Sullivan, Effective Leadership and Management, 8/e
Chapter 3
Question 1
Type: MCSA
The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse
expect?
1. One nurse has responsibility for all the medications on the unit.
2. One nurse has responsibility for all the needs of three clients.
3. One charge nurse and one respiratory therapist have responsibility for all clients.
4. One nurse and one nursing assistant have responsibility for ten clients.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 3-2: Describe what types of nursing care delivery systems exist.
Question 2
Type: MCMA
A large metropolitan hospital uses differentiated practice as part of the structure of nursing services. Following
this plan, nursing responsibilities are assigned based on which criteria?
Sullivan, Effective Leadership and Management, 8/e Test Bank
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Seniority
2. Educational level
3. Experience
4. Nurse preference
5. Affordability
3. Team nursing
4. Functional nursing
Rationale 1: Continuity of care may suffer when care is given by more than one person.
Rationale 2: Team nursing requires excellent communication skills in all team members, who must communicate
with clients, families, and each other.
Rationale 3: Team nursing does save on personnel costs.
Rationale 4: The RN must be careful to delegate only tasks that are appropriate for the skill level and licensure of
the designated personnel. The RN is ultimately responsible for all client care.
Rationale 5: Team nursing does reduce the numbers of professional staff required.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-3: Discuss the positive and negative aspects of different systems.
Question 5
Type: MCSA
The hospital is opening its first intensive care unit. The nurse executive should plan to staff this unit according to
which model of care?
1. Functional nursing
2. Team nursing
3. Total patient care
4. Modular nursing
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-5: Explain characteristics of effective delivery systems.
Question 6
Type: MCMA
The hospital administration is considering adopting primary nursing as its model of nursing care delivery.
Disadvantages of this method are that
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The client may have multiple primary nurses if transfers within the facility are necessary.
2. Physician satisfaction is decreased.
3. Staff nurses cannot be held legally liable for care provided outside their work hours.
4. It requires a knowledge-based nursing practice model.
5. All persons caring for the client must have excellent communication skills.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 3-3: Discuss the positive and negative aspects of different systems.
Question 7
Type: MCSA
A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization
that provides which nursing care delivery system?
1. Primary nursing
2. Total nursing care
3. Functional nursing
4. Practice partnerships
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-1: Describe how the delivery system structures nursing care.
Question 8
Type: MCSA
In order to organize services needed to achieve specific client outcomes, hospital administrators should consider
what type of client care delivery system?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. Functional nursing
2. Differentiated practice
3. Case management
4. Primary nursing
Rationale 2: The family may have important information about the client’s mobility, but this is not the priority
action.
Rationale 3: The case manager tracks all variances, reports to the collaborative team, and may revise the critical
pathway.
Rationale 4: Discussing the problem with the surgeon is not the priority action.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 3-4: Describe evolving types of delivery systems that have emerged.
Question 10
Type: MCSA
A hospital is concerned about 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. Total patient care
2. Functional nursing
3. Team nursing
4. Patient-centered nursing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-2: Describe what types of nursing care delivery systems exist.
Question 11
Type: MCMA
Which statement by a newly licensed nurse indicates an understanding of why it is necessary to structure nursing
care?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “It helps to coordinate care to a group of clients.”
2. “It organizes care responsibilities.”
3. “It ensures that the staff doesn’t get overtime.”
4. “It improves physician efficiency.”
5. “It provides skilled care by skilled staff.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-1: Describe how the delivery system structures nursing care.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 12
Type: MCSA
Which is the most important consideration in choosing a structure for nursing care?
1. Client need
2. Efficiency
3. Cost
4. Timeliness
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-1: Describe how the delivery system structures nursing care.
Question 13
Type: MCMA
Which nursing interventions would be in line with the chronic care model?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Blood sugar is measured frequently in an attempt to achieve tight glycemic control.
Sullivan, Effective Leadership and Management, 8/e Test Bank