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Nursing Issues Final Questions And Rationale
Comprehensive 2026 Questions Exam Latest Version
Solved Questions & Answers Verified 100 %
Which statement by the nurse manager is accurate regarding case
management? The two tools that support case management are
a. "clinical pathways and patient classifications."
b. "clinically oriented and business-oriented pathways."
c. "clinical pathways and disease management protocols."
d. "centralized and decentralized system models."
ANS: C
Both of these tools (clinical pathways and disease management protocols) support
case management by coordination and delivery of high-quality care. Clinical
pathways (also known as care maps) are interdisciplinary plans of care that outline
the optimal sequencing and timing of interventions for patients with a particular
diagnosis, procedure, or symptom. Disease management protocols involve a system
of coordinated health care interventions and communications for persons with
conditions in which self-care is important in controlling the disease.
A nurse manager is training a new hire. Which statement shows an
understanding of functional nursing?
a. "Functional nursing is organized around tasks."
b. "Functional nursing is patient led."
c. "Functional nurses is physician led."
d. "Functional nursing is unorganized."
ANS: A
Functional nursing is where nursing care is broke into a series of tasks performed by
many people, which results in a fragmented, impersonal kind of care. Fragmentation
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of care caused patient problems to be overlooked because they did not fit into a
defined assignment. Aides, vocational nurses, and licensed practical nurses are
allowed to perform functions such as administration of medication and treatments.
This functional kind of nursing results in a fragmented, impersonal kind of care. In
team nursing, groups of patients are assigned to a team headed by a team leader,
usually a nurse, who coordinates the care for a designated group of patients. In
primary nursing, a nurse plans and directs the care of a patient over a 24-hour
period. This approach is designed to reduce or eliminate the fragmentation of care
between shifts and nurses because one nurse is accountable for planning the care of
the patient around the clock. In a patient-focused care system, the patient comes
into contact with fewer people, and the nurse, who is familiar with the patient's plan
of care, supervises the delivery of care. This model also moves nurses to a higher
level of functioning because they are now accountable for a fuller range of services
for the patient.
Which of the following statements shows the nurses understanding of primary
nursing?
a. "Primary nursing involves planning and directing of patient care over 24
hours."
b. "Primary nursing involves care for 48 hours or more."
c. "Primary nursing involves one nurse planning care for the patient."
d. "Primary nursing is the only method of care used today."
ANS: C
In primary nursing, the fragmentation between shifts and nurses is eliminated
because one nurse is accountable for planning the care of the patient around the
clock. Primary nursing is not the only method of care used today. Functional nursing
is when nursing care is broke into a series of tasks performed by many people,
which results in a fragmented, impersonal kind of care. Fragmentation of care
caused patient problems to be overlooked because they did not fit into a defined
assignment. In team nursing, groups of patients are assigned to a team headed by a
team leader, usually an RN, who coordinates the care for a designated group of
patients. In primary nursing, a nurse plans and directs the care of a patient over a
24-hour period. This approach is designed to reduce or eliminate the fragmentation
of care between shifts and nurses because one nurse is accountable for planning the
care of the patient around the clock. In a patient-focused care system, the patient
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comes into contact with fewer people, and the RN, who is familiar with the patient's
plan of care, supervises the delivery of care. This model also moves RNs to a higher
level of functioning because they are now accountable for a fuller range of services
for the patient.
Which statement is true about case management?
a. There are two models—traditional and full immersion.
b. It is used to reduce resource utilization only.
c. To be effective, it requires case managers to provide direct patient care.
d. It eliminates the need for other caregivers (LPN, LVNs, nursing assistants).
ANS: A
Case management is one of the strategies to reduce costs while ensuring
coordination of care. The first is the traditional model, which focuses on discharge
planning and determining if the care planned throughout the patient's hospital stay is
necessary and appropriate (utilization review) so that the insurer will pay for the
services. The full immersion model of case management requires the case manager
to review the chart and communicate with physicians and nurses caring for the
patients on their case load daily. Case managers do not provide direct patient care,
and it does not eliminate the need for other health care workers (LPN, CNA).
Resource utilization is the examining of resources to ensure optimal allocation, such
as restructuring shifts so that nurses work fewer overtime hours is an example of
resource utilization.
