Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery MULTIPLE CHOICE 1. How does managed care affect the economics of health care delivery? a. Providesincentivesforsmaller private or individual hospitals b. Increases the tax bases for the community c. Uses corporate economicsto achieve a profit d. Decreases duplicate processes and redundant facilities ANS: D 2. Which statement regarding characteristics of clinical pathwaysshowsthe nurses understanding? a. “Clinical pathwaysfocus on patient outcomes.” b. “Clinical pathways use a timeline with sequenced interventions.” c. “Clinical pathways collaborate efforts by health care professionals.” d. “Clinical pathwaysinvolve nurse-centered orientation.” ANS: D 3. Which statementshowsthe nurses understanding of patient-focused care? a. “Patient-focused care is a nursing care delivery system.” b. “Patient-focused care is a model for a health care organization.” c. “Patient-focused care is a clinical pathway within an institution.” d. “Patient-focused care is an institutional value and philosophy.” ANS: A 4. Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are a. “clinical pathways and patient classifications.” b. “clinically oriented and business-oriented pathways.” c. “clinical pathways and disease management protocols.” d. “centralized and decentralized system models.” ANS: C 5. A nurse manager istraining a new hire. Which statement shows an understanding of functional nursing? a. “Functional nursing is organized around tasks.” b. “Functional nursing is patient led.” c. “Functional nursesis physician led.” d. “Functional nursing is unorganized.” ANS: A 6. Which of the following statementsshowsthe nurses understanding of primary nursing? a. “Primary nursing involves planning and directing of patient care over 24 hours.” b. “Primary nursing involves care for 48 hours or more.” c. “Primary nursing involves one nurse planning care for the patient.” d. “Primary nursing isthe only method of care used today.” ANS: C 7. Which statement istrue about case management? a. There are two models—traditional and full immersion. b. It is used to reduce resource utilization only. c. To be effective, it requires case managersto provide direct patient care. d. It eliminatesthe need for other caregivers(LPN, LVNs, nursing assistants). ANS: A 8. A nurse isinterested in case management. Which statement indicates an understanding of the primary work environment of case manager? a. “They work most often in acute care institutions.” b. “Their work is focused on community activities and is based within the community.” c. “They typically work for insurance companies, providing coordination of care.” hire case managers.” ANS: D 9. Which statement istrue about patient classification systems? a. They measure all the needs of patients. b. They provide an absolute formula for unit staffing. c. They should not be used to make patient care assignments because acuity systems are more accurate. d. They provide historical data of the usage of nursing time, which is helpful when developing the department budget. ANS: D 10. Which of the following best describes the concept of evidence-based practice? a. It is a method of improving nursing care and effectively maintaining cost containment. b. Insurance companiesreview the evidence of the health care practice for reimbursement. c. It achieveslarge-scale economics while providing cost-effective care. d. It providesfor the use of recent research in current nursing practice. ANS: D 11. A female patient is admitted to the labor and delivery unit, where she is assigned a registered nurse who will manage her care for the duration of her hospitalization. What type of nursing care delivery model is represented in this nursing unit? a. Functional care c. Patient-focused care b. Primary care d. Case management ANS: B 12. The nurse isreviewing upcoming discharges. Which patient would a case manager be assigned to? a. A 55-year-old woman post hysterectomy, who has adequate support from family b. A 42-year-old man post appendectomy, who is able to change his own dressing c. A 60-year-old man post sepsis, in need of nursing home placement