Test Bank For Effective Leadership and Management in
Nursing 9th Edition By Eleanor J. Sullivan 9780134153117
Chapter 1-28 Complete Guide .
What are the traditional models of care? - ANSWER: Total patient care, functional nursing, team
nursing, and primary nursing.
What is total patient care? - ANSWER: Original model of care where the RN is responsible for all care.
What are the advantages of total patient care? - ANSWER: Continuity of care, RN knows everything
about the patient.
What are the disadvantages of total patient care? - ANSWER: RNs do all the care when it might be
more cost-effective to have a less skilled person complete the task, adds an expense to the total
patient care system.
Where might the total patient care model be used? - ANSWER: ICUs.
What is functional nursing? - ANSWER: Group of patients are separated into tasks and different
nursing personnel are assigned based on strengths.
What are the advantages of functional nursing? - ANSWER: Staff become very skilled and effective.
What are the disadvantages of functional nursing? - ANSWER: Issues with continuity, communication,
and lack of understanding of the total patient.
Where might the functional nursing model be used? - ANSWER: Long term care facilities.
What is team nursing? - ANSWER: A team of nursing personnel provides care for a group of patients,
with an RN as the team leader.
What are the advantages of team nursing? - ANSWER: LPNs and UAPs can do tasks that do not require
an RN, care is more easily coordinated.
What are the disadvantages of team nursing? - ANSWER: Time needed for communicating,
supervising, and coordinating team members, role confusion and resentment.
What is the key aspect of team nursing? - ANSWER: The Nursing Care Conference, where the team
leader reviews the patient with team members.
What is primary nursing? - ANSWER: The RN is the primary caregiver to the patients, designing,
implementing, and being accountable for the care.
What are the advantages of primary nursing? - ANSWER: Knowledge-based practice model,
decentralization of decisions, authority, and responsibility, improved continuity and coordination of
care, increased nurse, patient, and physician satisfaction.
What are the disadvantages of primary nursing? - ANSWER: Accountability of associate nurses,
patient transfers disrupt the continuity of care, unwillingness of associates to take direction.
What is a practice partnership? - ANSWER: A partnership where a senior partner directs a junior
partner.
, What is the purpose of working together with the same patients? - ANSWER: To provide continuity of
care and accountability.
How does a practice partnership create synergistic energy? - ANSWER: By working in concert, the two
partners enhance each other's efforts.
What is the advantage of practice partnerships? - ANSWER: Improved continuity of care and
accountability for care.
What is a disadvantage of practice partnerships? - ANSWER: Decreased ratio of RNs to
nonprofessional staff, potential for junior team members to assume too much responsibility.
What is case management? - ANSWER: Identifying, coordinating, and monitoring services to promote
positive outcomes.
What factors does case management focus on? - ANSWER: LOS (Length of Stay), potential
complications, cost of care.
What types of cases does case management handle? - ANSWER: High volume, high risk, high-cost
cases.
What does case management manage? - ANSWER: Interdisciplinary outcomes.
Who are the members of a case management team? - ANSWER: Clinical experts from many
disciplines.
What does case management help determine? - ANSWER: Intervention, needs, timeframes.
What are the advantages of case management? - ANSWER: Equal team members, ownership of
patient outcomes.
What are the disadvantages of case management? - ANSWER: Requires qualified nurse case manager,
team collaboration, quality management system, established critical pathways.
What are critical pathways? - ANSWER: Expected outcomes and care strategies for a specific disease
process.
What does a critical pathway provide? - ANSWER: Direction for managing care during a stipulated
time period.
What does a critical pathway orient nurses to? - ANSWER: Expected outcomes, nursing diagnosis.
How does a critical pathway reduce cost and length of stay? - ANSWER: Determines appropriate
resources for care needed.
What is a variance in a critical pathway? - ANSWER: An unexpected outcome.
How are variances tracked in a critical pathway? - ANSWER: By the manager to determine trends and
modify the pathway.
What are the advantages of critical pathways? - ANSWER: Accommodate unique patient conditions,
standardization.
What are the disadvantages of critical pathways? - ANSWER: May need revision.
What is Patient-Centered Care? - ANSWER: All patient care services are unit based, focuses on
decentralization to promote efficiency, quality, and cost control.
