Chapter 15: Care Delivery Strategies
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
Complex care of acutely ill patients is required on a surgical unit in which differentiated
nursing practice is its model of care delivery. The concept of differentiated nursing pract
ice is based on:
Licensure status.
Experience in the agency.
Leadership capabilities.
Education and expertise.
ANS: D
In differentiated nursing practice, rules are structured according to education and experie
n ce.
DIF: Cognitive Level: Understand REF:
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Nursing Process: Assessment
2. The relief charge nurse has assigned a newly registered baccalaureate-
prepared nurse to be one of the team leaders for the shift from 1500 to 2300 hours. In
making this decision, the charge nurse has overlooked this nurse‘s:
a. Clinical expertise.
b. Leadership ability.
c. Communication style. NRIGB.CM
vb vb vb vb vb
USNT O
d. Conflict-resolution skills.
ANS: A
The effective functioning of teams in this model is heavily reliant on the leadership, orga
nization, and communication skills of the leader, in addition to comfort and confidence in
providing care to a specific patient group. Although leadership and critical thinking are p
art of basic education in baccalaureate programs, the new registered nurse (RN) needs tim
e to develop clinical confidence and expertise.
DIF: Cognitive Level: Understand REF:
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Nursing Process: Assessment
When interviewing an applicant for a position, the nurse manager describes the unit‘s c
are delivery system as one in which each nursing assistant is cross-
trained to perform specific tasks, and in which the RNs handle all intravenous medicatio
ns, admissions, and discharge teaching. The nurse applicant knows this nursing care del
i very strategy to be:
The case method.
Functional nursing.
Primary nursing.
Nurse case management.
ANS: B
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