Question 1 point
Which aspect of care at a long-term care facility most clearly
suggests that a functional model of care delivery is being
used?
a) Registered nurses perform all assessments while unlicensed assistive personnel provide all feeding and
hygiene.
b) Unlicensed assistive personnel coordinate each resident's care and occasionally delegate to practical nur
c) One nurse is assigned to provide all of a resident's care during a shift.
d) A pairing of one registered nurse and one practical nurse provide all the care for a designated pool of
residents.
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Functional nursing is task focused with specific tasks assigned to specific members of the care
team. Having one nurse provide all of a resident's care is indicative of total patient care. No
model of care ascribes a coordination role for UAP. Pairings suggest team or modular nursing.
Question 2 point
Which statements demonstrate an understanding of the
factors that should be considered when a change in the care
delivery system is being proposed? Select all that apply.
a) “Administration has been supportive of the planned change in our care delivery system.”
b) “We have determined that our level of care would improve if we provided it differently.”
c) “We will discuss our proposed change with the multidisciplinary team members.”
d) “It's questionable whether our current nursing staff is large enough to support the proposed change
e) “We're going to make our decision based on which option is newest in the literature.”
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If evaluation of the present system reveals deficiencies, leaders and managers need to examine
available resources and compare those with resources needed for the change. Therefore,
openness to change and a willingness to examine available resources are necessary.
, Interdisciplinary collaboration is essential and support from high level administration is needed
as well. Decisions should not be based simply on which model is newest or most innovative.
Question 3 point
A nurse delegated some tasks to a nurse several hours ago.
The manager has now learned that the nurse did not complete
any of the delegated tasks. What is the manager's best initial
action?
a) Take action to reestablish the authority power gap
b) Document the nurse's insubordination and arrange a private meeting
c) Determine exactly why the nurse did not complete the delegated tasks
d) Assertively state the expectation that delegated tasks will be completed on time
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If an employee does not complete delegated tasks, the manager should assess the reasons for this
before taking action. Addressing the problem before knowing the circumstances or the cause
would be premature.
Question 4 point
Periodically during the day, the RN checks with the team
members to determine whether they are having difficulty
completing their assigned tasks. This describes which
manager role?
a) Effective delegation
b) Client safety
c) Micromanagement
d) Skills evaluation
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This manager provided the team with the autonomy to complete the work and was available
, should any need arise. This describes effective delegation. This action does not constitute
micromanagement, provided it is not excessive. This promotes client safety but is not
synonymous with it. This practice is not a form of skills evaluation.
Question 5 point
Which statement demonstrates an intervention focused on the
primary disadvantage of team nursing?
a) “The team will be meeting for a care report update in 5 minutes.”
b) “Our patient assignment is comprised of both males and females.”
c) “We are working with one fewer team member today.”
d) “We will be having a member of the float pool on our team today.”
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Disadvantages to team nursing are associated primarily with improper implementation rather
than with the philosophy itself. Frequently, insufficient time is allowed for team care planning
and communication. This can lead to blurred lines of responsibility, errors, and fragmented
patient care. None of the other options address a known disadvantage of team nursing.
Question 6 point
A nurse is following a multidisciplinary action plan (MAP) when
caring for a new patient. The nurse should identify what
components within the MAP? Select all that apply.
a) Indication of times when nursing interventions occur
b) Cost analysis of major interventions
c) Critical path
d) Identity of the nurse navigator
e) Nursing care plan
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, The care MAP is a combination of a critical path and a nursing care plan that shows times when
nursing interventions should occur as well as variances. All health-care providers follow the care
MAP to facilitate expected outcomes. It does not include cost analysis and does not necessarily
involve a role for a nurse navigator.
Question 7 point
A manager needs to delegate some tasks. What consideration
should the manager prioritize when identifying the appropriate
person to whom to delegate a specific task?
a) Whether the person has experience with similar tasks
b) The fiscal cost of delegating the task
c) The qualifications of the person regarding the task
d) Whose turn it is to delegate a task
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Managers should ask the individuals to whom they are delegating if they are capable of
completing the delegated task. If the person lacks the appropriate qualifications, the fact that he
or she has experience is irrelevant. The manager should not base delegation decisions primarily
on whose turn it is, or on cost.