Nursing 9th Edition By Eleanor J. Sullivan 9780134153117
Chapter 1-28 Complete Guide .
What are the traditional models of care? - ANSWER: Total patient care, functional nursing, team
nursing, and primary nursing.
What is total patient care? - ANSWER: Original model of care where the RN is responsible for all care.
What are the advantages of total patient care? - ANSWER: Continuity of care, RN knows everything
about the patient.
What are the disadvantages of total patient care? - ANSWER: RNs do all the care when it might be
more cost-effective to have a less skilled person complete the task, adds an expense to the total
patient care system.
Where might the total patient care model be used? - ANSWER: ICUs.
What is functional nursing? - ANSWER: Group of patients are separated into tasks and different
nursing personnel are assigned based on strengths.
What are the advantages of functional nursing? - ANSWER: Staff become very skilled and effective.
What are the disadvantages of functional nursing? - ANSWER: Issues with continuity, communication,
and lack of understanding of the total patient.
Where might the functional nursing model be used? - ANSWER: Long term care facilities.
What is team nursing? - ANSWER: A team of nursing personnel provides care for a group of patients,
with an RN as the team leader.
What are the advantages of team nursing? - ANSWER: LPNs and UAPs can do tasks that do not require
an RN, care is more easily coordinated.
What are the disadvantages of team nursing? - ANSWER: Time needed for communicating,
supervising, and coordinating team members, role confusion and resentment.
What is the key aspect of team nursing? - ANSWER: The Nursing Care Conference, where the team
leader reviews the patient with team members.
What is primary nursing? - ANSWER: The RN is the primary caregiver to the patients, designing,
implementing, and being accountable for the care.
What are the advantages of primary nursing? - ANSWER: Knowledge-based practice model,
decentralization of decisions, authority, and responsibility, improved continuity and coordination of
care, increased nurse, patient, and physician satisfaction.
What are the disadvantages of primary nursing? - ANSWER: Accountability of associate nurses,
patient transfers disrupt the continuity of care, unwillingness of associates to take direction.
What is a practice partnership? - ANSWER: A partnership where a senior partner directs a junior
partner.
, What is the purpose of working together with the same patients? - ANSWER: To provide continuity of
care and accountability.
How does a practice partnership create synergistic energy? - ANSWER: By working in concert, the two
partners enhance each other's efforts.
What is the advantage of practice partnerships? - ANSWER: Improved continuity of care and
accountability for care.
What is a disadvantage of practice partnerships? - ANSWER: Decreased ratio of RNs to
nonprofessional staff, potential for junior team members to assume too much responsibility.
What is case management? - ANSWER: Identifying, coordinating, and monitoring services to promote
positive outcomes.
What factors does case management focus on? - ANSWER: LOS (Length of Stay), potential
complications, cost of care.
What types of cases does case management handle? - ANSWER: High volume, high risk, high-cost
cases.
What does case management manage? - ANSWER: Interdisciplinary outcomes.
Who are the members of a case management team? - ANSWER: Clinical experts from many
disciplines.
What does case management help determine? - ANSWER: Intervention, needs, timeframes.
What are the advantages of case management? - ANSWER: Equal team members, ownership of
patient outcomes.
What are the disadvantages of case management? - ANSWER: Requires qualified nurse case manager,
team collaboration, quality management system, established critical pathways.
What are critical pathways? - ANSWER: Expected outcomes and care strategies for a specific disease
process.
What does a critical pathway provide? - ANSWER: Direction for managing care during a stipulated
time period.
What does a critical pathway orient nurses to? - ANSWER: Expected outcomes, nursing diagnosis.
How does a critical pathway reduce cost and length of stay? - ANSWER: Determines appropriate
resources for care needed.
What is a variance in a critical pathway? - ANSWER: An unexpected outcome.
How are variances tracked in a critical pathway? - ANSWER: By the manager to determine trends and
modify the pathway.
What are the advantages of critical pathways? - ANSWER: Accommodate unique patient conditions,
standardization.
What are the disadvantages of critical pathways? - ANSWER: May need revision.
What is Patient-Centered Care? - ANSWER: All patient care services are unit based, focuses on
decentralization to promote efficiency, quality, and cost control.
