Exam 3: Delivering Nursing Care

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?

A large metropolitan hospital uses differentiated practice as part of the structure of nursing services. Following this plan, nursing responsibilities are assigned based on which criteria?

A group of nurses is developing a poster presentation titled "Nursing Care Delivery Through the Ages" for the hospital's annual Nurses' Day celebration. What form of nursing care delivery should they depict as occurring prior to 1930?

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?

Which nursing interventions would be in line with the chronic care model?

A change in nursing care delivery system is being considered by hospital administrators. Which information should the nurse executive add to this discussion?

Which statement by a newly licensed nurse indicates an understanding of why it is necessary to structure nursing care?

As the RN team leader, identify potential disadvantages of using team nursing to deliver care to assigned clients.

The RN leader of a team overhears one of the UAPs on the team say, "I'll sure be glad when I get my RN license. All they do is sit around doing paperwork." How does the RN interpret this comment?

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

A hospital is considering implementing the use of critical pathways and case management. Which statements by a nurse would indicate to the nurse manager that more education should be provided?

The RN working on an orthopedic unit is caring for a postoperative client with a hip replacement who is not transferring well from bed to chair. The client is behind on the mobility training program. What action is the nurse's priority?

A registered nurse will be the case manager of a group of ten clients. What will the nurse expect as part of this assignment?

The hospital's management team wishes to institute case management to improve the quality of nursing care. As a beginning step, the team is choosing specific medical diagnoses on which to focus. What criteria should the team use when choosing these diagnoses?

The hospital administration is considering adopting primary nursing as its model of nursing care delivery. Disadvantages of this method are that

Regardless of which delivery system or combination of delivery systems is appropriate, which skill is required for effective use?

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

What is the primary belief behind the evolution of the clinical microsystem as a nursing care delivery system?

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?