Patient Care Organizing Exam Rated A+ (Ch 14)
A
Case management addresses each client individually, identifying the most cost-effective
providers, treatments, and care settings possible. It is not an explicit requirement of
magnet designation and it is not primarily motivated by a need to stimulate nurses or
increase professionalism. - ANSWER-A nurse-manager has recently learned that the
health-care facility will be moving toward a
case management approach. What factor is most likely driving this change?
a. The need to address cost-effective options for care
b. The need to provide challenging work for nurses and other members of the care
team
c. The need to enhance professionalism throughout the organization
d. The need to obtain magnet designation
A
Case management is largely dependent on individualized assessments of each client's
specific needs. The client's needs supersede costs, even though cost containment is an
important consideration. Case nursing does not necessarily entail a team nursing care
delivery model. - ANSWER-What is the primary focus of case management in
prioritizing client care?
a. Assessing each client's needs individually
b. Minimizing costs to the organization
c. Minimizing costs to the patient
d. Applying the principles of team nursing
A
Interdisciplinary teamwork is accomplished through interdependent collaboration, open
communication, and shared decision making. The Institute of Medicine has helped
expand opportunities for nurses to lead collaborative improvement efforts with
physicians and other members of the health care team to improve practice
environments. - ANSWER-A nurse can directly address one of the Institute of
Medicine's recommendations to improve
practice environment by:
a. facilitating open communication and shared decision making.
b. advocating for caps on the maximum allowable nurse-patient ratio.
c. adopting a functional nursing model whenever the setting allows.
d. becoming a nurse navigator who is centered on patients' needs.
A
Many factors need to be considered when a change in care delivery is being selected.
Central among these, however, is the interests of client s. Costs, staffing, and facilities
, must be considered, but the needs of clients are paramount. - ANSWER-A large health-
care organization is reconsidering the model of patient care delivery. What
factor should be prioritized in this decision?
a. Patient needs
b. Staff expertise
c. Cost
d. Physical layout of the facility
A
Nurse navigators help clients and families navigate the complex health care system by
providing information and support. It would not be possible for the ED nurse to perform
this role on an ad hoc basis. A CNL focuses on quality of care in a specific setting and
less on helping clients navigate the larger health care system. Offering to mediate
between the client and the case manager does not address the client's expressed
concern. - ANSWER-The emergency room nurse is assessing a patient who has
presented with an exacerbation of
recently diagnosed irritable bowel syndrome. The patient states that he is
"overwhelmed"
and "bewildered" by the mix of diagnostic tests, appointments, and consultations since
he
was diagnosed. What is the nurse's best action?
a. Acknowledge the difficulty of the patient's circumstances and arrange for a nurse
navigator.
b. Validate the patient's concerns and liaise with the clinical nurse-leader (CNL).
c. Offer to mediate between the patient and the case manager.
d. Offer to accompany the patient to any upcoming appointments.
A
Primary care nursing is organized so that the client is at the center of the structure. One
nurse has 24-hour responsibility for care planning and coordination. - ANSWER-Primary
care nursing is organized so that the patient is at the center of the structure. How
many nurses have 24-hour responsibility for care planning and coordination for the
patient?
a. One
b. Two
c. Three
d. Four
A, B, C, D
If evaluation of the present system reveals deficiencies, leaders and managers need to
examine available resources and compare those with resources needed for the change.
Therefore, openness to change and a willingness to examine available resources are
necessary. Interdisciplinary collaboration is essential and support from high-level
A
Case management addresses each client individually, identifying the most cost-effective
providers, treatments, and care settings possible. It is not an explicit requirement of
magnet designation and it is not primarily motivated by a need to stimulate nurses or
increase professionalism. - ANSWER-A nurse-manager has recently learned that the
health-care facility will be moving toward a
case management approach. What factor is most likely driving this change?
a. The need to address cost-effective options for care
b. The need to provide challenging work for nurses and other members of the care
team
c. The need to enhance professionalism throughout the organization
d. The need to obtain magnet designation
A
Case management is largely dependent on individualized assessments of each client's
specific needs. The client's needs supersede costs, even though cost containment is an
important consideration. Case nursing does not necessarily entail a team nursing care
delivery model. - ANSWER-What is the primary focus of case management in
prioritizing client care?
a. Assessing each client's needs individually
b. Minimizing costs to the organization
c. Minimizing costs to the patient
d. Applying the principles of team nursing
A
Interdisciplinary teamwork is accomplished through interdependent collaboration, open
communication, and shared decision making. The Institute of Medicine has helped
expand opportunities for nurses to lead collaborative improvement efforts with
physicians and other members of the health care team to improve practice
environments. - ANSWER-A nurse can directly address one of the Institute of
Medicine's recommendations to improve
practice environment by:
a. facilitating open communication and shared decision making.
b. advocating for caps on the maximum allowable nurse-patient ratio.
c. adopting a functional nursing model whenever the setting allows.
d. becoming a nurse navigator who is centered on patients' needs.
A
Many factors need to be considered when a change in care delivery is being selected.
Central among these, however, is the interests of client s. Costs, staffing, and facilities
, must be considered, but the needs of clients are paramount. - ANSWER-A large health-
care organization is reconsidering the model of patient care delivery. What
factor should be prioritized in this decision?
a. Patient needs
b. Staff expertise
c. Cost
d. Physical layout of the facility
A
Nurse navigators help clients and families navigate the complex health care system by
providing information and support. It would not be possible for the ED nurse to perform
this role on an ad hoc basis. A CNL focuses on quality of care in a specific setting and
less on helping clients navigate the larger health care system. Offering to mediate
between the client and the case manager does not address the client's expressed
concern. - ANSWER-The emergency room nurse is assessing a patient who has
presented with an exacerbation of
recently diagnosed irritable bowel syndrome. The patient states that he is
"overwhelmed"
and "bewildered" by the mix of diagnostic tests, appointments, and consultations since
he
was diagnosed. What is the nurse's best action?
a. Acknowledge the difficulty of the patient's circumstances and arrange for a nurse
navigator.
b. Validate the patient's concerns and liaise with the clinical nurse-leader (CNL).
c. Offer to mediate between the patient and the case manager.
d. Offer to accompany the patient to any upcoming appointments.
A
Primary care nursing is organized so that the client is at the center of the structure. One
nurse has 24-hour responsibility for care planning and coordination. - ANSWER-Primary
care nursing is organized so that the patient is at the center of the structure. How
many nurses have 24-hour responsibility for care planning and coordination for the
patient?
a. One
b. Two
c. Three
d. Four
A, B, C, D
If evaluation of the present system reveals deficiencies, leaders and managers need to
examine available resources and compare those with resources needed for the change.
Therefore, openness to change and a willingness to examine available resources are
necessary. Interdisciplinary collaboration is essential and support from high-level
