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NSG-444 Exam 1 Verified and Updated
Questions and Answers (100% Correct
Answers)
Nursing Delivery Systems (4)
Answer: 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care
Answer: RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
(works when there is a limited # of nurses)
Team Nursing
Answer: RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
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-Success of team nursing centers on good communication among team members
-Team conference plays vital role
In this type of nursing, groups of patients were assigned to a team headed by a team
leader, usually an RN, who coordinated the care for a designated group of patients
(works when there is a limited # of nurses)
Primary Nursing
Answer: RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary
nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and
coordinates patient's care in hospital and patient's discharge plan
EX: a female patient is admitted to labor and delivery unit where she is assigned a RN
who will manage her care for the duration of her hospitalization
Client-Focused Care
Answer: RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the
client
-Traditional nursing interventions handled by ancillary workers under direction of
RN
-Moves RNs to higher level of functioning
(works when there are limited # of nurses)
- Interdisciplinary approach to care
State Boards of Nursing (SBN) 3 functions
Answer: 1. executive authority- to administer the nursing practice act
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-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for
licensure
Prioritization-Requires immediate action
Answer: -critical abnormal lab values
-significant change in status
Prioritization-non-emergent
Answer: -routine labs
-VS
-Dressing change
-bathing
5 rights of delegation
Answer: 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth
Answer: -typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by:
Answer: -aging of the population (including currently practicing nurses)
NSG-444 Exam 1 Verified and Updated
Questions and Answers (100% Correct
Answers)
Nursing Delivery Systems (4)
Answer: 1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care
Answer: RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
(works when there is a limited # of nurses)
Team Nursing
Answer: RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
,Inquire through: | Professional | Confidential Support
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
In this type of nursing, groups of patients were assigned to a team headed by a team
leader, usually an RN, who coordinated the care for a designated group of patients
(works when there is a limited # of nurses)
Primary Nursing
Answer: RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary
nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and
coordinates patient's care in hospital and patient's discharge plan
EX: a female patient is admitted to labor and delivery unit where she is assigned a RN
who will manage her care for the duration of her hospitalization
Client-Focused Care
Answer: RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the
client
-Traditional nursing interventions handled by ancillary workers under direction of
RN
-Moves RNs to higher level of functioning
(works when there are limited # of nurses)
- Interdisciplinary approach to care
State Boards of Nursing (SBN) 3 functions
Answer: 1. executive authority- to administer the nursing practice act
, Inquire through: | Professional | Confidential Support
-regulations (scope of practice)
2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for
licensure
Prioritization-Requires immediate action
Answer: -critical abnormal lab values
-significant change in status
Prioritization-non-emergent
Answer: -routine labs
-VS
-Dressing change
-bathing
5 rights of delegation
Answer: 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth
Answer: -typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by:
Answer: -aging of the population (including currently practicing nurses)
