NSG-444 Exam 1 Questions and
Answers 2025/2026 A+ Graded 100%
Verified
Nursing Delivery Systems (4) - ANS-1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - ANS-RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - ANS-RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - ANS-RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates
patient's care in hospital and patient's discharge plan
Client-Focused Care - ANS-RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
State Boards of Nursing (SBN) 3 functions - ANS-1. executive authority- to administer the
nursing practice act
-regulations (scope of practice)
, 2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - ANS--critical abnormal lab values
-significant change in status
Prioritization-non-emergent - ANS--routine labs
-VS
-Dressing change
-bathing
5 rights of delegation - ANS-1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth - ANS--typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by: - ANS--aging of the population (including currently practicing
nurses)
-work conditions in health care
Bureaus of Labor Statistics (2021) projection of nurse employment from 2019-2029 - ANS-7%
Solutions to solving nursing shortages - ANS--inc pay & add bonuses
-use foreign nurses more effectively
-change work environment (client-pt ratios)
-offer flexible shift options
-inc ancillary personnel (CNA, unit clerks, transportation aides)
Evidence based practice - ANS--strategy to reduce amount of time required to integrate new
healthcare findings
-use of current best evidence in making decision about pt care
Steps involved in applying EBP - ANS-1. define the problem
2. identify, review, & evaluate the data application to the problem (quantitative method,
qualitative method, mixed)
3. design a practice change based on data
4. implement change in nurse practice
Employment opportunities for nurses - ANS--entry-level/staff nurse in a hospital/acute-care
setting
Answers 2025/2026 A+ Graded 100%
Verified
Nursing Delivery Systems (4) - ANS-1. Functional Nursing
2. Team Nursing
3. Relationship-based Nursing/Primary Nursing
4. Client-Focused Care
Functional Care - ANS-RN responsibility: Delegation
-Task approach (task focused)
-Delegated by the charge nurse to team members
-Breaks nursing care into a series of tasks performed by many people
-LPN, UAP
Cons
-Can result in fragmented, impersonal kind of care
-Can lead to lack of accountability for the total patient
Team Nursing - ANS-RN responsibility: Team leader
-Led by the team leader assignments made according to scope of practice
-Groups of patients are assigned to a team headed by a team leader (usually RN)
-Success of team nursing centers on good communication among team members
-Team conference plays vital role
Relationship-based Nursing/Primary Nursing - ANS-RN responsibility: Primary Nurse
-Focus is keeping nurse at the bedside to deliver individualized care by primary nurse
-Nurse plans and directs care of patient over 24-hour period
-Relationship-based practice is new name for primary nursing—RN manages and coordinates
patient's care in hospital and patient's discharge plan
Client-Focused Care - ANS-RN responsibility: Planning and care delivery
-total care or case method. RN is responsible for planning and delivering care for the client
-Traditional nursing interventions handled by ancillary workers under direction of RN
-Moves RNs to higher level of functioning
State Boards of Nursing (SBN) 3 functions - ANS-1. executive authority- to administer the
nursing practice act
-regulations (scope of practice)
, 2. legislative authority- to adopt rules (not laws) to implement the act
3. Judicial authority- to deny, suspend, revoke a license / deny an application for licensure
Prioritization-Requires immediate action - ANS--critical abnormal lab values
-significant change in status
Prioritization-non-emergent - ANS--routine labs
-VS
-Dressing change
-bathing
5 rights of delegation - ANS-1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
Benefits of Telehealth - ANS--typically focuses on chronic disease
-cdan bring experts to areas that may not have access to such services
Nursing shortage is driven by: - ANS--aging of the population (including currently practicing
nurses)
-work conditions in health care
Bureaus of Labor Statistics (2021) projection of nurse employment from 2019-2029 - ANS-7%
Solutions to solving nursing shortages - ANS--inc pay & add bonuses
-use foreign nurses more effectively
-change work environment (client-pt ratios)
-offer flexible shift options
-inc ancillary personnel (CNA, unit clerks, transportation aides)
Evidence based practice - ANS--strategy to reduce amount of time required to integrate new
healthcare findings
-use of current best evidence in making decision about pt care
Steps involved in applying EBP - ANS-1. define the problem
2. identify, review, & evaluate the data application to the problem (quantitative method,
qualitative method, mixed)
3. design a practice change based on data
4. implement change in nurse practice
Employment opportunities for nurses - ANS--entry-level/staff nurse in a hospital/acute-care
setting
