2. The nurse provides the client with the URL for a new website dedicated to self-management of a chronic
respiratory disease.
3. The nurse advocates for the client who has decided to forego further dialysis.
4. Client information is entered into an electronic medical record.
5. Information about the operating hours of a community recreation center is provided to the client with coronary
artery disease.
Correct Answer: 2,3,4,5
Rationale 1: The chronic care model manages how care is delivered, not a specific disease.
Rationale 2: Self-management is one of the six components of the chronic care model.
Rationale 3: Decision support is one of the six components of the chronic care model.
Rationale 4: Use of clinical information systems is essential to the chronic care model.
Rationale 5: Use of community resources is one of the six components of the chronic care model.
Global Rationale:
Cognitive Level: Analyzing
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 14
Type: MCSA
What is the primary belief behind the evolution of the clinical microsystem as a nursing care delivery system?
1. Those who deliver the nursing care make the most educated decisions for a particular unit.
2. Clinical decisions are best made by the clients who are served by a particular unit.
3. Clinical decisions are best made by nursing leaders for all units within that particular hospital.
4. Nurses working in a particular service area are best suited to make decisions for the clients in that area.
Rationale 2: Clinical decisions should be made by professional health care providers, with client input.
Rationale 3: Decision making “from the top” is not reflected in the clinical microsystem structure.
Rationale 4: Clinical microsystems involve a core team of caregivers, not all the nurses working in a particular
service area.
Global Rationale:
Cognitive Level: Analyzing
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 15
Type: MCSA
One of the nurse competencies of the synergy care delivery model is “moral agency.” Which action is an example
of that trait?
1. The nurse commits a medication error and reports it to the charge nurse.
2. The nurse collaborates well with the rest of the health care team.
3. The nurse is able to think ahead to the client’s next need.
4. The nurse who does not have good baseline knowledge of a client’s disease process researches it on a day off
work.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 3-5: Explain characteristics of effective delivery systems.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 16
Type: MCSA
Regardless of which delivery system or combination of delivery systems is appropriate, which skill is required for
effective use?
1. Flexibility
2. Strict adherence
3. Persistence
4. Resistance to change
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 3-4. Describe evolving types of delivery systems that have emerged.
Question 17
Type: MCMA
What should the nurse executive consider when planning the nursing care delivery system of a new hospital?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Standard Text: Select all that apply.
1. How to optimize use of nursing knowledge
2. The system used by competing hospitals
3. How to ensure that clients receive optimal care
4. Skill sets likely to be present in the nurses who will be employed at the hospital
5. What groups of nurses are available for employment
4. “Any system is okay, as long as the nurses follow it.”
Rationale 2: The RN team leader guides the client care and helps to resolve any problems that may occur.
Rationale 3: Developing and updating nursing care plans is the work of the RN team leader.
Rationale 4: Typically the team leader is involved in indirect client care activities.
Rationale 5: Communicating and collaborating with physicians is generally the responsibility of the team leader.
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: 3-2: Describe what types of nursing care delivery systems exist.
Question 20
Type: MCSA
The RN leader of a team overhears one of the UAPs on the team say, “I’ll sure be glad when I get my RN license.
All they do is sit around doing paperwork.” How does the RN interpret this comment?
1. As a need to be more involved in direct client care when this UAP is on the team
2. As a common disadvantage of the team approach to nursing
3. As an indication that this UAP should be reported for unprofessional behavior
4. As confirmation that UAPs are poorly educated and do not work well on teams
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 3-3: Discuss the positive and negative aspects of different systems.
Question 21
Type: MCMA
A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming
opinion of the staff is that the experiment was a disaster. What are the most common reasons team nursing is not
successful?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. There are problems with delegation.
2. There are problems with the skill set of the UAPs on the teams.
3. The LPNs on the team do not accept their position of being “in the middle.”
4. Communication on the team or with the nurse manager is flawed.
5. RNs and LPNs struggle with who is in control and has the power on the team.
Client Need: Safe Effective Care Environment
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 3-3: Discuss the positive and negative aspects of different systems.
Question 22
Type: MCMA
A registered nurse will be the case manager of a group of ten clients. What will the nurse expect as part of this
assignment?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The nurse will determine interventions for all the disciplines needed as part of the clients’ care.
2. The nurse will meet with other disciplines to agree on the choice of critical pathways for each client.
3. The nurse will work to build consensus with the physicians caring for the clients on the team.
4. The nurse will define the expected nursing outcomes for the clients on the team.
5. The nurse will collect and analyze data regarding the clients on the team.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 3-4: Describe evolving types of delivery systems that have emerged.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.