Question 1

The nurse executive of a for-profit hospital continually works to provide an environment that is better for the nursing staff. Why is this effort so important?

Accepted Answer

An environment that is better for nurses is associated with lower mortality rates, which ultimately leads to better patient outcomes. Additionally, nurses who are satisfied with their work environment are more likely to provide quality care and have better job performance.

Question 2

A long-term-care facility is considering implementing total patient care. Prior to implementing this system, what must be available?

Accepted Answer

Total patient care requires enough RN staff to provide all the care to the residents, as RNs are responsible for all aspects of patient care in this model.

Question 3

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?

Accepted Answer

Choosing diagnoses that carry high risk for the client and the provider would be the most appropriate criterion for implementing case management. These diagnoses would likely benefit the most from case management interventions to ensure that the client receives appropriate and timely care, and to reduce the risk of adverse outcomes.

Question 4

At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?

Accepted Answer

The answer of At a strategic planning meeting the nurse...

Question 5

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?

Accepted Answer

Critical pathways do not eliminate the use of physical therapy (A), they provide day-to-day guidance (C), and they can be adjusted if needed, not strictly followed until discharge (D).

Question 6

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

Accepted Answer

A burn unit can be considered a clinical microsystem because it is a small, self-contained unit within a larger hospital, with its own team of healthcare providers who work closely together to provide specialized care to a specific patient population. The team members have a high level of interaction and communication with each other, as well as with the patients and their families. This type of care delivery system allows for greater coordination, flexibility, and responsiveness to the needs of individual patients.

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

The trend where 60% of respondents replied with the name of an unlicensed assistant when asked the name of the RN who cared for them indicates a lack of visibility or presence of the RN, suggesting that the nursing care delivery system may not be effectively ensuring that RNs are the primary caregivers or are adequately involved in patient care.

Question 8

A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming opinion of the staff is that the experiment was a disaster. What are the most common reasons team nursing is not successful?

Accepted Answer

Problems with delegation and flawed communication are common reasons for the failure of team nursing, as they can lead to misunderstandings and inefficiencies in care delivery.

Question 9

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

Accepted Answer

The answer of A registered nurse will be the case...

Question 10

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?

Accepted Answer

Total patient care was the predominant form of nursing care delivery prior to 1930, where one nurse was responsible for all aspects of care for one or more patients during their shift.

Quiz 3: Delivering Nursing Care