Quiz 3 Leadership
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.”
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.”
