Exam 21: Staffing and Nursing Care Delivery Models

What title identifies a nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers?

A hospital converts to a system of care delivery in which RNs,LPNs,and unlicensed assistive personnel (UAP)are responsible for implementing a specific task,such as medication administration or personal hygiene,for the entire nursing unit.What term is used to describe this type of delivery system?

When a nurse uses a criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit,what is the nurse is using?

When deciding which staffing option to use on a nursing unit that will open soon,the manager recognizes what basic fact related to this issue?

A patient is admitted for a hysterectomy,and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications.While off duty,this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis.The nurse who originally planned the care is practicing which type of nursing care delivery?

A nurse plans care knowing when specific recovery milestones are expected.The nurse is providing care via what delivery model?

A task force is considering factors that contribute to high-quality safe staffing.Which statement reflects an understanding of the American Nurses Association's (ANA)recommendations?

A nursing unit comparing team nursing to the partnership model would find what statement to be true?

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?

A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence.To best enhance employee satisfaction related to staffing,what intervention should the management team implement?

A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG).According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery.During surgery the patient's oxygen saturation decreased drastically because of chronic tobacco abuse.Subsequently,the patient remained on the ventilator an additional 2 days postoperatively.According to the clinical practice guideline for CABG,this situation results in what type of event?

A patient is admitted with pneumonia.The case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued,positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers,and antibiotics should be changed from intravenous to oral treatment,on the basis of assessment findings.This plan of care is referred to by what term?

A nurse makes patient care assignments as follows: RN1 has rooms 200-210;RN2 has rooms 211-221;RN3 has rooms 222-232.The two unlicensed assistive personnel have half the rooms,with one assigned to 200-215 and the second to 216-232.What term is used to identify the care delivery model being used?

The nurse manager determines that four RNs,five LPN/LVNs,and two unlicensed assistive personnel (UAP)are required per shift to meet the needs of the patient population on the unit,according to acuity and census.The nurse manager is concerned with what related process?

The nurse manager is planning staffing levels and realizes that the first step is to focus on what activity?

A nurse responsible for staffing a medical-surgical unit must consider what factors (Select all that apply. )

A nurse manager is mentoring a novice nurse manager in determining staffing needs.The mentor explains that the acuity level of the patient is determining by implementing what process?

A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family.Palliative care will continue,and the approach will be discussed with the patient and family as needed and at change of shift.The care delivery model in this situation is referred to by what term?

What is customer satisfaction primarily based upon?

How do accrediting agencies such as The Joint Commission address staffing?