A large metropolitan hospital uses differentiated practice as ...

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A large metropolitan hospital uses differentiated practice as part of the structure of nursing services.
 
  Following this plan, nursing responsibilities are assigned based on which criteria? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Seniority
  2. Educational level
  3. Experience
  4. Nurse preference
  5. Affordability

Question 2

The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect?
 
  1. One nurse has responsibility for all the medications on the unit.
  2. One nurse has responsibility for all the needs of three clients.
  3. One charge nurse and one respiratory therapist have responsibility for all clients.
  4. One nurse and one nursing assistant have responsibility for ten clients.

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Answer to Question 1

2,3,4
Rationale 1: Seniority does not mean competence.
Rationale 2: Differentiated practice takes education (primarily associate's degree and bachelor's degree) into consideration when determining nursing responsibilities.
Rationale 3: Experience is considered in differentiated practice.
Rationale 4: Nurse preference is taken into consideration in differentiated practice.
Rationale 5: While cost containment is always an issue, in true differentiated practice it is not a primary determinant of responsibilities.
Global Rationale:

Answer to Question 2

1
Rationale 1: Functional nursing breaks down client care into tasks assigned to the appropriate professional or skilled caregivers. This may result in one nurse (the med nurse) administering all the medications on the unit.
Rationale 2: Total patient care is given by one nurse assigned to a few clients.
Rationale 3: Team or modular nursing uses a variety of skilled caregivers to provide care to an assigned group of clients.
Rationale 4: Team or modular nursing uses a variety of skilled caregivers to provide care to an assigned group of clients.
Global Rationale:

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