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Nursing II- Exam 3 (1).

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Nursing II- Exam 3 (1).

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  • July 22, 2024
  • 42
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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Nursing II- Exam 3
collaboration - CORRECT ANSWER-- Two or more people working toward a common goal by
combining skills, knowledge, and resources
- Avoiding duplication of effort

what is the goal of collaboration? - CORRECT ANSWER-to improve client outcome

what does collaborative nursing practice include? - CORRECT ANSWER-identifying and
acknowledging expertise of those inside and outside nursing profession

what does successful collaboration require that nurses develop skills in? - CORRECT ANSWER--
communication
- teamwork
- value the roles and responsibilities of other team members
- work to establish a climate of mutual respect

what does successful interprofessional education and practice for healthcare professionals
depend on? - CORRECT ANSWER-working in teams to provide safe, quality care

who does the nurse collaborate with? - CORRECT ANSWER-- patients
- peers
- other healthcare professionals
- professional nursing organizations
- legislators

what are some collaborative members of the healthcare team? - CORRECT ANSWER-- Nurse
- Unlicensed assistive personnel
- Case Manager
- Dietitian
- Information Technology Expert
- Occupational Therapist
- Paramedical Technologist
- Physical Therapist
- Pharmacy
- Physician
- Physician Assistant
- Respiratory Therapist
- Social Worker

Types of Collaboration - CORRECT ANSWER-- referral
- co-management
- consultation
- coordination
- information exchange
- parallel functioning
- parallel communication

what are the benefits of collaboration? - CORRECT ANSWER-- increased efficiency
- greater cost effectiveness
- promotes patient safety (resulting in decreased morbidity and mortality rates)

,- increased autonomy (leads to greater overall satisfaction with care)
- nurses' report increased sense of perceived autonomy and professionalism, along with greater
job satisfaction.

what are the key factors necessary for making collaboration work? - CORRECT ANSWER--
mutual respect
- trust
- effective communication
- giving and receiving feedback
- decision making
- conflict management

how can communication only be effective? - CORRECT ANSWER-each team member commits to
understanding each members specific role and appreciates member as individual

Conflict prevention & management - CORRECT ANSWER-- Types of Conflict
- Levels of Conflict
- Causes of Conflict
- Nurse-Physician Relationship
- Nurse-Patient Relationship
- Managing Conflict within the Healthcare Team
- Managing Conflict with Patients and Families

can conflict be a good thing? - CORRECT ANSWER-- conflict is inevitable in workplace
- conflict can be good for better communication, stronger team relationships, and healthy changes

incivility in the workplace - CORRECT ANSWER-- workplace bullying
- horizontal violence (anger and aggressive behavior between nurses or nurse-to-nurse hostility)
- maintaining a culture of excellence

The nurse is planning care for a client following a surgical procedure. Which
collaborative action(s) should the nurse include? (Select all that apply.)

A) Speaking with the PCP about changing a medication order after speaking with the
client about adverse effects

B) Informing the dietician that the client is on a special diet and needs reteaching about
the diet after seeing him eat items from home.

C) Ensure the care plan is done in collaboration with the client.

D) Informing the pharmacist that the client's blood pressure (BP) is low and to hold the
BP medication

E) Updating the physical therapist regarding the client's physical activity and tolerance
earlier in the day - CORRECT ANSWER-A, B, C, E

The collaborative team treating a client includes the cardiologist, dietician, social
services, and a nurse case manager. The team works together to establish a plan of care
based on the client's goals. Which outcome is likely to result from this type of
collaboration for the client?

,A) Decreased adherence with the plan of care

B) Increased healthcare costs

C) Improved relationship between the physician and the client

D) Enhanced continuity of care - CORRECT ANSWER-D

The nurse wants to provide collaborative care for a client who has terminal cancer.
Which action should the nurse include?

A) Providing comfort interventions

B) Assessing the client's preferences regarding care

C) Consulting an oncology-certified nurse when planning care

D) Giving the physician priority when delivering care - CORRECT ANSWER-C

The nurse wants to improve collaborative decision-making skills. Which action promotes
collaboration between nurses and the interprofessional team?

A) Delaying feedback on results to ensure that all collected data were reviewed by the team first

B) Removing the client from the decision-making process

C) Sharing responsibility of the outcome of the decision

D) Depending on physician leadership to ultimately make the decision for the team - CORRECT
ANSWER-C

Is teaching an independent or dependent nursing function? - CORRECT ANSWER-Independent

what are the domains of learning? - CORRECT ANSWER-- cognitive (thinking)
- affective (feelings/behavior changes)
- psychomotor (action)

during the teaching process, what are we assessing? - CORRECT ANSWER-- patients ability to
learn
- how they manage it
- what they already know

during the teaching process, what is the "diagnosis"? - CORRECT ANSWER-- knowledge deficit
- readiness to learn
- self care deficit

during the teaching process, what do we want the outcome to be when we plan? - CORRECT
ANSWER-(goal)
- objective should be time limited

, - client centered
- measurable

during the teaching process, how do we implement the teaching plan? - CORRECT ANSWER--
start out simple
- then move to complex
- keep teaching short and simple

during the teaching process, how do we evaluate the teaching plan? - CORRECT ANSWER-do
they understand (have them teach back to us)

health literacy - CORRECT ANSWER-Ability to obtain, read, understand and use health care
information in order to make appropriate health decisions and follow instructions for treatment

_____ to _____ % of medical information patients receive is forgotten immediately - CORRECT
ANSWER-40-80

Nearly _______ of the information patients retain is incorrect - CORRECT ANSWER-half

What is limited health literacy associated with? - CORRECT ANSWER-- medication errors
- increased health care costs
- inadequate knowledge and care for chronic health conditions

True or False:
One third of the adults have limited health literacy - CORRECT ANSWER-True

True or False:
Most patient education materials are understood by patients - CORRECT ANSWER-False

A nurse just completed teaching a patient about signs and symptoms of hypoglycemia. What
question is the best evaluation of whether the patient understands what was taught?

A) Do you understand everything I taught you?

B) Do you have any questions?

D) What questions do you have?

C) Tell me how you would feel if your blood sugar was low? - CORRECT ANSWER-D

what is the teach-back method? - CORRECT ANSWER-- a communication confirmation method
used to confirm whether a patient understands what is being explained to them.
- If a patient understands, they are able to "teach-back" the information accurately

what are ways you should teach in order to prevent health literacy associated errors? - CORRECT
ANSWER-- teach back method
- using plain language
- focus on the most important message

what is the most important message?

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