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1. 1. Which statement best describes function- Ans: C
al nursing care delivery? Feedback:
A) Nursing care is holistic and patient cen- Functional nursing is task focused. None
tered of the other options identify that connec-
B) The nurse must be a licensed person tion.
C) Emphasis is on getting work done
through tasks
D) It is also known as total patient care
2. 2. The nurse is assigned to administer med- Ans: D
ications to all patients throughout the shift. Feedback:
What is this an example of? Being assigned a specific task to do is part
A) Team nursing of functional nursing. None of the other
B) Case method nursing options identify that connection.
C) Primary care delivery
D) Functional nursing care
3. 3. A nurse has accepted a position as a staff Ans: B
nurse and will practice primary care nurs- Feedback:
ing. The nurse will be the only RN on the In primary nursing, the sole RN would
team. What is an appropriate role expecta- not plan the care without others' input or
tion for role fulfillment? be responsible for care planning for 24
A) Planning nursing care independently of hours. Neither would the RN carry out the
others majority of personal care.
B) Assigning work according to the exper-
tise of group members
C) Being responsible for care planning 24
hours a day
D) Carrying out the majority of personal
care for your patients
4.
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4. With modular nursing, who checks the Ans: C
completion of tasks assigned to a team Feedback:
member? The team leader should check the work of
A) The charge nurse team members. None of the other options
B) The area manager identify the role correctly.
C) The team leader
D) Another team member
5. 5. Which statement is correct concerning Ans: C
primary nursing care? Feedback:
A) Requires minimal RN staffing Primary care provides challenging work
B) Is easy to implement for nurses; however, it is not easy to imple-
C) Provides challenging work ment and requires an all-RN staff. None of
D) Has proved to be a failure the other options accurately describes the
concept of primary nursing care.
6. 6. What is the goal of case management? Ans: A
A) Containing health-care costs Feedback:
B) Providing challenging work The ANA maintains that case management
C) Enhancing professionalism is designed to contain health-care costs.
D) Decreasing length of hospital stays None of the other options identify a goal
of casement.
7. 7. What is the most important component Ans: C
in being well organized and increasing pro- Feedback:
ductivity on the unit? Unless the plan is well thought out, pa-
A) Adequate resources tient care has the potential to be disorga-
B) A well-trained staff nized. None of the other options identify
C) A well-thought-out plan that connection.
D) Time to carry out your duties
8. 8. Which statement best describes case Ans: A
management? Feedback:
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A) Clinical outcomes should occur within a In case management, clinical outcomes
prescribed time frame need to occur within prescribed time
B) Case managers do not provide direct pa- frames. Case managers do not provide
tient care care; neither is managed care unit based.
C) Managed care practice is a unit-based The goal is outcome management for
model of care specific patients, but not every patient
D) The goal is outcome management for needs case management.
every patient
9. 9. What is necessary when implementing Ans: B
care multidisciplinary action plans (MAPs)? Feedback:
A) Caregivers alter the plan as they deem In care MAPs, it is necessary to provide
necessary variances when there are patient devia-
B) Variances be indicated for patient devia- tions, because this is a major component
tions to case management. None of the other
C) Time frames for implementation be left options identify that connection.
open
D) Critical paths not be considered in care
planning
10. 10. Which is a true statement about the pat- Ans: C
terns of patient care management? Feedback:
A) Functional nursing is organized accord- Team leading includes the need for pa-
ing to the desires of the worker tient care conferences. None of the other
B) Primary nursing and total patient care options identify that need.
are synonymous
C) Team leading includes the concept of pa-
tient care conferences
D) Case load nursing provides little autono-
my for nurses
11.
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11. Where did critical pathways originate Ans: A
from? Feedback:
A) Case management Critical pathways were developed as a
B) Functional nursing result of the case management system.
C) Team nursing None of the other options identify that
D) Primary care nursing original connection.
12. 12. What nursing model provides the foun- Ans: B
dation for matching patient needs with Feedback:
nursing competencies? To facilitate the effective use of nursing re-
A) Primary nursing practice sources, patient needs and nursing com-
B) Differentiated nursing practice petencies should be matched. None of
C) Modular nursing the other options identify that connection.
D) Case management
13. 13. What is one of the most important dif- Ans: C
ferences between case management and Feedback:
disease management? Although there are many similarities be-
A) Disease management referrals begin in tween disease management and case
the hospital inpatient setting management, the primary goal of disease
B) Disease management is a collaborative management is to target high-cost dis-
process to meet patient needs ease populations.
C) High-cost population groups are target-
ed in disease management
D) Disease management treatment is
episodic
14. 14. What is the oldest form of organizing Ans: A
patient care that is still widely used today? Feedback:
A) Total patient care Total patient care, utilizing the case
B) Functional nursing method of assignment, is the oldest form