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Exam (elaborations)

NURS 440 Questions And Answers to quizes 1-6 All Solved Correctly (NURS440)

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Which aspect of care at a long-term care facility most clearly suggests that a functional model of care delivery is being used? a) Registered nurses perform all assessments while unlicensed assistive personnel provide all feeding and hygiene. b) Unlicensed assistive personnel coordinate each resident's care and occasionally delegate to practical nursesc) One nurse is assigned to provide all of a resident's care during a shift. d) A pairing of one registered nurse and one practical nurse provide all the care for a designated pool of residents. Hide Feedback Functional nursing is task focused with specific tasks assigned to specific members of the care team. Having one nurse provide all of a resident's care is indicative of total patient care. No model of care ascribes a coordination role for UAP. Pairings suggest team or modular nursing. Question 2 0 / 1 point Which statements demonstrate an understanding of the factors that should be considered when a change in the care delivery system is being proposed? Select all that apply. a) “Administration has been supportive of the planned change in our care delivery system.” b) “We have determined that our level of care would improve if we provided it differently.” c) “We will discuss our proposed change with the multidisciplinary team members.” d) “It's questionable whether our current nursing staff is large enough to support the proposed change.” e) “We're going to make our decision based on which option is newest in the literature.” Hide Feedback 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 administration is needed as well. Decisions should not be based simply on which model is newest or most innovative. Question 3 1 / 1 point A nurse delegated some tasks to a nurse several hours ago. The manager has now learned that the nurse did not complete any of the delegated tasks. What is the manager's best initial action? a) Take action to reestablish the authority power gap b) Document the nurse's insubordination and arrange a private meeting c) Determine exactly why the nurse did not complete the delegated tasks d) Assertively state the expectation that delegated tasks will be completed on time Hide Feedback If an employee does not complete delegated tasks, the manager should assess the reasons for this before taking action. Addressing the problem before knowing the circumstances or the cause would be premature. Question 4 1 / 1 point Periodically during the day, the RN checks with the team members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role? a) Effective delegation b) Client safety c) Micromanagement d) Skills evaluation Hide Feedback This manager provided the team with the autonomy to complete the work and was available should any need arise. This describes effective delegation. This action does not constitute micromanagement, provided it is not excessive. This promotes client safety but is not synonymous with it. This practice is not a form of skills evaluation. Question 5 1 / 1 point Which statement demonstrates an intervention focused on the primary disadvantage of team nursing?

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