Exam Pack For:
Leadership Exam 2
2026-2027 Edition
(Questions with 100% Correct
Answers)
Guaranteed Pass | Grade A+
,Staffing Activities required to ensure an adequate number and mix of health care team
members to meet patient needs and provide safe, quality care.
Staffing Considerations are: > Patient needs
> Nursing Characteristics
> Organizational needs and the practice environment
Staffing and Patient Needs - The ANA recommends > Age and functional ability
that classification systems should consider patients: > Communication skills
> Cultural and linguistic diversities
> Severity and urgency of the admitting condition
> Scheduled procedures
> Ability to meet health care requisites
> Availability of social supports
> Other specific needs identified by patient and RN
Staffing and Patient Needs: Level of Staff Preparation Staff members must have the educational preparation, skill, and experience
and Experience necessary to meet patient care needs
> Ideally, clinical support from experienced RNs should be available to support
RNs and other staff members with less experience
> Concerns about inadequate numbers of appropriately skilled and experienced
staff should be addressed with the next-level managers
Staffing and Staff Satisfaction Satisfied nurses generally provide higher quality, more cost-effective care
24 hours/day, 365 days/year staffing needs make meeting the nurse's personal
needs difficult
Creative staffing options are available to meet varied needs of staff members
Methods to gain staff input about staffing and to enhance autonomy are the key
to staff satisfaction
Nursing Care Delivery Models Detail how task assignments, responsibility, and authority are structured to
accomplish patient care
describe which health care worker is going to perform what tasks, who is
responsible, and how has the authority to make decisions
Basic premise is that the number and type of caregivers are closely matched to
patient care needs in a cost-effective manner
Classic Nursing Care Delivery Models Total Patient Care
Functional Nursing
Team Nursing
Primary Nursing
Variations of these classics have been adopted to improve quality and cost-
effectiveness of patient care
Total Patient Care Model Nurse is responsible for planning, organizing, and performing all patient care
during the assigned shift
Background
> Oldest method of organizing patient care, sometimes referred to as case
nursing
> Nursing student typically performs total patient care for assigned patients
Total Patient Care: Advantages RN maintains a high degree of practice autonomy
Lines of responsibility and accountability are clear
Patient receives holistic, unfragmented care
Communication at shift change is simple and direct
Total Patient Care: Disadvantages Number of RNs required is very costly
Some tasks could be accomplished by a caregiver with less training and at a
lower cost
Nursing shortage will affect RN availability
Total Patient Care: Common Use Areas ICUs
Postanesthesia Care Units
, Functional Nursing Staff members are assigned to complete certain tasks for a group of patients
rather than care for specific patients
Lines of responsibility and accountability
> RN nurse manager assigns responsibility for completion of tasks to a group of
health care workers
> RN is responsible for planning care and supervising workers
> RN retains accountability for the patient care provided
Functional Nursing: Advantages > Provided economically and efficiently
> Minimum number of RNs required for patient care
> Tasks completed quickly; little confusion about responsibilities
Functional Nursing: Disadvantages > May be fragmented; possibility of overlooking priority patient needs
> Patient may feel confused because of many different care providers.
> Caregivers may feel unchallenged when performing repetitive functions
Functional Nursing: Common Use Areas Operating Room
Team Nursing RN functions as a team leader and coordinates care for a small group of patients
Lines of responsibility and accountability
Team Nursing: RN team leader is responsible for the Planning Care
following: Assigning duties
Directing, supervising, and assisting team members
Giving Direct Care
Team Nursing: RN retains accountability for? All patient Care
Team Nursing: RN team leader is responsible for Cooperative environment and maintaining clear communication
encouraging a?
Team Nursing: Advantages High-quality, comprehensive care can be provided with a relatively high
proportion of ancillary staff
Each member participates in decision making, problem solving
Team Nursing: Disadvantages Continuity of care may suffer with daily team assignments
Team leader may not have the leadership skills required to effectively direct the
team
Insufficient time for care planning and communication leads to unclear goals and
fragmented care.
Team Nursing: Common use areas Inpatient and outpatient health care settings
Primary Nursing RN "Primary" nurse assumes 24-hour responsibility for planning, directing, and
evaluating the patient's care from admission through discharge.
Provides total patient care while on duty
While off duty, care is provided by an associate nurse, who follows the care plan
established by the primary nurse
Primary Nursing: Advantages > Direct patient care provided by a small number of nurses allows for high-
quality, holistic patient care
> Patient is able to establish a rapport with the primary nurse, and patient
satisfaction is enhanced
> Job satisfaction high because nurses are able to practice with a high degree of
autonomy and feel challenged and rewarded
Leadership Exam 2
2026-2027 Edition
(Questions with 100% Correct
Answers)
Guaranteed Pass | Grade A+
,Staffing Activities required to ensure an adequate number and mix of health care team
members to meet patient needs and provide safe, quality care.
