Marquis Leadership 8e Ch 14: Organizing Patient Care Exam Graded A+

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1. Which statement best describes functional nursing care delivery? A) Nursing care is holistic and patient centered B) The nurse must be a licensed person C) Emphasis is on getting work done throu... gh tasks D) It is also known as total patient care - Ans: C Feedback: Functional nursing is task focused. None of the other options identify that connection. 2. The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of? A) Team nursing B) Case method nursing C) Primary care delivery D) Functional nursing care - Ans: D Feedback: Being assigned a specific task to do is part of functional nursing. None of the other options identify that connection. 3. A nurse has accepted a position as a staff nurse and will practice primary care nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment? A) Planning nursing care independently of others B) Assigning work according to the expertise of group members C) Being responsible for care planning 24 hours a day D) Carrying out the majority of personal care for your patients - Ans: B Feedback: In primary nursing, the sole RN would not plan the care without others' input or be responsible for care planning for 24 hours. Neither would the RN carry out the majority of personal care. 4. With modular nursing, who checks the completion of tasks assigned to a team member? A) The charge nurse B) The area manager C) The team leader D) Another team member - Ans: C Feedback: The team leader should check the work of team members. None of the other options identify the role correctly. 5. Which statement is correct concerning primary nursing care? A) Requires minimal RN staffing B) Is easy to implement C) Provides challenging work D) Has proved to be a failure - Ans: C Feedback: Primary care provides challenging work for nurses; however, it is not easy to implement and requires an all-RN staff. None of the other options accurately describes the concept of primary nursing care. 6. What is the goal of case management? A) Containing health-care costs B) Providing challenging work C) Enhancing professionalism D) Decreasing length of hospital stays - Ans: A Feedback: The ANA maintains that case management is designed to contain health-care costs. None of the other options identify a goal of casement. 7. What is the most important component in being well organized and increasing productivity on the unit? A) Adequate resources B) A well-trained staff C) A well-thought-out plan D) Time to carry out your duties - Ans: C Feedback: Unless the plan is well thought out, patient care has the potential to be disorganized. None of the other options identify that connection. 8. Which statement best describes case management? A) Clinical outcomes should occur within a prescribed time frame B) Case managers do not provide direct patient care C) Managed care practice is a unit-based model of care D) The goal is outcome management for every patient - Ans: A Feedback: In case management, clinical outcomes need to occur within prescribed time frames. Case managers do not provide care; neither is managed care unit based. The goal is outcome management for specific patients, but not every patient needs case management. 9. What is necessary when implementing care multidisciplinary action plans (MAPs)? A) Caregivers alter the plan as they deem necessary B) Variances be indicated for patient deviations C) Time frames for implementation be left open D) Critical paths not be considered in care planning - Ans: B Feedback: In care MAPs, it is necessary to provide variances when there are patient deviations, because this is a major component to case management. None of the other options identify that connection. 10. Which is a true statement about the patterns of patient care management? A) Functional nursing is organized according to the desires of the worker B) Primary nursing and total patient care are synonymous C) Team leading includes the concept of patient care conferences D) Case load nursing provides little autonomy for nurses - Ans: C Feedback: Team leading includes the need for patient care conferences. None of the other options identify that need. 11. Where did critical pathways originate from? A) Case management B) Functional nursing C) Team nursing D) Primary care nursing - Ans: A Feedback: Critical pathways were developed as a result of the case management system. None of the other options identify that original connection. 12. What nursing model provides the foundation for matching patient needs with nursing competencies? A) Primary nursing practice B) Differentiated nursing practice C) Modular nursing D) Case management - Ans: B Feedback: To facilitate the effective use of nursing resources, patient needs and nursing competencies should be matched. None of the other options identify that connection. 13. What is one of the most important differences between case management and disease management? A) Disease management referrals begin in the hospital inpatient setting B) Disease management is a collaborative process to meet patient needs C) High-cost population groups are targeted in disease management D) Disease management treatment is episodic - Ans: C Feedback: Although there are many similarities between disease management and case management, the primary goal of disease management is to target high-cost disease populations. [Show More]

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