NURS 3290: Managed Care, Healthcare delivery,
Quality & Safety Study Guide
1. Managing Patient Care
✅ Key Concepts:
● Nurses use critical thinking to implement standards of care and prioritize tasks.
● Effective time management and collaboration with the health care team are
essential.
● Transformational leadership (TEEAMS: Time, Empowerment, Enthusiasm,
Appreciation, Management, Support) promotes strong teams.
● Magnet Recognition Program®: Promotes shared decision-making, safety, quality,
and professional development.
✅ Care Delivery Models:
● Team Nursing
● Primary Nursing
● Total Patient Care
● Patient- & Family-Centered Care
● Case Management
🔍 NCLEX-Style Question:
A nurse is assigned to a caseload of patients over a period of time. Which model
of care does this describe?
A. Team nursing
B. Primary nursing ✔️
C. Functional nursing
D. Decentralized management
2. Building a Nursing Team
✅ Leadership & Delegation:
● Shared Governance: Staff involvement in decisions.
, ● Effective Delegation:
○ Do not delegate nursing judgment or critical decision-making.
○ Five Rights of Delegation: Right task, circumstance, person,
direction/communication, supervision/evaluation.
🔍 NCLEX-Style Question:
A newly licensed nurse is working with a CNA. What should the
nurse do before delegating care?
A. Assign basic skills only
B. Assess the CNA’s competency ✔️
C. Let the CNA decide what to do
D. Teach CNA all skills first
3. The Health Care Delivery System
✅ Levels of Health Care:
● Preventive/Primary – Health promotion, risk reduction
● Secondary/Tertiary – Hospitals, acute care, ICU
● Restorative – Rehab, home care
● Continuing – Long-term care, palliative, hospice
🔍 NCLEX-Style Question:
A patient recovering from a stroke needs rehab. Which level of care is
appropriate?
A. Primary
B. Restorative✔️
C. Assisted living
D. Respite care
4. Health Care Quality and Safety
✅ Core Definitions:
● Quality Care: Safe, effective, patient-centered, timely, efficient, equitable.
● Patient Safety: Prevention of harm; rooted in systems-based practices.
Quality & Safety Study Guide
1. Managing Patient Care
✅ Key Concepts:
● Nurses use critical thinking to implement standards of care and prioritize tasks.
● Effective time management and collaboration with the health care team are
essential.
● Transformational leadership (TEEAMS: Time, Empowerment, Enthusiasm,
Appreciation, Management, Support) promotes strong teams.
● Magnet Recognition Program®: Promotes shared decision-making, safety, quality,
and professional development.
✅ Care Delivery Models:
● Team Nursing
● Primary Nursing
● Total Patient Care
● Patient- & Family-Centered Care
● Case Management
🔍 NCLEX-Style Question:
A nurse is assigned to a caseload of patients over a period of time. Which model
of care does this describe?
A. Team nursing
B. Primary nursing ✔️
C. Functional nursing
D. Decentralized management
2. Building a Nursing Team
✅ Leadership & Delegation:
● Shared Governance: Staff involvement in decisions.
, ● Effective Delegation:
○ Do not delegate nursing judgment or critical decision-making.
○ Five Rights of Delegation: Right task, circumstance, person,
direction/communication, supervision/evaluation.
🔍 NCLEX-Style Question:
A newly licensed nurse is working with a CNA. What should the
nurse do before delegating care?
A. Assign basic skills only
B. Assess the CNA’s competency ✔️
C. Let the CNA decide what to do
D. Teach CNA all skills first
3. The Health Care Delivery System
✅ Levels of Health Care:
● Preventive/Primary – Health promotion, risk reduction
● Secondary/Tertiary – Hospitals, acute care, ICU
● Restorative – Rehab, home care
● Continuing – Long-term care, palliative, hospice
🔍 NCLEX-Style Question:
A patient recovering from a stroke needs rehab. Which level of care is
appropriate?
A. Primary
B. Restorative✔️
C. Assisted living
D. Respite care
4. Health Care Quality and Safety
✅ Core Definitions:
● Quality Care: Safe, effective, patient-centered, timely, efficient, equitable.
● Patient Safety: Prevention of harm; rooted in systems-based practices.