Question 8 point
A registered nurse is paired with a practical nurse and the two
nurses are working to together to provide all the needs for a
group of patients. What type of nursing care delivery are these
nurses demonstrating?
a) Total patient care
b) Primary care nursing
c) Functional nursing
d) Modular nursing
Which aspect of care at a long-term care facility most clearly
suggests that a functional model of care delivery is being
used?
a) Registered nurses perform all assessments while unlicensed assistive personnel provide all feeding and
hygiene.
b) Unlicensed assistive personnel coordinate each resident's care and occasionally delegate to practical nur
c) One nurse is assigned to provide all of a resident's care during a shift.
d) A pairing of one registered nurse and one practical nurse provide all the care for a designated pool of
residents.
Hide Feedback
Functional nursing is task focused with specific tasks assigned to specific members of the care
team. Having one nurse provide all of a resident's care is indicative of total patient care. No
model of care ascribes a coordination role for UAP. Pairings suggest team or modular nursing.
Question 2 point
Which statements demonstrate an understanding of the
factors that should be considered when a change in the care
delivery system is being proposed? Select all that apply.
a) “Administration has been supportive of the planned change in our care delivery system.”
b) “We have determined that our level of care would improve if we provided it differently.”
c) “We will discuss our proposed change with the multidisciplinary team members.”
d) “It's questionable whether our current nursing staff is large enough to support the proposed change
e) “We're going to make our decision based on which option is newest in the literature.”
Hide Feedback
If evaluation of the present system reveals deficiencies, leaders and managers need to examine
available resources and compare those with resources needed for the change. Therefore,
openness to change and a willingness to examine available resources are necessary.
, Interdisciplinary collaboration is essential and support from high level administration is needed
as well. Decisions should not be based simply on which model is newest or most innovative.
Question 3 point
A nurse delegated some tasks to a nurse several hours ago.
The manager has now learned that the nurse did not complete
any of the delegated tasks. What is the manager's best initial
action?
a) Take action to reestablish the authority power gap
b) Document the nurse's insubordination and arrange a private meeting
c) Determine exactly why the nurse did not complete the delegated tasks
d) Assertively state the expectation that delegated tasks will be completed on time
Hide Feedback
If an employee does not complete delegated tasks, the manager should assess the reasons for this
before taking action. Addressing the problem before knowing the circumstances or the cause
would be premature.
Question 4 point
Periodically during the day, the RN checks with the team
members to determine whether they are having difficulty
completing their assigned tasks. This describes which
manager role?
a) Effective delegation
b) Client safety
c) Micromanagement
d) Skills evaluation
Hide Feedback
This manager provided the team with the autonomy to complete the work and was available
, should any need arise. This describes effective delegation. This action does not constitute
micromanagement, provided it is not excessive. This promotes client safety but is not
synonymous with it. This practice is not a form of skills evaluation.
Question 5 point
Which statement demonstrates an intervention focused on the
primary disadvantage of team nursing?
a) “The team will be meeting for a care report update in 5 minutes.”
b) “Our patient assignment is comprised of both males and females.”
c) “We are working with one fewer team member today.”
d) “We will be having a member of the float pool on our team today.”
Hide Feedback
Disadvantages to team nursing are associated primarily with improper implementation rather
than with the philosophy itself. Frequently, insufficient time is allowed for team care planning
and communication. This can lead to blurred lines of responsibility, errors, and fragmented
patient care. None of the other options address a known disadvantage of team nursing.
Question 6 point
A nurse is following a multidisciplinary action plan (MAP) when
caring for a new patient. The nurse should identify what
components within the MAP? Select all that apply.
a) Indication of times when nursing interventions occur
b) Cost analysis of major interventions
c) Critical path
d) Identity of the nurse navigator
e) Nursing care plan
Hide Feedback
, The care MAP is a combination of a critical path and a nursing care plan that shows times when
nursing interventions should occur as well as variances. All health-care providers follow the care
MAP to facilitate expected outcomes. It does not include cost analysis and does not necessarily
involve a role for a nurse navigator.
Question 7 point
A manager needs to delegate some tasks. What consideration
should the manager prioritize when identifying the appropriate
person to whom to delegate a specific task?
a) Whether the person has experience with similar tasks
b) The fiscal cost of delegating the task
c) The qualifications of the person regarding the task
d) Whose turn it is to delegate a task
Hide Feedback
Managers should ask the individuals to whom they are delegating if they are capable of
completing the delegated task. If the person lacks the appropriate qualifications, the fact that he
or she has experience is irrelevant. The manager should not base delegation decisions primarily
on whose turn it is, or on cost.
Question 8 point
A registered nurse is paired with a practical nurse and the two
nurses are working to together to provide all the needs for a
group of patients. What type of nursing care delivery are these
nurses demonstrating?
a) Total patient care
b) Primary care nursing
c) Functional nursing
d) Modular nursing
