A nurse manager discovers that the readmission rate of hospitalized patients is very high on the hospital unit. The nurse manager desires improved coordination of care and accountability for cost-effective quality care

Which nursing care delivery model is best suited for these needs?
a. Team nursing
b. Total patient care
c. Primary nursing
d. Case management


ANS: D
Case management is a care approach that coordinates and links health care services to patients and families while streamlining costs. In team nursing, the RN assumes the role of group or team leader and leads a team made up of other RNs, practical nurses, and nursing assistive personnel. Total patient care involves an RN being responsible for all aspects of care for one or more patients. The primary nursing model of care delivery was developed to place RNs at the bedside and improve the accountability of nursing for patient outcomes and the professional relationships among staff members.

Nursing

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A 77-year-old patient with a history of coronary artery disease and heart failure has arrived in the emergency room with a rapid heart rate and feeling of "impending doom."

Based on pathophysiologic principles, the nurse knows the rapid heart rate could A) decrease renal perfusion and result in the development of ascites. B) be a result of catecholamines released from SNS that could increase the myocardial oxygen demand. C) desensitize the ?-adrenergic receptors leading to increase in norepinephrine levels. D) prolong the electrical firing from the SA node resulting in the development of a heart block.

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Kolcaba created a __________ to present the nursing meaning of comfort as a patient outcome

A. Theory diagram B. Taxonomic structure C. Research study D. Umbrella picture

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What was the description of a nurse in the medieval times during the Holy Wars?

a. A woman who had been specially trained by a magician b. A man who was committed to following his Lord into battle c. A man who had training to care for a wounded knight d. A woman who had studied with an older nurse

Nursing

The nurse administers pain medication to a client via a fentanyl transdermal patch. During nursing rounds 5 minutes later, the client states that "the patch fell off" and asks for a new one

What would be the appropriate nursing intervention in this situation? A) Administer a new patch. B) Skip this dosage and administer a new patch when it is due again. C) Ask the client to locate the old patch before administering a new one. D) Report the incident to the primary care provider.

Nursing