Effective Leadership and Management in Nursing 7th Edition by Eleanor J. Sullivan – Test Bank
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Sample
Test
Delivering Nursing Care
1) Which statement
describes functional nursing?
1. One nurse has
responsibility for all the needs for three clients.
2. One nurse has
responsibility for all the medications on the unit.
3. One nurse and one
nursing assistant have responsibility for ten clients.
4. One charge nurse
and one respiratory therapist have responsibility for all clients.
Answer: 2
Explanation: 1.
Functional nursing breaks down client care into tasks assigned to the
appropriate professional
or skilled caregivers.
Team or modular nursing uses a variety of skilled caregivers to provide
care to an assigned
group of clients. Total patient care is given by one nurse assigned to a few
clients.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. Functional nursing
breaks down client care into tasks assigned to the appropriate professional
or skilled caregivers.
Team or modular nursing uses a variety of skilled caregivers to provide
care to an assigned
group of clients. Total patient care is given by one nurse assigned to a few
clients.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. Functional nursing
breaks down client care into tasks assigned to the appropriate professional
or skilled caregivers.
Team or modular nursing uses a variety of skilled caregivers to provide
care to an assigned
group of clients. Total patient care is given by one nurse assigned to a few
clients.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. Functional nursing
breaks down client care into tasks assigned to the appropriate professional
or skilled caregivers.
Team or modular nursing uses a variety of skilled caregivers to provide
care to an assigned
group of clients. Total patient care is given by one nurse assigned to a few
clients.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-2:
Describe what types of nursing care delivery systems exist.
Test Taking Tip: Be
prepared to use new terms and apply them in nursing situations.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 50
2) Which has affected
change in nursing care delivery systems?
1. Increased acute
care client days
2. Decreased acuity
level of clients
3. Availability of
registered nurses
4. Enhanced hospital
revenues
Answer: 3
Explanation: 1. The
availability of nurses has historically affected the method of client care
delivery. Nursing
shortages have
required nurses to be creative in caring for clients. Increased acute care
days,
decreased acuity, and
enhanced hospital revenues are incorrect because client days have
decreased, acuity
levels have increased, and hospital revenues have been challenged.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Comprehension
2. The availability of
nurses has historically affected the method of client care delivery. Nursing
shortages have
required nurses to be creative in caring for clients. Increased acute care
days,
decreased acuity, and
enhanced hospital revenues are incorrect because client days have
decreased, acuity
levels have increased, and hospital revenues have been challenged.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Comprehension
3. The availability of
nurses has historically affected the method of client care delivery. Nursing
shortages have
required nurses to be creative in caring for clients. Increased acute care
days,
decreased acuity, and
enhanced hospital revenues are incorrect because client days have
decreased, acuity
levels have increased, and hospital revenues have been challenged.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Comprehension
4. The availability of
nurses has historically affected the method of client care delivery. Nursing
shortages have
required nurses to be creative in caring for clients. Increased acute care
days,
decreased acuity, and
enhanced hospital revenues are incorrect because client days have
decreased, acuity
levels have increased, and hospital revenues have been challenged.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Comprehension
Learning Outcome: 3-1:
Describe how the delivery system structures nursing care.
Test Taking Tip: Look
for accurate historical trends in each option.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 51
3) 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 one of the clients. What type of nursing care delivery
system is in place
in this hospital?
1. Total patient care
2. Functional nursing
3. Team nursing
4. Critical pathways
Answer: 3
Explanation: 1. The RN
in this case is leading a team. A variety of skilled caregivers cares for a
group of
clients. Total patient
care is given by one nurse. Functional nursing breaks down the
assignments into
tasks. Critical pathways are a set of strategies used by health care providers
to attain expected
outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. The RN in this case
is leading a team. A variety of skilled caregivers cares for a group of
clients. Total patient
care is given by one nurse. Functional nursing breaks down the
assignments into
tasks. Critical pathways are a set of strategies used by health care providers
to attain expected
outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. The RN in this case
is leading a team. A variety of skilled caregivers cares for a group of
clients. Total patient
care is given by one nurse. Functional nursing breaks down the
assignments into
tasks. Critical pathways are a set of strategies used by health care providers
to attain expected
outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. The RN in this case
is leading a team. A variety of skilled caregivers cares for a group of
clients. Total patient
care is given by one nurse. Functional nursing breaks down the
assignments into
tasks. Critical pathways are a set of strategies used by health care providers
to attain expected
outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-2:
Describe what types of nursing care delivery systems exist.
Test Taking Tip: Be
prepared to apply concepts in new nursing situations.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 52
4) As the RN team
leader, identify all potential disadvantages of using team nursing to deliver
care to the
assigned clients.
Select all that apply.
1.
