Chapter 8

Question 1

serves as a plan enacted by congress to cut costs related to Medicare remimbursement

Answer 1

Diagnosis related groups

Question 2

when a nurse is trained in several specialties so that when needs arise more nurses are able to go help

Answer 2

cross training

Question 3

two major issues in the forefront of health care:

Answer 3

cost containment & access to care

Question 4

the hierarchy of authority and responsibility in an organization

Answer 4

chain of command

Question 5

a collection of individual agents who are free to act in ways not totally predictable and whose actions are interconnected so that one action changes the context for other agents or units

Answer 5

complex adaptive systems

Question 6

This model of care is used in the US most frequently in hospitals & long term care facilities. Nursing staff is divided into teams and total patient care is provided to a group of patients who might be grouped according to their diagnoses

Answer 6

Team nursing

Question 7

First model of patient care delivery. The RN has responsibility for all aspects of care of the patient.

Answer 7

Total patient care

Question 8

Care model that relies on clinical pathways to evaluate care.

Answer 8

case management

Question 9

The expected outcomes and interventions that the collaborative practice team establishes

Answer 9

Clinical pathway

Question 10

Several roles of nurses include:

Answer 10

pratitioner, caregiver, advocate, educator, leader, manager, collaborator & researcher

Question 11

The role being fulfilled when the nurse provides interventionsn to meet physical, psychosocial, spiritual & environmental needs of clients & families

Answer 11

caregiver

Question 12

The role being fulfilled when the nurse pleads the cause for clients’ rights

Answer 12

advocate

Question 13

The role being fulfilled when the nurse direct the work of professionals and nonprofessionals to achieve expected outcomes of care (Involves delegation)

Answer 13

Manager

Question 14

The 5 rights of delegation:

Answer 14

Task, circumstances, person, direction/communication, supervision

Question 15

A contractual agreement in which authority and responsibility for a task are transferred by the person who is accountable for the task to another person

Answer 15

Delegation

Question 16

The primary nurse’s role in an interdisciplinary healthcare team is to:

Answer 16

assess the need for consultations & identify expected outcomes of consultation, & the need for revising care as client needs change

Question 17

The purpose of collaboration is to achieve:

Answer 17

high quality patient care and patient satisfaction

Question 18

The lowest level of collaboration

Answer 18

information exchange/communication between client & professionals

Question 19

The mid level of collaboration

Answer 19

consultation/coordination of care

Question 20

The highest level of collaboration

Answer 20

referral/co-management

Question 21

structured organizational process that involves personnel in planning and implementing the coninuous flow of improvements in the provision of health care that meets or exceeds expectation

Answer 21

continuous quality improvement

Question 22

___ & ____ are key elements of quality improvement programs

Answer 22

collaboration; evidence-based practice

Question 23

The ___ can refer a client to hospice, a community resource, or support group

Answer 23

nurse