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Exam (elaborations)

NSG 444 Exam 1 – Questions With Correct Solutions

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NSG 444 Exam 1 – Questions With Correct Solutions

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NSG 444 Exam 1 – Questions With Correct Solutions

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Terms in this set (62)



Nursing Delivery Systems (4) 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care


Functional Care 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 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)
-Success of team nursing centers on good
communication among team members
-Team conference plays vital role


Relationship-based Nursing/Primary RN responsibility: Primary Nurse
Nursing -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 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 1. executive authority- to administer the nursing
functions 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 -critical abnormal lab values
action -significant change in status

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