Implement the care map on admission.
B)   Provide direct nursing care throughout the hospitalization.
C)   Supervise the nursing staff members who implement the care map.
D)   Prevent the need for additional hospitalizations resulting from complications of the patient's disease.

Exam 15: Care Delivery Strategies