NSG 444 EXAM 1 QUESTIONS AND
ANSWERS GRADED A+ 2026
Nursing Delivery Systems (4) - ANS 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - ANS RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - ANS RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
, -Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - ANS RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates
patient's care in hospital and patient's discharge plan
Client-Focused Care - ANS RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
State Boards of Nursing (SBN) 3 functions - ANS 1. executive authority- to administer the
nursing practice act
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - ANS -critical abnormal lab values
-significant change in status
Prioritization-non-emergent - ANS -routine labs
-VS
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
ANSWERS GRADED A+ 2026
Nursing Delivery Systems (4) - ANS 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - ANS RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - ANS RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
, -Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - ANS RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates
patient's care in hospital and patient's discharge plan
Client-Focused Care - ANS RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
State Boards of Nursing (SBN) 3 functions - ANS 1. executive authority- to administer the
nursing practice act
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - ANS -critical abnormal lab values
-significant change in status
Prioritization-non-emergent - ANS -routine labs
-VS
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
