NSG 444 EXAM 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
Nursing Delivery Systems (4) - Answers 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - Answers RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - Answers RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - Answers RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates patient's
care in hospital and patient's discharge plan
Client-Focused Care - Answers RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
State Boards of Nursing (SBN) 3 functions - Answers 1. executive authority- to administer the nursing
practice act
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - Answers -critical abnormal lab values
-significant change in status
Prioritization-non-emergent - Answers -routine labs
-VS
-Dressing change
-bathing
5 rights of delegation - Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth - Answers -typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by: - Answers -aging of the population (including currently practicing
nurses)
-work conditions in health care
Bureaus of Labor Statistics (2021) projection of nurse employment from 2019-2029 - Answers 7%
Solutions to solving nursing shortages - Answers -inc pay & add bonuses
-use foreign nurses more effectively
-change work environment (client-pt ratios)
-offer flexible shift options
-inc ancillary personnel (CNA, unit clerks, transportation aides)
Evidence based practice - Answers -strategy to reduce amount of time required to integrate new
healthcare findings
, -use of current best evidence in making decision about pt care
Steps involved in applying EBP - Answers 1. define the problem
2. identify, review, & evaluate the data application to the problem (quantitative method, qualitative
method, mixed)
3. design a practice change based on data
4. implement change in nurse practice
Employment opportunities for nurses - Answers -entry-level/staff nurse in a hospital/acute-care
setting
-charge nurse positions (involves more responsibility)
-community health
-home health care
-nursing agencies
NCLEX-RN examination - Answers -computerized adaptive testing
-min ?s: 85
-max ?s: 150
-duration: 5 hrs
Nursing in the US-younger than 50 years old - Answers 90%
Nursing in the US-men - Answers 8%/9.4%
Nursing in the US-ethnic minorities - Answers 19%
Practice settings - Answers -Hospitals 63.2%
-Ambulatory care 10.5%
-Public and community health 7.8%
-Home health 6.4%
-Extended care facilities 5.3%
-Others ~6.8%
Advantages of bachelor degrees in the hospital settings - Answers reduction in mortality
Risk for increase of a nurse's pt load by one pt - Answers inc the likelihood of an inpatient dying within
30 days of admission
3 mechanisms of basic nursing education to qualify to take the NCLEX - Answers -4 yr @
college/university (BSN)
-2 yr at CC or technical school (ADN)
-completion of 3 yr hospital based program (diploma in nursing)
practice settings of professional nurses - Answers -direct pt care
-research
-teaching undergrads & graduates
-managing companies
-researchers, educators, administrators (masters/doctoral degrees)
- Advanced practice nurses (APNs) includes nurse practitioners (NPs), clinical nurse specialists (CNSs),
certified nurse-midwives (CNMs), and certified registered nurse anesthetists (CRNAs)
Telehealth technology - Answers -bedside computers
-interactive audio
-video linages
-teleconferencing
-real-time transmission of pt diagnostic & clinical data
fastest growing applications in telehealth - Answers -telephone triage
-remote monitoring
-home care
Flexner
*Characteristics of a Profession* - Answers A profession:
-intellectual and accompanied by a high degree of individual responsibility
-based on a body of knowledge that can be learned; it is developed and refined through research
-Can be taught through a process of highly specialized professional education
-Has a strong internal organization of members and a well-developed group consciousness
-Has practitioners who are motivated by altruism and who are responsive to public interests
Hall
*Characteristics of a Profession*
Nursing Delivery Systems (4) - Answers 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - Answers RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - Answers RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - Answers RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates patient's
care in hospital and patient's discharge plan
Client-Focused Care - Answers RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
State Boards of Nursing (SBN) 3 functions - Answers 1. executive authority- to administer the nursing
practice act
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - Answers -critical abnormal lab values
-significant change in status
Prioritization-non-emergent - Answers -routine labs
-VS
-Dressing change
-bathing
5 rights of delegation - Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth - Answers -typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by: - Answers -aging of the population (including currently practicing
nurses)
-work conditions in health care
Bureaus of Labor Statistics (2021) projection of nurse employment from 2019-2029 - Answers 7%
Solutions to solving nursing shortages - Answers -inc pay & add bonuses
-use foreign nurses more effectively
-change work environment (client-pt ratios)
-offer flexible shift options
-inc ancillary personnel (CNA, unit clerks, transportation aides)
Evidence based practice - Answers -strategy to reduce amount of time required to integrate new
healthcare findings
, -use of current best evidence in making decision about pt care
Steps involved in applying EBP - Answers 1. define the problem
2. identify, review, & evaluate the data application to the problem (quantitative method, qualitative
method, mixed)
3. design a practice change based on data
4. implement change in nurse practice
Employment opportunities for nurses - Answers -entry-level/staff nurse in a hospital/acute-care
setting
-charge nurse positions (involves more responsibility)
-community health
-home health care
-nursing agencies
NCLEX-RN examination - Answers -computerized adaptive testing
-min ?s: 85
-max ?s: 150
-duration: 5 hrs
Nursing in the US-younger than 50 years old - Answers 90%
Nursing in the US-men - Answers 8%/9.4%
Nursing in the US-ethnic minorities - Answers 19%
Practice settings - Answers -Hospitals 63.2%
-Ambulatory care 10.5%
-Public and community health 7.8%
-Home health 6.4%
-Extended care facilities 5.3%
-Others ~6.8%
Advantages of bachelor degrees in the hospital settings - Answers reduction in mortality
Risk for increase of a nurse's pt load by one pt - Answers inc the likelihood of an inpatient dying within
30 days of admission
3 mechanisms of basic nursing education to qualify to take the NCLEX - Answers -4 yr @
college/university (BSN)
-2 yr at CC or technical school (ADN)
-completion of 3 yr hospital based program (diploma in nursing)
practice settings of professional nurses - Answers -direct pt care
-research
-teaching undergrads & graduates
-managing companies
-researchers, educators, administrators (masters/doctoral degrees)
- Advanced practice nurses (APNs) includes nurse practitioners (NPs), clinical nurse specialists (CNSs),
certified nurse-midwives (CNMs), and certified registered nurse anesthetists (CRNAs)
Telehealth technology - Answers -bedside computers
-interactive audio
-video linages
-teleconferencing
-real-time transmission of pt diagnostic & clinical data
fastest growing applications in telehealth - Answers -telephone triage
-remote monitoring
-home care
Flexner
*Characteristics of a Profession* - Answers A profession:
-intellectual and accompanied by a high degree of individual responsibility
-based on a body of knowledge that can be learned; it is developed and refined through research
-Can be taught through a process of highly specialized professional education
-Has a strong internal organization of members and a well-developed group consciousness
-Has practitioners who are motivated by altruism and who are responsive to public interests
Hall
*Characteristics of a Profession*
