NSG-444 Exam 1
Nursing Delivery Systems (4) - ✔✔ correct answer 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - ✔✔ correct answer RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - ✔✔ correct answer RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - ✔✔ correct answer RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates
patient's care in hospital and patient's discharge plan
Client-Focused Care - ✔✔ correct answer RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
, NSG-444 Exam 1
State Boards of Nursing (SBN) 3 functions - ✔✔ correct answer 1. executive authority- to administer
the nursing practice act
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - ✔✔ correct answer -critical abnormal lab values
-significant change in status
Prioritization-non-emergent - ✔✔ correct answer -routine labs
-VS
-Dressing change
-bathing
5 rights of delegation - ✔✔ correct answer 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth - ✔✔ correct answer -typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by: - ✔✔ correct answer -aging of the population (including currently
practicing nurses)
-work conditions in health care
Bureaus of Labor Statistics (2021) projection of nurse employment from 2019-2029 - ✔✔ correct
answer 7%
Solutions to solving nursing shortages - ✔✔ correct answer -inc pay & add bonuses
-use foreign nurses more effectively
Nursing Delivery Systems (4) - ✔✔ correct answer 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - ✔✔ correct answer RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - ✔✔ correct answer RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - ✔✔ correct answer RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates
patient's care in hospital and patient's discharge plan
Client-Focused Care - ✔✔ correct answer RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
, NSG-444 Exam 1
State Boards of Nursing (SBN) 3 functions - ✔✔ correct answer 1. executive authority- to administer
the nursing practice act
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - ✔✔ correct answer -critical abnormal lab values
-significant change in status
Prioritization-non-emergent - ✔✔ correct answer -routine labs
-VS
-Dressing change
-bathing
5 rights of delegation - ✔✔ correct answer 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth - ✔✔ correct answer -typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by: - ✔✔ correct answer -aging of the population (including currently
practicing nurses)
-work conditions in health care
Bureaus of Labor Statistics (2021) projection of nurse employment from 2019-2029 - ✔✔ correct
answer 7%
Solutions to solving nursing shortages - ✔✔ correct answer -inc pay & add bonuses
-use foreign nurses more effectively
