Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn – Test Bank
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Osborn, Medical-Surgical Nursing, 2e
Chapter 04
Question 1
Type: MCSA
The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. How would the nurse describe this care delivery system?
1. Team nursing
2. Functional nursing
3. Case method
4. Primary nursing
Correct Answer: 4
Rationale 1: 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.
Rationale 2: Functional nursing is a delegation of tasks over one shift worked.
Rationale 3: The case method of delivering nursing care is sometimes referred to as total patient care. The RN has total care responsibility for the patient during the shift worked.
Rationale 4: 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.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 4-1
Question 2
Type: MCMA
The nurse works in a hospital that practices functional care delivery. Which statements represent common perceptions about this system?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “My job is so boring.”
2. “My job is very satisfying.”
3. “Knowing that I am instrumental in my patient’s return to health is very joyful.”
4. “It is hard for me to see the impact of my work in helping patients get better.”
5. “As long as I do my job correctly, I am not responsible for when or how the patient gets better.”
Correct Answer: 1,4,5
Rationale 1: Functional nursing requires the nurse to perform the same tasks on each shift. For example, the nurse may give medications to all patients on the unit. Nurses complain that the repetitive nature of the work becomes boring.
Rationale 2: Functional nursing is not known to produce job satisfaction. Nurses more often complain that it is tedious.
Rationale 3: In functional nursing, the nurse is not involved in the total process of helping the patient get better. Joyfulness is not a common feeling.
Rationale 4: Because tasks are fragmented, it is often difficult for the nurse to appreciate his or her role in helping the patient get well.
Rationale 5: There is a perceived lack of accountability for the patient’s return to health because tasks are so fragmented.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 4-1
Question 3
Type: MCMA
A hospital utilizes the functional nursing care delivery system, and patient satisfaction scores have been falling in each quarter of the past year. What is a likely reason for this decrease?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Utilization of advanced practice nurses on the unit
2. Efficient nursing staff
3. Lack of confidence in the caregivers
4. Lower health care costs
5. Fragmentation of the nursing care
Correct Answer: 3,5
