Question 1

One of the nurse competencies of the synergy care delivery model is "moral agency." Which action is an example of that trait?

Accepted Answer

A)  The nurse commits a medication error and reports it to the charge nurse. 
B)  The nurse collaborates well with the rest of the healthcare team. 
C)  The nurse is able to think ahead to the client's next need. 
D)  The nurse who does not have good baseline knowledge of a client's disease process researches it on a day off work. 
A)  The nurse commits a medication error and reports it to the charge nurse. 
B)  The nurse collaborates well with the rest of the healthcare team. 
C)  The nurse is able to think ahead to the client's next need. 
D)  The nurse who does not have good baseline knowledge of a client's disease process researches it on a day off work.

Question 2

Which nursing care delivery situation best reflects the concept of a clinical microsystem?

Accepted Answer

A)  A rural free clinic housed in a church gymnasium that is staffed by volunteer nurses and physicians 
B)  A walk-in clinic in a local discount store that is staffed by a nurse practitioner 
C)  An inpatient burn unit 
D)  A general medical-surgical unit in a mid-sized hospital 
A)  A rural free clinic housed in a church gymnasium that is staffed by volunteer nurses and physicians 
B)  A walk-in clinic in a local discount store that is staffed by a nurse practitioner 
C)  An inpatient burn unit 
D)  A general medical-surgical unit in a mid-sized hospital

Question 3

In order to organize services needed to achieve specific client outcomes, hospital administrators should consider what type of client care delivery system?

Accepted Answer

A)  Functional nursing 
B)  Practice partnerships 
C)  Case management 
D)  Primary nursing 
A)  Functional nursing 
B)  Practice partnerships 
C)  Case management 
D)  Primary nursing

Question 4

What should the nurse executive consider when planning the nursing care delivery system of a new hospital? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)  How to optimize use of nursing knowledge 
B)  The system used by competing hospitals 
C)  How to ensure that clients receive optimal care 
D)  Skill sets likely to be present in the nurses who will be employed at the hospital 
E)  What groups of nurses are available for employment 
A)  How to optimize use of nursing knowledge 
B)  The system used by competing hospitals 
C)  How to ensure that clients receive optimal care 
D)  Skill sets likely to be present in the nurses who will be employed at the hospital 
E)  What groups of nurses are available for employment

Question 5

The RN receives reports on eight clients in the morning. Client assignments are then delegated to an LPN and two nursing assistants. The morning is busy, with physician visits and new client orders, and the RN communicates these new orders to the LPN and nursing assistants. The RN also meets with the case manager to discuss nursing home placement for a client. What type of nursing care delivery system is in place in this hospital?

Accepted Answer

A)  Critical pathways 
B)  Total client care 
C)  Team nursing 
D)  Functional nursing 
A)  Critical pathways 
B)  Total client care 
C)  Team nursing 
D)  Functional nursing

Question 6

A nursing team consists of an RN, two LPNs, and two UAP. Which work would be completed by the RN? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)  Reviewing the client's plan of care with the UAP 
B)  Discussing the client's increasing shortness of breath with the LPN 
C)  Updating the care plan of a client who will undergo surgery tomorrow 
D)  Administering oral medications to clients 
E)  Calling the physician to discuss the client's response to a new treatment 
A)  Reviewing the client's plan of care with the UAP 
B)  Discussing the client's increasing shortness of breath with the LPN 
C)  Updating the care plan of a client who will undergo surgery tomorrow 
D)  Administering oral medications to clients 
E)  Calling the physician to discuss the client's response to a new treatment

Question 7

The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?

Accepted Answer

A)  More than 60% of respondents replied with the name of an unlicensed assistant when asked the name of the RN who cared for them. 
B)  Almost 70% of respondents accurately listed their discharge medication. 
C)  Close to 88% of respondents reported that invasive interventions were performed by an RN. 
D)  More than 30% of respondents reported that the nurse sometimes seemed rushed. 
A)  More than 60% of respondents replied with the name of an unlicensed assistant when asked the name of the RN who cared for them. 
B)  Almost 70% of respondents accurately listed their discharge medication. 
C)  Close to 88% of respondents reported that invasive interventions were performed by an RN. 
D)  More than 30% of respondents reported that the nurse sometimes seemed rushed.

Question 8

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?

Accepted Answer

A)  Primary nursing 
B)  Total nursing care 
C)  Functional nursing 
D)  Practice partnerships 
A)  Primary nursing 
B)  Total nursing care 
C)  Functional nursing 
D)  Practice partnerships

Question 9

The nurse is starting a new position as a staff member on a busy medical-surgical unit. The unit uses the team nursing model of care. Which skills will be used to make this model effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)  Caring 
B)  Delegating 
C)  Advocating 
D)  Communicating 
E)  Problem-solving 
A)  Caring 
B)  Delegating 
C)  Advocating 
D)  Communicating 
E)  Problem-solving

Question 10

The hospital is opening its first intensive care unit. The nurse executive should plan to staff this unit according to which model of care?

Accepted Answer

A)  Functional nursing 
B)  Team nursing 
C)  Total client care 
D)  Primary care 
A)  Functional nursing 
B)  Team nursing 
C)  Total client care 
D)  Primary care

Question 11

A hospital is concerned about low customer satisfaction ratings and poor evaluation on quality indicators. The nurse managers are asked to implement a nursing delivery system that is cost-effective and improves both customer satisfaction and quality of care. Which nursing delivery system should the managers implement?

Accepted Answer

A)  Total client care 
B)  Functional nursing 
C)  Team nursing 
D)  Client-centered nursing 
A)  Total client care 
B)  Functional nursing 
C)  Team nursing 
D)  Client-centered nursing

One of the nurse competencies of the synergy care delivery model is "moral agency." Which action is an example of that trait?

Which nursing care delivery situation best reflects the concept of a clinical microsystem?

In order to organize services needed to achieve specific client outcomes, hospital administrators should consider what type of client care delivery system?

What should the nurse executive consider when planning the nursing care delivery system of a new hospital? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nursing team consists of an RN, two LPNs, and two UAP. Which work would be completed by the RN? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?

The hospital is opening its first intensive care unit. The nurse executive should plan to staff this unit according to which model of care?

Introducing Nursing Management

Designing Organizations

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Legal and Ethical Issues

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Delegating Successfully

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Feedback and Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Disruptive Staff Problems

Preparing for Emergencies

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

Imagining the Future

Filters

Exam 3: Delivering Nursing Care

One of the nurse competencies of the synergy care delivery model is "moral agency." Which action is an example of that trait?

Which nursing care delivery situation best reflects the concept of a clinical microsystem?

In order to organize services needed to achieve specific client outcomes, hospital administrators should consider what type of client care delivery system?

What should the nurse executive consider when planning the nursing care delivery system of a new hospital? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nursing team consists of an RN, two LPNs, and two UAP. Which work would be completed by the RN? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse executive is reviewing client satisfaction surveys. Which trend would the nurse evaluate as indicating the nursing care delivery system in use is not effective?

A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system?

The hospital is opening its first intensive care unit. The nurse executive should plan to staff this unit according to which model of care?

Introducing Nursing Management

Designing Organizations

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Legal and Ethical Issues

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Delegating Successfully

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Feedback and Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Disruptive Staff Problems

Preparing for Emergencies

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

Imagining the Future

Filters