C HAPTER 14: O RGANIZING P ATIENT C ARE
1. Primary care nursing is organized so that the patient is at the center of the
structure. How many nurses have 24 -hour responsibilit y for care planning
and coordination for the patient?
a. One
b. Two
c. Three
d. Four
ANS: A
Feedback:
Primary care nursing is org anized so that the patient is at the center of
the structure. One nurse has 24 -hour responsibilit y for care planning
and coordination.
PTS: 1 DIF: Easy REF: Page: 361 OBJ: 3 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 14: Title: Figure 14.4
Primary Nursing Structure KEY: Integrated Process: Nursing
Process BLM: Cognitive Level: Remember NOT: Multiple
Choice
2. A nurse can directl y address one of the Institute of Medicine’s
recommendations to improve pra ctice environment by:
a. facilitating open communication and shared decision making.
, b. advocating for caps on the maximum allowable nurse –patient ratio.
c. adopting a functional nursing model whenever the setting allows.
d. becoming a nurse navigator who is centered on patients’ needs.
ANS: A
Feedback:
Interdisciplinary teamwork is accomplished through interdependent
collaboration, open communication, and shared decision making. The
Institutes of Medicine future of nursing has expand opportunities for
nurses to l ead and diffuse collaborative improvement efforts with
physicians and other members of the health -care team to improve
practice environments.
PTS: 1 DIF: Easy REF: Page: 361 OBJ: 5 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 14: Title:
Interprofessional/Multidisciplinary Health -Care Teams KEY:
Integrated Process: Nursing Process BLM: Cognitive Level:
Appl y NOT: Multiple Choice
3. A nurse is following a multidisciplinary action plan (MAP) when caring
for a new patient. The nurse should identify what components within the
MAP? Select all that apply .
a. Cost anal ysis of major interventions
b. Identit y of the nurse navigator
c. Critical path
d. Nursing care plan
e. Indication of times when nursing interventions occur
, ANS: C, D, E
Feedback:
The care MAP is a combination of a critical path and a nursing care
plan that shows times when nursing interventions should occur as well
as variances. All health -care providers follow the care MAP to
facilitate expected outcomes. It d oes not include cost anal ysis and does
not necessaril y involve a role for a nurse navigator.
PTS: 1 DIF: Difficult REF: Page: 364 OBJ: 8
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 14: Title: Case
Management KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Anal yze NOT: Multiple
Selection
4. A patient who has just been diagnosed with lung cancer has been assigned
a nurse navigator. What task should the nurse prioritize in this role?
a. Providing evidence-based guidance on treatment options and
treatment decisions
b. Providing clinical leadership and ensuring qualit y for the patient’s
care
c. Guiding the patient in an effort to provide high -qualit y managed
care
d. Guiding the patient and famil y through t heir various interactions
with the health -care system
ANS: D
1. Primary care nursing is organized so that the patient is at the center of the
structure. How many nurses have 24 -hour responsibilit y for care planning
and coordination for the patient?
a. One
b. Two
c. Three
d. Four
ANS: A
Feedback:
Primary care nursing is org anized so that the patient is at the center of
the structure. One nurse has 24 -hour responsibilit y for care planning
and coordination.
PTS: 1 DIF: Easy REF: Page: 361 OBJ: 3 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 14: Title: Figure 14.4
Primary Nursing Structure KEY: Integrated Process: Nursing
Process BLM: Cognitive Level: Remember NOT: Multiple
Choice
2. A nurse can directl y address one of the Institute of Medicine’s
recommendations to improve pra ctice environment by:
a. facilitating open communication and shared decision making.
, b. advocating for caps on the maximum allowable nurse –patient ratio.
c. adopting a functional nursing model whenever the setting allows.
d. becoming a nurse navigator who is centered on patients’ needs.
ANS: A
Feedback:
Interdisciplinary teamwork is accomplished through interdependent
collaboration, open communication, and shared decision making. The
Institutes of Medicine future of nursing has expand opportunities for
nurses to l ead and diffuse collaborative improvement efforts with
physicians and other members of the health -care team to improve
practice environments.
PTS: 1 DIF: Easy REF: Page: 361 OBJ: 5 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 14: Title:
Interprofessional/Multidisciplinary Health -Care Teams KEY:
Integrated Process: Nursing Process BLM: Cognitive Level:
Appl y NOT: Multiple Choice
3. A nurse is following a multidisciplinary action plan (MAP) when caring
for a new patient. The nurse should identify what components within the
MAP? Select all that apply .
a. Cost anal ysis of major interventions
b. Identit y of the nurse navigator
c. Critical path
d. Nursing care plan
e. Indication of times when nursing interventions occur
, ANS: C, D, E
Feedback:
The care MAP is a combination of a critical path and a nursing care
plan that shows times when nursing interventions should occur as well
as variances. All health -care providers follow the care MAP to
facilitate expected outcomes. It d oes not include cost anal ysis and does
not necessaril y involve a role for a nurse navigator.
PTS: 1 DIF: Difficult REF: Page: 364 OBJ: 8
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 14: Title: Case
Management KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Anal yze NOT: Multiple
Selection
4. A patient who has just been diagnosed with lung cancer has been assigned
a nurse navigator. What task should the nurse prioritize in this role?
a. Providing evidence-based guidance on treatment options and
treatment decisions
b. Providing clinical leadership and ensuring qualit y for the patient’s
care
c. Guiding the patient in an effort to provide high -qualit y managed
care
d. Guiding the patient and famil y through t heir various interactions
with the health -care system
ANS: D
