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a,b,d,e
(Rationale
When nurses embrace the expectations of care coordination, care will be
provided that is reliable, accessible, of the highest quality, and at the lowest
cost. Rationing of care is not an expectation of care coordination.) ANSW ✔✔
The nurse manager is evaluating care coordination actions performed by the
nursing staff. Which outcomes indicate that the nursing staff's actions have
been effective?
(Select all that apply.)
a Care is reliable.
b Care is of the highest quality.
c Care is being rationed.
d Care is being provided at the lowest cost.
e Care is readily accessible.
a,b,c,d
(Rationale
Care that is not coordinated can lead to fragmented services, medical errors,
and unnecessary duplication of tests, services, and treatments, as well as to
omission of necessary services. Collaboration can be initiated by the client,
,family member, or a member of the health care team.) ANSW ✔✔ The nurse
manager is concerned that client care coordination was not successful. On
which observations did the nurse manager base this concern?
(Select all that apply.)
a The client's abdominal wound dressing was changed twice in one shift.
b The client's fasting blood glucose level was drawn twice in one day.
c The client received two doses of a prescribed pain medication.
d Referral for home care has been delayed by two days.
e The family is requesting to discuss home care needs.
d,e
(Rationale
When functioning in the role of coordinator, the nurse will facilitate team and
group activities and use verbal communication skills with other disciplines to
ensure completion of the client's care. Delegation is a skill used in team
nursing. Documentation is a basic nursing skill performed by all nurses
regardless of the care delivery method used. Discussing the client's need for a
medication with the insurance provider is a skill within the role of advocacy.)
ANSW ✔✔ The nurse is coordinating the care for a client recovering from a
stroke. Which skills are appropriate for the nurse to use when coordinating
care for this client?
(Select all that apply.)
,a Discuss the client's need for a prescribed medication with the insurance
company
b Document the client's responses to care
c Delegate morning care to unlicensed assistive personnel
d Communicate with other disciplines regarding the provision of care
e Facilitate team and group activities to avoid scheduling conflicts
a,c,d,e
(Rationale
Learning to manage care takes time because it requires strong communication,
assessment, and time management skills. Managing care also requires the
ability to appropriately delegate to unlicensed staff. The skill of medication
administration is necessary for direct client care, not managed care.) ANSW
✔✔ The staff development educator is preparing a seminar for staff nurses
prior to implementing managed care. Which skills should the educator include
as necessary when implementing this care delivery system?
(Select all that apply.)
a Assessment
b Medication administration
c Communication
, d Time management
e Delegation
4 As charge nurse, you must assess the performance and attitude of the staff in
relation to this client. After data are gathered from the nurses, additional
information can be obtained from the records and the client as necessary. The
educator may be of assistance if a knowledge deficit or need for performance
improvement is the problem. Focus: Supervision, prioritization; QSEN: PCC, TC,
QI; Concept: Pain ANSW ✔✔ You are the charge nurse. A client with chronic
pain reports to you that the nurses have not been responding to requests for
pain medication. What is your initial action?
1. Check the medication administration records (MARs) for the past several
days.
2. Ask the nurse educator to provide in-service training about pain
management.
3. Perform a complete pain assessment on the client and take a pain history.
4. Have a conference with the nurses responsible for the care of this client.
b,d
(Shared governance is an organizational model that encourages nurse
participation in decision-making at all levels within an organization. It can be
used with other care delivery models. Client and family participation in care
delivery is a characteristic of client-focused care. Differentiated practice is
based upon competencies needed to provide client care. The case method of
care delivery is believed to be a precursor to primary nursing.) ANSW ✔✔
What are characteristics of shared governance?
(Select all that apply.)
a Based upon competencies needed to provide client care