collaboration/leadership
NR446 QUESTIONS AND
VERIFIED CORRECT
ANSWERS GRADED A+ 100%
GUARANTEED PASS [LATEST
2026-2027]
total patient care - CORRECT ANSWER-The *oldest mode of organizing patient care*; Nurses
assume *total responsibility for meeting the needs of all assigned patients* during their time on
duty. also called case method of assignment because patient may be assigned as cases.
Functional model - CORRECT ANSWER-created when there was a shortage of nurses after WWII.
Personnel were assigned to complete certain tasks rather than care for specific patients.
Team nursing - CORRECT ANSWER-created to reduce the fragmented care that accompanied
fragmented nursing. Ancillary personnel collaborate in providing care to a group of patients
under the direction of a professional nurse. As the team lead, you must know the condition and
needs of all patients assigned to your team and for planning individual care.
Primary nursing - CORRECT ANSWER-also called relationship based nursing. uses some concepts
of total patient care and brings the RN back to the bedside to provide clinical care. Originally
designed for hospitals but can lend itself well to home health nursing
,Case management - CORRECT ANSWER-collaborative process of assessment, planning,
facilitation, and advocacy for options and services to meet an individual's health needs through
communication and available resources to promote quality cost effective outcomes.
Disease management - CORRECT ANSWER-also called population based health care and
continuous health improvement. Comprehensive, integrated approach to the care and
reimbursement of high cost, chronic illnesses. goal to address such illnesses or conditions with
max. efficiency across treatment settings regardless of typical reimbursement patterns.
Nurse navigator - CORRECT ANSWER-new role for professional nurses, help patients and
families navigate the complex health care system by providing information and support.
commonly occurs in targeted clinical settings.
clinical nurse leader - CORRECT ANSWER--master's prepared generalist clinician
-oversees care coordination of a distinct group of patients, evaluates outcomes and has the
decision- making authority to change
patient and family centered care - CORRECT ANSWER-represents change in the paradigm of
care and strongly influence how care must be delivered based on premise that care should be
organized first and foremost around the needs of patients.
career development - CORRECT ANSWER-lifelong process involving both the individual and the
environment in which he or she lives. it is accomplished through self and work environment
assessment, job analysis, education, training, job search, and acquisition and work experience.
Career stages (Shirey) - CORRECT ANSWER-Promise, momentum, and harvest.
Promise stage - CORRECT ANSWER-the first ten years of employment; making wise career
choices is important.
, less experienced.
momentum stage - CORRECT ANSWER-the middle career phase and typically reflects 11 to 29
years of experience. sense of purpose. often achieves a high enough level of expertise to be a
role model to others.
Harvest stage - CORRECT ANSWER-late career 30 to 40 years as having prime experience. these
nurses must actively strive for ongoing reinvention to renew their potential value to their
coworkers.
Career planning - CORRECT ANSWER-Includes evaluating one's strengths and weaknesses,
setting goals, examining career opportunities, preparing for potential opportunities, and using
appropriate developmental activities
career planning (individual) - CORRECT ANSWER-self-assess interests, skills, strengths with
weaknesses and values. determine goals, assess the organization for opportunities, assess
opportunities outside, develop strategies, implement plans, and evaluate plans, then reassess
and make new plans as necessary at least biannually.
career management (organizational) - CORRECT ANSWER-integrate individual employee needs
and organizational needs, establish designs, communicate and implement career paths.
disseminate career information, post and communicate all jobs for the organization openings,
assess employees career needs, provide work experience for development, give support and
encouragement, develop new personnel policies as necessary, at least biannually necessary.
finally, provide training and education.
career coaching - CORRECT ANSWER-gathering data observe behavior, the manager regularly
asks employees questions or challenges them to refocus their perspective or improve their
performance.