Chapter 13: Care Delivery Strategies

Chapter 13: Care Delivery Strategies

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Complex care of acutely ill patients is required on a surgical unit, which utilizes differentiated nursing practice as its model of care delivery. The concept of differentiated nursing practice is based on:

a.	Licensure status.
b.	Experience in the agency.
c.	Leadership capabilities.
d.	Education and expertise.

 

ANS:   D

In differentiated nursing practice, rules are structured according to education and experience.

 

REF:    Page 262         TOP:    AONE competency: Knowledge of Healthcare Environment

 

2. The relief charge nurse has assigned a newly licensed baccalaureate-prepared nurse to be one of the team leaders for the 3-11 shift. In making this decision, the charge nurse has overlooked this nurse’s:

a.	Clinical expertise.
b.	Leadership ability.
c.	Communication style.
d.	Conflict-resolution skills.

 

ANS:   A

The effective functioning of teams in this model is heavily reliant on the leadership, organization, and communication skills of the leader, as well as comfort and confidence in providing care to a specific patient group. Although leadership and critical thinking are part of basic education in baccalaureate programs, the RN needs time to develop clinical confidence and expertise.

 

REF:    Page 253         TOP:    AONE competency: Knowledge of Healthcare Environment

 

3. When interviewing an applicant for a position, the nurse manager describes the unit’s care delivery system as one in which each nursing assistant is cross-trained to perform specific tasks, and the RNs do all treatment, medication administration, and discharge teaching. The nurse applicant knows this nursing care delivery strategy to be:

a.	The case method.
b.	Functional nursing.
c.	Primary nursing.
d.	Nurse case management.

 

ANS:   B

The functional care delivery model depends on the decision of care according to tasks or functions that are assigned to specific teams or team members.

 

REF:    Pages 251, 252

TOP:    AONE competency: Knowledge of Healthcare Environment

 

4. You are the nurse manager of a nursing service organization that provides around-the-clock care to clients in their homes. To achieve maximum reimbursement for a client who is recovering from a hip replacement, the nursing staff most likely will follow the nursing care guidelines presented in the:

a.	Nursing care plan.
b.	Physician’s orders.
c.	Critical pathway.
d.	Clinical practice guidelines.

 

ANS:   C

A critical pathway outlines outcomes, clinical standards, and interventions for a patient in each phase of treatment. The goal of critical pathways is effective coordination of care across various staff and levels of care.

 

REF:    Pages 260, 261

TOP:    AONE competency: Knowledge of Healthcare Environment

 

5. The nurse case manager is working with a client admitted for end-stage renal disease. The case manager’s major goal during this hospitalization is to:

a.	Implement the care MAP on admission.
b.	Provide direct nursing care throughout the hospitalization.
c.	Supervise the nursing staff members who implement the care MAP.
d.	Prevent additional hospitalizations resulting from complications of the client’s disease.

 

ANS:   D

The goals and outcomes established in a MAP or critical pathway are designed to support the aims of case management, which are shortened hospital stays and prevention of hospital readmissions.

 

REF:    Pages 260, 261

TOP:    AONE competency: Knowledge of Healthcare Environment