Page 1 of 44
“NR226- FUNDS: PATIENT CARE- WEEK 2:
MANAGING PATIENT CARE “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
NR226- Funds: Patient Care- Week 2: Managing Patient Care
Match their corresponding nursing care delivery system.
Patient-Centered Care
Total Patient Care
Case Management
Adapting care as the needs of an individual change and conveying respect for
the individual's health and lifestyle choices
RN responsible for all care on a shift and requiring a high degree of
interprofessional collaboration
Clinicians focusing on groups of clients with specific illnesses with the goal of
improving outcomes while reducing the overall cost of care
Patient-Centered Care: Adapting care as the needs of an individual change and
conveying respect for the individual’s health and lifestyle choices
Total Patient Care: RN responsible for all care on a shift and requiring a high
degree of interprofessional collaboration
Case Management: Clinicians focusing on groups of clients with specific illnesses
with the goal of improving outcomes while reducing the overall cost of care
Patient-Centered Care, Total Patient Care, and Case Management
Patient-Centered Care
-Focus: What is important to the individual.
-Key Characteristics:
---Adapting care as the needs of an individual change.
---Ensuring the client understands new information about their health.
---Respecting the individual’s health and lifestyle choices.
Total Patient Care
, Page 2 of 44
-Nurse Responsibility:
---RN is responsible for all care during their shift.
-Key Characteristics:
---Often used for critically ill clients.
---Requires a high degree of interprofessional collaboration.
---Nurse benefits from being fully knowledgeable about the client's health
history and care needs during that shift.
Case Management
-Primary Focus: Coordinating resources to improve care for clients with complex
needs.
-Key Characteristics:
---Linking health services across all levels of care.
---Clinicians focus on groups of patients with specific illnesses.
---Goal: Improving outcomes while reducing the overall cost of care.
Match its corresponding principle of building an effective healthcare team.
Responsibility
Autonomy
Authority
Accountability
The ownership of the act
The power to act
The choice to act
The obligation to act
-Accountability: The ownership of the act
-Authority: The power to act
-Autonomy: The choice to act
-Responsibility: The obligation to act
An important aspect of being a member of the healthcare team involves
responsibility, autonomy, authority, and accountability, or RAAA for short. It is a
balanced application of these four principles that builds the foundation for safe and
effective healthcare. These same principles apply to personal and therapeutic
relationships, as well.
Responsibility is the obligation to act.
Autonomy is the choice to act.
Authority is the power to act.
Accountability is the ownership of the act.
Which are the five rights of delegation? Select all that apply.
Right Documentation
Right Direction/Communication
Right Task
Right Person
Right Supervision/Evaluation
Right Time
Right Circumstances
-Right Direction/Communication
-Right Person
-Right Circumstances
, Page 3 of 44
-Right Supervision/Evaluation
-Right Task
The five rights of delegation include the task, circumstances, person,
direction/communication, and supervision/evaluation.
The decision to delegate appropriately does not require specific documentation. The
needs of the client are considered as part of the circumstances when the nurse
makes the decision to delegate a task, as is the location where the delegated task
will be completed and the time frame in which it should be done, if any.
Nursing Care Delivery Models
Overview
-Nursing care is delivered by a team that includes RNs, LPNs/LVNs, and
NAP/UAPs.
-The RN leads the nursing team and collaborates with all members to ensure
effective care.
-Patient involvement and teamwork are central to all models.
Total Patient Care
-First used during Florence Nightingale’s time.
-The RN provides all aspects of care for the patient during their shift.
-High degree of collaboration among healthcare team members.
-Primarily used when RN availability is high or for patients needing
continuous, knowledgeable care from a single provider.
Patient-Centered Care (PCC)
-Also referred to as Patient-Family-Centered Care (PFCC).
-A multidisciplinary approach that focuses on the patient, not the organization.
-Defined by the Institute of Medicine (2011) as care that is respectful of, and
responsive to, individual patient preferences, needs, and values, ensuring that
these values guide all clinical decisions.
-Requires an organizational culture that prioritizes the patient, supported by senior
leadership and championed by all colleagues.
Case Management
-Focuses on lowering costs without compromising care quality.
-A collaborative process involving all healthcare disciplines.
-The case manager coordinates care, plans, facilitates, and advocates for the
patient, securing the necessary services.
-Effective communication and knowledge of resources are essential, especially
for patients with complex nursing and medical problems.
Patient Centered Care
Definition
-Recognize the patient or designee as the source of control and full partner in
providing compassionate and coordinated care, based on respect for the patient’s
preferences, values, and needs.
