Nurs fundamental-leadership and management
test bank questions with answers
The RN receives reports on eight clients in the morning. Client assignments are
then delegated to an LPN and two nursing assistants. The morning is busy, with
physician visits and new client orders, and the RN communicates these new orders to
the LPN and nursing assistants. The RN also meets with the case manager to discuss
nursing home placement for a client. What type of nursing care delivery system is in
place in this hospital?
1. Critical pathways
2. Total client care
3. Team nursing
4. Functional
nursing Answer: 3
Explanation: 1. Critical pathways are a set of strategies used by healthcare
providers to attain expected outcomes. Critical pathways are not a nursing care
delivery system, and there are insufficient data to determine if they are used in
this scenario.
2. Total client care is given by one nurse.
3. The RN in this case is leading a team. A variety of skilled caregivers cares for a
group of clients.
4. Functional nursing breaks down the assignments
into tasks. Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Implementation/Leadership
Learning Outcome: 3-1: Differentiate the models of nursing care delivery systems
and the disadvantages of each.
As the RN team leader, identify potential disadvantages of using team nursing to
deliver care to assigned clients.
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select
all that apply.
1. Continuity of care may suffer.
2. Client/staff communication may be an issue.
3. There is little cost savings to the institution.
4. Delegation is necessary.
5. Not as many professional staff are
required. Answer: 1, 2, 4
Explanation: 1. Continuity of care may suffer when care is given by more than one
,Nurs fundamental-leadership and management
test bank questions with answers
individual.
2. Team nursing requires excellent communication skills in all team
members, who must communicate with clients, families, and each other.
3. Team nursing does save on personnel costs.
4. The RN must be careful to delegate only tasks that are appropriate for the
skill level and licensure of the designated personnel. The RN is ultimately
responsible for all client care.
5. Team nursing does reduce the number of professional staff
required. Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Planning/Leadership
Learning Outcome: 3-2: Describe the attributes of integrated models of care.
The hospital is opening its first intensive care unit. The nurse executive should plan
to staff this unit according to which model of care?
1. Functional nursing
,Nurs fundamental-leadership and management
test bank questions with answers
2. Team nursing
3. Total client care
4. Primary
care Answer: 3
Explanation: 1. Functional nursing has the disadvantages of less continuity of care and
potentially less skilled personnel caring for the client.
2. Team nursing has the disadvantage of not having a professional nurse
attending to all client care needs.
3. In total client care, one nurse cares for a client and is totally accountable for the
client. This way the nurse can give continuous, holistic, and expert care.
4. Primary care is considered the client’s first encounter with the
healthcare system. Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Planning/Resource Utilization
Learning Outcome: 3-3: Compare three evolving models of care and explain why care
delivery systems will continue to evolve.
The hospital administration is considering adopting primary nursing as its model of
nursing care delivery. Which of the following are disadvantages of this method?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select
all that apply.
1. The client may have multiple primary nurses if transfers within the facility are
necessary.
2. Physician satisfaction is decreased.
3. Staff nurses cannot be held legally liable for care provided outside their work
hours.
4. It requires a knowledge-based nursing practice model.
5. All individuals caring for the client must have excellent
communication skills. Answer: 1, 3, 5
Explanation: 1. If a client requires transfer between units, a new primary nurse will be
assigned in each unit. In some cases, this could result in multiple primary care nurses
during one hospitalization.
2. Physician, nurse, and client satisfaction is generally increased with primary care.
3. The premise of primary nursing is that the nurse holds 24-hour-a-day
accountability for client care. Legally, nurses cannot be accountable for care
provided outside their work hours.
, Nurs fundamental-leadership and management
test bank questions with answers
4. Requiring a knowledge-based nursing practice model is seen as an advantage of
primary nursing.
5. Excellent communication must exist between the primary nurse and associate
nurse. This is often difficult.
Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Implementation/Resource
Utilization Learning Outcome: 3-2: Describe the attributes of
integrated models of care.
A newly licensed RN is beginning a job search. This nurse would be best served by
working in an organization that provides which nursing care delivery system?
1. Primary nursing
2. Total nursing care
3. Functional nursing
4. Practice
partnerships Answer: 4
Explanation: 1. The nurse providing primary nursing must be very autonomous.
