The RN receives reports on eight clients in the morning. Client ...

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The RN receives reports on eight clients in the morning. Client assignments are then delegated to an LPN and two nursing assistants.
 
  The morning is busy, with physician visits and new client orders, and the RN communicates these new orders to the LPN and nursing assistants. The RN also meets with the case manager to discuss nursing home placement for a client. What type of nursing care delivery system is in place in this hospital? 1. Critical pathways
  2. Total patient care
  3. Team nursing
  4. Functional nursing

Question 2

The nurse manager is planning the holiday schedule for the staff on the oncology unit. The staff is highly experienced and has worked well together for over five years.
 
  Using situational leadership theory, which is the most effective leadership style for this management decision? 1. Telling
  2. Selling
  3. Participating
  4. Delegating

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Answer to Question 1

3
Rationale 1: Critical pathways are a set of strategies used by health care providers to attain expected outcomes. Critical pathways are not a nursing care delivery system, and there are insufficient data to determine if they are used in this scenario.
Rationale 2: Total patient care is given by one nurse.
Rationale 3: The RN in this case is leading a team. A variety of skilled caregivers cares for a group of clients.
Rationale 4: Functional nursing breaks down the assignments into tasks.
Global Rationale:

Answer to Question 2

3
Explanation: 1. The nurse manager could ask the staff for input and assistance in making the holiday schedule,
keeping the final implementation to himself. The task is relatively low-end and the
relationship is high-end supportive. The staff may not react well to a schedule presented with
a telling style. A selling style may need to be used if the manager makes and implements an
unpopular schedule. Delegating the holiday schedule could be a risky choice. The manager
would be leaving responsibility for the decision and the implementation up to the staff.

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Thank you

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No problemo