15: The Health Care Organization and Patterns of Nursing Care Delivery MULTIPLE
CHOICE
How does managed care affect the economics of health care delivery?
a. Provides incentives for smaller private or individual hospitals
b. Increases the tax bases for the community
c. Uses corporate economics to achieve a profit
d. Decreases duplicate processes and redundant
facilities ANS: D
Which statement regarding characteristics of clinical pathways shows the nurses understanding?
a. “Clinical pathways focus on patient outcomes.”
b. “Clinical pathways use a timeline with sequenced interventions.”
c. “Clinical pathways collaborate efforts by health care professionals.”
d. “Clinical pathways involve nurse-centered
orientation.” ANS: D
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
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
A female patient is admitted to the labor and delivery unit, where she is assigned a
registered nurse who will manage her care for the duration of her hospitalization. What type of
nursing care delivery model is represented in this nursing unit?
a. Functional care c. Patient-focused care
b. Primary care d. Case management
ANS: B
The nurse is reviewing upcoming discharges. Which patient would a case manager be assigned to?
a. A 55-year-old woman post hysterectomy, who has adequate support from family
b. A 42-year-old man post appendectomy, who is able to change his own dressing
c. A 60-year-old man post sepsis, in need of nursing home placement
d. A 38-year-old woman, post shoulder repair, who needs to follow up with the orthopedic
surgeon ANS: C
Which action by the case manager would be required under the full immersion model?
a. The case manager would see only the patients with the most extensive health care needs.
,b. The case manager would see all patients that come into the hospital.
c. The case manager would only see the patients with health insurance.
d. The case manager would conduct a daily chart review of patients he or she is assigned
to. ANS: D
Which statement shows the nurses understanding of patient-focused care?
a. “Patient-focused care is a nursing care delivery system.”
b. “Patient-focused care is a model for a health care organization.”
c. “Patient-focused care is a clinical pathway within an institution.”
d. “Patient-focused care is an institutional value and
philosophy.” ANS: A
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.”
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d. “centralized and decentralized system
models.” ANS: C
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
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
Which statement is true about case management?
a. There are two models—traditional and full immersion.
HA 515 Quiz 3 Leadership EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED
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