The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. The care delivery system within which the nurse is functioning is most likely:
1. Primary nursing.
2. Case method.
3. Functional nursing.
4. Team nursing.
Primary nursing.
Rationale: Primary nursing is defined as a system in which each patient is assigned to a nurse who has 24-hour responsibility for the nursing care delivered to the patient. The case method of delivering nursing care is sometimes referred to as total patient care. The RN is responsible for the patient and has total care responsibility for the patient during the shift worked. Functional nursing is a delegation of tasks over one shift worked. In team nursing, patients are assigned to a nursing team that is usually led by an RN. The team is responsible for the patients' care during the one shift of duty.
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A new mother asks the nurse, "How will I know early signs of hunger in my baby?" The nurse's best response is which of the following? (Select all that apply.)
a. Crying b. Rooting c. Lip smacking d. Decrease in activity e. Sucking on the hands
A task force is meeting to determine the causes of dissatisfaction between a health care organization and members of a cultural group that receives care from the organization
The task force finds the nurses to be motivated to provide culturally sensitive care. Using the U.S. Health Resources Service Administration's domains of cultural competence as a framework, what might the task force infer? a. Nurses need more training to provide appropriate care to the group. b. The organization presents barriers to culturally competent care. c. There needs to be better communication between the two groups. d. This cultural group is encountered infrequently by the organization.
Which organization attempts to develop and implement a case mix classification system that can provide a basis for Medicare and Medicaid payments as well as serve as a quality monitoring system?
a. The Joint Commission b. The Institute of Medicine c. The Multistate Nursing Home Case Mix and Quality Demonstration d. The National Committee for Quality Assurance
A nurse is preparing to discharge an 11-month-old child after a hospitalization for a viral infec-tion. The nurse uses anticipatory guidance most effectively when:
1. Encouraging the parents to limit visitors for 14 days 2. Providing the parents with written discharge instructions 3. Arranging the follow-up pediatrician appointment for the parents 4. Informing the parents that the child may cry when taken to daycare