Chapter 10: Person-Centered Care
questions and answers graded A+
A nurse manager questions the true difference between primary nursing and total patient care.
After careful consideration of both models, the nurse manager concludes that primary nursing
differs significantly from total patient care in:
a. breadth of nursing knowledge and expertise required.
b. intention to provide holistic nursing.
c. degree of task orientation.
d. levels and types of assessment. - correct answer ✔✔c. degree of task orientation.
Significant overlap can be seen between primary nursing and total patient care in terms of
breadth of assessment and knowledge required to provide holistic care. A primary difference is
that nurses in the total care model assume accountability while on shift, whereas primary
nurses assume responsibility from time of admission to discharge and 24 hours a day.
The chief nursing officer decides to establish a client advocacy position in an oncology unit.
Advocacy is best represented by:
a. establishing private and professional networking systems.
b. asking social services to handle clients' concerns.
c. identifying community support groups.
d. empowering others by promoting self-determination. - correct answer ✔✔d. empowering
others by promoting self-determination
Advocacy involves empowering and promoting self-determination in others..
, The nurse manager on a pediatric intensive care unit wants to evaluate patient satisfaction. The
nurse manager understands that ultimately, positive relationships with consumers of care are
evaluated by the:
a. cultural sensitivity of staff.
b. cost-effectiveness of care delivery.
c. economic value of service.
d. outcomes for clients and their perceptions of care. - correct answer ✔✔d. outcomes for
clients and their perceptions of care.
Patient satisfaction and perception of the quality of care are affected by the quality of the
nurse-patient relationship. Valid measurement of patient satisfaction is an evolving science;
nurses do not always accurately gauge what factors are most important to patients. Satisfaction
measures are often skewed in a positive direction with scores clustered at the top of the scale.
The nurse manager must develop a patient satisfaction survey. What is one of the critical
elements in selecting a patient satisfaction instrument?
a. Being able to use the same instrument for all clinical units
b. Including items that are important from the patient's perspective
c. Being able to administer the instrument before a patient's discharge from the hospital
d. Being sure that the reading level is no higher than third grade - correct answer ✔✔b.
Including items that are important from the patient's perspective
Because satisfaction is a measure of service and service is a measure of perception of what
matters to the patient, to measure satisfaction, surveys must include items that reflect the
perspective of the patient.
questions and answers graded A+
A nurse manager questions the true difference between primary nursing and total patient care.
After careful consideration of both models, the nurse manager concludes that primary nursing
differs significantly from total patient care in:
a. breadth of nursing knowledge and expertise required.
b. intention to provide holistic nursing.
c. degree of task orientation.
d. levels and types of assessment. - correct answer ✔✔c. degree of task orientation.
Significant overlap can be seen between primary nursing and total patient care in terms of
breadth of assessment and knowledge required to provide holistic care. A primary difference is
that nurses in the total care model assume accountability while on shift, whereas primary
nurses assume responsibility from time of admission to discharge and 24 hours a day.
The chief nursing officer decides to establish a client advocacy position in an oncology unit.
Advocacy is best represented by:
a. establishing private and professional networking systems.
b. asking social services to handle clients' concerns.
c. identifying community support groups.
d. empowering others by promoting self-determination. - correct answer ✔✔d. empowering
others by promoting self-determination
Advocacy involves empowering and promoting self-determination in others..
, The nurse manager on a pediatric intensive care unit wants to evaluate patient satisfaction. The
nurse manager understands that ultimately, positive relationships with consumers of care are
evaluated by the:
a. cultural sensitivity of staff.
b. cost-effectiveness of care delivery.
c. economic value of service.
d. outcomes for clients and their perceptions of care. - correct answer ✔✔d. outcomes for
clients and their perceptions of care.
Patient satisfaction and perception of the quality of care are affected by the quality of the
nurse-patient relationship. Valid measurement of patient satisfaction is an evolving science;
nurses do not always accurately gauge what factors are most important to patients. Satisfaction
measures are often skewed in a positive direction with scores clustered at the top of the scale.
The nurse manager must develop a patient satisfaction survey. What is one of the critical
elements in selecting a patient satisfaction instrument?
a. Being able to use the same instrument for all clinical units
b. Including items that are important from the patient's perspective
c. Being able to administer the instrument before a patient's discharge from the hospital
d. Being sure that the reading level is no higher than third grade - correct answer ✔✔b.
Including items that are important from the patient's perspective
Because satisfaction is a measure of service and service is a measure of perception of what
matters to the patient, to measure satisfaction, surveys must include items that reflect the
perspective of the patient.
