Staffing And Nursing Care Delivery Models
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- The Evolution of Professional NursingThe Contemporary Image of Professional NursingThe Influence of Contemporary Trends and Issues on Nursing EducationNursing Licensure and CertificationTheories of Nursing PracticeNursing Research and Evidence-Based PracticePaying for Health Care in America: Rising Costs and ChallengesLegal Issues in Nursing and Health CareEthical and Bioethical Issues in Nursing and Health CareCultural Competency and Social Issues in Nursing and Health CareComplementary and Alternative HealingPalliative CareWorkforce Advocacy for a Professional Nursing Practice EnvironmentCollective Bargaining and Unions in Today’s WorkplaceInformation Technology in the Clinical SettingEmergency Preparedness and Response for Today’s WorldNursing Leadership and ManagementBudgeting Basics for NursesEffective Communication and Conflict ResolutionEffective Delegation and SupervisionStaffing and Nursing Care Delivery ModelsQuality Improvement and Patient SafetyHealth Policy and Politics: Get Involved!Making the Transition from Student to Professional NurseManaging Time: The Path to High Self-PerformanceContemporary Nursing Roles and Career OpportunitiesJob Search: Finding Your MatchThe NCLEX-RN Examination
Question 1
Free
Multiple Choice
Accrediting agencies such as The Joint Commission address staffing by:
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imposing maximum staffing levels.
requiring a specific staff mix.
stipulating nurse-patient ratios.
looking for evidence that patients receive satisfactory care.
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Question 2
Free
Multiple Choice
Customer satisfaction is primarily based on:
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access to modern, up-to-date facilities.
availability of an extensive menu selection.
personal interactions with employees.
having to undergo fewer invasive procedures.
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Question 3
Free
Multiple Choice
rNurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?
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Total patient care
Partnership nursing
Team nursing
Functional nursing
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Question 4
Free
Multiple Choice
A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
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total patient care.
functional nursing.
team nursing.
primary nursing.
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Question 5
Free
Multiple Choice
The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:
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nurse manager.
case manager.
coordinator of patient-centered care delivery.
team leader in team nursing care delivery.
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Question 6
Multiple Choice
A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG). According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:
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patient outcome.
variance.
goal.
standard.
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Question 7
Multiple Choice
A patient is admitted with pneumonia. The case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
Choose correct answer/s
patient classification system.
clinical pathway.
patient-centered plan of care.
diagnosis-related group (DRG).
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Question 8
Multiple Choice
The nurse manager determines that four RNs, five LPN/LVNs, and two unlicensed assistive personnel (UAP) are required per shift to meet the needs of the patient population on the unit, according to acuity and census. The nurse manager is concerned with:
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assignments.
staffing.
output.
productivity.
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Question 9
Multiple Choice
A nurse manager is mentoring a novice nurse manager in determining staffing needs. The mentor explains, "We must determine the acuity level of the patient by:
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assessing patient satisfaction with nursing care."
quantifying the amount and intensity of care required."
examining the skill mix and educational preparation of the staff."
determining the number of hospital days required by the patients."
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Question 10
Multiple Choice
The nurse manager is planning staffing levels and realizes that the first step is to:
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know the intensity of care needed by patients according to physical and psychosocial factors.
examine the educational level of the staff.
assess the skill level of caregivers.
review the budget to determine the financial consequences of past staffing patterns.
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Question 11
Multiple Choice
A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:
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negotiates for additional agency nurses.
hires more part-time employees.
includes participatory management into staffing decisions.
uses "float" nurses to cover vacancies.
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Question 12
Multiple Choice
A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?
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Modular
Primary
Team
Functional
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Question 13
Multiple Choice
When deciding which staffing option to use on a nursing unit that will open soon, the manager realizes that:
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continuity of care is enhanced and errors are reduced when nurses provide care over longer shifts and consecutive workdays, such as 12-hour shifts on 3 consecutive days per week.
the use of part-time nurses provides the variability needed to meet diverse patient needs.
satisfaction of the staff equates to satisfaction of patients.
nurses provide the same level of care, regardless of the work environment.
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Question 14
Multiple Choice
A task force is considering factors that contribute to high-quality safe staffing. Which statement reflects an understanding of the American Nurses Association's (ANA) recommendations?
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Because patient needs remain constant on a daily shift, staffing needs at the beginning of the shift should be sufficient to provide safe, high-quality care.
Staffing should allow time for the RN to apply the nursing process so decisions result in high-quality, safe patient outcomes.
Patient acuity levels affect staffing by increasing the need for unlicensed personnel to provide routine basic care rather than increasing RNs in staff mix.
RN staffing is not cost-effective; thus is it important for staffing models to limit the number of RNs assigned per shift.
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Question 15
Multiple Choice
A nursing unit is comparing team nursing to the partnership model and finds that:
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with the partnership model, an RN does not have to be part of the mix.
leadership abilities of the RN is a major determinant of effectiveness of care for both models.
the RN teaches the LPN/LVN or unlicensed assistive personnel (UAP) how to apply the nursing process in team nursing.
with team nursing the RN cares for the patient while the team members work with the family or significant others.
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Question 16
Multiple Choice
A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit. The nurse is using:
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a patient classification system to determine safe staffing levels.
diagnostic-related groups for Medicare billing.
case management to coordinate care.
clinical pathways to determine care.
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Question 17
Multiple Choice
A nurse makes patient care assignments as follows: RN1 has rooms 200-210; RN2 has rooms 211-221; RN3 has rooms 222-232. The two unlicensed assistive personnel have half the rooms, with one assigned to 200-215 and the second to 216-232. The care delivery model used in this situation is:
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team.
primary.
partnership.
modular.
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Question 18
Multiple Choice
A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family. Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed:
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partnership.
patient-centered.
case management.
total patient care.
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Question 19
Multiple Choice
A nurse plans care knowing when specific recovery milestones are expected. The nurse is providing care via:
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patient classification systems.
clinical pathways.
functional nursing.
case management.
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Question 20
Multiple Choice
While participating in a task force to proactively plan for nursing care delivery over the next 20 years, a nurse learns that dramatic changes will occur as a result of: (select all that apply.)
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the increase in the number of minimally invasive procedures being performed for disease treatment.
care provided for patients over an extended period in acute care settings.
the reduction in the number of nurses and other health care professionals who are available to provide care.
the widespread illiteracy and decreased self-efficacy of the aging patient population.
the need to focus on social and environmental influences, educational level, and individual characteristics and values of the patient.
the devaluing of nursing as a means of improving patient outcomes.
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