Nursing Delegation And Management Of Patient Care 2nd Edition By Kathleen Motacki. Kathleen Burke – Test Bank

MULTIPLE CHOICE

1. Which of the following guides the professional nurse as decision maker?
a. The American Nurses Association (ANA) Code of Ethics
b. The ANA Standards of the State Nursing Practice Act
c. State Titles
d. All of the above

ANS: D
All provide guidelines for standards of practice for nursing decision-making in practice.

DIF: Cognitive Level: Application REF: page 136

2. The professional practice model of an organization illustrates the alignment and integration of nursing practice with which of the following:
a. The mission, vision, and values of the organization and the nursing department
b. The mission and vision of the nursing department
c. The mission, vision, and values of the organization
d. The state nursing code of ethics

ANS: A
The mission, vision, and values of the organization and nursing department are all integral pieces that should be aligned within a professional practice model.

DIF: Cognitive Level: Application REF: pages 135-136

3. Who is at the center of care in The University of California Los Angeles Model?
a. The nurse
b. The patient, family, and community
c. The patient and family
d. The nurse and patient

ANS: B
The center of this model is the patient, family and community.

DIF: Cognitive Level: Application REF: page 136

4. The care delivery system is integrated into the professional practice model. What does the care delivery model describe?
a. The manner in which care is delivered, the context of care, and the expected outcomes of care
b. The context of nursing care
c. The expected outcomes of care
d. Care delivery and outcomes

ANS: A
All are integral parts of the care delivery model and essential for best practice.

DIF: Cognitive Level: Application REF: page 136

5. Care delivery models are continually improved to adjust to which of the following?
a. National safety goals and best evidence
b. National safety goals and outcomes
c. To national patient safety goals, value-based outcomes, regulatory requirements, and current best evidence.
d. Regulatory requirements

ANS: C
Care delivery models must be continually adjusted to national patient safety goals, value-based outcomes, regulatory requirements, and current best evidence.

DIF: Cognitive Level: Analysis REF: page 136

6. Which author proposed that a nursing care delivery model should consist of five key dimensions?
a. Porter-O’Grady
b. Dubois
c. Watson
d. ANA

ANS: B
Dubois proposed that staffing intensity, skill and nursing education mix, professional scope of practice in six domains of practice, nursing practice environment and unit-level capacity for innovation should be the five key dimensions of a care delivery model.

DIF: Cognitive Level: Application REF: page 137

7. Registered nurses are fundamental to the success of emerging patient-centered care delivery models. Which emerging patient-centered care model directs renewed attention and substantially more resources and incentives to promote those elements of care that are also the backbone of nursing practice?
a. Nurse-Managed Health Clinics (NMHCs)
b. The Patient-Centered Medical Home
c. Accountable Care Organization
d. The Patient Protection and Affordable Care Act of 2010 (PPACA)

ANS: D
The Patient Protection and Affordable Care Act of 2010 directs renewed attention and substantially more resources and incentives to promote those elements of care that are also the backbone of nursing practice. The Nurse Managed Health Clinics, Patient Centered Medical Home and Accountable Care Organization are addressed in the Patient Protection and Affordable care Act (PPACA).

DIF: Cognitive Level: Application REF: pages 137-138

8. Which population does a Traditional Care Model (TCM) specifically target?
a. Pediatric
b. Elderly/geriatric
c. Maternal child
d. Young adult

ANS: B
TCMs target older adults with two or more risk factors, including a history of recent hospitalizations, multiple chronic conditions, and poor self-health ratings.

DIF: Cognitive Level: Application REF: pages 138-139

9. What is a Professional Practice Model (PPM)?
a. The conceptual framework and philosophy of nursing at a specific organization
b. Practice standards of an organization
c. A model of a specific theorist
d. Organizational philosophy

ANS: A
A Professional Practice Model (PPM) is the conceptual framework and philosophy of nursing at a specific organization. B, C, and D are all parts of the model.

DIF: Cognitive Level: Analysis REF: pages 140-141

10. According to the Professional Practice Model (PPM) cited in the Clinical Corner section of this chapter, whose theory was used as the basis of the newly created PPM?
a. Newman
b. Nightingale
c. Parse
d. Watson

ANS: D
According to the author, Watson’s Theory of Caring was the cornerstone of the Professional Practice Model (PPM) that was cited in the Clinical Corner.

DIF: Cognitive Level: Analysis REF: page 136 | pages 139-141