ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 2 : Settings and Models for Nursing Care Questions
Question 1 of 5
The LPN is part of a group of nurses that has an RN team leader as well as another LPN and two nursing assistants who will be providing care to a group of clients. What type of nursing method is this considered?
Correct Answer: D
Rationale: Team nursing is composed of an RN team leader, other RNs, LPN/LVNs, and nursing assistants who provide care to a group of clients. Functional nursing is a task-oriented method where everyone in the group is assigned to specific tasks. Case method is the same as private duty nursing.
Total client care refers to assignments in which a nurse assumes all the care for a small group of clients.
Question 2 of 5
The RN is assuming all of the care for a small group of clients, and an LPN is assigned to another group of clients with a lower acuity. What type of nursing is this considered?
Correct Answer: A
Rationale:
Total client care refers to assignments in which a nurse assumes all the care for a small group of clients. Team nursing are teams made up of an RN team leader, other RNs, LPN/LVNs, and nursing assistants, and they provide care to a group of clients. Functional nursing is a task-oriented method of nursing. Primary care nursing is when an RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during a shift.
Question 3 of 5
An RN has been assigned to care for three clients on the medical unit and will assume 24-hour accountability for those clients' care. When the nurse goes off duty, the plan of care will be continued by a secondary nurse. What type of nursing model is this considered?
Correct Answer: D
Rationale: In primary care nursing, the RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during a shift. Team nursing is made up of an RN team leader, other RNs, LPN/LVNs, and nursing assistants who provide care to a group of clients. The case method is the same as a private duty nurse. In functional nursing, distinct duties are assigned to specific personnel.
Question 4 of 5
The nurse manager of a telemetry unit is considering changing from a team model of nursing to a primary nursing model. When considering this decision, what advantage does the manager understand the primary nursing model brings to nursing care?
Correct Answer: B
Rationale: In primary nursing, an RN assumes 24-hour accountability for the client's care and has total responsibility. An advantage is that the client has a caregiver who provides holistic and comprehensive care. An RN partnering with one or more assistive personnel when caring for a group of clients is an example of a client care-focused model. When tasks are divided with clients seeing several people during a shift, this is considered a total care model. An RN serving as a team leader directing the care provided by other personnel constitutes a team approach.
Question 5 of 5
A hospital unit has been using a functional nursing model for delivery of care for several years. The manager has been discussing with the staff the idea of a change to total care because functional nursing has some disadvantages to the clients. What disadvantage is the manager referring to?
Correct Answer: C
Rationale: Although efficient, functional nursing fragments care and is confusing for clients. Primary nursing is expensive because it uses RNs only. Nurses are designated certain tasks if functional nursing is employed, so the care is divided. Nurses are accountable for client care in a primary nursing model.