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Leadership and Management for Nurses, 3e (Finkelman)
Chapter 9 Managing Patient-Centered Care
1) The nurse manager is making patient assignments for the shift. What should be the primary
guiding factor in these assignments?
1. Number of staff available
2. Skill mix of the staff
3. Patient needs
4. Physical layout of the unit
2) What skills does the Institute of Medicine identify as important in the provision of effective
patient-centered care? Select all that apply.
1. Make the patient fully responsible for his or her care.
2. Communication with patients should be open and complete.
3. The patient should be thought of as an individual.
4. Prevention and health promotion should be enhanced.
5. Focus care on self-directed patients who seek care.
3) Which statements, made by a member of the healthcare team, best demonstrate patient-
centered care? Select all that apply.
1. "We have decided that you need to have surgery for your condition."
2. "What time would you like to take your bath?"
3. "I ordered apple juice for your breakfast."
4. "I brought the extra blanket that you asked for."
5. "You will need to return to the office tomorrow to get the results of these laboratory tests."
4) Which goal, set by the physician office staff, demonstrates attention to the patient-centered
care attribute of care coordination?
1. Each patient will be seen by the physician within 15 minutes of the scheduled appointment
time.
2. Information on treatment plans will be provided to each patient.
3. Each patient will receive a patient satisfaction survey regarding each office visit.
4. Post-hospitalization follow-up telephone calls will be made to each discharged patient on post-
hospital day 1 and 7.
5) Which statement regarding clinical reasoning and judgment is true?
1. These skills are being adequately taught in nursing curriculums.
2. Both of these skills are dependent upon the context of the situation.
3. These two terms mean the same thing.
4. These two skills are primarily used in emergency situations.
6) The acute care nurse finds that it is increasingly difficult to provide effective education to
patients. What changes in healthcare have contributed to this difficulty? Select all that apply.
1. Patients have difficulty understanding new medical technology.
2. Patients are much sicker while they are hospitalized.
3. Nurses don't use good time management skills when planning education sessions.
4. There are fewer quality educational resources available for patients.
7) The nurse is planning patient education regarding wound care. Which concepts should the
nurse use in designing this session?
1. Keep the information as broad as possible.
2. Use a standard preprinted form as a handout for the patient.
3. Ask the patient's family caregivers to be present.
4. Have the patient save all questions to the end of the session.
8) How does self-management relate to patient-centered care?
1. The nurse who is able to self-manage anxiety is better able to provide care.
2. Patients who self-prescribe over the counter medications have a better understanding of their
body.
3. It replicates the traditional model of healthcare.
4. In order for care to become patient-centered, the patient must embrace self-management.
9) What are the elements included in the health system in the chronic care model? Select all that
apply.
1. Decision support
2. Delivery system design
3. Self-management support
4. Primary providers
10) If you wanted to quickly find an evidence-based clinical guideline, where would you look?
1. National Institute of Nursing Research
2. Hospital library medical journals
3. National Guideline Clearinghouse
4. Nursing literature search
11) What is the key difficulty with implementing patient-centered care?
1. Recognizing that patient-centered care is important.
2. Implementing it effectively.
3. Paying for patient-centered care.
4. Defining patient-centered care.
12) A patient who has a history of asthma asks about the availability of a disease management
program for his illness. Which statement, made by the nurse, is appropriate?
1. There isn't a disease management program for asthma yet, but there is one under development.
2. There is no such program for asthma.
3. The program exists, but only a very few insurance companies cover it.
4. There is a program targeted specifically for asthma.
13) What is the primary focus of disease management programs?
1. Curing the disease
2. Reducing the need for medications
3. The whole patient
4. Learning more about the disease
14) The nurse who works for an insurance company has been asked to develop an initial set of
disease management programs. What factors should this nurse consider when choosing the
diseases? Select all that apply.
1. High cost problems
2. Those with high numbers of hospitalizations
3. Those with high risk for complications
4. Long-term problems
5. Those with a longer length of stay when hospitalization is required
