Integrated health care systems function in a variety of models. Which of the following is a common characteristic of all systems?

Correct Answer: B

Rationale: The correct answer is B: Deliver a whole continuum of care. Integrated health care systems are designed to provide comprehensive and coordinated care across various settings to meet the diverse needs of patients. This model emphasizes preventive care, primary care, specialty care, and even mental health services to ensure holistic healthcare delivery. A: Deliver selective care only - This is incorrect as integrated health care systems aim to offer a wide range of services beyond selective care. C: Treat patients only in the hospital - This is incorrect as integrated systems provide care across different settings, not just in hospitals. D: Provide care only in the primary care setting - This is incorrect as integrated systems offer care in multiple settings, not limited to primary care.

Correct Answer: B

Rationale: The correct answer is B because suggesting that the practice partnership model is more expensive to implement than other models would not be a significant benefit to an organization. A: Clients' greater satisfaction would be a benefit as it could lead to improved outcomes. C: Facilitated continuity of care would also be a benefit by improving coordination and patient experience. D: Leadership being well accepted is also a benefit as it can enhance organizational effectiveness.

Correct Answer: D

Rationale: The correct answer is D: Laissez-faire. This style of leadership involves minimal interference from the manager, allowing staff to make decisions independently. In this scenario, the unit manager empowers staff nurses to self-govern, indicating a hands-off approach. This promotes autonomy, creativity, and accountability among the staff. A: Autocratic leadership involves centralized decision-making by the manager without input from staff, which does not align with the scenario. B: Democratic leadership involves collaboration and input from team members in decision-making, which is not fully demonstrated in the scenario. C: Bureaucratic leadership focuses on following established procedures and rules, which is not the case in the scenario where staff nurses have autonomy in decision-making. In summary, the manager's approach of allowing staff nurses to govern themselves aligns with a laissez-faire leadership style, promoting independence and responsibility among the team.

Correct Answer: C

Rationale: The correct answer is C: Diagnose the problem. In Lippitt's phases of change, this phase involves key people in data collection to identify the root cause of the issue. Assessing motivation (A) comes before diagnosing the problem, choosing a change agent (B) is about selecting a person to lead the change effort, and maintaining the change (D) occurs after implementation. Diagnosing the problem is crucial as it sets the foundation for developing effective strategies to address the identified issues.

Correct Answer: A

Rationale: The correct answer is A: Breakdown in communication. The client's complaint about the night shift nursing staff not responding promptly to his call light indicates a lack of effective communication between the client and the staff. This breakdown in communication leads to the client attempting to walk to the bathroom alone, resulting in a fall. Lack of staff (B) or lack of concern (C) are not directly related to the client's fall, as the core issue lies in communication. Breakdown in management (D) could contribute to communication issues, but the immediate cause of the fall is the lack of communication between the client and the nursing staff.