In a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel implement specific tasks like medication administration or personal hygiene for the entire nursing unit, what term describes this type of delivery system?
- A. Primary nursing
- B. Team nursing
- C. Functional nursing
- D. Total patient care
Correct Answer: C
Rationale: The correct answer is C: Functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their specific functions, such as medication administration or personal hygiene, for the entire unit. This system focuses on efficiency and specialization of tasks, allowing each staff member to focus on their assigned duties.
A: Primary nursing is a system where one nurse is responsible for coordinating the care of a group of patients.
B: Team nursing involves a team of healthcare professionals working together to provide care to a group of patients.
D: Total patient care, also known as case method nursing, involves one nurse providing all aspects of care for a patient.
Functional nursing best describes the scenario where tasks are divided among different staff members based on their roles and functions.
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What is the difference between mediation and binding arbitration based on the statement provided?
- A. Mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor
- B. Mediation uses a trained person to facilitate negotiations without making a final decision
- C. Binding arbitration is a formal process where an arbitrator's decision is final and must be adhered to by both parties
- D. Binding arbitration requires both labor and management to engage in discussions to find the least harmful resolution
Correct Answer: C
Rationale: The correct answer is C because binding arbitration involves a formal process where an arbitrator's decision is final and binding on both parties. This means that both labor and management must adhere to the arbitrator's decision, making it a legally enforceable resolution.
Choice A is incorrect because mediation is not necessarily sanctioned by the NLRB; it is a voluntary process where a neutral mediator helps parties reach a mutually acceptable agreement.
Choice B is incorrect because mediation does not involve a final decision-maker; it focuses on facilitating negotiations and helping parties communicate and reach a resolution on their own terms.
Choice D is incorrect because binding arbitration does not require both parties to engage in discussions to find a resolution; instead, it involves the arbitrator making a final decision that both parties must accept.
A group of workers wish to seek union representation that would protect all workers in the agency, including unlicensed assistive personnel and non-nursing employees such as a nutritionist and dietary workers. The type of union being sought is the strongest collective group and is known by what term?
- A. A right-to-work bargaining organization
- B. An occupational union
- C. Industrial unionism
- D. Union shop
Correct Answer: C
Rationale: The correct answer is C: Industrial unionism. Industrial unionism represents all workers in a particular industry, regardless of their job roles. In this scenario, the workers seeking union representation include various non-nursing employees, making industrial unionism the most suitable option to protect all workers in the agency.
A: A right-to-work bargaining organization focuses on individual rights and does not necessarily represent all workers collectively.
B: An occupational union typically represents workers in a specific occupation or trade, not all workers in an industry.
D: A union shop requires all workers to join the union after a probationary period, which may not apply to all workers in this scenario.
What term is used to identify the care delivery model being used when a nurse makes patient care assignments as follows: RN1 has rooms 202-210, RN2 has rooms 211-221, RN3 has rooms 222-232. The unlicensed assistive personnel have half the rooms, with one assigned to 202-215 and the second to 216-232?
- A. Partnership
- B. Primary
- C. Modular
- D. Team
Correct Answer: C
Rationale: The correct answer is C: Modular. This care delivery model involves assigning specific patient care responsibilities to individual nurses and unlicensed assistive personnel based on room numbers. This modular approach allows for efficient and organized care delivery by dividing the workload based on room assignments.
A: Partnership - This term refers to the collaborative relationship between healthcare providers and patients, not the specific care delivery model described in the question.
B: Primary - The primary care delivery model focuses on a designated primary care provider who oversees and coordinates all aspects of a patient's care, which is different from the modular approach described in the question.
D: Team - While teamwork is essential in healthcare, the term "team" does not specifically describe the care delivery model outlined in the question, which is based on room assignments and individual responsibilities.
A client with a terminal illness is concerned about performing self-care after discharge. Which of the following statements should the nurse make?
- A. A social worker will address your concerns after discharge.
- B. You should plan to go to a skilled nursing facility after discharge.
- C. Your case manager will coordinate the resources you will need.
- D. You will need hospice care until you feel stronger.
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.
Medicaid, which is financed by what part of the government, is jointly funded by which two entities?
- A. State
- B. Federal
- C. County
- D. State and federal
Correct Answer: D
Rationale: The correct answer is D: State and federal. Medicaid is jointly funded by both state and federal governments. States administer the program but receive matching funds from the federal government. This dual funding structure allows for flexibility in program design and implementation while ensuring a baseline level of coverage across states. County funding (choice C) is not a primary source of Medicaid financing. While both state (choice A) and federal (choice B) governments contribute to funding Medicaid, the correct answer is D because it specifies the two entities that jointly fund the program.