Fundamentals of Nursing 4th ed By Delaune - Ladner
Fundamentals of Nursing 4th ed By Delaune - Ladner
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CHAPTER 9: IMPLEMENTATION
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Determine if the person is competent to perform the task. |
| b. | Ask the client for permission to delegate the task. |
| c. | Ask the physician for permission to delegate the task. |
| d. | Document that the task was delegated so that if any errors occur, the nurse is not liable. |
ANS:Â A
Delegation is the process of transferring a selected nursing task in a situation to an individual who is competent to perform the task. Even though some activities can be assigned to other health care personnel, the nurse remains accountable for appropriate delegation and supervision of care provided by these individuals. The nurse does not need to ask the client or physician for permission to delegate the task. The nurse is legally responsible for all care given so documenting that the task was delegated is not going to help the nurse if an error occurs.
PTS:  1                   DIF:   Application   REF:  Allocation of Resources
| a. | it provides for personalized care for clients. |
| b. | large numbers of clients can be cared for with a relatively small number of personnel. |
| c. | it ensures that all care is performed safely and well with no omissions. |
| d. | it prevents fragmentation of care. |
ANS:Â B
The advantage of functional nursing is that a large number of clients can be cared for by a relatively small number of personnel. Functional nursing does not provide personalized care for clients nor does it ensure that all care is performed safely and well without omissions. Functional nursing does not prevent fragmented care but rather can cause fragmented care.
PTS:  1                   DIF:   Analysis        REF:  Types of Nursing Management Systems
| a. | Director of nursing | c. | Physician |
| b. | Registered nurse | d. | Licensed practical/vocational nurse |
ANS:Â B
In team nursing, the registered nurse is leader of the team and is responsible for supervision of the team members as well as planning for and evaluating the results of caregiving activities. The other choices are incorrect.
PTS:  1                   DIF:   Analysis        REF:  Types of Nursing Management Systems
| a. | functional nursing. | c. | primary nursing. |
| b. | team nursing. | d. | modular nursing. |
ANS:Â A
Functional care can result in fragmented and depersonalized care even though a larger number of clients can be cared for by a relatively small number of personnel. The other listed nursing management systems would not cause fragmentation of care.
PTS:  1                   DIF:   Analysis        REF:  Types of Nursing Management Systems
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