Chapter 21

Question 1

What are the 5 model components for to have magnet recognition?

Answer 1

Transformational leadership
Structural Empowerment
Exemplary professional practice
New knowledge, innovation, and improvements

Question 2

What are the two models of nursing care?

Answer 2

Traditional models and todays models

Question 3

What two types of traditional nursing care?

Answer 3

Team nursing and primary nursing

Question 4

What is traditional team models?

Answer 4

Nurse is the leader and delegates to the LVN, CNA, and Tech

Question 5

What is primary nursing?

Answer 5

The nurses is at the bedside performing tasks

Question 6

What are 3 examples of today’s nursing models?

Answer 6

Patient Centered Care
Total patient care
Case Management

Question 7

What is patient centered care?

Answer 7

nursing care in which mutual partnership among the patient, family, and healthcare team are formed to plan, implement, and evaluate the nursing and health care provided.

Question 8

What is total patient care?

Answer 8

RN is responsible for all aspects of the patients care. Working directly with the patient, family, and health team members.

Question 9

Case management?

Answer 9

approach designed to coordinate and link health care services across all levels of care for patients and their families while streamlining costs and maintain quality

Question 10

Decentralization management means that

Answer 10

decision making occurs at the level of the staff.

Question 11

Decentralization encompasses what 4 aspects?

Answer 11

Responsibility
Autonomy
Authority
Accountability

Question 12

What does responsibility mean?

Answer 12

duties and activities an individual is employed to perform

Question 13

Autonomy

Answer 13

independent decision about patient care/freedom of choice and responsibility for the choices

Question 14

Authority

Answer 14

Legitimate power to give commands and make final decisions specific to given postition

Question 15

Accountability

Answer 15

Individual being answerable for their actions

Question 16

Staff involvement is when transformational leadership and decentralized decision making exist on a unit

Answer 16

all staff members actively participate in unit activities. The work environment promotes participation in unit activities, all staff members benefit from the knowledge and skills of the entire work group

Question 17

The nursing manager supports staff through

Answer 17

• establishing nursing practice through problem solving committees of professional shared governance councils
• Inter-professional collaboration among nurses and health care providers
• Interprofessional rounding
• Staff communication
• Staff Education

Question 18

Clinical decisions

Answer 18

your ability to make clinical decisions depends on application of nursing process

Question 19

Priority Setting

Answer 19

By deciding which patient needs of problems need attention first. It is not the ordering of a list of care tasks but an organization of a vision of desired outcomes for a patient

Question 20

High priority and an example

Answer 20

Immediate threat to patient survival and breathing/airways

Question 21

Intermediate priority and an example

Answer 21

nonemergent, nonlifethreatening and when a patient needs wound care education before being discharged

Question 22

Low priority setting

Answer 22

actual or potential problems may or maynot be directly related to patients illness or disease

Question 23

organizational skills

Answer 23

implementing a plan of care requires you to be effective and efficient.

Question 24

Effective use of time means

Answer 24

doing the things right

Question 25

efficient use of time means

Answer 25

doing the things right

Question 26

Use of resources

Answer 26

resources in this case mean the health care team. In any setting administration of patient care occurs more smoothly when staff members work together

Question 27

What are the 5 principles of time management?

Answer 27

Goal Setting
Time Analysis
Priority Setting
Interruption control
Evaluation

Question 28

What does goal setting mean?

Answer 28

Review a patients goals of care for the day and any goals you have fro activities such as completing documentation, attending a patient care conference, giving a hand off report, or preparing medications for adminsitration

Question 29

What is time analysis?

Answer 29

Reflection of how you use your time. Keep track of how you use your time on different activities, This provides info on if you are really organized or not

Question 30

Interruption control

Answer 30

Everyone needs time to socialize or discuss issues with colleagues. However, do not let it interfere with patient care. Make time during breaks, mealtime, or report.

Question 31

Evaluation

Answer 31

Continuous just like the rest of the nursing process. Once we assess the patients needs and begin therapies directed at a specific problem area, immediately evaluate whether therapies are effective and the patients response

Question 32

5 rights of delegation???

Answer 32

• right task
• Right circumstance
• Right Person
• Right Direction/Communication
• Right supervision / evaulation

Question 33

What does it mean by right task?

Answer 33

The right tasks are ones that are repetitive, require little supervision, are relatively noninvasive, have results that are predictable and have minimal potential risk.
Examples are specimen collection, ambulating a stable patient, preparing a room for patient admission

Question 34

What would be the right circumstance?

Answer 34

Considering the appropriate patient setting, available resources, and other relevant factors. in an acute care setting, patients conditions often change quickly. Use good clinical decision making to determine what to delegate

Question 35

Who would be considered the wrong person during delegation?

Answer 35

A RN delegates specific tasks to a specific person for a specific patient

Question 36

What would be the right direction/ communication?

Answer 36

Give clear, concise description of task, including it’s objective, limits, and expectations. Communication needs to be ongoing between the RN and NAP during the shift

Question 37

What is the right supervision/ evaluation?

Answer 37

Provide appropriate monitoring, evaluation, intervention as needed and feedback. NAP needs to feel comfortable so they can ask any questions if need be.