Mock-Chapter 21: Managing Patient Care

A registered nurse (RN) is the group leader of licensed practical nurses (LPNs) and nursing assistive personnel (NAP). Which nursing care model is being implemented?

A nurse is overseeing the care of patients diagnosed with either severe diabetes or with heart failure. The purpose of this nursing model is to improve cost-effectiveness and quality of care. Which nursing care delivery model is the nurse using?

A nurse assigned to an intensive care unit (critical care) is most likely using what type of nursing care delivery model?

A nurse manager discovers that the readmission rate of hospitalized patients is very high on the hospital unit. The nurse manager desires improved coordination of care and accountability for cost-effective quality care. Which nursing care delivery model is best suited for these needs?

A nurse is working in a facility that has fewer directors which allows for managers and staff to make shared decisions. In which type of organizational structure is the nurse employed?

A staff member verbalizes satisfaction in working on a particular nursing unit because of the freedom of choice and responsibility for the choices. This nurse highly values which element of shared decision making?

A staff nurse delegates a task to a nursing assistive personnel (NAP), knowing that the NAP has never performed the task before. As a result, the patient is injured, and the nurse defensively states that the NAP should have known how to perform such a simple task. Which element of the decision-making process is the nurse lacking?

Accountability refers to individuals being answerable for their actions. The nurse in this situation is not taking ownership of the inappropriate delegation of a task. Autonomy is freedom of choice and responsibility for the choices. Responsibility refers to the duties and activities that an individual is employed to perform. Authority refers to legitimate power to give commands and make final decisions specific to a given position.

A nurse is making a home visit and discovers that a patient’s wound infection has gotten worse. The nurse cleans and redresses the wound. What should the nurse do next?

A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail that was sent stating that it had to be discarded. The staff nurse dress code is not being adhered to as requested in the same e-mail. Several staff nurses deny having received the e-mail. Which action should the nurse manager take?

A novice nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse’s station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need?

Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?

Which assessment of a patient who is 1-day post-surgical repair a hip fracture requires immediate nursing intervention?

A nurse has a transformational leader as a manager. Which finding will the nurse anticipate from working with this leader?

A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistive personnel (NAP). The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. Which action should the nurse take next?

A nurse is prioritizing care for four patients. Which patient should the nurse see first?

A nursing assistive personnel (NAP) reports seeing a reddened area on the patient’s hip while bathing the patient. Which action should the nurse take?

A nurse is assigned to care for the following patients who all need vital signs scheduled to be taken now. Which patient is most appropriate for the nurse to delegate vital sign measurement to the nursing assistive personnel (NAP)?

Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?

A nurse uses the accepted rights of delegation when providing care. Which "rights" did the nurse use? (Select all that apply.)