C HAPTER 21: M ANAGING P ATIENT C ARE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The primary benefit of achieving Magnet status is the nursin g staff is
empowered to make innovative changes that:
A. Promote nursing autonom y
B. Positivel y affect client care outcomes
C. Enhance the perception of the nursing profession
D. Strengthen the collaborative RN/MD relationship
ANS: B
A Magnet hospital empowers the n ursing team to make changes and be
innovative. This culture and empowerment combine to produce a strong
collaborative relationship among team members and so ultimatel y
improves client quality outcomes. The remaining options are outcomes
of the Magnet statu s but not the primary benefit.
DIF: C dm 302 OBJ: Anal ysis TOP: Nursing Process: Evaluation
MSC: NC LEX test plan designation: Safe, Effective Care
Environment
2. Which of the following statements best reflects the nurses understanding
of team nursing?
, A. The team provides the client care and I provide the leadership and
decision making.
B. I will manage the complex care and delegate the remaining care to
my LPN and ancillary assistants.
C. Everyone on the team has responsibilities and is accountable to me
regarding the effective execution of that care.
D. I delegate the care of the clients to the appropriate team members
and I am responsible for coordinating and directing that care.
ANS: D
In team nursing a registered nurse (RN) leads a team that is made up of
other RNs, licensed practical nurses (LPNs) or licensed vocational
nurses (LVNs), and nurse assistants or technicians. The team members
provide direct client care to groups of clients under the direction of the
RN team leader. In this model, nurse assistants hav e client assignments
rather than being assigned particular nursing tasks. The remaining
options fail to provide an inclusive definition of team nursing.
DIF: C dm 303 OBJ: Anal ysis TOP: Nursing Process: Evaluation
MSC: NC LEX test plan designation: Safe, Effective Care
Environment
3. Which statement best reflects the major limitation of the team nursing
model?
A. The team reall y needed an extra pair of hands today.
B. It complicates things when you have a different team each day.
C. Getting our two new admissions st abilized took up all of m y time
today.
D. My nursing assistants need to be in -serviced on how to do a bladder
scan.
, ANS: C
One of the limitations to the model is that the team leader does not
spend a large amount of time with clients. Depending on the mix o f
staff members, this sometimes means that clients see an RN
infrequentl y. Risks exist if an RN is unable to make necessary client
assessments and be involved in important clinical decision making. The
remaining options refer to less frequent problems inhe rent to the team
nursing model.
DIF: C dm 303 OBJ: Anal ysis TOP: Nursing Process: Evaluation
MSC: NC LEX test plan designation: Safe, Effective Care
Environment
4. Which of the following clients would most benefit from the case manager
model of nursing car e?
A. A client diagnosed with end -stage renal failure
B. A client who has a chronic wound on the left foot
C. A client newl y diagnosed with t ype 2 diabetes mellitus
D. A postoperative client who had a cholecystectom y (gallbladder
removal)
ANS: A
A case manager follo ws up with the client after discharge home. Case
managers do not always provide direct care, but instead they work with
and supervise the care delivered by other staff members. Case
managers activel y coordinate client discharge planning by identifying
health care needs, determining the availabilit y of services and
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The primary benefit of achieving Magnet status is the nursin g staff is
empowered to make innovative changes that:
A. Promote nursing autonom y
B. Positivel y affect client care outcomes
C. Enhance the perception of the nursing profession
D. Strengthen the collaborative RN/MD relationship
ANS: B
A Magnet hospital empowers the n ursing team to make changes and be
innovative. This culture and empowerment combine to produce a strong
collaborative relationship among team members and so ultimatel y
improves client quality outcomes. The remaining options are outcomes
of the Magnet statu s but not the primary benefit.
DIF: C dm 302 OBJ: Anal ysis TOP: Nursing Process: Evaluation
MSC: NC LEX test plan designation: Safe, Effective Care
Environment
2. Which of the following statements best reflects the nurses understanding
of team nursing?
, A. The team provides the client care and I provide the leadership and
decision making.
B. I will manage the complex care and delegate the remaining care to
my LPN and ancillary assistants.
C. Everyone on the team has responsibilities and is accountable to me
regarding the effective execution of that care.
D. I delegate the care of the clients to the appropriate team members
and I am responsible for coordinating and directing that care.
ANS: D
In team nursing a registered nurse (RN) leads a team that is made up of
other RNs, licensed practical nurses (LPNs) or licensed vocational
nurses (LVNs), and nurse assistants or technicians. The team members
provide direct client care to groups of clients under the direction of the
RN team leader. In this model, nurse assistants hav e client assignments
rather than being assigned particular nursing tasks. The remaining
options fail to provide an inclusive definition of team nursing.
DIF: C dm 303 OBJ: Anal ysis TOP: Nursing Process: Evaluation
MSC: NC LEX test plan designation: Safe, Effective Care
Environment
3. Which statement best reflects the major limitation of the team nursing
model?
A. The team reall y needed an extra pair of hands today.
B. It complicates things when you have a different team each day.
C. Getting our two new admissions st abilized took up all of m y time
today.
D. My nursing assistants need to be in -serviced on how to do a bladder
scan.
, ANS: C
One of the limitations to the model is that the team leader does not
spend a large amount of time with clients. Depending on the mix o f
staff members, this sometimes means that clients see an RN
infrequentl y. Risks exist if an RN is unable to make necessary client
assessments and be involved in important clinical decision making. The
remaining options refer to less frequent problems inhe rent to the team
nursing model.
DIF: C dm 303 OBJ: Anal ysis TOP: Nursing Process: Evaluation
MSC: NC LEX test plan designation: Safe, Effective Care
Environment
4. Which of the following clients would most benefit from the case manager
model of nursing car e?
A. A client diagnosed with end -stage renal failure
B. A client who has a chronic wound on the left foot
C. A client newl y diagnosed with t ype 2 diabetes mellitus
D. A postoperative client who had a cholecystectom y (gallbladder
removal)
ANS: A
A case manager follo ws up with the client after discharge home. Case
managers do not always provide direct care, but instead they work with
and supervise the care delivered by other staff members. Case
managers activel y coordinate client discharge planning by identifying
health care needs, determining the availabilit y of services and
