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Exam (elaborations)

Ch. 21 Managing Patient Care

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Ch. 21 Managing Patient Care

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Ch. 21 Managing Patient Care
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Ch. 21 Managing Patient Care










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Ch. 21 Managing Patient Care
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Ch. 21 Managing Patient Care

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Uploaded on
July 31, 2025
Number of pages
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Written in
2024/2025
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Ch. 21 Managing Patient Care
Study online at https://quizlet.com/_cdjqrh

1. The nurse manager organizes D.
a committee that includes RNs,
LPNs, health care providers, rationale: interprofessionnel collaboration among nurses and
social workers, and volunteers. health care providers involves bridging representatives of var-
Which staff involvement ap- ious disciplines together to work with patients and families
proach is the nurse manager to deliver quality care. Establishing nursing practice through
exemplifying? shared governance involves senior clinical staff nurses, who
A. shared governance establish and maintain care standards for nursing practice on
B. staff communication their work unit. Staff communication is an approach of staff
C. interprofessional rounding involvement that ensures all staff members receive the same
D. interprofessional collabora- message. Interprofessional rounding involves the patient and
tion family in planning care and improving patient care coordina-
tion and communication among the health care team.

2. A nurse is promoting change D.
and innovation on the unit by
spending time with the staff, rationale: the nurse is using the transformational leadership
sharing ideas, and showing ap- model to promote change and innovation by spending time
preciation by recognizing team non the unit with staff, sharing ideas, empowering the staff,
members for a job well done. supporting opportunities to enhance the team, showing ap-
Which model is the nurse us- preciation, recognizing team members for a job well done, and
ing? holding team members accountable. Team nursing and pri-
A. team nursing mary nursing are traditional models of nursing care delivery. In
B. primary nursing team nursing, the RN assumes the responsibility for providing
C. magnet recognition complete patient care in collaboration with the other nurses
D. transformational leadership and AP. Primary nursing refers to a nurse being account-
able for a patient's outcomes. Magnet recognition encourages
nurses to make changes and take innovative steps to improve
the quality of patient care.

3. Which responsibility is that of a D.
nurse executive?



, Ch. 21 Managing Patient Care
Study online at https://quizlet.com/_cdjqrh

A. conducts regular patient rationale: a nurse executive has a critical role inn maintaining
rounds healthy communication and professional satisfaction among
B. uses transformational lead- staff members. The nursing manager has the responsibility
ership of conducting regular patient rounds, using transformational
C. establishes a unit perfor- leadership to empower the staff, and establishing the unit
mance plan performance plan.
D. maintains a professionnel
satisfaction of the staff

4. Steps involves in the nursing ADPIE
process 1. assess patient problems
2. identify patient diagnosis
3. develop a plan of care
4. implement nursing intervention
5. evaluate patient outcomes

5. The 5 rights of delegation Right Task
Right circumstances
Right Person
Right Direction and Communication
Right Supervision and Evaluation

6. Right Task refers to delegating care for a specific patient and ensuring
that the task is within the health care professionals scope
of practice. If a task is delegated to unlicensed AP, the task
should be a skill that is repetitive, requires little supervision,
is relatively noninvasive, has predictable results, and poses
minimal risk to the patient

7. Right circumstances Consider the appropriate patient setting, available resources,
and other relevant factors, In an acute care settings patients'
conditions often change quickly. Good clinical decision making
is necessary to determine what to delegate.


, Ch. 21 Managing Patient Care
Study online at https://quizlet.com/_cdjqrh


8. Right Person The right person is delegating the right task to the right em-
ployee for performance on the right patient

9. Right Direction and Communi- Give a clear, concise description of the task, including its objec-
cation tive, limits, and expectation. It is essential for communication
to be ongoing between the RN and AP during a shift of care.

10. Right Supervision and Evalua- Provide appropriate monitoring, evaluation, intervention as
tion needed, and feedback. AP must feel comfortable asking ques-
tions and seeking assistance.
Be aware that accountability remains with the delegating nurse
in many situations. A major advantage of delegation is that
tasks are completed in a more timely manner when all staff are
working together to reach the common goal for the patient.

11. Which statement is true re- B.
garding responsibility?
A. it is the freedom of choice rationale: responsibility reflects ownership
B. it reflect a person's owner- Freedom to choose aspects of care is referred to as autonomy.
ship A legitimate power to give a command or other is referred to
C. It is a legitimate power to as authority. Accountability is being answerable to the given
give a command task or role.
D. it refers to an individual be-
ing answerable for his or her
actions

12. Which responsibility does a B.
nurse manager have?
A. recruiting new health care rationale: the manager should make rounds with the health
providers care provider to check the health of the patients and quality
B. making rounds with the of care provided. The nurse manager is responsible for re-
health care provider cruiting new nursing staff, not health care providers, The nurse

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