This is not the best environment for a newly licensed RN.
test bank questions with answers
The RN receives reports on eight clients in the morning. Client assignments are
then delegated to an LPN and two nursing assistants. The morning is busy, with
physician visits and new client orders, and the RN communicates these new orders to
the LPN and nursing assistants. The RN also meets with the case manager to discuss
nursing home placement for a client. What type of nursing care delivery system is in
place in this hospital?
1. Critical pathways
2. Total client care
3. Team nursing
4. Functional
nursing Answer: 3
Explanation: 1. Critical pathways are a set of strategies used by healthcare
providers to attain expected outcomes. Critical pathways are not a nursing care
delivery system, and there are insufficient data to determine if they are used in
this scenario.
2. Total client care is given by one nurse.
3. The RN in this case is leading a team. A variety of skilled caregivers cares for a
group of clients.
4. Functional nursing breaks down the assignments
into tasks. Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Implementation/Leadership
Learning Outcome: 3-1: Differentiate the models of nursing care delivery systems
and the disadvantages of each.
As the RN team leader, identify potential disadvantages of using team nursing to
deliver care to assigned clients.
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select
all that apply.
1. Continuity of care may suffer.
2. Client/staff communication may be an issue.
3. There is little cost savings to the institution.
4. Delegation is necessary.
5. Not as many professional staff are
required. Answer: 1, 2, 4
Explanation: 1. Continuity of care may suffer when care is given by more than one
,Nurs fundamental-leadership and management
test bank questions with answers
individual.
2. Team nursing requires excellent communication skills in all team
members, who must communicate with clients, families, and each other.
3. Team nursing does save on personnel costs.
4. The RN must be careful to delegate only tasks that are appropriate for the
skill level and licensure of the designated personnel. The RN is ultimately
responsible for all client care.
5. Team nursing does reduce the number of professional staff
required. Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Planning/Leadership
Learning Outcome: 3-2: Describe the attributes of integrated models of care.
The hospital is opening its first intensive care unit. The nurse executive should plan
to staff this unit according to which model of care?
1. Functional nursing
,Nurs fundamental-leadership and management
test bank questions with answers
2. Team nursing
3. Total client care
4. Primary
care Answer: 3
Explanation: 1. Functional nursing has the disadvantages of less continuity of care and
potentially less skilled personnel caring for the client.
2. Team nursing has the disadvantage of not having a professional nurse
attending to all client care needs.
3. In total client care, one nurse cares for a client and is totally accountable for the
client. This way the nurse can give continuous, holistic, and expert care.
4. Primary care is considered the client’s first encounter with the
healthcare system. Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Planning/Resource Utilization
Learning Outcome: 3-3: Compare three evolving models of care and explain why care
delivery systems will continue to evolve.
The hospital administration is considering adopting primary nursing as its model of
nursing care delivery. Which of the following are disadvantages of this method?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select
all that apply.
1. The client may have multiple primary nurses if transfers within the facility are
necessary.
2. Physician satisfaction is decreased.
3. Staff nurses cannot be held legally liable for care provided outside their work
hours.
4. It requires a knowledge-based nursing practice model.
5. All individuals caring for the client must have excellent
communication skills. Answer: 1, 3, 5
Explanation: 1. If a client requires transfer between units, a new primary nurse will be
assigned in each unit. In some cases, this could result in multiple primary care nurses
during one hospitalization.
2. Physician, nurse, and client satisfaction is generally increased with primary care.
3. The premise of primary nursing is that the nurse holds 24-hour-a-day
accountability for client care. Legally, nurses cannot be accountable for care
provided outside their work hours.
, Nurs fundamental-leadership and management
test bank questions with answers
4. Requiring a knowledge-based nursing practice model is seen as an advantage of
primary nursing.
5. Excellent communication must exist between the primary nurse and associate
nurse. This is often difficult.
Cognitive Level: Applying
Client Need: Safe Effective Care
Environment Client Need Sub: Management
of Care
Nursing/Int Conc: Nursing Process: Implementation/Resource
Utilization Learning Outcome: 3-2: Describe the attributes of
integrated models of care.
A newly licensed RN is beginning a job search. This nurse would be best served by
working in an organization that provides which nursing care delivery system?
1. Primary nursing
2. Total nursing care
3. Functional nursing
4. Practice
partnerships Answer: 4
Explanation: 1. The nurse providing primary nursing must be very autonomous.
This is not the best environment for a newly licensed RN.
