Nurses on a unit provide personal hygiene, administer medications, educate patients, and provide emotional support. The nurses are providing patient care based on which nursing delivery system?

Correct Answer: A

Rationale: The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship. Summary of other choices: B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care. C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient. D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.

Correct Answer: D

Rationale: The correct answer is D: clinical pathway. A clinical pathway is a detailed plan of care that outlines specific interventions and timelines based on assessment findings. In this scenario, the plan includes specific dates for discontinuing supplemental oxygen, changing ventilation methods, and transitioning antibiotics. This structured approach ensures consistent and efficient care delivery. A: Patient classification system categorizes patients based on their clinical needs, not specific care plans. B: Patient-centered plan of care focuses on individual preferences and goals, not necessarily specific interventions and timelines. C: Diagnosis-related group is a classification system for reimbursement based on diagnoses, not specific care plans. In summary, the other choices are incorrect because they do not accurately describe a detailed plan of care with specific interventions and timelines like a clinical pathway does.

Correct Answer: B

Rationale: The correct answer is B: Case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves ensuring continuity of care, facilitating communication, and advocating for the patient's needs. Choice A, team leader in nursing care delivery, focuses on leading a team of nurses but does not encompass the broader coordination of care. Choice C, nurse manager, involves overseeing a unit or department rather than individual patient care. Choice D, coordinator of patient-centered care delivery, lacks the specific focus on following the patient through the entire care process.

Correct Answer: A

Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations. - Choice B is correct as assistive personnel can document vital signs on the client's record under supervision. - Choice C is acceptable as long as the unit secretary is authorized to fax the client's results. - Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.

Correct Answer: C

Rationale: The correct answer is C: Your case manager will coordinate the resources you will need. This statement reassures the client that a professional will help organize the necessary support services. A social worker (A) may not specifically address self-care needs. Going to a skilled nursing facility (B) may not be necessary if resources can be coordinated at home. Hospice care (D) is typically for end-of-life care and may not address the client's concerns about self-care after discharge.