Question 1 1 / 1 point
Which aspect of care at a long-term care
... [Show More] facility most clearly
suggests that a functional model of care delivery is being used?
a) Registered nurses perform all assessments while unlicensed assistive personnel provide all feeding and hygiene.
b) Unlicensed assistive personnel coordinate each resident's care and occasionally delegate to practical nurses c) One nurse is assigned to provide all of a resident's care during a shift.
d) A pairing of one registered nurse and one practical nurse provide all the care for a designated pool of
residents.
Hide Feedback
Functional nursing is task focused with specific tasks assigned to specific members of the care team. Having one nurse provide all of a resident's care is indicative of total patient care. No model of care ascribes a coordination role for UAP. Pairings suggest team or modular nursing.
Question 2 0 / 1 point
Which statements demonstrate an understanding of the
factors that should be considered when a change in the care delivery system is being proposed? Select all that apply.
a) “Administration has been supportive of the planned change in our care delivery system.”
b) “We have determined that our level of care would improve if we provided it differently.”
c) “We will discuss our proposed change with the multidisciplinary team members.”
d) “It's questionable whether our current nursing staff is large enough to support the proposed change.”
e) “We're going to make our decision based on which option is newest in the literature.” Hide Feedback
If evaluation of the present system reveals deficiencies, leaders and managers need to examine available resources and compare those with resources needed for the change. Therefore, openness to change and a willingness to examine available resources are necessary.
Interdisciplinary collaboration is essential and support from high level administration is needed as well. Decisions should not be based simply on which model is newest or most innovative.
Question 3 1 / 1 point
A nurse delegated some tasks to a nurse several hours ago.
The manager has now learned that the nurse did not complete any of the delegated tasks. What is the manager's best initial action?
a) Take action to reestablish the authority power gap
b) Document the nurse's insubordination and arrange a private meeting
c) Determine exactly why the nurse did not complete the delegated tasks
d) Assertively state the expectation that delegated tasks will be completed on time
Hide Feedback
If an employee does not complete delegated tasks, the manager should assess the reasons for this before taking action. Addressing the problem before knowing the circumstances or the cause would be premature.
Question 4 1 / 1 point
Periodically during the day, the RN checks with the team
members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role?
a) Effective delegation b) Client safety
c) Micromanagement
d) Skills evaluation
Hide Feedback
This manager provided the team with the autonomy to complete the work and was available
should any need arise. This describes effective delegation. This action does not constitute micromanagement, provided it is not excessive. This promotes client safety but is not synonymous with it. This practice is not a form of skills evaluation.
Question 5 1 / 1 point
Which statement demonstrates an intervention focused on the
primary disadvantage of team nursing?
a) “The team will be meeting for a care report update in 5 minutes.” b) “Our patient assignment is comprised of both males and females.” c) “We are working with one fewer team member today.”
d) “We will be having a member of the float pool on our team today.”
Hide Feedback
Disadvantages to team nursing are associated primarily with improper implementation rather than with the philosophy itself. Frequently, insufficient time is allowed for team care planning and communication. This can lead to blurred lines of responsibility, errors, and fragmented patient care. None of the other options address a known disadvantage of team nursing.
Question 6 1 / 1 point
A nurse is following a multidisciplinary action plan (MAP) when
caring for a new patient. The nurse should identify what components within the MAP? Select all that apply.
...................................................................CONTINUED,....................................................... [Show Less]