Chapter 20 Staffing and Nursing Care Delivery Models

Chapter 20  Staffing and Nursing Care Delivery Models

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Accrediting agencies such as The Joint Commission address staffing by:
a.
imposing maximum staffing levels.
b.
requiring a specific staff mix.
c.
stipulating nurse-patient ratios.
d.
looking for evidence that patients receive satisfactory care.

ANS: D
Correct: Accrediting agencies do not address minimum staffing levels; however, they do look for evidence that patients receive adequate care, and this can occur only with adequate staffing.
Incorrect:
a. Accrediting agencies do not impose maximum staffing levels.
b. Staff mix is not addressed by accrediting agencies; however, long-term care facilities specify minimum RN coverage for the facility.
c. Agencies do not stipulate mandatory staffing ratios, with the exception of those in California, a state that recently enacted legislation mandating specific nurse-patient ratios.

DIF: Comprehension REF: p. 364

2. Customer satisfaction is primarily based on:
a.
access to modern, up-to-date facilities.
b.
availability of an extensive menu selection.
c.
personal interactions with employees.
d.
having to undergo fewer invasive procedures.

ANS: C
Correct: Interactions between employees and patients/families actually affect clinical outcomes, functional status, and even physiologic measures of health.
Incorrect:
a. Customer satisfaction is primarily based on relations with employees.
b. Interface with employees is the means to customer satisfaction.
d. Patients may fear or dislike invasive procedures, but the important consideration in customer satisfaction is the quality of interactions with employees.

DIF: Knowledge REF: p. 364

3. Nurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?
a.
Total patient care
b.
Partnership nursing
c.
Team nursing
d.
Functional nursing

ANS: A
Correct: In total patient care nurses provide all aspects of patient care.
Incorrect:
b. Partnership nursing, or coprimary nursing, pairs the RN with a partner, usually a licensed practical/vocational nurse (LPN/LVN) or unlicensed assistive personnel (UAP), allowing the RN to spend more time on tasks such as assessment and patient education.
c. In team nursing an RN directs the other members of the team, which can consist of care providers at various levels.
d. In functional nursing staff are assigned to tasks rather than to patients.

DIF: Application REF: p. 364

4. A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:
a.
total patient care.
b.
functional nursing.
c.
team nursing.
d.
primary nursing.

ANS: B
Correct: In functional nursing members of the team are assigned specific tasks such as assessment or medication administration
Incorrect:
a. Total patient care involves an RN who provides every aspect of patient care.
c. With team nursing the team leader, an RN, delegates care to other team members.
d. In primary nursing the RN assumes 24-hour responsibility for the care of assigned patients.

DIF: Application REF: p. 365