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Terms in this set [60]
Which organizational strategy involves the process of coordinating health care by planning, facilitating, and evaluating interventions across levels of care to achieve measurable cost and quality outcomes?
Case management
What tool can be used to ensure specific patient outcomes occur in a timely manner and keep the expected outcomes, length of stay, and overall costs appropriate?
Critical pathway
In which nursing care delivery model is patient care provided by licensed or unlicensed staff members who each perform specific tasks for a large group of patients?
Functional nursing
What category of healthcare service setting uses nursing case management and includes urgent care centers?
Community
Which attribute is the charge nurse exhibiting when sharing their vision for the unit with staff?
Leadership skills
Which is the fastest growing segment of the healthcare industry?
Home health organizations
Which is an example of the role of the cardiac nurse navigator?
Facilitating a transfer from the coronary care unit to a tertiary care center
Which statement describes an advantage of functional nursing?
A large number of tasks can be completed in a shift.
Which statements describe the responsibilities of a charge nurse in the team nursing model? Select all that apply.
Provide support for teams on a shift-by-shift basis.
Encourage each team to solve problems independently.
Function as a liaison between team leaders and other healthcare providers.
Which nursing care delivery system is considered a modification of the functional nursing delivery system and was devised to improve patient satisfaction?
Team nursing
Which is the best definition of a nursing care delivery model?
It is the method used to provide care to patients.
Which criteria are used to differentiate levels of nursing practice according to differentiated nursing practice models? Select all that apply.
Pay scale
Job description
Level of education
Expected clinical skills
The nurse manager is reviewing applicants for a charge nurse position. Which applicant is a likely candidate for this role?
Baccalaureate-prepared nurse [BSN] with 2 years of clinical experience on a medical unit
Which statement describes the role of the clinical nurse leader [CNL]?
Overseeing the lateral integration of care for a distinct group of patients, sometimes actively providing direct patient care in complex situations
Care delivery models address direct patient care functions and which other function in health care?
Management of providers
Which is the role of the charge nurse in the functional nursing model?
Coordinating care and assignments
Whose responsibility is it to achieve patient outcomes in the functional model of nursing?
Nurse manager
A patient is readmitted to the hospital after medical management of pneumonia 24 hours after discharge. Which patient action or attitude most likely resulted in the patient's readmission?
Did not understand discharge instructions
Which is the role of the nurse manager in the case method nursing care delivery model?
Considering expense versus outcomes in patient care delivery
Which role differentiates a nurse navigator from a case manager? Select all that apply.
Focused on a single health condition
Seek to achieve timely and effective care
In which nursing model is the registered nurse [RN] paired with a technical assistant?
Partnership model
Which model of nursing care delivery involves each licensed and unlicensed staff member performing specific tasks for a large group of patients?
Functional
Which service area would be appropriate to meet the needs of a patient admitted with sepsis 10 days ago who is ordered to a lesser care environment for continued intravenous antibiotics and intravenous fluids?
Skilled nursing center
The appropriate use of which process is required for nursing case management to provide holistic care planning to patients?
Referral
Which stages are included in the rapid cycle change process? Select all that apply.
Do
Act
Plan
Study
Which traditional model of nursing care in which one nurse provides total care to a patient is still used today?
Case method
Which stage of rapid cycle change involves planning the next actions?
Act
Which best describes a tool that can be used by nurses to identify and document the standardized, interdisciplinary processes that need to occur for a patient to move toward a desired outcome in a defined period of time?
Critical pathway
As new patient care delivery models are developed, which opportunities do nurses have to help lead these efforts? Select all that apply.
Hold a vision of how things should be.
Demonstrate positive adaptive behaviors.
Act upon possibilities in complex situations.
Communicate effectively regarding situations.
Use experience and knowledge to judge risk.
Which patient would be assigned to the registered nurse [RN] when providing care to a district of patients with a licensed practical nurse [LPN]?
50-year-old with end-stage cardiomyopathy, comfort care only, in congestive heart failure
Which factor at a small community hospital would make a transition to team nursing difficult?
Variation of competence of nurses based on education
Which statement made by a registered nurse reflects an understanding of reduced reimbursement and nursing shortages resulting in changes in staffing mix?
"The nurse manager can reduce costs by increasing the ratio of unlicensed to licensed personnel."
Which elements are components of the case management model? Select all that apply.
