P&VC- Chapter 14
Nursing Care Management focuses on
Achieving patient outcomes within specified time frame
LPNs can perform all but which of the following? A. Teach patient about cleanliness and nutrition B. Serve as a charge nurse C. Order and interpret laboratory tests D. Identify new nursing problems
C. Order and interpret laboratory tests
While in the hospital setting the student nurse works under the supervision of the ________ during clinical
Clinical supervisor
Which of the following nurses, identified by the initials after their name, is most likely to be the Director of Nursing at a large-size long-term facility? A. RN B. RN BSN C. LPN D. RN MSN
D. RN MSN
What type of care deliver method is most likely to result in fragmented patient care?
Functional Method
Both LPN's and RN's function in an interdependent role, what does this mean?
LPN is always interdependent. RN is independent unless they are following Dr. Orders
An intensive care unit uses the total patient care or case method care of delivery. What does this mean?
LPN will provide care for 1-2 stable patients and is responsible for planning, organizing, and carrying out the care of these patients. The pt has predicted outcomes.
A nurse practitioner is a RN with a ____________ degree in nursing and a _________ _______________
Masters Specialty certification
IN the practice setting what determines the roles and responsibilities of the LPN
Nurse Practice Act MO
Who all are on the interdisciplinary team?
Nurse practitioners, LPNs, student nurses, NAs, clinical supervisors and RNs
Using nursing staff in varying ratios to meet patient needs and coordination care using clinical pathways best describes what method of care delivery
Nursing Case Management
Why is it important for the student nurse to prepare adequately before providing patient care in clinic setting
Perform care as an LPN
What is a research-focused degree?
PhD
The method of delivering nursing care that provides continuity of care, individualizes care and fosters 24-hour accountability for pt care is referred to as _______________
Primary Nursing
What does the Affordable Care Act emphasize?
Quality Care Alternatives
Which member of the healthcare team is initially responsible for teaching a patient about medication side effects?
RN
Who can initiate patient teaching?
RN
What are the major differences between an LPN and an RN?
RN formulates the nursing diagnosis, LPNs can't because they have dependent roles and RNs have independent roles.
LPNs who provide care that acknowledge the patients preferences, needs, and values and who communicate these to other members of the health care team are engaging in what type of care?
Relationship-centered care
What is the goal of the health care team
Restore optimal physical, emotional, and spiritual health
Primary care method includes
Shorter hospital stays for patients, improved communication among staff and more holistic focus of care
What member of the healthcare team assists pt's to arrange for services after discharge
Social Worker or Case Manager
List the 4 Nursing Management and Executive
Supervisor, Nurse Manager, Director, Chief Nursing Officer
Functional method of nursing care is
Task oriented
Describe team nursing as a method of delivery nursing care
The method is based on the level of staff skill and patient need
What health care team member assists with budgeting, assignment, and evaluation of personnel and maintaining compliance with Medicare requirements?
Unit manager
Describe what an LPN means when she says " working in an expanded role in a long-term facility."
Working as a first line manager- charge nurse
The role of the LPN in the healthcare team is best described as
interdependent