NR 226 Chapter 21 – Nursing Leadership & Management Study Guide and
Practice Questions
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. Case-management
b. Total patient care
c. Primary nursing
d. Team nursing - correct answer ✔✔d. Team nursing
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. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management - correct answer ✔✔d. Case-management
A nurse assigned to an intensive care unit (critical care) is most likely using what type of nursing
care delivery model??
a. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management - correct answer ✔✔b. Total patient care
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. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management - correct answer ✔✔d. Case-management
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. Delegation
b. Research-based
c. Decentralization
d. Philosophy of care - correct answer ✔✔c. Decentralization
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. Authority
b. Autonomy
c. Responsibility
d. Accountability - correct answer ✔✔b. Autonomy
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?
a. Authority
b. Autonomy
c. Responsibility
d. Accountability - correct answer ✔✔d. Accountability
Practice Questions
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. Case-management
b. Total patient care
c. Primary nursing
d. Team nursing - correct answer ✔✔d. Team nursing
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. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management - correct answer ✔✔d. Case-management
A nurse assigned to an intensive care unit (critical care) is most likely using what type of nursing
care delivery model??
a. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management - correct answer ✔✔b. Total patient care
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. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management - correct answer ✔✔d. Case-management
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. Delegation
b. Research-based
c. Decentralization
d. Philosophy of care - correct answer ✔✔c. Decentralization
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. Authority
b. Autonomy
c. Responsibility
d. Accountability - correct answer ✔✔b. Autonomy
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?
a. Authority
b. Autonomy
c. Responsibility
d. Accountability - correct answer ✔✔d. Accountability
