A nurse is considering employment at a long-term care facility that has a functional nursing delivery system. Knowing this, the nurse could expect that:

Correct Answer: B

Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately. A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients. C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients. D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.

Correct Answer: B

Rationale: The correct answer is B: Unfreezing the system. In Lewin's Force-Field Model, unfreezing refers to the process of preparing individuals and systems for change by breaking down existing mindsets and behaviors. Building trust and recognizing the need for change are essential steps in unfreezing. Moving the system to a new level (A) is not specific to the initial stage of change. Refreezing the system (C) occurs after change has been implemented, not before. Institutionalization (D) involves integrating the change into the organization's culture, which is a later stage in the change process.

Correct Answer: D

Rationale: The correct answer is D: Diagnostic procedure. Air emboli during an IV start can lead to a stroke, making it a risk associated with a diagnostic procedure. The air emboli occurred during the IV start, which is a diagnostic procedure aimed at obtaining information about the patient's health status. Patient dissatisfaction (A) is not the main concern here, as the focus is on the medical outcome. While a medical-legal incident (B) may result from this situation, the primary classification is related to the diagnostic nature of the procedure. This incident is not primarily a medication error (C) as the main issue is the introduction of air into the bloodstream during the IV start, rather than a mistake in medication administration.

Correct Answer: C

Rationale: The correct answer is C because a sentinel event is a serious, unexpected occurrence in a healthcare setting that results in death or serious physical or psychological harm to a patient. A patient suicide while in a healthcare facility meets this criteria. A is incorrect as a fall with no injury is not a sentinel event. B is incorrect as a medication error resulting in no harm is not a sentinel event. D is incorrect as a near miss incident, although serious, does not result in harm to the patient.

Correct Answer: B

Rationale: The primary advantage of utilizing a modular nursing model is enhanced teamwork. This is because modular nursing promotes collaboration among healthcare professionals, leading to better coordination of care and improved patient outcomes. It allows for flexibility and efficiency in assigning roles and responsibilities based on individual strengths and expertise. Improved teamwork fosters effective communication, enhances job satisfaction, and ultimately benefits patient care. Patient satisfaction, cost reduction, and communication are important aspects but not the primary advantage of a modular nursing model.