Knowledge
-Integrate understanding of multiple dimensions of patient-centered care:
---Patient/family/community preferences, values
---Coordination and integration of care
---Information, communication, and education
---Physical comfort and emotional support
---Involvement of family and friends
---Transition and continuity
, Page 4 of 44
-Describe how diverse cultural, ethnic, and social backgrounds influence patient,
family, and community values.
Skills
-Elicit patient values, preferences, and expressed needs during clinical
interviews, care planning, and evaluation.
-Communicate patient values and needs to other members of the healthcare team.
-Provide patient-centered care with sensitivity and respect for human diversity.
Attitudes
-Value seeing healthcare situations “through patients’ eyes.”
-Respect and encourage individual expression of values and preferences.
-Value the patient’s expertise in their own care, recognizing human diversity.
-Acknowledge personal attitudes about working with patients from different ethnic,
cultural, and social backgrounds.
-Support patient-centered care for those whose values differ from your own.
The nurse whose work focuses on lowering the cost of care without
compromising quality is working in which role?
Home care
Community health
Case manager
Rehabilitation nurse
Case manager
Focused on lowering costs without compromising quality, the case
management approach to care is designed to coordinate all healthcare services for
clients and their families. As a collaborative process involving all disciplines caring
for the client, the case manager plans, facilitates, and advocates to secure the
services needed to meet the needs of the client. Effective communication and
knowledge of resources are key to successful case management of clients with
complex nursing and medical problems.
Rehabilitation nurses focus on the physical and psychosocial needs of the client.
Home care nurses focus on the care of the client in their own home setting.
Community health nurses provide care in locations outside of the typical hospital
setting. These may include outpatient clinics and schools.
Responsibility, Autonomy, Authority, and Accountability (RAAA)
Responsibility — Duty to Act
-Responsibility refers to the obligation to act.
-Nurses are responsible for providing care as defined by their job
description and delegation from the nursing manager.
-Accepting responsibility means understanding and committing to
meet expectations.
Autonomy — Freedom to Act
-Autonomy is the freedom to make choices within the nurse’s scope of practice.
-Nurses exercise autonomy in planning and providing care independently, but
have less autonomy when following prescribed tasks from healthcare providers,
such as administering medications.
Authority — Power to Act
-Authority is the power to act, derived from the nurse's education, licensure, state
laws, and workplace policies.
-Nurses are expected to practice within the authority of their role.
Accountability — Owning the Act
“NR226- FUNDS: PATIENT CARE- WEEK 2:
MANAGING PATIENT CARE “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
NR226- Funds: Patient Care- Week 2: Managing Patient Care
Match their corresponding nursing care delivery system.
Patient-Centered Care
Total Patient Care
Case Management
Adapting care as the needs of an individual change and conveying respect for
the individual's health and lifestyle choices
RN responsible for all care on a shift and requiring a high degree of
interprofessional collaboration
Clinicians focusing on groups of clients with specific illnesses with the goal of
improving outcomes while reducing the overall cost of care
Patient-Centered Care: Adapting care as the needs of an individual change and
conveying respect for the individual’s health and lifestyle choices
Total Patient Care: RN responsible for all care on a shift and requiring a high
degree of interprofessional collaboration
Case Management: Clinicians focusing on groups of clients with specific illnesses
with the goal of improving outcomes while reducing the overall cost of care
Patient-Centered Care, Total Patient Care, and Case Management
Patient-Centered Care
-Focus: What is important to the individual.
-Key Characteristics:
---Adapting care as the needs of an individual change.
---Ensuring the client understands new information about their health.
---Respecting the individual’s health and lifestyle choices.
Total Patient Care
, Page 2 of 44
-Nurse Responsibility:
---RN is responsible for all care during their shift.
-Key Characteristics:
---Often used for critically ill clients.
---Requires a high degree of interprofessional collaboration.
---Nurse benefits from being fully knowledgeable about the client's health
history and care needs during that shift.
Case Management
-Primary Focus: Coordinating resources to improve care for clients with complex
needs.
-Key Characteristics:
---Linking health services across all levels of care.
---Clinicians focus on groups of patients with specific illnesses.
---Goal: Improving outcomes while reducing the overall cost of care.
Match its corresponding principle of building an effective healthcare team.
Responsibility
Autonomy
Authority
Accountability
The ownership of the act
The power to act
The choice to act
The obligation to act
-Accountability: The ownership of the act
-Authority: The power to act
-Autonomy: The choice to act
-Responsibility: The obligation to act
An important aspect of being a member of the healthcare team involves
responsibility, autonomy, authority, and accountability, or RAAA for short. It is a
balanced application of these four principles that builds the foundation for safe and
effective healthcare. These same principles apply to personal and therapeutic
relationships, as well.
