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Chapter 12: Care Delivery Strategies (Leading and Managing in Nursing)

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Complex care of acutely ill patients is required on a surgical unit, which utilizes differentiated nursing practice as its model of care delivery. On what is the concept of differentiated nursing practice is based? a. Licensure status b. Experience in the agency c. Leadership capabilities d. Education and expertise - ANS: D Differentiated nursing practice models are models of clinical nursing practice that are defined or differentiated by level of education, expected clinical skills or competencies, job descriptions, pay scales, and participation in decision making. The relief charge nurse has assigned a newly licensed baccalaureate-prepared nurse to be one of the team leaders for the 3-11 shift. In making this decision, the charge nurse has overlooked this nurse's: a. clinical expertise. b. leadership ability. c. communication style. d. conflict-resolution skills. - ANS: A Because the basic education of baccalaureate-prepared RNs emphasizes critical-thinking, clinical reasoning, and leadership concepts, they are likely candidates for such roles. Benner (2001), however, identified five stages of clinical competence for nurses: novice, advanced beginner, competent, proficient, and expert. She suggests that competence is typified by a nurse who has been on the job in the same or similar situation 2 to 3 years. Nurses who are at the novice or advanced beginner stage would be less likely than their more experienced counterparts to implement any type of delivery model effectively and thus, this assignment overlooks the nurse's level of clinical expertise and leadership experience.

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Leadership Nursing TEST BANK

a. Review the organization's mission statement. - A nurse is considering applying for employment at a
new health-care facility. How should the nurse best identify the aims and priorities of the organization?

a. Review the organization's mission statement.

b. Speak with as many front-line workers as possible.

c. Ask interviewers about recent responses to consumer satisfaction surveys.

d. Review the organization's policy and procedures documents.



c. ensure that evaluation occurs at several points during the process. - The nurse is participating in a
planning process in a large health-care organization. The nurse and the other members of the team
should:

a. avoid specifics so that the plan can be applied in any health-care setting.

b. ensure that long-term priorities are always prioritized over short-term priorities.

c. ensure that evaluation occurs at several points during the process.

d. begin to engage employees in the process after the plan has been implemented.



d. All plans should be flexible to accommodate changing circumstances. - Which is a true statement
about planning?

a. All plans should be defined at the outset so that changes are not necessary.

b. Long- and short-range plans should be kept separate so priorities do not become

confused.

c. Objectives and goals must be established before the philosophy is written.

d. All plans should be flexible to accommodate changing circumstances.



a. It is freely chosen from among alternatives.

c. It is prized and cherished.

d. It is positively affirmed.

,e. It is acted upon. - A nurse is participating in the process of values clarification. What are the
characteristics of

a true value? Select all that apply.

a. It is freely chosen from among alternatives.

b. It aligns with the dominant values of society.

c. It is prized and cherished.

d. It is positively affirmed.

e. It is acted upon.



a. "Every nurse will screen newly admitted clients for alcohol abuse." - Which statement is an example of
a process objective?

a. "Every nurse will screen newly admitted clients for alcohol abuse."

b. "The falls rate on the unit will decrease by 50% compared with 2016 rates."

c. "The health-care facility will achieve accreditation within the next 24 months."

d. "The new bowel care protocol will be fully implemented by the end of the calendar year."



d. Include subordinates early in the process and include them in all aspects of policy

formation. - A leader has launched an organizational planning process that requires the development of

new policies. How should the leader utilize subordinates during this process?

a. Delegate the evaluation phase of organizational planning to subordinates.

b. Ask subordinates to brainstorm alternatives and then have industry

experts evaluate each alternative.

c. Limit the involvement of subordinates to developing unit-level policies and

procedures.

d. Include subordinates early in the process and include them in all aspects of policy

formation.



a. The unit philosophy should align with the larger organization's philosophy. - The manager is leading a
team to develop a unit-level philosophy statement. What guidelines should the team use during this
process?

, a. The unit philosophy should align with the larger organization's philosophy.

b. The unit's philosophy should include a mission statement and vision statement.

c. The statement should reflect the values and priorities of the specific unit manager.

d. The statement should be consistent with that of other similar health-care agencies.



a. Implied policies - A new nurse on the unit has been criticized for deviating from the accepted model of
end-of-shift report, even though there is no written policy about the content or format for

report. Which term is used for this type of policy?

a. Implied policies

b. Expressed policies

c. Understood precedents

d. The organizational culture



c. The philosophy is reflected in the care that clients and families receive. - A health-care organization
has adopted a new philosophy statement. What observation best shows that the philosophy is being
implemented?

a. The philosophy is displayed prominently in client care areas and staff areas.

b. The philosophy aligns with the organization's vision and mission.

c. The philosophy is reflected in the care that clients and families receive.

d. The philosophy was created by an interdisciplinary group that included nurses.



d. procedure manual. - A recent nursing graduate has not performed a dressing change on a central
catheter for several months and is unsure of how to correctly perform this. The nurse should refer to
the:

a. documentation.

b. practice rules.

c. organization policy.

d. procedure manual.

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