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Chapter 021

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 21: Managing Client Care MULTIPLE CHOICE 1. It is necessary for the nurse manager to delegate tasks to the staff. Which of the following is a requirement of the delegation process? 1. Working alongside the staff to evaluate their care 2. Functioning from a laissez-faire style of leadership 3. Obtaining the employee’s voluntary acceptance of the task 4. Communicating the work assignment in understandable terms ANS: 4 When dele
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 2: !anaging Client Care! #T$P#E C%$CE 1.It is necessary for the nurse manager to delegate tasks to the staff. Which of the followingis a requirement of the delegation process?1.Working alongside the staff to evaluate their care2.Functioning from a laissezfaire style of leadership!. #taining the employee$s voluntary acceptance of the task %.&ommunicating the work assignment in understanda#le terms '()*%When delegating+ the nurse should always provide unam#iguous and clear directions #y descri#ing a task+ the desired outcome+ and the time period within which the task should  #e completed. ,he nurse manager does not necessarily have to work alongside staff to evaluate their care. ,he nurse manager can often evaluate staff performance in client outcomes. ' laissezfaire style of leadership is not a requirement for delegation. ,asks should #e delegated to those who are capa#le+ not necessarily to those who are willing.-IF*'/F*!0 3*&omprehension, 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironment2.'s the nurse starts to perform a procedure+ a peer says+ 9I$ve done that #efore. Would youlike me to help?: ,he peer$s leadership style is descri#ed as*1.-irecting 2.&oaching!.-emocratic%.6aissezfaire'()*2,his situational leadership style is descri#ed as coaching. ,he peer is willing to e;plain the procedure and provide the opportunity for clarification. -irecting is a highly directivestyle of leadership where leaders provide specific instructions and close supervision. ' laissezfaire style of leadership is where the leader intervenes as little as possi#le in the direction of others. ,he laissezfaire style of leadership is descri#ed as nondirective+  permissive+ ultrali#eral. ' democratic leadership style encourages group discussion and decision making. ,he democratic leadership style is descri#ed as participative and consultative.-IF*' 3*&omprehension, 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironment 5os#y items and derived items < 200+ 200= #y 5os#y+ Inc.+ an affiliate of /lsevier Inc.  ,est ank !.' unit manager on a #usy multiservice medical nursing unit decides to take responsi#ility for the direct client care of one of the many new admissions. 6ater the manager decides she is too #usy to give adequate client care. Which of the following situational leadership styles does the nurse manager need to apply?1.&oaching2.)upporting!.-elegating%.-irecting'()*!-elegation is transferring responsi#ility for the performance of an activity or task while retaining accounta#ility for the outcome. ,o #e more efficient in providing adequate client care+ the manager needs to use delegation. &oaching would not #e the situational leadership style to apply. ,he manager does not have time to e;plain decisions and  provide the opportunity for clarification. )upporting would not #e the situational leadership style of choice. ,he manager does not need to share ideas and facilitate decision making of other employees at this time. -irecting is a highly directive style of leadership. ,he manager needs to delegate+ not provide specific instructions and close supervision.-IF*'/F*!0 3*&omprehension, 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironment%.Which of the following statements #est reflects the autocratic style of leadership?1.96et$s discuss this case study thoroughly and decide on a plan of action as a group.:2.9I$ll try to pair you in compara#le work teams+ and let$s evaluate the success of thisapproach in 2 weeks.: !.9/veryone knows their work assignment+ so let$s not meet together unless we have an une;pected crisis.: %.9I$ll consider each of your requests+ and then I$ll give you the guidelines for esta#lishing new acuity ratings for our clients.: '()*%9I$ll consider each of your requests+ and then I$ll give you the guidelines for esta#lishing new acuity ratings for our clients: reflects the autocratic style of leadership. ,he leader is making the decision. 96et$s discuss this case study thoroughly and decide on a plan of action as a group: reflects the democratic style of leadership. ,he leader encourages group discussion and decision making. 9I$ll try to pair you in compara#le work teams+ and let$s evaluate the success of this approach in 2 weeks: reflects the delegating style of leadership. esponsi#ility and implementation are #eing turned over to the group+ #ut the leader remains accounta#le. 9/veryone knows their work assignment+ so let$s not meet together unless we have an une;pected crisis: reflects the laissezfaire style of leadership.,here is much freedom+ and the leader assumes a 9hands off: approach.