Summary NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST BANK

Effective Leadership And Management In Nursing 9th Edition By Sullivan – Test Bank To purchase this Complete Test Bank with Answers Click the link Below If face any problem or Further information contact us At Description Instant Download Effective Leadership And Management in Nursing 9th Edition by Sullivan – Test Bank Sample Questions Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter 3 Delivering Nursing Care 1) The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect? 1. One nurse has responsibility for all the medications on the unit. 2. One nurse has responsibility for all the needs of three clients. 3. One charge nurse and one respiratory therapist have responsibility for all clients. 4. One nurse and one nursing assistant have responsibility for 10 clients. Answer: 1 Explanation: 1. Functional nursing breaks down client care into tasks assigned to the appropriate professional or skilled caregivers. This may result in one nurse (the “med nurse”) administering all the medications on the unit. 2. Total client care is given by one nurse assigned to a few clients. 3. Team or modular nursing uses a variety of skilled caregivers to provide care to an assigned group of clients. 4. Team or modular nursing uses a variety of skilled caregivers to provide care to an assigned group of clients. Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Implementation/Leadership Learning Outcome: 3-1: Differentiate the models of nursing care delivery systems and the disadvantages of each. 2) The RN receives reports on eight clients in the morning. Client assignments are then delegated to an LPN and two nursing assistants. The morning is busy, with physician visits and new client orders, and the RN communicates these new orders to the LPN and nursing assistants. The RN also meets with the case manager to discuss nursing home placement for a client. What type of nursing care delivery system is in place in this hospital? 1. Critical pathways 2. Total client care 3. Team nursing 4. Functional nursing Answer: 3 Explanation: 1. Critical pathways are a set of strategies used by healthcare providers to attain expected outcomes. Critical pathways are not a nursing care delivery system, and there are insufficient data to determine if they are used in this scenario. 2. Total client care is given by one nurse. 3. The RN in this case is leading a team. A variety of skilled caregivers cares for a group of clients. 4. Functional nursing breaks down the assignments into tasks. Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Implementation/Leadership Learning Outcome: 3-1: Differentiate the models of nursing care delivery systems and the disadvantages of each. 3) As the RN team leader, identify potential disadvantages of using team nursing to deliver care to assigned clients. Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Continuity of care may suffer. 2. Client/staff communication may be an issue. 3. There is little cost savings to the institution. 4. Delegation is necessary. 5. Not as many professional staff are required. Answer: 1, 2, 4 Explanation: 1. Continuity of care may suffer when care is given by more than one individual. 2. Team nursing requires excellent communication skills in all team members, who must communicate with clients, families, and each other. 3. Team nursing does save on personnel costs. 4. The RN must be careful to delegate only tasks that are appropriate for the skill level and licensure of the designated personnel. The RN is ultimately responsible for all client care. 5. Team nursing does reduce the number of professional staff required. Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Planning/Leadership Learning Outcome: 3-2: Describe the attributes of integrated models of care. 4) The hospital is opening its first intensive care unit. The nurse executive should plan to staff this unit according to which model of care? 1. Functional nursing 2. Team nursing 3. Total client care 4. Primary care Answer: 3 Explanation: 1. Functional nursing has the disadvantages of less continuity of care and potentially less skilled personnel caring for the client. 2. Team nursing has the disadvantage of not having a professional nurse attending to all client care needs. 3. In total client care, one nurse cares for a client and is totally accountable for the client. This way the nurse can give continuous, holistic, and expert care. 4. Primary care is considered the client’s first encounter with the healthcare system. Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Int Conc: Nursing Process: Planning/Resource Utilization Learning Outcome: 3-3: Compare three evolving models of care and explain why care delivery systems will continue to evolve. 5) The hospital administration is considering adopting primary nursing as its model of nu