Chapter 8

Question 1

This system has profoundly changed over the past several decades due to population shifts, cultural diversities, the pattern of diseases, advances in technology and economic changes.

Answer 1

Health care delivery system

Question 2

Nurses and unlicensed personnel are placed into teams. With this approach the nursing staff is divided into teams and total patient care is provided to a group of patients who might b grouped according to their diagnoses.

Answer 2

Team nursing

Question 3

RN has responsibility of all aspects of care of the patient and works directly with the patient, other nursing staff and physicians in implementing a place of care.

Answer 3

Total patient care

Question 4

This relies on clinical pathways to evaluate and guide clinical care.

Answer 4

Case management

Question 5

Nursing as science in a holistic manner. What you have to do to look out for the person as a whole.

Answer 5

Caregiver

Question 6

Assisting clients in decision making and speaking for the client as is the client’s interests are the nurse’ interest.

Answer 6

Advocate

Question 7

Direct the work of professional and non-professional to achieve expects outcomes of care.

Answer 7

Manager

Question 8

The process by which responsibility and authority for performing a certain task are transferred to another individual

Answer 8

Delegation

Question 9

Achieve high quality client care and client satisfaction through working with the client and interdisciplinary members.

Answer 9

Collaborative practice

Question 10

What are the 5 rights of delegation?

Answer 10

Right task
Right circumstances
Right person
Right direction/communication
Right supervision/evaluation

Question 11

Explain information exchange, consultation and referral.

Answer 11

Information exchange: communication with client and each professional
Consultation: coordination of care.
Referral: comanagement of clients between different professionals.

Question 12

Structures organizational process that involves personnel in planning and implementing the continuous flow of improvements in the provision of quality heath care that meets or exceeds expectations.

Answer 12

Continuous quality improvement

Question 13

What is new?

Answer 13

• Poverty and homeless levels have increased.
• Majority of people live in urban settings.
• Cultural diversity has increased.
• Disease is global
• Outpatient and minimally invasive surgeries have increased
• increased expectations of nurses’ education levels.
• Patient protection and affordable care act
• Privatization of medicaid

Question 14

What does patient protection and affordable care act mean?

Answer 14

Increases the quality and affordability of health insurance, lower the uninsured rate by expanding public and private insurance coverage, and reduce the cost of healthcare for individuals and the government.

Question 15

what does privatization of medicaid mean?

Answer 15

using medicaid dollars to buy private insurance coverage for the expansion population.

Question 16

what are the advantages of team nursing?

Answer 16

• The UAP’s can carry out some of the functions that do not require a RN’s expertise.
• Also will allow for task to be carried out that require several persons because an assigned team is readily available.

Question 17

What are the disadvantages of team nursing?

Answer 17

If communication skills are no adequate, the holistic view of the patient might be fragmented.
* UAP’s and LPN’s might feel resentment if they perceive the RN to be focused on paperwork and documentation and less on the physical needs of the client.

Question 18

What are the advantages of total patient care?

Answer 18

nurses provide holistic continuous care

• there is continuity of communication from clients to other healthcare team members
• the nurse has total accountability for that shift.

Question 19

What are the disadvantages of total patient care?

Answer 19

that some of the tasks could be performed by lesser skilled persons which might be more cost effective.

Question 20

What might be a disadvantage when working in a collaborative practice?

Answer 20

Interpersonal conflict might occur when individuals are working together and their expectation are incompatible.