-IF*' 3*&omprehension 5os#y items and derived items < 200+ 200= #y 5os#y+ Inc.+ an affiliate of /lsevier Inc. 212  ,est ank , 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironment=.,o meet the needs of assigned clients and the responsi#ilities associated with the position+nurses need to #e aware of time management techniques. ,he time management skills for the nurse include*1.5eeting all of the client$s needs in the early morning hours2.'nticipating possi#le interruptions #y therapists and visitors!.6eaving each day unplanned to allow for adaptations in treatments%.&ompleting client assessments and treatments individually at separate times'()*2,o manage time+ the nurse must anticipate when care will #e interrupted for medication administration and any diagnostic testing+ and the nurse should also determine the #est time for planned therapies such as dressing changes+ client education+ and client am#ulation. 5eeting all the needs in the early morning hours would #e unrealistic. )ome activities have specific time limits in terms of addressing client needs and some activities follow scheduled routines according to hospital policy. ,he nurse may also have to work around other schedules+ such as if the client had a test ordered for the morning. ,herefore+the nurse cannot e;pect to meet all of the client$s needs at a specified time of day. ecause the nurse has a limited amount of time with clients+ it is essential to remain goaloriented and make a plan for using time wisely. ,ime management involves using client goals as a way to identify priorities. ,he nurse in reviewing the care requirements organizes his or her time so the activities of care and client goals can #e achieved. ' nurse should complete the activities started with one client #efore moving on to another.-IF*'/F*!0> 3*&omprehension, 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironment.In anticipation of a nursing shortage+ the nursing management in a facility is investigatinga nursing care delivery model that involves the division of tasks+ with one nurse assumingthe responsi#ility for particular tasks. ,his model is called*1.,otal patient care2.Functional nursing!.,eam nursing%.4rimary nursing'()*2 5os#y items and derived items < 200+ 200= #y 5os#y+ Inc.+ an affiliate of /lsevier Inc. 21!  ,est ank Functional nursing is taskfocused+ not clientfocused. In this model+ tasks are divided+ with one nurse assuming responsi#ility for specific tasks. ,otal patient care is a model of care where an ( is responsi#le for all aspects of care for one or more clients. ,he ( may delegate aspects of care+ #ut retains accounta#ility for care of all assigned clients. In team nursing a registered nurse leads a team that is composed of other (s+ 64(s or 6@(s+ and nurse assistants or technicians. ,he team mem#ers provide direct client care togroups of clients+ under the direction of the ( team leader. (urse assistants are given client assignments rather than #eing assigned particular tasks. 4rimary nursing is a model of care delivery where#y an ( assumes responsi#ility for a caseload of clients over time. ,ypically the ( selects the clients for his or her caseload and cares for the same clients during their hospitalization or stay in the health care setting.-IF*'/F*!0! 3*&omprehension, 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironmentA. ne advantage of a decentralized management structure for nursing units over a centralized structure is that*1.&ommunication pathways are simplified2.)taff are not responsi#le for defining their roles!.5anagers handle all of the difficult decision making%./ach staff mem#er is accounta#le for evaluating the plan of care'()*%In decentralized management+ decision making is moved down to the level of staff. It requires workers to #e empowered to accept greater responsi#ility for the quality of clientcare provided. ,his means that each staff mem#er is accounta#le for evaluating the plan of care. &ommunication pathways are not simplified. If decentralized decision making is in place+ professional staff have a voice in identifying the ( role. /ach ( on the work team is responsi#le for knowing his or her role and how it is to #e implemented on the nursing unit. In decentralized management+ there is autonomy. In other words+ there is freedom to decide and act. ,he nurse manager does not necessarily handle the difficult decisions. ,hose staff mem#ers who are #est informed a#out a pro#lem or issue make decisions on the #asis of knowledge.-IF*'/F*!0% 3*&omprehension, 4*(ursing 4rocess* /valuation5)&*(&6/78 test plan designation* )afe+ /ffective &are /nvironment>.Indicators in a quality improvement program that evaluates the manner in which care is delivered are*1.)tructure indicators2.,eam indicators!.4rocess indicators%.&lient indicators'()*! 5os#y items and derived items < 200+ 200= #y 5os#y+ Inc.+ an affiliate of /lsevier Inc. 21%

Chapter 017

Jul 23, 2017
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