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Nursing Leadership Exam 2 Of TEST BANK for the LPN/LVN, 7th Edition by Tamara R. Dahlkemper, Verified Chapters 1 - 20, Complete Newest Version$10.99
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In an acute care unit, the nurse manager utilizes the functional nursing method as the
care delivery model. The nurse manager's main responsibility is the needs of the:
a. department
b.unit
c.staff
d. patient - ANS d. patient
The functional model of nursing is a method of providing patient care by which each
licensed and unlicensed staff member performs specific tasks for a large group of
patients. In a functional nursing model, where other team members are focused on
performing specific tasks, the nurse manager assumes primary responsibility for patient
outcomes.
During times of nursing shortages and increased nursing costs in health care, which of
the following nursing care delivery models might come under greatest scrutiny?
a. Case method
b. Team nursing
c. Functional nursing
d. Nurse case management - ANS a. Case method
The case method may involve total patient care provided by a registered nurse, which,
in today's costly healthcare economy, is very expensive. In times of nursing shortages,
there may not be enough resources or nurses to use this model.This model is especially
useful in the care of complex patients who need active symptom management provided
by an RN, such as the care of the patient in a hospice setting or an intensive care unit.
This method would be justifiable delivery in the pediatric intensive care unit, where the
status of patients can change rapidly and where complex functions of care involve both
patients and families.
A patient complains to the charge nurse that she has no idea who "her nurse" is on any
given day. "I ask one nurse for my pills and she says, 'That's not my job.' I ask the pill
nurse about my lab tests and she says that I should ask another nurse." The nursing
care delivery model most likely employed in this situation is:
a. differentiated practice.
,b. team nursing.
c. functional nursing.
d. case management. - ANS c. functional nursing
Functional team nursing involves licensed and unlicensed personnel who perform
specific tasks for a large number of patients. A disadvantage of functional team nursing
is the fragmentation of care. The physical and technical aspects of care may be met, but
the psychological and spiritual needs may be overlooked. Patients become confused
with so many different care providers per shift. These different staff members may be so
busy with their assigned tasks that they may not have time to communicate with each
other about the patient's progress.Although repetition of tasks increases confidence and
competence, it can also lead to boredom. Rotation of tasks can assist specifically in this
model to reduce the boredom that is a potential disadvantage of this model.
To effectively delegate in a team nursing environment, the RN team leader must be
familiar with the legal and organizational roles of each group of personnel and must:
a. be able to effectively communicate with patients.
b. build relationships with physicians.
c. be able to adapt to daily changes in staffing.
d. adapt in communicating information to her supervisor. - ANS c. be able to adapt to
daily changes in staffing.
A particular challenge in team nursing is that staff mixes and staff may change daily
because of individual schedules and shortages.Team nursing delivers care to a small
group of patients, using a mix of licensed and unlicensed personnel. Team nursing uses
the strengths of each caregiver.
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. - ANS c. degree of task orientation.
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.
Complex change situations require that the change leader promote ongoing visioning
among staff members. One strategy is to:
a. consciously evaluate invisible mental models.
b. allow for individual outcomes.
c. encourage cooperative activities.
d. operate between order and disorder. - ANS a. consciously evaluate invisible mental
models.
Senge theory on change suggests that each individual or organization bases activities
on a set of assumptions, or a set of beliefs, or mental pictures about the way that the
world should work. When these invisible models are uncovered and consciously
evaluated, it is possible to determine their influences on work accomplishment.Senge
theory on change has 5 organizational disciplines (box, og 329):shared vision - the
process of creating a common view about where the organization is going mental
models - the practice of helping individuals become aware of how they think, what they
value, and how that affects organizational performancepersonal mastery - the fostering
of openness in the face of change by managing self-awareness and using
reflectionteam learning - the promotion of teams thinking together, collaborating, and
sharing ideas, knowledge and perspectivesystems thinking - the development of
frameworks that see the oganization as a complex entity whose many parts affect
outcomes
What are the positive factors influencing healthcare consumers and their relationship
with healthcare organizations?
a. increased engagement of patients with their healthcare
b. inadequate healthcare professionals discussing legislation bills related to healthcare
c. healthcare professionals are held more accountable for patient outcomes
d. delivery of cost effective quality care is achieved by preparing nurses with a higher
level of education in the ever-chaning healthcare environment
e. giving people a voice for changes they desire to achieive in healthcare
f. patients use non-professional websites to researh pathology and treatments
g. mangagement may place gaining approval and certification by deeming authorities
above staff needs
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