A nurse is interested in case management. Which statement indicates an
understanding of the primary work environment of case manager?
a. "They work most often in acute care institutions."
b. "Their work is focused on community activities and is based within the
community."
c. "They typically work for insurance companies, providing coordination of
care."
d. "All types of health care organizations, as well as organizations with health-
related functions, hire case managers."
ANS: D
Nurses who are case managers work in all types of health care institutions. They
may also work for insurance or utilization review companies or in health-related
areas of various types of large businesses. Registered nurses, social workers, and
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therapists may all be case managers, but how they perform their role depends on the
scope of practice of their discipline. All case managers must be skilled at
communication, critical thinking, negotiation, and collaboration. They must be
knowledgeable about resources available to patients. The case manager not only
deals with individual patients but also with family and other support systems of the
patient; however, a case manager's work is not focused on just the community.
Which statement is true about patient classification systems?
a. They measure all the needs of patients.
b. They provide an absolute formula for unit staffing.
c. They should not be used to make patient care assignments because acuity
systems are more accurate.
d. They provide historical data of the usage of nursing time, which is helpful
when developing the department budget.
ANS: D
A patient classification or acuity system is used in many acute care hospitals to
estimate the intensity of nursing care required to meet patient needs. This system
does not measure the needs of all patients, is not used an as absolute formula for
unit staffing, and is not used to make patient assignments. Patient acuity is the
measure of categorizing patients based on their nursing care requirements. Patient
classification systems, particularly with increased computerization and the ability to
access the system online, provide many benefits. Specifically, they can be used to
improve patient care outcomes, identify appropriate staffing, track budget
compliance and costs, and maintain nurse retention through their ability to impact
staffing through assessment of patients' conditions.
Which of the following best describes the concept of evidence-based practice?
a. It is a method of improving nursing care and effectively maintaining cost
containment.
b. Insurance companies review the evidence of the health care practice for
reimbursement.
c. It achieves large-scale economics while providing cost-effective care.
d. It provides for the use of recent research in current nursing practice.
ANS: D
The IOM reported that it took 17 years for research to be reflected into daily practice.
Evidence-based practice is the use of the current best evidence to provide care and
Nursing Issues Final Questions And Rationale
Comprehensive 2026 Questions Exam Latest Version
Solved Questions & Answers Verified 100 %
Which statement by the nurse manager is accurate regarding case
management? The two tools that support case management are
a. "clinical pathways and patient classifications."
b. "clinically oriented and business-oriented pathways."
c. "clinical pathways and disease management protocols."
d. "centralized and decentralized system models."
ANS: C
Both of these tools (clinical pathways and disease management protocols) support
case management by coordination and delivery of high-quality care. Clinical
pathways (also known as care maps) are interdisciplinary plans of care that outline
the optimal sequencing and timing of interventions for patients with a particular
diagnosis, procedure, or symptom. Disease management protocols involve a system
of coordinated health care interventions and communications for persons with
conditions in which self-care is important in controlling the disease.
A nurse manager is training a new hire. Which statement shows an
understanding of functional nursing?
a. "Functional nursing is organized around tasks."
b. "Functional nursing is patient led."
c. "Functional nurses is physician led."
d. "Functional nursing is unorganized."
ANS: A
Functional nursing is where nursing care is broke into a series of tasks performed by
many people, which results in a fragmented, impersonal kind of care. Fragmentation
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of care caused patient problems to be overlooked because they did not fit into a
defined assignment. Aides, vocational nurses, and licensed practical nurses are
allowed to perform functions such as administration of medication and treatments.
This functional kind of nursing results in a fragmented, impersonal kind of care. In
team nursing, groups of patients are assigned to a team headed by a team leader,
usually a nurse, who coordinates the care for a designated group of patients. In
primary nursing, a nurse plans and directs the care of a patient over a 24-hour
period. This approach is designed to reduce or eliminate the fragmentation of care
between shifts and nurses because one nurse is accountable for planning the care of
the patient around the clock. In a patient-focused care system, the patient comes
into contact with fewer people, and the nurse, who is familiar with the patient's plan
of care, supervises the delivery of care. This model also moves nurses to a higher
level of functioning because they are now accountable for a fuller range of services
for the patient.
