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NURSING LEADERSHIP EXAM 2 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NURSING LEADERSHIP EXAM 2 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NURSING LEADERSHIP EXAM 2QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
In an acute care unit, the nurse manager utilizes the functional nursing method as the care delivery
model. The nurse manager's main responsibility is the needs of the:
a. department
b.unit
c.staff
d. patient - ANSWER d. patient
The functional model of nursing is a method of providing patient care by which each licensed and
unlicensed staff member performs specific tasks for a large group of patients. In a functional nursing
model, where other team members are focused on performing specific tasks, the nurse manager
assumes primary responsibility for patient outcomes.
During times of nursing shortages and increased nursing costs in health care, which of the following
nursing care delivery models might come under greatest scrutiny?
a. Case method
b. Team nursing
c. Functional nursing
d. Nurse case management - ANSWER a. Case method
The case method may involve total patient care provided by a registered nurse, which, in today's costly
healthcare economy, is very expensive. In times of nursing shortages, there may not be enough
resources or nurses to use this model.This model is especially useful in the care of complex patients who
need active symptom management provided by an RN, such as the care of the patient in a hospice
setting or an intensive care unit. This method would be justifiable delivery in the pediatric intensive care
unit, where the status of patients can change rapidly and where complex functions of care involve both
patients and families.
,A patient complains to the charge nurse that she has no idea who "her nurse" is on any given day. "I ask
one nurse for my pills and she says, 'That's not my job.' I ask the pill nurse about my lab tests and she
says that I should ask another nurse." The nursing care delivery model most likely employed in this
situation is:
a. differentiated practice.
b. team nursing.
c. functional nursing.
d. case management. - ANSWER c. functional nursing
Functional team nursing involves licensed and unlicensed personnel who perform specific tasks for a
large number of patients. A disadvantage of functional team nursing is the fragmentation of care. The
physical and technical aspects of care may be met, but the psychological and spiritual needs may be
overlooked. Patients become confused with so many different care providers per shift. These different
staff members may be so busy with their assigned tasks that they may not have time to communicate
with each other about the patient's progress.Although repetition of tasks increases confidence and
competence, it can also lead to boredom. Rotation of tasks can assist specifically in this model to reduce
the boredom that is a potential disadvantage of this model.
To effectively delegate in a team nursing environment, the RN team leader must be familiar with the
legal and organizational roles of each group of personnel and must:
a. be able to effectively communicate with patients.
b. build relationships with physicians.
c. be able to adapt to daily changes in staffing.
d. adapt in communicating information to her supervisor. - ANSWER c. be able to adapt to daily changes
in staffing.
A particular challenge in team nursing is that staff mixes and staff may change daily because of individual
schedules and shortages.Team nursing delivers care to a small group of patients, using a mix of licensed
and unlicensed personnel. Team nursing uses the strengths of each caregiver.
, A nurse manager questions the true difference between primary nursing and total patient care. After
careful consideration of both models, the nurse manager concludes that primary nursing differs
significantly from total patient care in:
a. breadth of nursing knowledge and expertise required.
b. intention to provide holistic nursing.
c. degree of task orientation.
d. levels and types of assessment. - ANSWER c. degree of task orientation.
Significant overlap can be seen between primary nursing and total patient care in terms of breadth of
assessment and knowledge required to provide holistic care. A primary difference is that nurses in the
total care model assume accountability while on shift, whereas primary nurses assume responsibility
from time of admission to discharge and 24 hours a day.
Complex change situations require that the change leader promote ongoing visioning among staff
members. One strategy is to:
a. consciously evaluate invisible mental models.
b. allow for individual outcomes.
c. encourage cooperative activities.
d. operate between order and disorder. - ANSWER a. consciously evaluate invisible mental models.
Senge theory on change suggests that each individual or organization bases activities on a set of
assumptions, or a set of beliefs, or mental pictures about the way that the world should work. When
these invisible models are uncovered and consciously evaluated, it is possible to determine their
influences on work accomplishment.Senge theory on change has 5 organizational disciplines (box, og
329):shared vision - the process of creating a common view about where the organization is going
mental models - the practice of helping individuals become aware of how they think, what they value,
and how that affects organizational performancepersonal mastery - the fostering of openness in the face
of change by managing self-awareness and using reflectionteam learning - the promotion of teams
thinking together, collaborating, and sharing ideas, knowledge and perspectivesystems thinking - the
development of frameworks that see the oganization as a complex entity whose many parts affect
outcomes
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