Chapter 09 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 09 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse manager is making patient assignments for the shift. What should be the primary guiding factor in these assignments?

1. Number of staff available
2. Skill mix of the staff
3. Patient needs
4. Physical layout of the unit

Correct Answer: 3

Rationale 1: This is an important determinant of staff assignments, but is not the most important factor.

Rationale 2: This is an important determinant of staff assignments, but is not the most important factor.

Rationale 3: The most important factor in any decision made by any healthcare provider should be patient needs.

Rationale 4: This is an important determinant of staff assignments, but is not the most important factor.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Explain how patient-centered care impacts the healthcare delivery system and nursing care.

Page: pp. 245-247

Question 2

Type: MCMA

What skills does the Institute of Medicine identify as important in the provision of effective patient-centered care?

Standard Text: Select all that apply.

1. Make the patient fully responsible for his or her care.
2. Communication with patients should be open and complete.
3. The patient should be thought of as an individual.
4. Prevention and health promotion should be enhanced.
5. Focus care on self-directed patients who seek care.

Correct Answer: 2,3,4

Rationale 1: The IOM identifies that power and responsibility should be shared with patients and caregivers, not held only by patients.

Rationale 2: This is one of the skills identified by the IOM as being important in the provision of patient-centered care.

Rationale 3: This is one of the skills identified by the IOM as being important in the provision of patient-centered care.

Rationale 4: This is one of the skills identified by the IOM as being important in the provision of patient-centered care.

Rationale 5: The IOM identifies the need to implement strategies to reach those who do not present themselves for care on their own.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Explain how patient-centered care impacts the healthcare delivery system and nursing care.

Page: pp. 245-247

Question 3

Type: MCMA

Which statements, made by a member of the healthcare team, best demonstrate patient-centered care?

Standard Text: Select all that apply.

1. “We have decided that you need to have surgery for your condition.”
2. “What time would you like to take your bath?”
3. “I ordered apple juice for your breakfast.”
4. “I brought the extra blanket that you asked for.”
5. “You will need to return to the office tomorrow to get the results of these laboratory tests.”

Correct Answer: 2,4

Rationale 1: This is the traditional approach to healthcare in which the “experts” know all and plan without regard to the patient’s opinions.

Rationale 2: This statement allows the patient choice in planning and self-direction in care.

Rationale 3: The person making this statement has assumed the patient wants apple juice today. This is not patient-centered care.

Rationale 4: This statement reflects achievement of a patient request.

Rationale 5: This statement makes poor use of the patient’s time, assuming that all the patient has to do is come back to the office tomorrow. Typically, lab results can be communicated over the telephone, which is much more respectful of the patient’s time.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Explain how patient-centered care impacts the healthcare delivery system and nursing care.

Page: pp. 245-247