Chapter 21 Managing Patient Care-Fundamentals of Nursing

Chapter 21: Managing Hospital client Care ra ra ra ra ra r




MULTIPLE CHOICE ra




1. A nursing attendant (RN) is the group leader of licensed practical nursing attendant
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s (LPNs) and nursing assistive personnel (NAP). Which nursing care model is being
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implemented?
a. Case-management
b. Total hospital client care ra ra ra




c. Primary nursing ra




d. Team nursing ra




ACCURATE ar



ANSWER:-D
In team nursing, the RN assumes the role of group or team leader and leads a team made up of ot
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her RNs, practical nursing attendant s, and nursing assistive personnel. Casemanagement is a car
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e approach that coordinates and links health care services to hospital clie
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nt s and families while streamlining costs. Total hospital client care involves an RN being resp
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onsible for all aspects of care for one or more hospital client s. The primary nursing model of c
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are delivery was developed to place RNs at the bedside and improve the accountability of nur
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sing for hospital client outcomes and the professional relationships among staff members.
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DIF:Understand (comprehension) ra



OBJ:Compare the types of nursing care delivery models. ra ra ra ra ra ra ra



TOP:Implementatio n MSC: Management of Care ar ra ra ra




2. A nursing attendant is overseeing the care of hospital client s diagnosed with either severe d
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iabetes or with heart failure. The purpose of this nursing model is to improve cost effectiveness a
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nd quality of care. Which nursing care delivery model is the nursing attendant using?
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a. Team nursing ra




b. Total hospital client care ra ra ra



c. Primary nursing ra




d. Case-management
ACCURATE ar



ANSWER:-D
Case-
management is unique because clinicians, either as individuals or as part of a collaborative gro
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up, oversee the management of hospital client s with specific, complex health problems or are
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h eld accountable for some standard of cost management and quality. Case-
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management is a care approach that coordinates and links health care services to hospital client
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s and families while streamlining costs. In the team nursing care model, the RN assumes the
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role of group or team leader and leads a team made up of other RNs, practical nursing attenda
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nt s, and nursing assistive personnel. Total hospital client care involves an RN being responsib
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le for all aspects of care for one or more hospital client s. The primary nursing model of care del
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ivery was developed to place RNs at the bedside and improve the accountability of nursing fo
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r hospital client outcomes and the professional relationships among staff members.
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DIF:Understand (comprehension) ra

, OBJ:Compare the types of nursing care delivery models. ra ra ra ra ra ra ra



TOP:Implementatio n MSC: Management of Care ar ra ra ra




3.
A nursing attendant assigned to an intensive care unit (critical care) is most likely usin
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g what type of nursing care delivery model? a. Team nursing
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b. Total hospital client care ra ra ra



c. Primary nursing ra




d. Case-management
ACCURATE ANSWER:-B ra



Total hospital client care is found primarily in critical care areas. Total hospital client care i
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nvolves an RN being responsible for all aspects of care for one or more hospital client s. In t
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he team nursing care model, the RN assumes the role of group or team leader and leads a te
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am made up of other RNs, practical nursing attendant s, and nursing assistive personnel. T
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he primary nursing model of care delivery was developed to place RNs at the bedside and i
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mprove the accountability of nursing for hospital client outcomes and the professional rela
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t ionships among staff members. Case- ra ra ra



management is a care approach that coordinates and links health care services to hospitalclient
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s a nd families while streamlining costs.
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DIF:Understand (comprehension) ra



OBJ:Compare the types of nursing care delivery models. ra ra ra ra ra ra ra



TOP:Implementatio n MSC: Management of Care ar ra ra ra




4. A nursing attendant manager discovers that the readmission rate of hospitalized hospital
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client s is very high on the hospital unit. The nursing attendant manager desires improve
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d coordination of care and accountability for costeffective quality care. Which nursing ca
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re delivery model is best suited for these needs? a. Team nursing
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b. Total hospital client care ra ra ra




c. Primary nursing ra




d. Case-management
ACCURATE ANSWER:-D ra



Case-
management is a care approach that coordinates and links health care services to hospital client
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s and families while streamlining costs. In team nursing, the RN assumes the role of group or t
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eam leader and leads a team made up of other RNs, practical nursing attendant s, and nursing
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assistive personnel. Total hospital client care involves an RN being responsible for all aspects
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of care for one or more hospital client s. The primary nursing model of care delivery was devel
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oped to place RNs at the bedside and improve the accountability of nursing for hospital client
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outcomes and the professional relationships among staff members.
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DIF:Understand (comprehension) ra



OBJ:Compare the types of nursing care delivery models. ra ra ra ra ra ra ra



TOP:Planning ar



MSC: Management of Care ra ra ra




5.
A nursing attendant is working in a facility that has fewer directors which allows for manager
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s ar

, and staff to make shared decisions. In which type of organizational structure is the nursing at
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tendant employed? a. Delegation ra




b. Research-based
c. Decentralization
d. Philosophy of care ra ra




ACCURATE ANSWER:-C ra



The decentralized management structure often has fewer directors, and managers and staff ar
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e able to make shared decisions. The American Nursing attendant s Association defines delega
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tion as transferring responsibility for the performance of an activity or task while retaining ac
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countability for the outcome. Researchbased means care is based upon evidence. A philosophy of
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care includes the professional nurs
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ing staff’s values and concerns for the way they view and care for hospital client s. For examp
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le, a philosophy addresses the purpose of the nursing unit, how staff works with hospital clie
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nt s and families, and the standards of care for the work unit.
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DIF:Understand (comprehension) ra



OBJ:Distinguish the different elements of the decisionmaking process. TOP:Implementatio ra ra ra ra ra ra ra ar



n MSC:
Management of Care ra ra




6. A staff member verbalizes satisfaction in working on a particular nursing unit because of the
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freedom of choice and responsibility for the choices. This nursing attendant highly values w
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hich element of shared decision making? a. Authority
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b. Autonomy
c. Responsibility
d. Accountability
ACCURATE ANSWER:-B ra



Autonomy is freedom of choice and responsibility for the choices. Authority refers to legit
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imate power to give commands and make final decisions specific to a given position. Resp
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onsibility refers to the duties and activities that an individual is employed to perform. Acc
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ountability refers to individuals being answerable for their actions. ra ra ra ra ra ra ra ra




DIF:Understand (comprehension) ra



OBJ:Distinguish the different elements of the decision- ra ra ra ra ra ra



making process. TOP:Assessment MSC: Management of Care
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7. A staff nursing attendant delegates a task to a nursing assistive personnel (NAP), knowing t
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hat the NAP has never performed the task before. As a result, the hospital client is injured, a
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n
d the nursing attendant defensively states that the NAP should have known how to perform
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s
uch a simple task. Which element of the decisionmaking process is the nursing attendant lac
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king? a. Authority
b. Autonomy
c. Responsibility
d. Accountability
ACCURATE ANSWER:-D ra



Accountability refers to individuals being answerable for their actions. The nursing attendan ra ra ra ra ra ra ra ra ra ra ra



t in this situation is not taking ownership of the inappropriate delegation of a task. Autonom
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y is freedom of choice and responsibility for the choices. Responsibility refers to the duties an
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