Delegation/accountability
2. Client/staff
communication
3. Cost
savings/staffing
4. Continuity of care
Answer: 1, 2, 4
Explanation: 1. The RN
must be careful to delegate only tasks that are appropriate for the skill level
and
licensure of the
personnel doing the task. The RN is ultimately responsible for all of the
client
care. Team nursing
requires excellent communication skills for all team members in order to
communicate with clients,
families, and each other. Continuity of care may suffer when care is
given by more than one
person. Team nursing does save on costs for personnel and saves on
professional staff.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. The RN must be
careful to delegate only tasks that are appropriate for the skill level and
licensure of the
personnel doing the task. The RN is ultimately responsible for all of the
client
care. Team nursing
requires excellent communication skills for all team members in order to
communicate with
clients, families, and each other. Continuity of care may suffer when care is
given by more than one
person. Team nursing does save on costs for personnel and saves on
professional staff.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. The RN must be
careful to delegate only tasks that are appropriate for the skill level and
licensure of the
personnel doing the task. The RN is ultimately responsible for all of the
client
care. Team nursing
requires excellent communication skills for all team members in order to
communicate with
clients, families, and each other. Continuity of care may suffer when care is
given by more than one
person. Team nursing does save on costs for personnel and saves on
professional staff.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. The RN must be
careful to delegate only tasks that are appropriate for the skill level and
licensure of the
personnel doing the task. The RN is ultimately responsible for all of the
client
care. Team nursing
requires excellent communication skills for all team members in order to
communicate with
clients, families, and each other. Continuity of care may suffer when care is
given by more than one
person. Team nursing does save on costs for personnel and saves on
professional staff.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-3:
Discuss the positive and negative aspects of different systems.
Test Taking Tip: Pay
attention to key words. The word ʺdisadvantageʺ means look for the reasons not
to use the care
delivery method.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 53
5) Which has
historically been the most the most successful client care delivery system in
intensive care units?
1. Team nursing
2. Total patient care
3. Functional nursing
4. Modular nursing
Answer: 2
Explanation: 1. In
total patient care, one nurse cares for a client and can give continuous,
holistic, and expert
nursing care, being
totally accountable for the client. Team nursing, functional nursing, and
modular nursing have
the disadvantages of less continuity of care and potentially less skilled
personnel caring for
the client.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. In total patient
care, one nurse cares for a client and can give continuous, holistic, and
expert
nursing care, being
totally accountable for the client. Team nursing, functional nursing, and
modular nursing have
the disadvantages of less continuity of care and potentially less skilled
personnel caring for
the client.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. In total patient
care, one nurse cares for a client and can give continuous, holistic, and
expert
nursing care, being
totally accountable for the client. Team nursing, functional nursing, and
modular nursing have
the disadvantages of less continuity of care and potentially less skilled
personnel caring for
the client.
Nursing Process: Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. In total patient
care, one nurse cares for a client and can give continuous, holistic, and
expert
nursing care, being
totally accountable for the client. Team nursing, functional nursing, and
modular nursing have
the disadvantages of less continuity of care and potentially less skilled
personnel caring for
the client.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-3:
Discuss the positive and negative aspects of different systems.
Test Taking Tip: Think
critically about each option and apply each to the nursing situation.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 54
6) Which describes the
difference between total patient care and primary nursing?
1. One RN is
accountable for the nursing care of one client for the duration of the hospital
stay.
2. The fewest number
of nurses are assigned to one client during the hospital stay.
3. One RN communicates
with the physician and family members of the client.
4. One RN completes
all tasks related to the care required by the client.
Answer: 1
Explanation: 1. In
primary nursing a single nurse is responsible for the client for the entire
hospital stay. This is
not so in total
patient care. The remaining answers accurately describe both total patient care
and primary nursing.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. In primary nursing
a single nurse is responsible for the client for the entire hospital stay. This
is
not so in total
patient care. The remaining answers accurately describe both total patient care
and primary nursing.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. In primary nursing
a single nurse is responsible for the client for the entire hospital stay. This
is
not so in total patient
care. The remaining answers accurately describe both total patient care
and primary nursing.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. In primary nursing
a single nurse is responsible for the client for the entire hospital stay. This
is
not so in total
patient care. The remaining answers accurately describe both total patient care
and primary nursing.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-2:
Describe what types of nursing care delivery systems exist.
Test Taking Tip: Look
for patterns in the options. Only the first option is applicable to only
primary nursing. The other
options apply to both
primary and total patient care nursing delivery models.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 55
7) Which is an ideal
nursing care delivery system for a new RN graduate?
1. Functional nursing
2. Primary nursing
3. Total nursing care
4. Practice
partnerships
Answer: 4
Explanation: 1.
Practice partnerships allow for two personnel to work together in giving client
care. Ideally, a
senior RN can be
paired with a novice RN. Functional nursing, primary nursing, and total
nursing care have the
RN working more autonomously.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. Practice
partnerships allow for two personnel to work together in giving client care.
