At a strategic planning meeting the nurse executive recommends ...

[Kthamas]

At a strategic planning meeting the nurse executive recommends instituting patient-centered care as a model of care delivery in the hospital. Which statement by the hospital CEO indicates understanding of this concept?
 
  1. We have always had the patient at the center of everything we do.
  2. We can't afford to hire more RNs.
  3. I'm concerned about the increased time and leadership our nurse managers will have to provide.
  4. I like the idea of centralizing all our care.

Question 2

A hospital is considering implementing the use of critical pathways and case management.
 
  Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. If we use critical pathways, we won't have physical therapy to help us ambulate clients.
  2. If a client is not able to follow the critical pathway, a variance will be written.
  3. The critical pathway lists discharge outcomes but won't help us with day-to-day guidance of care.
  4. Once the client is on a critical pathway, we must follow it until discharge.
  5. Using critical pathways will help us reduce length of stay and costs to the client.

[meltdown117]

Answer to Question 1

3
Rationale 1: Patient-centered care as a practice model is not the same as centering care around the patient.
Rationale 2: There would be fewer RNs in the patient-centered care model.
Rationale 3: The nurse manager's role in patient-centered care requires considerable time. The nurse manager must be a strong leader.
Rationale 4: Patient-centered care is actually decentralized. Many of the tasks traditionally done by a central office, such as admission, are unit based.
Global Rationale:

Answer to Question 2

1,3,4
Rationale 1: Critical pathways are designed to direct the care of many disciplines. There is no reason to believe that physical therapy will no longer be available to help with client ambulation.
Rationale 2: Variances are written when the client is not making progress according to the critical pathway.
Rationale 3: The critical pathway orients staff to the outcomes that should be achieved by the client each day.
Rationale 4: If the client has variance from the critical pathway, it may be revised.
Rationale 5: Critical paths use resources appropriate to the care needed, and thereby reduce cost and length of stay.
Global Rationale:

[Kthamas]

Thanks for the timely response, appreciate it

[juliaf]

Gracias!