A nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The nurse determines which scenario is characteristic of the team-based model of nursing practice?
A staff member is assigned to determine the client's needs at home and begin discharge planning.
A single registered nurse (RN) is responsible for providing care to a group of 6 clients with the aid of an unlicensed assistive personnel (UAP).
Each staff member is assigned a specific task for a group of clients
An RN leads two licensed practical nurses (LPNs) and 3 UAPS in providing care to a group of 12 clients.
The Correct Answer is D
Rationale:
A. Assigning a staff member to focus on discharge planning is an example of case management or primary nursing, not team nursing. This approach emphasizes individualized planning and continuity of care rather than shared team responsibilities.
B. One RN providing care to a small group of clients with a UAP describes primary nursing with delegated tasks, not the collaborative structure of team nursing. In team nursing, care is coordinated among multiple licensed and unlicensed personnel.
C. Assigning staff to specific tasks for a group of clients reflects functional nursing, where tasks (e.g., medication administration, hygiene) are divided among team members, but each member focuses on the task rather than collaborating holistically on patient care. Functional nursing prioritizes efficiency over individualized patient care.
D. Team nursing involves an RN leading a team of LPNs and UAPs to provide comprehensive care for a larger group of clients. The RN coordinates care, delegates tasks appropriately, and ensures holistic care is delivered collaboratively. This scenario exemplifies the team nursing model, which maximizes efficiency and utilizes the skills of various personnel under the RN’s guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Using coercion can create fear, resentment, and decreased morale. Forcing staff to comply without addressing underlying concerns does not resolve resistance and may negatively impact team cohesion and patient care.
B. Confronting the UAP in a supportive, nonjudgmental way to encourage verbalization of feelings allows the staff member to express concerns, fears, or misunderstandings about the change. Open communication can help the nurse manager identify barriers, provide education, and foster buy-in. Addressing resistance directly and empathetically is a key strategy in change management.
C. Ignoring resistance does not address the underlying issues and may lead to ongoing noncompliance, decreased team functioning, and potential impact on patient outcomes.
D. While positive reinforcement can be helpful in encouraging participation, it is not sufficient alone when the staff member is actively resistant. Understanding the root cause of resistance first is essential before attempting rewards or incentives.
Correct Answer is B
Explanation
Rationale:
A. While staff satisfaction can influence quality indirectly, it is not the primary goal of QM. QM aims to ensure that healthcare delivery meets standards for safety, effectiveness, and outcomes rather than focusing solely on employee satisfaction.
B. Quality management in healthcare is a systematic approach to improving the quality of care provided to clients. It involves monitoring, evaluating, and improving processes, services, and outcomes to ensure client safety, reduce complications such as postoperative infections, and achieve evidence-based standards of care. The ultimate goal of QM is to enhance patient outcomes and overall healthcare quality.
C. Interprofessional collaboration is important and contributes to quality care, but QM encompasses broader systematic processes. Focusing only on collaboration does not fully define QM, which includes process monitoring, outcome evaluation, and performance improvement.
D. A safe and well-organized environment supports quality care, but QM is more comprehensive. It focuses on improving care delivery processes, adherence to clinical standards, and patient outcomes, not solely the physical or administrative environment.
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