A nurse has just moved from a facility that utilized ...

[Jipu 123]

A nurse has just moved from a facility that utilized differentiated practice. Which of the following delivery systems would most resemble this system?
 
  1. Case method
  2. Shared governance
  3. Functional method
  4. Team nursing

Question 2

A new graduate nurse is looking for employment and is hoping to find a facility that utilizes nursing personnel based on their educational preparation and skill set. Which of the following systems implements this practice?
 
  1. Patient-focused care
  2. Shared governance
  3. Differentiated practice
  4. Managed care

[Alyson.hiatt@yahoo.com]

Answer to Question 1

Correct Answer: 4
Rationale 1: Case method is a client-centered model where one nurse is assigned to and responsible for the comprehensive care of a group of clients during a shift. In this method a client has consistent contact with one nurse during a shift, but may have different nurses on other shifts. This is not the model described in the stem.
Rationale 2: Shared governance is an organizational model in which nursing staff are cooperative with administrative personnel in making, implementing, and evaluating client care policies. This is not the model described in the stem.
Rationale 3: The functional nursing method focuses on the jobs to be completed. It is a task-oriented approach in which personnel with less preparation than the professional nurse perform less complex care requirements. This is not the model described in the stem.
Rationale 4: Team nursing is the delivery of individualized nursing care to clients by a team led by a professional nurse. The nursing team consists of registered nurses, licensed practical nurses, and unlicensed assistive personnel. The registered nurse retains responsibility and authority for client care but delegates appropriate tasks to the other team members. This enables nurses to progress and assume roles and responsibilities appropriate for their level of experience, capability, and educationmuch like the differentiated practice system.

Answer to Question 2

Correct Answer: 3
Rationale 1: Patient-focused care is a delivery model that brings all services and care providers to the client. This is not the model described in the stem.
Rationale 2: Shared governance is an organizational model in which nursing staff are cooperative with administrative personnel in making, implementing, and evaluating client care policies. This is not the model described in the stem.
Rationale 3: Differentiated practice is a system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets. This model consists of specific job descriptions for nurses according to their education or training.
Rationale 4: Managed care focuses on cost containment, consumer satisfaction, health promotion, and preventive services. This is not the model described in the stem.

[Jipu 123]

TYSM

[Viet Thy]

Excellent