A nurse manager sent one of the staff nurses on the unit to a ...

[WhattoUnderstand]

A nurse manager sent one of the staff nurses on the unit to a conference about new, evidence-based wound care techniques.
 
  The nurse manager asks the staff nurse to prepare a poster to present at the next unit meeting, which will be mandatory for all nursing staff on the unit. The nurse manager is providing a learning opportunity in this situation through
  a. Nurse/physician collaborative practice.
  b. Interdisciplinary collaboration.
  c. Staff education.
  d. Establishing a nursing practice committee.

Question 2

A nurse manager is evaluating patient outcomes on the hospital unit. The nurse manager discovers that the re-admission rate of hospitalized patients is very high on this unit.
 
  The nurse manager desires improved coordination of care and accountability for cost-effective quality care. The nursing care delivery model best suited to these needs is
  a. Total patient care.
  b. Primary nursing.
  c. Team nursing.
  d. Case management.

[samiel-sayed]

Answer to Question 1

ANS: C
The nurse manager is planning a staff education opportunity in the given example. Staff education is one way the nurse manager supports staff involvement in a decentralized decision-making model. This nurse is providing staff education to other staff nurses on the unit, not to physicians. Interdisciplinary collaboration involves working with other disciplines such as medicine, physical therapy, respiratory therapy, etc. The question does not state that the nurse is establishing a practice committee. A poster presentation is a common teaching method.

Answer to Question 2

ANS: D
What is unique about case management is that clinicians, as individuals or as part of a collaborative group, oversee the management of patient groups with specific case types and usually are held accountable for some standard of cost management and quality. Case management is a care approach that coordinates and links health care services to patients and families while streamlining costs. 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, licensed vocational nurses, and nurse assistants or technicians. Total patient care involves an RN being responsible for all aspects of care for one or more patients. Primary nursing places RNs at the bedside more, assuming responsibility for a caseload of patients over time. This model, however, does not require an all-RN staff as is required for total patient care.

[WhattoUnderstand]

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