Question 1

Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding?

Accepted Answer

A)  "Evidence-based practice is the hospital's protocol for providing care." 
B)  "Evidence-based practice is based on community need." 
C)  "Evidence-based practice is a set of guidelines determined by each hospital unit." 
D)  "Evidence-based practice is the use of current best evidence in making decisions about patient care." 
A)  "Evidence-based practice is the hospital's protocol for providing care." 
B)  "Evidence-based practice is based on community need." 
C)  "Evidence-based practice is a set of guidelines determined by each hospital unit." 
D)  "Evidence-based practice is the use of current best evidence in making decisions about patient care." D

Question 2

Which statement shows the nurses understanding of patient-focused care?

Accepted Answer

A)  "Patient-focused care is a nursing care delivery system." 
B)  "Patient-focused care is a model for a health care organization." 
C)  "Patient-focused care is a clinical pathway within an institution." 
D)  "Patient-focused care is an institutional value and philosophy." 
A)  "Patient-focused care is a nursing care delivery system." 
B)  "Patient-focused care is a model for a health care organization." 
C)  "Patient-focused care is a clinical pathway within an institution." 
D)  "Patient-focused care is an institutional value and philosophy." A

Question 3

The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:

Accepted Answer

A)  Patients are able to perform the majority of their own care. 
B)  Nurses are required to perform less care. 
C)  Nurses are able to focus all of their care on one patient. 
D)  Nurses are hired to care for two patients. 
A)  Patients are able to perform the majority of their own care. 
B)  Nurses are required to perform less care. 
C)  Nurses are able to focus all of their care on one patient. 
D)  Nurses are hired to care for two patients. C

Question 4

Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.)

Accepted Answer

A)  Functional nursing 
B)  Team nursing 
C)  Primary care nursing 
D)  Patient-focused care 
E)  Transitional care 
A)  Functional nursing 
B)  Team nursing 
C)  Primary care nursing 
D)  Patient-focused care 
E)  Transitional care

Question 5

The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.)

Accepted Answer

A)  "increased governmental regulation of insurers." 
B)  "less use of technology." 
C)  "increasing incentives for coordination of care." 
D)  "emphasis on physician centered care." 
E)  "decreasing consumer out of pocket costs." 
A)  "increased governmental regulation of insurers." 
B)  "less use of technology." 
C)  "increasing incentives for coordination of care." 
D)  "emphasis on physician centered care." 
E)  "decreasing consumer out of pocket costs."

Question 6

A nurse is covering for a coworker who is on a lunch break.While administering medications,the nurse notices a bag of antibiotic hanging with another patient's name on it.The nurse immediately stops the infusion.What should the next step be?

Accepted Answer

A)  Say nothing about the error because the patient is fine. 
B)  Speak with the coworker about the error and fill out the proper paperwork for documentation. 
C)  Tell the other coworkers about the error. 
D)  Tell the patient about the error. 
A)  Say nothing about the error because the patient is fine. 
B)  Speak with the coworker about the error and fill out the proper paperwork for documentation. 
C)  Tell the other coworkers about the error. 
D)  Tell the patient about the error.

Question 7

Which statement by the nurse indicates understanding of the case manager's role? The case manager (Select all that apply.)

Accepted Answer

A)  "guides patients through the health care delivery process." 
B)  "ensures quicker discharge for patients without insurance." 
C)  "coordinates care for the patient." 
D)  "assists patients in achieving goals effectively and efficiently." 
E)  "collaborates with the health care team." 
A)  "guides patients through the health care delivery process." 
B)  "ensures quicker discharge for patients without insurance." 
C)  "coordinates care for the patient." 
D)  "assists patients in achieving goals effectively and efficiently." 
E)  "collaborates with the health care team."

Question 8

A nurse manager is training a new hire.Which statement shows an understanding of functional nursing?

Accepted Answer

A)  "Functional nursing is organized around tasks." 
B)  "Functional nursing is patient led." 
C)  "Functional nurses is physician led." 
D)  "Functional nursing is unorganized." 
A)  "Functional nursing is organized around tasks." 
B)  "Functional nursing is patient led." 
C)  "Functional nurses is physician led." 
D)  "Functional nursing is unorganized."

Question 9

Which statement is true about patient classification systems?

