C HAPTER 21: M ANAGING P ATIENT C ARE
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. A novice nurse expresses frustration at not being to complete all
interventions for a group of patients in a timel y manner. The nurse leaves
the rounds report sheets at the nurse’s station when caring for patients and
reports having to go back and forth between rooms for equipment and
supplies. Which t ype of skill does the nurse need?
a. Interpersonal communication
b. Clinical decision making
c. Organizational
d. Evaluation
ANS: C
The clinical care coordination skill the nurse needs to improve on is
organization. This nurse needs to keep the patient report sheets in hand
to anticipate what equipment and supplies a patient is going to need.
Then the nurse ma y not have to leave the room so often; this will save
time. The nurse is not having a problem communicating with others
(interpersonal communication). The nurse is not having a problem
using the nursing process for clinical decisions. The nurse is not
having a problem comparing actual patient outcomes with expected
outcomes (evaluation).
, DIF: Appl y (application) OBJ: Discuss skills needed to
coordinate patient care effectivel y. TOP: Evaluation MSC:
Management of Care
2. Which approach will be most appropriate for a nurse to take when faced
with the challenge of performing many tasks in one shift?
a. Do as much as possible by oneself before seeking assistance from
others.
b. Evaluate the effectiveness of all tasks when all tasks are completed.
c. Complete one task b efore starting another task.
d. Delegate tasks the nurse does not like doing.
ANS: C
The appropriate clinical care coordination skill in these options is to
complete one task before starting another task. Good time management
involves setting goals to help the nurse complete one task before
starting another task. Evaluation is ongoing and should not be
completed just at the end of task completion. The nurse should not
delegate tasks simply because the nurse does not like doing them. The
nurse should use dele gation skills and time-management skills instead
of trying to do as much as possible with no help.
DIF: Appl y (application) OBJ: Discuss skills needed to
coordinate patient care effectivel y. TOP: Planning MSC:
Management of Care
3. Which assessment of a p atient who is 1-day post-surgical repair a hip
fracture requires immediate nursing intervention?
a. Patient ate 40% of clear liquid breakfast.
, b. Patient’s oral temperature is 98.9 F.
c. Patient states, “I did not realize I would be so tired after this
surgery.”
d. Patient reports severe pain 30 minutes after receiving pain
medication.
ANS: D
It is important to prioritize in all caregiving situations because it
allows you to see relationships among patient problems and avoid
delays in taking action that possibl y lead s to serious complications for
a patient. The nurse needs to report severe pain that is unrelieved by
pain medication to the health care provider. The nurse needs to
recognize and differentiate normal from abnormal findings and set
priorities. Eating 40% o f breakfast, having a slightl y elevated
temperature, and being tired the day after surgery are expected findings
following surgery and do not require immediate intervention.
DIF: Anal yze (anal ysis) OBJ: Develop a plan to maintain your
competence and expa nd your knowledge throughout your
professional nursing career. TOP: Evaluation MSC:
Management of Care
4. A nurse has a transformational leader as a manager. Which finding will
the nurse anticipate from working with this leader?
a. Increased turnover rate
b. Increased patient mortalit y rate
c. Increased rate of medication errors
d. Increased level of patient satisfaction
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. A novice nurse expresses frustration at not being to complete all
interventions for a group of patients in a timel y manner. The nurse leaves
the rounds report sheets at the nurse’s station when caring for patients and
reports having to go back and forth between rooms for equipment and
supplies. Which t ype of skill does the nurse need?
a. Interpersonal communication
b. Clinical decision making
c. Organizational
d. Evaluation
ANS: C
The clinical care coordination skill the nurse needs to improve on is
organization. This nurse needs to keep the patient report sheets in hand
to anticipate what equipment and supplies a patient is going to need.
Then the nurse ma y not have to leave the room so often; this will save
time. The nurse is not having a problem communicating with others
(interpersonal communication). The nurse is not having a problem
using the nursing process for clinical decisions. The nurse is not
having a problem comparing actual patient outcomes with expected
outcomes (evaluation).
, DIF: Appl y (application) OBJ: Discuss skills needed to
coordinate patient care effectivel y. TOP: Evaluation MSC:
Management of Care
2. Which approach will be most appropriate for a nurse to take when faced
with the challenge of performing many tasks in one shift?
a. Do as much as possible by oneself before seeking assistance from
others.
b. Evaluate the effectiveness of all tasks when all tasks are completed.
c. Complete one task b efore starting another task.
d. Delegate tasks the nurse does not like doing.
ANS: C
The appropriate clinical care coordination skill in these options is to
complete one task before starting another task. Good time management
involves setting goals to help the nurse complete one task before
starting another task. Evaluation is ongoing and should not be
completed just at the end of task completion. The nurse should not
delegate tasks simply because the nurse does not like doing them. The
nurse should use dele gation skills and time-management skills instead
of trying to do as much as possible with no help.
DIF: Appl y (application) OBJ: Discuss skills needed to
coordinate patient care effectivel y. TOP: Planning MSC:
Management of Care
3. Which assessment of a p atient who is 1-day post-surgical repair a hip
fracture requires immediate nursing intervention?
a. Patient ate 40% of clear liquid breakfast.
, b. Patient’s oral temperature is 98.9 F.
c. Patient states, “I did not realize I would be so tired after this
surgery.”
d. Patient reports severe pain 30 minutes after receiving pain
medication.
ANS: D
It is important to prioritize in all caregiving situations because it
allows you to see relationships among patient problems and avoid
delays in taking action that possibl y lead s to serious complications for
a patient. The nurse needs to report severe pain that is unrelieved by
pain medication to the health care provider. The nurse needs to
recognize and differentiate normal from abnormal findings and set
priorities. Eating 40% o f breakfast, having a slightl y elevated
temperature, and being tired the day after surgery are expected findings
following surgery and do not require immediate intervention.
DIF: Anal yze (anal ysis) OBJ: Develop a plan to maintain your
competence and expa nd your knowledge throughout your
professional nursing career. TOP: Evaluation MSC:
Management of Care
4. A nurse has a transformational leader as a manager. Which finding will
the nurse anticipate from working with this leader?
a. Increased turnover rate
b. Increased patient mortalit y rate
c. Increased rate of medication errors
d. Increased level of patient satisfaction
