The nursing student clinical group is attending the first ...

[jman1234]

The nursing student clinical group is attending the first clinical session of the semester. What nursing care delivery model do students usually expect to follow?
 
  1. Total patient care model
  2. Functional nursing model
  3. Primary nursing model
  4. Care management model

Question 2

The nurse determines that one of the unlicensed assistive personnel (UAP) working with her patients does not follow safety precautions when ambulating patients. What should the nurse consider before acting on this knowledge? Select all that apply.
 
  1. The tasks performed by UAPs must conform to hospital policy and procedure.
  2. The nurse must act as a patient advocate.
  3. The nurse should follow the UAP job description as written by the hospital's administration.
  4. If the nurse's supervisor tells the nurse to delegate this task to the UAP, the nurse is still accountable for errors made by the UAP.
  5. The nurse is accountable only for the work personally performed.

[joewallace]

Answer to Question 1

1
Explanation: 1. Typically, student nurses follow the total patient care model and provide all of the care for a patient while in the clinical area. This model may be altered slightly to accommodate the student's progress in the nursing program or the policies of the facility. For example, the nursing student may provide all care except giving IV meds.
2. Functional nursing is a task-oriented approach where staff members are assigned to provide a specific task, such as wound care.
3. In primary nursing, the RN assumes 24-hour responsibility for planning, directing, and evaluating the patient's care, from admission to discharge.
4. The care management model, which is similar to case management, focuses on the needs of the integrated delivery system.

Answer to Question 2

1, 2, 4
Explanation: 1. The UAP must follow hospital policy and procedure and these policies and procedures should follow accepted standards of care.
2. The nurse must always act as a patient advocate. The nurse could be found negligent if harm comes to the patient and the nurse was aware that the UAP was not performing tasks correctly.
3. The hospital cannot change the State Board of Nursing's regulations as it applies to UAPs. The nurse working with UAPs should be aware of the State Board policies.
4. The nurse is still accountable for this care. The fact that the nurse was following the supervisor's instructions does not relieve the nurse of the responsibility of providing safe care.
5. The nurse is accountable for the care provided to patients in his or her care.