Chapter 9 Implementation

Chapter 9  Implementation

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Before delegating a task to another person, the nurse should do which of the following?
a.
Determine if the person is competent to perform the task.
b.
Ask the client for permission to delegate the task.
c.
Ask the physician for permission to delegate the task.
d.
Document that the task was delegated so that if any errors occur, the nurse is not liable.

ANS: A
Delegation is the process of transferring a selected nursing task in a situation to an individual who is competent to perform the task. Even though some activities can be assigned to other health care personnel, the nurse remains accountable for appropriate delegation and supervision of care provided by these individuals. The nurse does not need to ask the client or physician for permission to delegate the task. The nurse is legally responsible for all care given so documenting that the task was delegated is not going to help the nurse if an error occurs.

PTS: 1 DIF: Application REF: Allocation of Resources

2. The nurse is working on a care area that utilizes functional nursing. The major advantage of functional nursing is:
a.
it provides for personalized care for clients.
b.
large numbers of clients can be cared for with a relatively small number of personnel.
c.
it ensures that all care is performed safely and well with no omissions.
d.
it prevents fragmentation of care.

ANS: B
The advantage of functional nursing is that a large number of clients can be cared for by a relatively small number of personnel. Functional nursing does not provide personalized care for clients nor does it ensure that all care is performed safely and well without omissions. Functional nursing does not prevent fragmented care but rather can cause fragmented care.

PTS: 1 DIF: Analysis REF: Types of Nursing Management Systems

3. The nurse is working on a care area that utilizes team nursing. Who is the leader of the team in this nursing management system?
a.
Director of nursing
c.
Physician
b.
Registered nurse
d.
Licensed practical/vocational nurse

ANS: B
In team nursing, the registered nurse is leader of the team and is responsible for supervision of the team members as well as planning for and evaluating the results of caregiving activities. The other choices are incorrect.

PTS: 1 DIF: Analysis REF: Types of Nursing Management Systems

4. The nurse is concerned that the management system being used to provide client care will result in fragmented care. The type of nursing management system that is most likely to cause this result would be:
a.
functional nursing.
c.
primary nursing.
b.
team nursing.
d.
modular nursing.

ANS: A
Functional care can result in fragmented and depersonalized care even though a larger number of clients can be cared for by a relatively small number of personnel. The other listed nursing management systems would not cause fragmentation of care.

PTS: 1 DIF: Analysis REF: Types of Nursing Management Systems

5. The nurse is providing care in a nursing management system that provides for one nurse to have responsibility for total client care 24 hours a day. This type of system is:
a.
functional nursing.
c.
primary nursing.
b.
team nursing.
d.
modular nursing.

ANS: C
In primary nursing, the nurse assumes full responsibility for total client care 24 hours a day. This is not the case for functional, team, or modular nursing.

PTS: 1 DIF: Analysis REF: Types of Nursing Management Systems