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  3. Anatomy Condensed Final Exam Review - GNUR 155
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  7. Anatomy Condensed Final Exam Review - GNUR 155

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GNUR 383 Exam II.
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Exam of 16 pages for the course Anatomy Condensed Final Exam Review - GNUR 155 at Anatomy Condensed Final Exam Review - GNUR 155 (GNUR 383 Exam II.)

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  • June 15, 2024
  • 16
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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GNUR 383 Exam II
Considerations to be addressed when selecting a care delivery model -
ANS-Organizational mission and purpose
Unit objective
Patient population
Staff availability
Economic feasibility

Care Models: Case Method - ANS-Aka total patient care

A nurse working an 8hr shift is responsible for doing everything for the patient (vitals,
ADLs, medications, etc.)

Care Models: Functional - ANS-Aka task delivery

Each nurse is assigned one particular function for the day (e.g. admissions, discharges,
ADLs, medications)

Mostly used in clinics, outpatient settings, smaller emergency departments

Rarely seen in acute care hospitals today

Care Models: Functional: Advantages - ANS-Efficient
Assistive personnel can be trained to perform specific tasks
Cost-effective

Care Models: Functional: Disadvantages - ANS-Fragmented care; task oriented
Patient and family needs may be overlooked
Lapses in communication
Quality of care may be compromised
Holistic view of patient and family may be lacking (don't know who is the nurse because
so many people are in and out of room)
Frustrating to professional nurse

Care Models: Team Nursing - ANS-Team includes RN, care techs, charge nurse, unit
secretary, CNA, team leaders, etc.

Care Models: Team Nursing: Advantages - ANS-Cost effective

,Decisions made at the "grass roots" level, often by staff caring for the patient
Improved patient satisfaction if they know who is taking care of them

Care Models: Team Nursing: Disadvantages - ANS-Need a skilled, knowledgable team
leader
Need adequate staff with the right skill mix
Potential for fragmentation of care
Few work settings implement team nursing as originally designed

Care Models: Primary Nursing - ANS-The nurse that is signed up to care for the patient
is the primary nurse even while they are not on shift - the other nurses that care fo 4th
patient need to follow the care plan set out by the first nurse

Primary nurse is responsible for whatever the other nurses do

Primary nurse decides who is caring for the patient while the primary nurse is not on
shift

Care Models: Primary Nursing: Partnership Model - ANS-Aka co-primary nursing model

Two nurses take care fo the same patient

Two primary nurses

Care Models: Primary Nursing: Patient-focused care - ANS-Individual patient has a
disease problem

Inpatient case management

Narrowly focuses on that disease problem and let everyone else handle everything else

Not normally used on its own

Care Models: Nursing Case Management - ANS-Functions in a service line matrix but
provides a continuum of care (e.g. a diabetic case manager who patients are spread out
over the healthcare system)

The process of providing comprehensive care for those with complex healthcare
problems

, Offers improved patient outcomes, decreased length of stay, interfaces with multiple
disciplines, care provided across the continuum of illness is often in different institutions

Includes Nursing Case Managers and Nurse Navigators

Nurse Case Managers - ANS-Coordinate patient care throughout the admission process

Facilitates access to needed health resources

Monitors utilization of resources

Measures outcomes and quality

Uses critical pathways of care (MAPs)

Nurse Navigators - ANS-Provide specific services designed to improve care

Removes barriers to care

Service-ling care (e.g. oncology, cardiology)

Clinical Pathways - ANS-

Care Maps - ANS-

Transitional Care - ANS-Comprehensive discharge with instruction about medications
and warnings of health problems
Instructions about medications and warning signs
Contact with patients following discharge, emphasizing helping patients manage
medications
Assist in communication between patient and primary and secondary caregivers

Differentiated Practice: LPN/LVN - ANS-Can administer PO, IM, SL, rectal, SQ meds -
not IV meds
Can do basic patient care
Can do vitals, nursing assessment as long as an RN has done the assessment
originally and the patient is stable
Cannot take care of unstable patients
Can supervise CNAs under the direction of a RN

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