Responsibility is the obligation to act.
Autonomy is the choice to act.
Authority is the power to act.
Accountability is the ownership of the act.
Which are the five rights of delegation? Select all that apply.
Right Documentation
Right Direction/Communication
Right Task
Right Person
Right Supervision/Evaluation
Right Time
Right Circumstances
-Right Direction/Communication
-Right Person
-Right Circumstances
, Page 3 of 44
-Right Supervision/Evaluation
-Right Task
The five rights of delegation include the task, circumstances, person,
direction/communication, and supervision/evaluation.
The decision to delegate appropriately does not require specific documentation. The
needs of the client are considered as part of the circumstances when the nurse
makes the decision to delegate a task, as is the location where the delegated task
will be completed and the time frame in which it should be done, if any.
Nursing Care Delivery Models
Overview
-Nursing care is delivered by a team that includes RNs, LPNs/LVNs, and
NAP/UAPs.
-The RN leads the nursing team and collaborates with all members to ensure
effective care.
-Patient involvement and teamwork are central to all models.
Total Patient Care
-First used during Florence Nightingale’s time.
-The RN provides all aspects of care for the patient during their shift.
-High degree of collaboration among healthcare team members.
-Primarily used when RN availability is high or for patients needing
continuous, knowledgeable care from a single provider.
Patient-Centered Care (PCC)
-Also referred to as Patient-Family-Centered Care (PFCC).
-A multidisciplinary approach that focuses on the patient, not the organization.
-Defined by the Institute of Medicine (2011) as care that is respectful of, and
responsive to, individual patient preferences, needs, and values, ensuring that
these values guide all clinical decisions.
-Requires an organizational culture that prioritizes the patient, supported by senior
leadership and championed by all colleagues.
Case Management
-Focuses on lowering costs without compromising care quality.
-A collaborative process involving all healthcare disciplines.
-The case manager coordinates care, plans, facilitates, and advocates for the
patient, securing the necessary services.
-Effective communication and knowledge of resources are essential, especially
for patients with complex nursing and medical problems.
Patient Centered Care
Definition
-Recognize the patient or designee as the source of control and full partner in
providing compassionate and coordinated care, based on respect for the patient’s
preferences, values, and needs.
Knowledge
-Integrate understanding of multiple dimensions of patient-centered care:
---Patient/family/community preferences, values
---Coordination and integration of care
---Information, communication, and education
---Physical comfort and emotional support
---Involvement of family and friends
---Transition and continuity
, Page 4 of 44
-Describe how diverse cultural, ethnic, and social backgrounds influence patient,
family, and community values.
Skills
-Elicit patient values, preferences, and expressed needs during clinical
interviews, care planning, and evaluation.
-Communicate patient values and needs to other members of the healthcare team.
-Provide patient-centered care with sensitivity and respect for human diversity.
Attitudes
-Value seeing healthcare situations “through patients’ eyes.”
-Respect and encourage individual expression of values and preferences.
-Value the patient’s expertise in their own care, recognizing human diversity.
-Acknowledge personal attitudes about working with patients from different ethnic,
cultural, and social backgrounds.
-Support patient-centered care for those whose values differ from your own.
The nurse whose work focuses on lowering the cost of care without
compromising quality is working in which role?
Home care
Community health
Case manager
Rehabilitation nurse
Case manager
Focused on lowering costs without compromising quality, the case
management approach to care is designed to coordinate all healthcare services for
clients and their families. As a collaborative process involving all disciplines caring
for the client, the case manager plans, facilitates, and advocates to secure the
services needed to meet the needs of the client. Effective communication and
knowledge of resources are key to successful case management of clients with
complex nursing and medical problems.
Rehabilitation nurses focus on the physical and psychosocial needs of the client.
Home care nurses focus on the care of the client in their own home setting.
Community health nurses provide care in locations outside of the typical hospital
setting. These may include outpatient clinics and schools.
Responsibility, Autonomy, Authority, and Accountability (RAAA)
Responsibility — Duty to Act
-Responsibility refers to the obligation to act.
-Nurses are responsible for providing care as defined by their job
description and delegation from the nursing manager.
-Accepting responsibility means understanding and committing to
meet expectations.
Autonomy — Freedom to Act
-Autonomy is the freedom to make choices within the nurse’s scope of practice.
-Nurses exercise autonomy in planning and providing care independently, but
have less autonomy when following prescribed tasks from healthcare providers,
such as administering medications.
Authority — Power to Act
-Authority is the power to act, derived from the nurse's education, licensure, state
laws, and workplace policies.
-Nurses are expected to practice within the authority of their role.
Accountability — Owning the Act
