Final Exam NUR4590 / NUR 4590: Professional Identity of the Nurse Leader (Latest 2022 / 2023) Best Rated Quiz Bank | Rasmussen

Final Exam NUR4590 / NUR 4590: Professional Identity of the Nurse Leader (Latest 2022 / 2023) Best Rated Quiz Bank | Rasmussen 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? A. Functional method B. Case management method C. Primary care method D. Team method ~ Answer: B  Team nursing, functional nursing, and case management are all considered efficient, cost-effective methods of care delivery because they enable utilization of various types of healthcare providers (rather than baccalaureate nurses in direct care, which is the primary nursing method). Case management is considered particularly cost-effective in patient care settings because it maintains quality care while streamlining costs for high-risk, high-volume, high-cost patient populations and seeks the active involvement of the patient, the family, and diverse healthcare professionals. 2. In an acute care unit, the nurse manager utilizes the functional nursing method as the care delivery model. The nurse managers main responsibility is the needs of the: A. Department. B. Unit. C. Staff. D. Patient. ~ Answer: D  In a functional nursing model, where other team members are focused on performing specific tasks, the nurse manager assumes primary responsibility for patient outcomes. 3. 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? A. Baccalaureate B. Associate C. Diploma D. LPN/LVN ~ Answer: A  Because of the breadth of nursing knowledge required, baccalaureate education is preferred for primary nurses. 4. 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? A. RN and LPN/LVN B. RN and RN C. RN and medication assistants D. RN and certified nurses aides ~ Answer: C  The partnership care delivery model is a variation of primary nursing in which an RN works with a consistent assistant, who performs basic nursing functions consistent with state delegation rules. 5. The case method of care delivery could be best justified in which of the following scenarios? 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 as well as patients D. Home healthcare environment with patients at varying levels of acuity ~ Answer: C  This model is especially useful in the care of complex patients who need active symptom management provided by an RN, such as the care of the patient in a hospice setting or an intensive care unit. This method would be justifiable delivery in the pediatric intensive care unit, where the status of patients can change rapidly and where complex functions of care involve both patients and families. 6. 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? A. Case method B. Team nursing C. Functional nursing D. Nurse case management ~ Answer: A  The case method may involve total patient care provided by a registered nurse, which, in todays costly healthcare economy, is very expensive. In times of nursing shortages, there may not be enough resources or nurses to use this model. 7. 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, Thats 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. Differentiated practice. B. Team nursing. C. Functional nursing. D. Case management. ~ Answer: C  Functional team nursing involves licensed and unlicensed personnel who perform specific tasks for a large number of patients. A disadvantage of functional team nursing is the fragmentation of care. The physical and technical aspects of care may be met, but the psychological and spiritual needs may be overlooked. Patients become confused with so many different care providers per shift. These different staff members may be so busy with their assigned tasks that they may not have time to communicate with each other about the patients progress. 8. 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, Thats not my job. I ask the pill nurse about my lab tests and she says that I should ask another nurse. This nursing care delivery model employed in this situation might be particularly effective in: 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 unskilled workers. ~ Answer: D  An advantage of functional nursing is that both unskilled assistive personnel and skilled staff are involved in performance of specific tasks, and the repeated performance of tasks enables staff to become very efficient in specific functions. Disadvantages of the model include difficulty in being able to assess the patients nonphysical needs effectively and the potential for ineffective communication because of the focus on specific tasks.