Which nursing care delivery model aims to reduce costs while maintaining high-quality care?

Case management

Total patient care

Team nursing

Patient-centered care

Answer and Explanation

The Correct Answer is A

Choice A reason:
Case management focuses on coordinating care across disciplines, managing resources efficiently, and ensuring continuity of care throughout the healthcare system. By reducing duplication of services, preventing unnecessary hospitalizations, and promoting cost-effective interventions, case management aims to control costs while maintaining high-quality outcomes.

Choice B reason:
Total patient care involves one nurse providing all aspects of care to a client. While it promotes continuity and individualized care, it is labor-intensive and costly, making it less effective at reducing overall healthcare costs.

Choice C reason:
Team nursing uses a group of healthcare workers led by a registered nurse to provide care. Although it can improve efficiency and delegation, its primary goal is not cost reduction but collaborative care delivery. It does not specifically emphasize cost containment to the extent that case management does.

Choice D reason:
Patient-centered care focuses on respecting client preferences, values, and needs. While it improves satisfaction and outcomes, it is not primarily designed as a cost-reduction model and does not directly address resource utilization or financial efficiency

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Correct Answer is A

Explanation

Choice A reason:
Veracity refers to truthfulness and honesty in professional practice. By failing to complete an incident report, the nurse is not being truthful about the error, even though the client experienced no harm. This violates ethical standards of transparency, accountability, and professional integrity. Reporting errors is essential to prevent future harm, facilitate organizational learning, and uphold ethical practice.

Choice B reason:
Confidentiality involves protecting a client’s private health information. The scenario does not indicate a breach of privacy; the ethical violation is related to truthfulness, not confidentiality.

Choice C reason:
Beneficence is the ethical principle of promoting good and preventing harm. While the nurse may have intended to avoid unnecessary alarm by not reporting, the action actually undermines safety and organizational procedures, which could lead to harm in the future. However, the primary violation is veracity, not beneficence.

Choice D reason:
Autonomy concerns respecting a client’s right to make informed decisions about their care. The nurse’s failure to report does not directly infringe on the client’s autonomy. The issue is centered on honesty and accountability.

A. The client has the right to be informed of any procedures they may have. B. The client has the right to leave the hospital against medical advice. C. The client has the right to refuse treatment or medication as they see fit. D. The client has the right to privacy of their health care information and records.

Correct Answer is D

Explanation

Choice A reason:
Being informed of procedures relates to the client’s right to informed consent, not directly to confidentiality. While important, it does not specifically address protection of private health information.

Choice B reason:
The right to leave against medical advice pertains to autonomy and self-determination, not confidentiality. This right ensures clients can make decisions about care but does not cover privacy of medical records.

Choice C reason:
Refusal of treatment or medication also relates to autonomy and informed consent. While ethically significant, it does not specifically address how the client’s health information is protected.

Choice D reason:
Clients have the right to privacy of their health care information and medical records, which is the core aspect of confidentiality. Teaching should include how personal health data is protected, who can access it, and how the client’s rights are maintained under HIPAA regulations and hospital policy. This ensures the client understands their legal protections and the nurse’s responsibility to safeguard their information.

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Which nursing care delivery model aims to reduce costs while maintaining high-quality care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers an incorrect medication to a client and does not complete an incident report because the client experienced no adverse effects. Which ethical principle did the nurse violate?

Correct Answer is A

Explanation

The nurse is teaching a client about their confidentiality rights while in the hospital as part of the admission process. Which should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client with a newly inserted left subclavian central line. What assessment finding one hour after insertion warrants immediate action by the nurse?

A nurse cares for a client with an intravenous (IV) line and notices signs of infiltration. What action should the nurse take first?

The nurse is caring for a client who reports frequent nausea and vomiting for the past 24 hours. Which assessment finding requires further action by the nurse?

A nurse plans to start an intravenous (IV) on a client. Which action should the nurse plan to take to ensure client safety before IV insertion?

A nurse is assessing a client who has refused a surgical procedure. The client states, “I just don’t want to do this,” while appearing anxious and avoiding eye contact when speaking. What is the nurse’s priority action?

A nurse is caring for a client admitted with a fluid imbalance. Which laboratory test(s) should the nurse anticipate will be affected by the client's condition? Select all that apply.

A nurse manager is educating a newly licensed nurse about the role of case management. Which statement by the newly licensed nurse demonstrates an understanding of the teaching?

A nurse is caring for a client admitted with dehydration suspected to have an electrolyte imbalance. Which finding should the nurse identify as a possible cause of electrolyte imbalance?