NEXT GENERATION (NGN) Hesi Leadership and Management Exam Questions and Answers Latest Update A+ Grade.

NEXT GENERATION (NGN) Hesi Leadership and Management Exam Questions and Answers Latest Update A+ Grade. A new nurse is interviewed at a facility where various models of patient care delivery are used. The nurse is interested in developing clinical decision-making skills. After the interview, the nurse determines the best position for enhancing those skills is the unit that uses which of the following models? Primary nursing Team nursing Functional nursing Case management - CORRECT ANSWER: Primary Nursing In primary nursing, clinical decision making is focused at the bedside by the nurse administering the care. The other options are a patient care delivery model whose focus is not bedside decision making. A patient tells the day shift nurse that the night shift did not answer her call light for over an hour. Which statement by the nurse is most appropriate when practicing in a functional nurse delivery model? "The night shift staff must care for more patients than does the day shift." "I will notify my charge nurse." "I will answer your call light promptly today." "I will speak to the individual privately." - CORRECT ANSWER: Option D is correct because in a functional model, each staff member is assigned one task for all patients. The other options may be seen in other or no models of care delivery. A patient tells the day shift nurse that the night shift did not answer her call light for over an hour. Which statement by the nurse is most appropriate when practicing in a primary nurse delivery model? "The night shift staff must care for more patients than does the day shift." "I will notify my charge nurse." "I will answer your call light promptly today." "I will be sure the UAP is doing her job." - CORRECT ANSWER: Option C is correct because the nurse works autonomously in the primary nurse delivery model. The other options are incorrect because they indicate other or no delivery care models. After attending a nursing management course, a student nurse understands that the most effective managers must develop communication and interpersonal skills. periodically promote nurses based on time employed by agency. NEXT GENERATION (NGN) Hesi Leadership and Management Exam 2024/2025. promote the use of self-scheduling. develop methods for patient satisfaction. - CORRECT ANSWER: Option A is essential as a manager to communicate with staff and therefore either should possess or acquire these skills. The other options are not examples of effective management. An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery. The nurse understands that the advantage to patient care delivery in this model is that the nurse must make all patient care decisions. can delegate patient care to other team members. begins working on discharge plans at the time of admission. administers all medications to the team patients. - CORRECT ANSWER: Can delegate patient care The advantage to the team nursing patient care delivery model is that UAPs are used to assist the RN and tasks can be delegated to them. The other options are examples of the primary nursing delivery model. In a primary care delivery model, which of the following would be an expected assignment for a staff member for the day? Two UAPs taking vital signs and blood sugars on all patients Two LPNs administering medications to all patients RN verifies new order for patient started on Lopressor (metoprolol) with a history of asthma. RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an exercise stress test today. - CORRECT ANSWER: Hold lopressor In a primary care delivery model, the nurse acts autonomously. Options A and B indicate functional nursing. Option C should be seen in any delivery system. Key tasks that the care manager may perform including all of the following EXCEPT deal with personal issues arising during a shift. use resources efficiently. observe whether unit policies and objectives are meeting the needs of the patients and staff. perform staff evaluations. - CORRECT ANSWER: objectives are meeting the needs of the patients and staff. Option C is a task for the middle-level manager. The other options are tasks of the care manager.