Ideally, a
senior RN can be
paired with a novice RN. Functional nursing, primary nursing, and total
nursing care have the
RN working more autonomously.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. Practice
partnerships allow for two personnel to work together in giving client care.
Ideally, a
senior RN can be
paired with a novice RN. Functional nursing, primary nursing, and total
nursing care have the
RN working more autonomously.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. Practice
partnerships allow for two personnel to work together in giving client care.
Ideally, a
senior RN can be
paired with a novice RN. Functional nursing, primary nursing, and total
nursing care have the
RN working more autonomously.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-3:
Discuss the positive and negative aspects of different systems.
Test Taking Tip: Think
of the situation and then think about which option is safest for the new nurse
and clients.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 56
8) In order to
organize services needed to achieve specific client outcomes, the hospital
administrators should
consider what type of
client care delivery system?
1. Functional nursing
2. Primary nursing
3. Case management
4. Differentiated
practice
Answer: 3
Explanation: 1. Case
management organizes client care by major diagnoses and focuses on attaining
predetermined outcomes
within a specific time frame. Functional nursing, primary nursing,
and differentiated
practice do not focus on specific outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. Case management
organizes client care by major diagnoses and focuses on attaining
predetermined outcomes
within a specific time frame. Functional nursing, primary nursing,
and differentiated
practice do not focus on specific outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. Case management
organizes client care by major diagnoses and focuses on attaining
predetermined outcomes
within a specific time frame. Functional nursing, primary nursing,
and differentiated
practice do not focus on specific outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. Case management
organizes client care by major diagnoses and focuses on attaining
predetermined outcomes
within a specific time frame. Functional nursing, primary nursing,
and differentiated
practice do not focus on specific outcomes.
Nursing Process:
Implementation
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-2:
Describe what types of nursing care delivery systems exist.
Test Taking Tip: Think
about each option and how it might best fit the nursing situation.
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 57
9) The RN working on
an orthopedic unit has a postoperative client with a hip replacement who is not
transferring well from
bed to chair and has fallen behind on the mobility training program. Which is
the nurseʹs
priority action?
1. Page the surgeon.
2. Contact the family
to discuss pre-op mobility problems.
3. Instruct physical
therapy to increase treatments to QID.
4. Inform the case
manager of variance in critical pathway.
Answer: 4
Explanation: 1. The
case manager tracks all variances, reports to the collaborative team, and may
revise the
critical pathway.
Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical
therapy is not within the scope of nursing.
Nursing Process:
Assessment
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. The case manager
tracks all variances, reports to the collaborative team, and may revise the
critical pathway.
Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical
therapy is not within the scope of nursing.
Nursing Process:
Assessment
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. The case manager
tracks all variances, reports to the collaborative team, and may revise the
critical pathway.
Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical
therapy is not within the scope of nursing.
Nursing Process:
Assessment
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. The case manager tracks
all variances, reports to the collaborative team, and may revise the
critical pathway.
Paging the surgeon or contacting the family is not the first step. Ordering an
increase in physical
therapy is not within the scope of nursing.
Nursing Process: Assessment
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
Learning Outcome: 3-3:
Discuss the positive and negative aspects of different systems.
Test Taking Tip: The
word ʺfallen behindʺ indicates a schedule. The only option that
Effective Leadership
and Mgmt in Nursing, 7e (Sullivan) — CVC 12/3/08 — Page 58
10) Hospital X is
concerned about the low customer satisfaction ratings and poor evaluation on
quality indicators.
The nurse managers are
asked to implement a nursing delivery system that is cost effective and
improves both
customer satisfaction
and quality of care. Which nursing delivery system should the managers
implement?
1. Functional nursing
2. Total patient care
3. Patient-centered
nursing
4. Team nursing
Answer: 3
Explanation: 1. The
focus of patient-centered nursing is the promotion of efficiency, quality, and
cost control.
Functional nursing is
cost effective but lacks continuity of care. Total patient care is costly and
less efficient for
nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client
dissatisfaction.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
2. The focus of
patient-centered nursing is the promotion of efficiency, quality, and cost
control.
Functional nursing is
cost effective but lacks continuity of care. Total patient care is costly and
less efficient for
nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client
dissatisfaction.
Nursing Process:
Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
3. The focus of
patient-centered nursing is the promotion of efficiency, quality, and cost
control.
Functional nursing is
cost effective but lacks continuity of care. Total patient care is costly and
less efficient for
nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client
dissatisfaction.
Nursing Process: Planning
Category of Client
Need: Safe, Effective Care Environment
Cognitive Level:
Application
4. The focus of
patient-centered nursing is the promotion of efficiency, quality, and cost
control.
Functional nursing is
cost effective but lacks continuity of care. Total patient care is costly and
less efficient for
nursing staff. Team nursing is cost efficient but may lack continuity of care,
which can cause client
dissatisfaction.
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