Accepted Answer

A)  They measure all the needs of patients. 
B)  They provide an absolute formula for unit staffing. 
C)  They should not be used to make patient care assignments because acuity systems are more accurate. 
D)  They provide historical data of the usage of nursing time,which is helpful when developing the department budget. 
A)  They measure all the needs of patients. 
B)  They provide an absolute formula for unit staffing. 
C)  They should not be used to make patient care assignments because acuity systems are more accurate. 
D)  They provide historical data of the usage of nursing time,which is helpful when developing the department budget.

Question 10

The nursing shortage is projected to reach 1.2 million by 2020.Which actions can hospitals take to retain nurses? (Select all that apply.)

Accepted Answer

A)  Create a health care system that supports nursing advancement. 
B)  Encourage a work environment that fosters workgroup cohesion. 
C)  Allow nurses to have autonomy. 
D)  Reduce the number of managers within the health care system. 
E)  Allow nurses a variety of specialties to choose from. 
A)  Create a health care system that supports nursing advancement. 
B)  Encourage a work environment that fosters workgroup cohesion. 
C)  Allow nurses to have autonomy. 
D)  Reduce the number of managers within the health care system. 
E)  Allow nurses a variety of specialties to choose from.

Question 11

The nurse has an adequate understanding of patient-focused care when stating which of the following?

Accepted Answer

A)  "Patient-focused care includes the physician,who supervises care." 
B)  "Patient-focused care decreases productivity." 
C)  "In patient-focused care,the nurse supervises delivery of care." 
D)  "The patient is not an active participant in patient-focused care." 
A)  "Patient-focused care includes the physician,who supervises care." 
B)  "Patient-focused care decreases productivity." 
C)  "In patient-focused care,the nurse supervises delivery of care." 
D)  "The patient is not an active participant in patient-focused care."

Question 12

A female patient is admitted to the labor and delivery unit,where she is assigned a registered nurse who will manage her care for the duration of her hospitalization.What type of nursing care delivery model is represented in this nursing unit?

Accepted Answer

A)  Functional care 
B)  Primary care 
C)  Patient-focused care 
D)  Case management 
A)  Functional care 
B)  Primary care 
C)  Patient-focused care 
D)  Case management

Question 13

Which action by the case manager would be required under the full immersion model?

Accepted Answer

A)  The case manager would see only the patients with the most extensive health care needs. 
B)  The case manager would see all patients that come into the hospital. 
C)  The case manager would only see the patients with health insurance. 
D)  The case manager would conduct a daily chart review of patients he or she is assigned to. 
A)  The case manager would see only the patients with the most extensive health care needs. 
B)  The case manager would see all patients that come into the hospital. 
C)  The case manager would only see the patients with health insurance. 
D)  The case manager would conduct a daily chart review of patients he or she is assigned to.

Question 14

Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are

Accepted Answer

A)  "clinical pathways and patient classifications." 
B)  "clinically oriented and business-oriented pathways." 
C)  "clinical pathways and disease management protocols." 
D)  "centralized and decentralized system models." 
A)  "clinical pathways and patient classifications." 
B)  "clinically oriented and business-oriented pathways." 
C)  "clinical pathways and disease management protocols." 
D)  "centralized and decentralized system models."

Question 15

Which statement is true about case management?

Accepted Answer

A)  There are two models-traditional and full immersion. 
B)  It is used to reduce resource utilization only. 
C)  To be effective,it requires case managers to provide direct patient care. 
D)  It eliminates the need for other caregivers (LPN,LVNs,nursing assistants). 
A)  There are two models-traditional and full immersion. 
B)  It is used to reduce resource utilization only. 
C)  To be effective,it requires case managers to provide direct patient care. 
D)  It eliminates the need for other caregivers (LPN,LVNs,nursing assistants).

Question 16

A nurse is interested in case management.Which statement indicates an understanding of the primary work environment of case manager?

Accepted Answer

A)  "They work most often in acute care institutions." 
B)  "Their work is focused on community activities and is based within the community." 
C)  "They typically work for insurance companies,providing coordination of care." 
D)  "All types of health care organizations,as well as organizations with health-related functions,hire case managers." 
A)  "They work most often in acute care institutions." 
B)  "Their work is focused on community activities and is based within the community." 
C)  "They typically work for insurance companies,providing coordination of care." 
D)  "All types of health care organizations,as well as organizations with health-related functions,hire case managers."

Question 17

Which action can the hospital administrator take to reduce health care costs? (Select all that apply.)

