Chapter 19: Staffing and Nursing Care Delivery Models

Chapter 19: Staffing and Nursing Care Delivery Models

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Accrediting and licensure agencies such as The Joint Commission address staffing by

ANS:   D

(D) is correct because accrediting agencies do not address minimum staffing levels; however, they do look for evidence that patients receive adequate care, and this can occur only with adequate staffing. (A) is incorrect because accrediting agencies do not impose maximum staffing levels. (B) is incorrect because staff mix is not addressed by accrediting agencies; however, long-term care facilities specify minimum registered nurse (RN) coverage for the facility. (C) is incorrect because agencies do not stipulate mandatory staffing ratios, with the exception of those in California, a state that recently enacted legislation mandating specific nurse/patient ratios.

DIF:    Comprehension                                  REF:    Page 427

2. Customer satisfaction is based on

ANS:   C

(C) is correct because interactions between employees and patients/families actually affect clinical outcomes, functional status, and even physiologic measures of health. (A) is incorrect because customer satisfaction is primarily based on relations with employees. (B) is incorrect because as stated in A, interface with employees is the means to customer satisfaction. (D) is incorrect because patients may fear or dislike invasive procedures, but the important consideration in customer satisfaction is the quality of interactions with employees.

DIF:    Knowledge     REF:    Page 427

3. Nurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?

ANS:   A

(A) is correct because in total patient care, nurses provide all aspects of patient care. (B) is incorrect because partnership nursing, or co-primary nursing, pairs the registered nurse (RN) with a partner, usually a licensed practical nurse (LPN) or nursing assistive personnel (NAP), allowing the RN to spend more time on tasks such as assessment and patient education. (C) is incorrect because in team nursing, an RN directs the other members of the team, which can consist of care providers at various levels. (D) is incorrect because in functional nursing, staff are assigned to tasks rather than to patients.

DIF:    Application     REF:    Pages 428-429

4. A hospital converts to a system of care delivery in which registered nurses (RNs), licensed practical nurse (LPNs), and nursing assistive personnel (NAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is

ANS:   B

(B) is correct because in functional nursing, members of the team are assigned specific tasks such as assessment or medication administration. (A) is incorrect because total patient care involves an RN who provides every aspect of patient care. (C) is incorrect because with team nursing, the team leader, an RN, delegates care to other team members. (D) is incorrect because in primary nursing, the RN assumes 24-hour responsibility for the care of assigned patients.

DIF:    Application     REF:    Pages 429-430