Author Question: A nurse is working in an intensive care unit (critical care). Which type of nursing care delivery ... (Read 163 times)

gonzo233 · **on:** Jul 22, 2018

A nurse is working in an intensive care unit (critical care). Which type of nursing care delivery model will this nurse most likely use?

a. Team nursing
b. Total patient care
c. Primary nursing
d. Case-management

Question 2

A nurse is working in a facility that has fewer directors with managers and staff able to make shared decisions. In which type of organizational structure is the nurse employed?

a. Delegation
b. Research-based
c. Decentralization
d. Philosophy of care

Ashley I · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Total patient care is found primarily in critical care areas. Total patient care involves an RN being responsible for all aspects of care for one or more patients. In the team nursing care model, the RN assumes the role of group or team leader and leads a team made up of other RNs, practical nurses, and nursing assistive personnel. The primary nursing model of care delivery was developed to place RNs at the bedside and improve the accountability of nursing for patient outcomes and the professional relationships among staff members. Case-management is a care approach that coordinates and links health care services to patients and families while streamlining costs.

Answer to Question 2

ANS: C
The decentralized management structure often has fewer directors, and managers and staff are able to make shared decisions. The American Nurses Association defines delegation as transferring responsibility for the performance of an activity or task while retaining accountability for the outcome. Research-based means care is based upon evidence. A philosophy of care includes the professional nursing staff's values and concerns for the way they view and care for patients. For example, a philosophy addresses the purpose of the nursing unit, how staff works with patients and families, and the standards of care for the work unit.