Accepted Answer

A)  Hire case managers to see all patients who have extensive medical needs. 
B)  Reduce the number of patients the hospital can accommodate. 
C)  Ensure that appropriate staff is available. 
D)  Encourage the use of evidence-based practice. 
E)  Accept only patients with health insurance. 
A)  Hire case managers to see all patients who have extensive medical needs. 
B)  Reduce the number of patients the hospital can accommodate. 
C)  Ensure that appropriate staff is available. 
D)  Encourage the use of evidence-based practice. 
E)  Accept only patients with health insurance.

Question 18

Which of the following statements shows the nurses understanding of primary nursing?

Accepted Answer

A)  "Primary nursing involves planning and directing of patient care over 24 hours." 
B)  "Primary nursing involves care for 48 hours or more." 
C)  "Primary nursing involves one nurse planning care for the patient." 
D)  "Primary nursing is the only method of care used today." 
A)  "Primary nursing involves planning and directing of patient care over 24 hours." 
B)  "Primary nursing involves care for 48 hours or more." 
C)  "Primary nursing involves one nurse planning care for the patient." 
D)  "Primary nursing is the only method of care used today."

Question 19

A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel.What should the nurse do to ensure success in caring for patients?

Accepted Answer

A)  Give the assignments for the day out to the team and plan to meet right before the end of shift. 
B)  Continuously communicate with the members of the team throughout the entire day. 
C)  Report changes in a patient's condition to the health care provider only. 
D)  Revise each patient's plan of care once a shift. 
A)  Give the assignments for the day out to the team and plan to meet right before the end of shift. 
B)  Continuously communicate with the members of the team throughout the entire day. 
C)  Report changes in a patient's condition to the health care provider only. 
D)  Revise each patient's plan of care once a shift.

Question 20

Which of the following best describes the concept of evidence-based practice?

Accepted Answer

A)  It is a method of improving nursing care and effectively maintaining cost containment. 
B)  Insurance companies review the evidence of the health care practice for reimbursement. 
C)  It achieves large-scale economics while providing cost-effective care. 
D)  It provides for the use of recent research in current nursing practice. 
A)  It is a method of improving nursing care and effectively maintaining cost containment. 
B)  Insurance companies review the evidence of the health care practice for reimbursement. 
C)  It achieves large-scale economics while providing cost-effective care. 
D)  It provides for the use of recent research in current nursing practice.

Exam 15: The Health Care Organization and Patterns of Nursing Care Delivery

Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding?

Which statement shows the nurses understanding of patient-focused care?

The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:

Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.)

The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.)

A nurse is covering for a coworker who is on a lunch break.While administering medications,the nurse notices a bag of antibiotic hanging with another patient's name on it.The nurse immediately stops the infusion.What should the next step be?

Which statement by the nurse indicates understanding of the case manager's role? The case manager (Select all that apply.)

A nurse manager is training a new hire.Which statement shows an understanding of functional nursing?

Which statement is true about patient classification systems?

The nursing shortage is projected to reach 1.2 million by 2020.Which actions can hospitals take to retain nurses? (Select all that apply.)

The nurse has an adequate understanding of patient-focused care when stating which of the following?

A female patient is admitted to the labor and delivery unit,where she is assigned a registered nurse who will manage her care for the duration of her hospitalization.What type of nursing care delivery model is represented in this nursing unit?

Which action by the case manager would be required under the full immersion model?

Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are

Which statement is true about case management?

A nurse is interested in case management.Which statement indicates an understanding of the primary work environment of case manager?

Which action can the hospital administrator take to reduce health care costs? (Select all that apply.)

Which of the following statements shows the nurses understanding of primary nursing?

A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel.What should the nurse do to ensure success in caring for patients?

Which of the following best describes the concept of evidence-based practice?

Role Transitions

Personal Management: Time and Self-Care Strategies

Mentorship, Preceptorship, and Nurse Residency Programs

Employment Considerations: Opportunities, Resumes, and Interviewing

NCLEX-RN Examination and the New Graduate

Historical Perspectives: Influences on the Present

Nursing Education

Nursing Theory

Image of Nursing: Influences of the Present

Challenges of Nursing Management and Leadership

Building Nursing Management Skills

Effective Communication and Team Building

Conflict Management

Delegation in the Clinical Setting

Economics of the Health Care Delivery System

Political Action in Nursing

Collective Bargaining: Traditional (Union)and Nontraditional Approaches

Ethical Issues

Legal Issues

Cultural and Spiritual Awareness

Quality Patient Care

Nursing Informatics

Using Nursing Research in Practice

Workplace Issues

Emergency Preparedness

Filters