An orthopedic unit is considering different types of care delivery models and staff have an opportunity to ask questions about how the models differ. The nurse manager provides an overview and uses the above visual to demonstrate which model of care delivery?

Correct Answer: A

Rationale: The correct answer is A: Team. In a team care delivery model, multiple healthcare professionals work collaboratively to provide comprehensive care to patients. This is demonstrated in the visual of the orthopedic unit considering different types of care delivery models. The team model emphasizes teamwork, communication, and coordination among healthcare providers to ensure holistic patient care. Summary of why other choices are incorrect: B: Partnership typically involves collaboration between healthcare providers and patients but may not necessarily involve multiple healthcare professionals working together as a team. C: Primary care delivery model focuses on the patient's main point of contact, usually a primary care physician, rather than a team approach. D: Functional care delivery model organizes care based on specific functions or tasks, which may not emphasize the collaborative teamwork seen in a team care delivery model.

Correct Answer: B

Rationale: The correct answer is B: applying productivity metric. The nurse manager is calculating the ratio of direct nursing care hours to total hours worked, which is a productivity metric. This metric helps assess the efficiency of the nursing staff in delivering care. Developing the capital budget (A) involves planning for long-term investments, not daily staffing calculations. Monitoring the labor budget (C) involves tracking expenses related to staff salaries and benefits, but not necessarily productivity metrics. Incremental budgeting processes (D) refer to budgeting based on past budgets with incremental changes, not specific productivity metrics. Therefore, the nurse manager is primarily involved in applying a productivity metric to assess nursing staff efficiency.

Correct Answer: D

Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.

Correct Answer: A

Rationale: The correct answer is A because being surrounded by family provides emotional support, comfort, and a sense of closure. Family presence can alleviate fear, anxiety, and loneliness, contributing to a peaceful death experience. Choice B focuses on pain management but does not address emotional well-being. Choice C, while important for end-of-life care, does not directly impact the patient's immediate comfort. Choice D indicates a decline in consciousness, which may not necessarily lead to a peaceful death experience as the patient may not be aware of their surroundings or loved ones.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance. 2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm. 3. This approach fosters better organization and focus, enhancing productivity and task completion. 4. Planning helps in identifying potential obstacles and developing strategies to overcome them. 5. Ultimately, effective planning leads to better time management and a sense of accomplishment. Summary of why other choices are incorrect: A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization. C: Making the last hours most productive neglects the importance of consistent time management throughout the day. D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.

Correct Answer: A

Rationale: The correct answer is A because denying the older person with Alzheimer's disease the right to ambulate violates their autonomy by restricting their freedom to make choices about their own body and movement. Autonomy is the ethical principle that respects an individual's right to make decisions about their own health and well-being. In this situation, the person should have the autonomy to decide whether or not they want to ambulate, even if they have advanced Alzheimer's disease. Choice B is incorrect because the mentally competent adult has the right to refuse medical treatment based on their beliefs, which is an expression of autonomy. Choice C is incorrect because the mentally competent visitor has the right to refuse examination, which is also an expression of autonomy. Choice D is incorrect because the mentally competent adult has the right to refuse a local anesthetic, which is also an expression of autonomy.

Correct Answer: B

Rationale: The correct answer is B: Florence Nightingale. Occupational health nursing shares beliefs with Florence Nightingale as she emphasized the importance of proper sanitation, hygiene, and preventive care in nursing practice. Nightingale's focus on maintaining a healthy environment aligns with the core principles of occupational health nursing. Lillian Wald is known for her work in public health nursing, Clara Barton for founding the American Red Cross, and Mary Seacole for her contributions during the Crimean War. While these pioneers made significant contributions to nursing, their beliefs and focus areas differ from those of occupational health nursing.

Correct Answer: B

Rationale: Step 1: Managing variances in nursing overtime costs and supply usage is crucial for a nurse manager's performance evaluation as it demonstrates their ability to control expenses effectively. Step 2: This component directly relates to the nurse manager's responsibility in budgeting and financial management. Step 3: Analyzing and managing variances show the nurse manager's skill in monitoring and adjusting budgetary allocations to meet targets. Step 4: Other choices are not directly related to the nurse manager's core responsibilities in budgeting or evaluating performance. Step 5: Labor budget costs for overtime and benefits (Choice A) and predicting revenues (Choice C) are important but not as directly tied to performance evaluation as managing variances in costs. Step 6: Providing qualitative analysis for variances in the capital budget (Choice D) is not typically a key aspect of a nurse manager's evaluation, as it focuses more on long-term investments rather than day-to-day operational budgeting.

Correct Answer: D

Rationale: The correct answer is D: scheduling daily activities. This is because positive time management skills involve planning and organizing tasks to effectively utilize time. By scheduling daily activities, individuals can prioritize tasks, set goals, and allocate time efficiently. This helps in achieving productivity and reducing stress. Choice A (maintaining an open-door policy) is incorrect as it pertains to communication style, not time management. Choice B (retaining all paperwork) is not directly related to time management but rather to organization. Choice C (returning all telephone calls immediately) is also not a direct indicator of effective time management as it focuses on communication responsiveness rather than overall time utilization.