Which of the following statements shows the nurses understanding of primary
nursing?
a. "Primary nursing involves planning and directing of patient care over 24
hours."
b. "Primary nursing involves care for 48 hours or more."
c. "Primary nursing involves one nurse planning care for the patient."
d. "Primary nursing is the only method of care used today."
ANS: C
In primary nursing, the fragmentation between shifts and nurses is eliminated
because one nurse is accountable for planning the care of the patient around the
clock. Primary nursing is not the only method of care used today. Functional nursing
is when nursing care is broke into a series of tasks performed by many people,
which results in a fragmented, impersonal kind of care. Fragmentation of care
caused patient problems to be overlooked because they did not fit into a defined
assignment. In team nursing, groups of patients are assigned to a team headed by a
team leader, usually an RN, who coordinates the care for a designated group of
patients. In primary nursing, a nurse plans and directs the care of a patient over a
24-hour period. This approach is designed to reduce or eliminate the fragmentation
of care between shifts and nurses because one nurse is accountable for planning the
care of the patient around the clock. In a patient-focused care system, the patient
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comes into contact with fewer people, and the RN, who is familiar with the patient's
plan of care, supervises the delivery of care. This model also moves RNs to a higher
level of functioning because they are now accountable for a fuller range of services
for the patient.
Which statement is true about case management?
a. There are two models—traditional and full immersion.
b. It is used to reduce resource utilization only.
c. To be effective, it requires case managers to provide direct patient care.
d. It eliminates the need for other caregivers (LPN, LVNs, nursing assistants).
ANS: A
Case management is one of the strategies to reduce costs while ensuring
coordination of care. The first is the traditional model, which focuses on discharge
planning and determining if the care planned throughout the patient's hospital stay is
necessary and appropriate (utilization review) so that the insurer will pay for the
services. The full immersion model of case management requires the case manager
to review the chart and communicate with physicians and nurses caring for the
patients on their case load daily. Case managers do not provide direct patient care,
and it does not eliminate the need for other health care workers (LPN, CNA).
Resource utilization is the examining of resources to ensure optimal allocation, such
as restructuring shifts so that nurses work fewer overtime hours is an example of
resource utilization.
A nurse is interested in case management. Which statement indicates an
understanding of the primary work environment of case manager?
a. "They work most often in acute care institutions."
b. "Their work is focused on community activities and is based within the
community."
c. "They typically work for insurance companies, providing coordination of
care."
d. "All types of health care organizations, as well as organizations with health-
related functions, hire case managers."
ANS: D
Nurses who are case managers work in all types of health care institutions. They
may also work for insurance or utilization review companies or in health-related
areas of various types of large businesses. Registered nurses, social workers, and
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therapists may all be case managers, but how they perform their role depends on the
scope of practice of their discipline. All case managers must be skilled at
communication, critical thinking, negotiation, and collaboration. They must be
knowledgeable about resources available to patients. The case manager not only
deals with individual patients but also with family and other support systems of the
patient; however, a case manager's work is not focused on just the community.
Which statement is true about patient classification systems?
a. They measure all the needs of patients.
b. They provide an absolute formula for unit staffing.
c. They should not be used to make patient care assignments because acuity
systems are more accurate.
d. They provide historical data of the usage of nursing time, which is helpful
when developing the department budget.
ANS: D
A patient classification or acuity system is used in many acute care hospitals to
estimate the intensity of nursing care required to meet patient needs. This system
does not measure the needs of all patients, is not used an as absolute formula for
unit staffing, and is not used to make patient assignments. Patient acuity is the
measure of categorizing patients based on their nursing care requirements. Patient
classification systems, particularly with increased computerization and the ability to
access the system online, provide many benefits. Specifically, they can be used to
improve patient care outcomes, identify appropriate staffing, track budget
compliance and costs, and maintain nurse retention through their ability to impact
staffing through assessment of patients' conditions.
Which of the following best describes the concept of evidence-based practice?
a. It is a method of improving nursing care and effectively maintaining cost
containment.
b. Insurance companies review the evidence of the health care practice for
reimbursement.
c. It achieves large-scale economics while providing cost-effective care.
d. It provides for the use of recent research in current nursing practice.
ANS: D
The IOM reported that it took 17 years for research to be reflected into daily practice.
Evidence-based practice is the use of the current best evidence to provide care and