Case manager
Critical pathways
A patient with end-stage heart failure is discharged with an order for palliative outpatient intravenous dobutamine infusions. Which healthcare provider is best equipped to assist the staff with nurse with arranging this outpatient care and following up the patient to determine discharge plan effectiveness?
Case manager
Which should the nurse document on the critical pathway for an inpatient from the medical-surgical unit who is in the radiology department during the morning hours and misses several scheduled medications?
variance
Which can the registered nurse do to prevent errors during transitions of care?
Conduct timely follow-up and coordination after a patient leaves a care setting
The nurse manager learns that staff nurses working in a functional model of nursing complain that they do not have enough input on policies and procedures in their work units. Which strategy will the nurse manager use to address staff concerns?
Conduct frequent staff meetings encouraging the staff nurses
Which example illustrates leadership by the staff nurse?
Uses expertise and knowledge to judge a reasonable risk
For which patient would the nurse most likely be caring for when providing total care for one patient during the work week?
42-year-old admitted to the coronary care unit after myocardial infarction
Which nursing model is represented when the nurse is providing total care for a single patient on the hospice unit during his or her shift?
Case method
The nurse manager is searching for a program to enhance communication and optimize patient outcomes. Which tool would best assist the nurse in developing such a program?
TeamSTEPPS
Which model of care is the nurse most likely using when caring for a patient in the intensive care unit [ICU]?
Total patient care
Which are advantages of nursing case management? Select all that apply.
Decreased length of stays
Improved care outcomes
Effective use of multiple disciplines
Which should the nurse manager take into consideration when selecting a nursing care delivery model for an organization? Select all that apply.
Budget
Patient population
Organizational goals
Which patient care service originally delivered by social workers and public healthcare nurses has evolved into the role of a nurse addressing the needs of complex patients who require coordination over the course of treatment?
Nursing case manager
Florence Nightingale used which nursing care delivery method?
Total patient care
Which finding best describes a variance in a critical pathway?
Blood cultures obtained after antibiotics are initiated
The nurse is transferring a patient to a tertiary care center. The nurse notifies the receiving organization's nurse manager and care team assigned to the patient of the transfer, and provides report to the nurse receiving the patient. Which nursing skill is the nurse exhibiting?
Interprofessional collaboration
Which typically creates an environment that attracts and retains well-qualified nurses who promote quality care?
Magnet® status
A healthcare setting is planning to implement a functional nursing model. Which concern is the main disadvantage of this model of care?
Professional nurse dissatisfaction
Which are disadvantages of functional nursing? Select all that apply.
Less control of quality
Fragmented patient care
Professional nurse dissatisfaction
Poor communication among staff members
Which are responsibilities of the registered nurse in the case method of [total patient care] nursing care delivery model? Select all that apply.
Educating a patient and family
Assessing a patient and family
The nurse is being trained in case management through a program to improve healthcare outcomes in an underserved community. Which statement made by the nurse indicates an understanding of case management?
"Case management provides a good way for me to empower patients and improve adherence outcomes."
Which is an important role of the nurse manager in team nursing?
Identifying registered nurses [RNs] who are competent and interested in becoming charge nurses or team leaders
Which nurse competencies are described in the synergy model? Select all that apply.
Collaboration
Clinical judgment
Response to diversity
Which are considerations when selecting a nursing care delivery model? Select all that apply.
Assess the organization and population being served
Review advantages and disadvantages of each model
Know all models' specific expectations for managers and staff
Which are benefits of the functional nursing model? Select all that apply.
Proficiency of each person at specific tasks
Organization benefits financially because of staff mix
Unskilled workers trained to do one or two specific tasks
Which are fundamental aspects of the clinical nurse leader? Select all that apply.
Provision of evidence-based practice
Lateral integration of care for individuals and patient cohorts
Leadership in the care of the sick in and across all environments
Accountability for the evaluation and improvement of point-of-care outcomes
Which are root causes of ineffective transition of care? Select all that apply.
Receiving nurse not recognizing significance of a patient's symptoms upon arrival
Transferring nurse only contacting the nurse manager for transfer of patients in critical condition
Which are responsibilities of the patient navigator? Select all that apply.
Offers psychosocial support to a patient and/or family
Assists patients in overcoming healthcare system barriers
Provides healthcare education about disease from prevention to treatment
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