Chapter 04 - Osborn, Medical-Surgical Nursing, 2e

Chapter 04 Question 1 Type: MCSA The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. How would the nurse describe this care delivery system? 1. Team nursing 2. Functional nursing 3. Case method 4. Primary nursing Correct Answer: 4 Rationale 1: In team nursing, patients are assigned to a nursing team that is usually led by an RN. The team is responsible for the patients’ care during the one shift of duty. Rationale 2: Functional nursing is a delegation of tasks over one shift worked. Rationale 3: The case method of delivering nursing care is sometimes referred to as total patient care. The RN has total care responsibility for the patient during the shift worked. Rationale 4: Primary nursing is defined as a system in which each patient is assigned to a nurse who has 24-hour responsibility for the nursing care delivered to the patient. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 4-1 Question 2 Type: MCMA The nurse works in a hospital that practices functional care delivery. Which statements represent common perceptions about this system? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. “My job is so boring.” 2. “My job is very satisfying.” 3. “Knowing that I am instrumental in my patient’s return to health is very joyful.” 4. “It is hard for me to see the impact of my work in helping patients get better.”