Chapter 10- Person Centered Care- Leading And Mana
Chapter 10- Person Centered Care- Leading and Mana
Exam (elaborations)
Chapter 10- Person Centered Care- Leading and Managing
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Chapter 10- Person Centered Care- Leading and Mana
Institution
Chapter 10- Person Centered Care- Leading And Mana
1. A nurse manager questions the true difference between primary nursing and total patient care.
After careful consideration of both models, the nurse manager concludes that primary nursing
Differs significantly from total patient care in:
A. Breadth of nursing knowledge and expertise required.
...
Chapter 10- Person Centered Care- Leading and Mana
Chapter 10- Person Centered Care- Leading and Mana
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Chapter 10- Person Centered Care- Leading
and Managing
1. A nurse manager questions the true difference between primary nursing and
total patient care.
After careful consideration of both models, the nurse manager concludes that
primary nursing
Differs significantly from total patient care in:
A. Breadth of nursing knowledge and expertise required.
B. Intention to provide holistic nursing.
C. Degree of task orientation.
D. Levels and types of assessment. - answer-ANS: C
Significant overlap can be seen between primary nursing and total patient care in
terms of
Breadth of assessment and knowledge required to provide holistic care. A primary
difference
Is that nurses in the total care model assume accountability while on shift, whereas
primary
Nurses assume responsibility from time of admission to discharge and 24 hours a
day.
2. The chief nursing officer decides to establish a client advocacy position in an
oncology unit.
Advocacy is best represented by:
A. Establishing private and professional networking systems.
B. Asking social services to handle clients' concerns.
C. Identifying community support groups.
D. Empowering others by promoting self-determination. - answer-ANS: D
Advocacy involves empowering and promoting self-determination in others.
3. The nurse manager on a pediatric intensive care unit wants to evaluate patient
satisfaction.
The nurse manager understands that ultimately, positive relationships with
consumers of care
Are evaluated by the:
A. Cultural sensitivity of staff.
B. Cost-effectiveness of care delivery.
C. Economic value of service.
D. Outcomes for clients and their perceptions of care. - answer-ANS: D
Patient satisfaction and perception of the quality of care are affected by the quality
of the
Nurse-patient relationship. Valid measurement of patient satisfaction is an evolving
science;
Nurses do not always accurately gauge what factors are most important to patients.
Satisfaction measures are often skewed in a positive direction with scores clustered
at the top
Of the scale.
, 4. The nurse manager must develop a patient satisfaction survey. What is one of
the critical
Elements in selecting a patient satisfaction instrument?
A. Being able to use the same instrument for all clinical units
B. Including items that are important from the patient's perspective
C. Being able to administer the instrument before a patient's discharge from the
Hospital
D. Being sure that the reading level is no higher than third grade - answer-ANS: B
Because satisfaction is a measure of service and service is a measure of perception
of what
Matters to the patient, to measure satisfaction, surveys must include items that
reflect the
Perspective of the patient. The quality of human contacts becomes the measure by
which the
Consumer forms perceptions and judgments about nursing and the health agency.
Consumers
May not be able to evaluate the quality of interventions, but they always can
evaluate the
Quality of the relationship with the person delivering the service.
5. Complex care of acutely ill patients is required on a surgical unit, which utilizes
differentiated
Nursing practice as its model of care delivery. On what is the concept of
differentiated nursing
Practice is based?
A. Licensure status
B. Experience in the agency
C. Leadership capabilities
D. Education and expertise - answer-ANS: D
Differentiated nursing practice models are models of clinical nursing practice that
are defined
Or differentiated by level of education, expected clinical skills or competencies, job
Descriptions, pay scales, and participation in decision making.
6. The nurse manager at a cardiac rehabilitation unit was asked to select a care
delivery model.
Which of the following methods would be the most cost-effective?
A. Functional method
B. Case management method
C. Primary care method
D. Team method - answer-ANS: B
Team nursing, functional nursing, and case management are all considered
efficient,
Cost-effective methods of care delivery because they enable utilization of various
types of
Healthcare providers (rather than baccalaureate nurses in direct care, which is the
primary
Nursing method). Case management is considered particularly cost-effective in
patient care
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