lOMoAR cPSD| 47061011
Chapter 15: Professional Practice Models
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. A professional practice model is a:
a. conceptual framework and philosophy of nursing within an organization.
b. staffing grid that outlines nursing unit work schedules.
c. mechanism by which care is actually provided to patients and families.
d. blueprint for developing specific measurable objectives and actions.
ANS: A
Professional practice models (PPMs) refer to the conceptual framework and philosophy of
nursing within an organization.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Which nursing care model was prominent before the Great Depression?
a. Functional nursing
b. Group nursing
c. Hospital staffing
d. Private duty nursing
ANS: D
Private duty nursing is the oldest care model in the United States. Between 1890 and 1929 in
the United States, graduate nurses acted as private duty nurses, caring for patients in their
homes (Shirey, 2008).
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. An example of a traditional nursing care delivery model is:
a. case management.
b. patient- and family-centered care.
c. transitional care.
d. patient-centered medical home.
.
, lOMoAR cPSD| 47061011
ANS: A
There are five traditional nursing models of care: (1) private duty, (2) functional, (3) team, (4)
primary, and (5) case management. Of these, functional, team, primary, and case management
were and are currently associated with hospital nursing practice. Private duty and case
management were associated with public health, home health care, and community health but
have been adapted to the inpatient setting.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Functional nursing:
a. divided and distributed nursing tasks.
b. enhanced client-oriented care.
c. provided a smooth care delivery system.
d. was expensive once implemented.
ANS: A
Functional nursing focused on task accomplishment rather than individualized and holistic
care. The division of labor was assigned according to specific tasks and technical aspects of
the job, such as medication administration and taking vital signs.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Primary nursing is a type of care delivery in which the nurse:
a. cares for a patient 24 hours a day.
b. is responsible for the client’s daily care.
c. monitors care from admission to discharge.
d. provides total care for the patient.
ANS: C
In the primary nursing model, the primary nurse has 24-hour-per-day accountability for the
patient’s plan of care from admission to discharge. Associate nurses oversee patient care
delivery when the primary nurse is not on shift, although associate nurses are expected to
follow the primary nurse’s plan of care.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Critical paths:
.
Chapter 15: Professional Practice Models
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. A professional practice model is a:
a. conceptual framework and philosophy of nursing within an organization.
b. staffing grid that outlines nursing unit work schedules.
c. mechanism by which care is actually provided to patients and families.
d. blueprint for developing specific measurable objectives and actions.
ANS: A
Professional practice models (PPMs) refer to the conceptual framework and philosophy of
nursing within an organization.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Which nursing care model was prominent before the Great Depression?
a. Functional nursing
b. Group nursing
c. Hospital staffing
d. Private duty nursing
ANS: D
Private duty nursing is the oldest care model in the United States. Between 1890 and 1929 in
the United States, graduate nurses acted as private duty nurses, caring for patients in their
homes (Shirey, 2008).
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. An example of a traditional nursing care delivery model is:
a. case management.
b. patient- and family-centered care.
c. transitional care.
d. patient-centered medical home.
.
, lOMoAR cPSD| 47061011
ANS: A
There are five traditional nursing models of care: (1) private duty, (2) functional, (3) team, (4)
primary, and (5) case management. Of these, functional, team, primary, and case management
were and are currently associated with hospital nursing practice. Private duty and case
management were associated with public health, home health care, and community health but
have been adapted to the inpatient setting.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Functional nursing:
a. divided and distributed nursing tasks.
b. enhanced client-oriented care.
c. provided a smooth care delivery system.
d. was expensive once implemented.
ANS: A
Functional nursing focused on task accomplishment rather than individualized and holistic
care. The division of labor was assigned according to specific tasks and technical aspects of
the job, such as medication administration and taking vital signs.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Primary nursing is a type of care delivery in which the nurse:
a. cares for a patient 24 hours a day.
b. is responsible for the client’s daily care.
c. monitors care from admission to discharge.
d. provides total care for the patient.
ANS: C
In the primary nursing model, the primary nurse has 24-hour-per-day accountability for the
patient’s plan of care from admission to discharge. Associate nurses oversee patient care
delivery when the primary nurse is not on shift, although associate nurses are expected to
follow the primary nurse’s plan of care.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. Critical paths:
.
