Effective Leadership and Management in Nursing 8th Edition By Sullivan Test Bank

Effective Leadership and Management in Nursing 8th 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 Sample Test Sullivan, Effective Leadership and Management, 8/e Chapter 3 Question 1 Type: MCSA 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 ten clients. Correct Answer: 1 Rationale 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. Rationale 2: Total patient care is given by one nurse assigned to a few clients. Rationale 3: Team or modular nursing uses a variety of skilled caregivers to provide care to an assigned group of clients. Rationale 4: Team or modular nursing uses a variety of skilled caregivers to provide care to an assigned group of clients. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-2: Describe what types of nursing care delivery systems exist. Question 2 Type: MCMA A large metropolitan hospital uses differentiated practice as part of the structure of nursing services. Following this plan, nursing responsibilities are assigned based on which criteria? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Seniority 2. Educational level 3. Experience 4. Nurse preference 5. Affordability Correct Answer: 2,3,4 Rationale 1: Seniority does not mean competence. Rationale 2: Differentiated practice takes education (primarily associate’s degree and bachelor’s degree) into consideration when determining nursing responsibilities. Rationale 3: Experience is considered in differentiated practice. Rationale 4: Nurse preference is taken into consideration in differentiated practice. Rationale 5: While cost containment is always an issue, in true differentiated practice it is not a primary determinant of responsibilities. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-5: Explain characteristics of effective delivery systems. Question 3 Type: MCSA 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 patient care 3. Team nursing 4. Functional nursing Correct Answer: 3 Rationale 1: Critical pathways are a set of strategies used by health care 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. Rationale 2: Total patient care is given by one nurse. Rationale 3: The RN in this case is leading a team. A variety of skilled caregivers cares for a group of clients. Rationale 4: Functional nursing breaks down the assignments into tasks. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-2: Describe what types of nursing care delivery systems exist. Question 4 Type: MCMA 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. Standard Text: 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. Correct Answer: 1,2,4 Rationale 1: Continuity of care may suffer when care is given by more than one person. Rationale 2: Team nursing requires excellent communication skills in all team members, who must communicate with clients, families, and each other. Rationale 3: Team nursing does save on personnel costs. Rationale 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. Rationale 5: Team nursing does reduce the numbers of professional staff required. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-3: Discuss the positive and negative aspects of different systems. Question 5 Type: MCSA 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 patient care 4. Modular nursing Correct Answer: 3 Rationale 1: Functional nursing has the disadvantages of less continuity of care and potentially less skilled personnel caring for the client. Rationale 2: Team nursing has the disadvantage of not having a professional nurse attending to all client care needs. Rationale 3: In total patient care, one nurse cares for a client and, being totally accountable for the client, can give continuous, holistic, and expert care. Rationale 4: Modular nursing is somewhat synonymous with team nursing and has the disadvantage of not having a professional nurse to attend to all client care needs. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-5: Explain characteristics of effective delivery systems. Question 6 Type: MCMA The hospital administration is considering adopting primary nursing as its model of nursing care delivery. Disadvantages of this method are that Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The client may have multiple primary nurses if transfers within the facility are necessary. 2. Physician satisfaction is decreased. 3. Staff nurses cannot be held legally liable for care provided outside their work hours. 4. It requires a knowledge-based nursing practice model. 5. All persons caring for the client must have excellent communication skills. Correct Answer: 1,3,5 Rationale 1: If a client requires transfer between units, a new primary nurse will be assigned in each unit. In some cases, this could result in multiple primary care nurses during one hospitalization. Rationale 2: Physician, nurse, and client satisfaction is generally increased with primary care. Rationale 3: The premise of primary nursing is that the nurse holds 24-hour-a-day accountability for client care. Legally, nurses cannot be accountable for care provided outside their work hours. Rationale 4: Requiring a knowledge-based nursing practice model is seen as an advantage of primary nursing. Rationale 5: Excellent communication must exist between the primary nurse and associate nurse. This is often difficult. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-3: Discuss the positive and negative aspects of different systems. Question 7 Type: MCSA A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system? 1. Primary nursing 2. Total nursing care 3. Functional nursing 4. Practice partnerships Correct Answer: 4 Rationale 1: The nurse providing primary nursing must be very autonomous. This is not the best environment for a newly licensed RN. Rationale 2: The nurse providing total nursing care must be very autonomous. This is not the best environment for a newly licensed RN. Rationale 3: In functional nursing, the RN leads the team. The newly licensed RN does not have sufficient experience for this role. Rationale 4: Practice partnerships allow for two personnel to work together in giving client care. Ideally, a senior RN can be paired with a novice RN. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-1: Describe how the delivery system structures nursing care. Question 8 Type: MCSA In order to organize services needed to achieve specific client outcomes, hospital administrators should consider what type of client care delivery system? 1. Functional nursing 2. Differentiated practice 3. Case management 4. Primary nursing Correct Answer: 3 Rationale 1: Functional nursing does not focus on specific outcomes. Rationale 2: Differentiated practice does not focus on specific outcomes. Rationale 3: Case management organizes client care by major diagnoses and focuses on attaining predetermined outcomes within a specific time frame. Rationale 4: Primary nursing does not focus on specific outcomes. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-2: Describe what types of nursing care delivery systems exist. Question 9 Type: MCSA The RN working on an orthopedic unit is caring for a postoperative client with a hip replacement who is not transferring well from bed to chair. The client is behind on the mobility training program. What action is the nurse’s priority? 1. Instruct physical therapy to increase treatments to four times daily. 2. Contact the family to discuss preoperative mobility problems. 3. Inform the case manager of variance in the critical pathway. 4. Discuss the problem with the client’s surgeon. Correct Answer: 3 Rationale 1: Ordering an increase in physical therapy is not within the scope of nursing and would not be the priority action. Rationale 2: The family may have important information about the client’s mobility, but this is not the priority action. Rationale 3: The case manager tracks all variances, reports to the collaborative team, and may revise the critical pathway. Rationale 4: Discussing the problem with the surgeon is not the priority action. Global Rationale: Cognitive Level: Applying