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Exam 14: Care Delivery Strategies

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Question 1

Multiple Choice

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

A) can be effective in recognizing individual strengths and backgrounds of staff members.
B) promotes autonomy and independence of the RN.
C) avoids conflict because of role clarity.
D) is efficient in delivering care to a large group of patients, with the use of a staffing mix.

E) C) and D)
F) B) and C)

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Question 2

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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

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.

E) A) and B)
F) All of the above

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Question 3

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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

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?

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?

When comparing functional nursing and primary nursing,a nurse manager,after evaluating particular models of nursing care for potential adoption,determines that patient and nurse satisfaction in primary nursing are

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

A conflict develops between an associate nurse and a primary nurse over the assessment of a patient with pulmonary edema.On the basis of 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

The chief nursing officer implements the team nursing model on the acute care units.Expectations of the team leader include which of the following?

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

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

A patient complains to you that she has no idea who "her nurse" is on any given day."I ask one nurse for my pills,and she says,'That is 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 to be employed in this situation is

For a nurse manager in the functional nursing model,which approach will assist in maintaining staff satisfaction in this specific model?

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

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

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 certain tasks.What combination of health care providers constitutes a partnership care delivery model?

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

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?

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

In the hiring of nurses during the transition from team nursing to a primary nursing model,Benner's (2001) work suggests that you give priority to nurses who are at least at which level of competency?