Staffing Considerations are: > Patient needs
> Nursing Characteristics
> Organizational needs and the practice environment
Staffing and Patient Needs - The ANA recommends > Age and functional ability
that classification systems should consider patients: > Communication skills
> Cultural and linguistic diversities
> Severity and urgency of the admitting condition
> Scheduled procedures
> Ability to meet health care requisites
> Availability of social supports
> Other specific needs identified by patient and RN
Staffing and Patient Needs: Level of Staff Preparation Staff members must have the educational preparation, skill, and experience
and Experience necessary to meet patient care needs
> Ideally, clinical support from experienced RNs should be available to support
RNs and other staff members with less experience
> Concerns about inadequate numbers of appropriately skilled and experienced
staff should be addressed with the next-level managers
Staffing and Staff Satisfaction Satisfied nurses generally provide higher quality, more cost-effective care
24 hours/day, 365 days/year staffing needs make meeting the nurse's personal
needs difficult
Creative staffing options are available to meet varied needs of staff members
Methods to gain staff input about staffing and to enhance autonomy are the key
to staff satisfaction
Nursing Care Delivery Models Detail how task assignments, responsibility, and authority are structured to
accomplish patient care
describe which health care worker is going to perform what tasks, who is
responsible, and how has the authority to make decisions
Basic premise is that the number and type of caregivers are closely matched to
patient care needs in a cost-effective manner
Classic Nursing Care Delivery Models Total Patient Care
Functional Nursing
Team Nursing
Primary Nursing
Variations of these classics have been adopted to improve quality and cost-
effectiveness of patient care
Total Patient Care Model Nurse is responsible for planning, organizing, and performing all patient care
during the assigned shift
Background
> Oldest method of organizing patient care, sometimes referred to as case
nursing
> Nursing student typically performs total patient care for assigned patients
Total Patient Care: Advantages RN maintains a high degree of practice autonomy
Lines of responsibility and accountability are clear
Patient receives holistic, unfragmented care
Communication at shift change is simple and direct
Total Patient Care: Disadvantages Number of RNs required is very costly
Some tasks could be accomplished by a caregiver with less training and at a
lower cost
Nursing shortage will affect RN availability
Total Patient Care: Common Use Areas ICUs
Postanesthesia Care Units
, Functional Nursing Staff members are assigned to complete certain tasks for a group of patients
rather than care for specific patients
Lines of responsibility and accountability
> RN nurse manager assigns responsibility for completion of tasks to a group of
health care workers
> RN is responsible for planning care and supervising workers
> RN retains accountability for the patient care provided
Functional Nursing: Advantages > Provided economically and efficiently
> Minimum number of RNs required for patient care
> Tasks completed quickly; little confusion about responsibilities
Functional Nursing: Disadvantages > May be fragmented; possibility of overlooking priority patient needs
> Patient may feel confused because of many different care providers.
> Caregivers may feel unchallenged when performing repetitive functions
Functional Nursing: Common Use Areas Operating Room
Team Nursing RN functions as a team leader and coordinates care for a small group of patients
Lines of responsibility and accountability
Team Nursing: RN team leader is responsible for the Planning Care
following: Assigning duties
Directing, supervising, and assisting team members
Giving Direct Care
Team Nursing: RN retains accountability for? All patient Care
Team Nursing: RN team leader is responsible for Cooperative environment and maintaining clear communication
encouraging a?
Team Nursing: Advantages High-quality, comprehensive care can be provided with a relatively high
proportion of ancillary staff
Each member participates in decision making, problem solving
Team Nursing: Disadvantages Continuity of care may suffer with daily team assignments
Team leader may not have the leadership skills required to effectively direct the
team
Insufficient time for care planning and communication leads to unclear goals and
fragmented care.
Team Nursing: Common use areas Inpatient and outpatient health care settings
Primary Nursing RN "Primary" nurse assumes 24-hour responsibility for planning, directing, and
evaluating the patient's care from admission through discharge.
Provides total patient care while on duty
While off duty, care is provided by an associate nurse, who follows the care plan
established by the primary nurse
Primary Nursing: Advantages > Direct patient care provided by a small number of nurses allows for high-
quality, holistic patient care
> Patient is able to establish a rapport with the primary nurse, and patient
satisfaction is enhanced
> Job satisfaction high because nurses are able to practice with a high degree of
autonomy and feel challenged and rewarded
