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Question 23
Type: MCMA
A hospital is considering implementing the use of critical pathways and case management. Which statements by a
nurse would indicate to the nurse manager that more education should be provided?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “If we use critical pathways, we won’t have physical therapy to help us ambulate clients.”
2. “If a client is not able to follow the critical pathway, a variance will be written.”
3. “The critical pathway lists discharge outcomes but won’t help us with day-to-day guidance of care.”
4. “Once the client is on a critical pathway, we must follow it until discharge.”
5. “Using critical pathways will help us reduce length of stay and costs to the client.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 3-4: Describe evolving types of delivery systems that have emerged.
Question 24
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of
care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?
1. “We have always had the patient at the center of everything we do.”
2. “We can’t afford to hire more RNs.”
3. “I’m concerned about the increased time and leadership our nurse managers will have to provide.”
4. “I like the idea of centralizing all our care.”
3. Nurses are more satisfied working in an environment that is better for nursing.
4. When the environment is better for nursing, it is also better for other disciplines.
5. Most of the strategies that improve the environment for nursing do not cost anything.
Rationale 3: The original model of nursing care delivery was total patient care or the case method. During the
1920s, total patient care was the typical delivery system, with much RN care being provided in the home.
Rationale 4: Primary nursing was conceptualized and implemented during the late 1960s.
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: 3-2: Describe what types of nursing care delivery systems exist.
Question 27
Type: MCSA
A long-term-care facility is considering implementing total patient care. Prior to implementing this system, what
must be available?
1. Enough RN staff to provide all the care to the residents
2. A group of licensed assistants who are good at taking direction
3. A strong nurse manager
4. RNs willing to assume 24-hour accountability for the care provided to residents
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 28
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: MCSA
Which nursing care delivery situation best reflects the concept of a clinical microsystem?
1. A rural free clinic housed in a church gymnasium that is staffed by volunteer nurses and physicians
2. A walk-in clinic in a local discount store that is staffed by a nurse practitioner
3. An inpatient burn unit
4. A general medical-surgical unit in a midsized hospital
4. Thirty percent of respondents reported that their nurse sometimes seemed rushed.
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.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
