GNUR 383 Exam II Questions with Correct Answers Latest Update 2025 Graded A+
Considerations to be addressed when selecting a care delivery model - Answers Organizational mission
and purpose
Unit objective
Patient population
Staff availability
Economic feasibility
Care Models: Case Method - Answers Aka total patient care
A nurse working an 8hr shift is responsible for doing everything for the patient (vitals, ADLs,
medications, etc.)
Care Models: Functional - Answers Aka task delivery
Each nurse is assigned one particular function for the day (e.g. admissions, discharges, ADLs,
medications)
Mostly used in clinics, outpatient settings, smaller emergency departments
Rarely seen in acute care hospitals today
Care Models: Functional: Advantages - Answers Efficient
Assistive personnel can be trained to perform specific tasks
Cost-effective
Care Models: Functional: Disadvantages - Answers Fragmented care; task oriented
Patient and family needs may be overlooked
Lapses in communication
Quality of care may be compromised
,Holistic view of patient and family may be lacking (don't know who is the nurse because so many people
are in and out of room)
Frustrating to professional nurse
Care Models: Team Nursing - Answers Team includes RN, care techs, charge nurse, unit secretary, CNA,
team leaders, etc.
Care Models: Team Nursing: Advantages - Answers Cost effective
Decisions made at the "grass roots" level, often by staff caring for the patient
Improved patient satisfaction if they know who is taking care of them
Care Models: Team Nursing: Disadvantages - Answers Need a skilled, knowledgable team leader
Need adequate staff with the right skill mix
Potential for fragmentation of care
Few work settings implement team nursing as originally designed
Care Models: Primary Nursing - Answers The nurse that is signed up to care for the patient is the primary
nurse even while they are not on shift - the other nurses that care fo 4th patient need to follow the care
plan set out by the first nurse
Primary nurse is responsible for whatever the other nurses do
Primary nurse decides who is caring for the patient while the primary nurse is not on shift
Care Models: Primary Nursing: Partnership Model - Answers Aka co-primary nursing model
Two nurses take care fo the same patient
Two primary nurses
Care Models: Primary Nursing: Patient-focused care - Answers Individual patient has a disease problem
Inpatient case management
, Narrowly focuses on that disease problem and let everyone else handle everything else
Not normally used on its own
Care Models: Nursing Case Management - Answers Functions in a service line matrix but provides a
continuum of care (e.g. a diabetic case manager who patients are spread out over the healthcare
system)
The process of providing comprehensive care for those with complex healthcare problems
Offers improved patient outcomes, decreased length of stay, interfaces with multiple disciplines, care
provided across the continuum of illness is often in different institutions
Includes Nursing Case Managers and Nurse Navigators
Nurse Case Managers - Answers Coordinate patient care throughout the admission process
Facilitates access to needed health resources
Monitors utilization of resources
Measures outcomes and quality
Uses critical pathways of care (MAPs)
Nurse Navigators - Answers Provide specific services designed to improve care
Removes barriers to care
Considerations to be addressed when selecting a care delivery model - Answers Organizational mission
and purpose
Unit objective
Patient population
Staff availability
Economic feasibility
Care Models: Case Method - Answers Aka total patient care
A nurse working an 8hr shift is responsible for doing everything for the patient (vitals, ADLs,
medications, etc.)
Care Models: Functional - Answers Aka task delivery
Each nurse is assigned one particular function for the day (e.g. admissions, discharges, ADLs,
medications)
Mostly used in clinics, outpatient settings, smaller emergency departments
Rarely seen in acute care hospitals today
Care Models: Functional: Advantages - Answers Efficient
Assistive personnel can be trained to perform specific tasks
Cost-effective
Care Models: Functional: Disadvantages - Answers Fragmented care; task oriented
Patient and family needs may be overlooked
Lapses in communication
Quality of care may be compromised
,Holistic view of patient and family may be lacking (don't know who is the nurse because so many people
are in and out of room)
Frustrating to professional nurse
Care Models: Team Nursing - Answers Team includes RN, care techs, charge nurse, unit secretary, CNA,
team leaders, etc.
Care Models: Team Nursing: Advantages - Answers Cost effective
Decisions made at the "grass roots" level, often by staff caring for the patient
Improved patient satisfaction if they know who is taking care of them
Care Models: Team Nursing: Disadvantages - Answers Need a skilled, knowledgable team leader
Need adequate staff with the right skill mix
Potential for fragmentation of care
Few work settings implement team nursing as originally designed
Care Models: Primary Nursing - Answers The nurse that is signed up to care for the patient is the primary
nurse even while they are not on shift - the other nurses that care fo 4th patient need to follow the care
plan set out by the first nurse
Primary nurse is responsible for whatever the other nurses do
Primary nurse decides who is caring for the patient while the primary nurse is not on shift
Care Models: Primary Nursing: Partnership Model - Answers Aka co-primary nursing model
Two nurses take care fo the same patient
Two primary nurses
Care Models: Primary Nursing: Patient-focused care - Answers Individual patient has a disease problem
Inpatient case management
, Narrowly focuses on that disease problem and let everyone else handle everything else
Not normally used on its own
Care Models: Nursing Case Management - Answers Functions in a service line matrix but provides a
continuum of care (e.g. a diabetic case manager who patients are spread out over the healthcare
system)
The process of providing comprehensive care for those with complex healthcare problems
Offers improved patient outcomes, decreased length of stay, interfaces with multiple disciplines, care
provided across the continuum of illness is often in different institutions
Includes Nursing Case Managers and Nurse Navigators
Nurse Case Managers - Answers Coordinate patient care throughout the admission process
Facilitates access to needed health resources
Monitors utilization of resources
Measures outcomes and quality
Uses critical pathways of care (MAPs)
Nurse Navigators - Answers Provide specific services designed to improve care
Removes barriers to care
