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NSG 301 EXAM 3 QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!
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NSG 301 EXAM 3 QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!
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NSG 301 EXAM 3 QUESTIONS & ANSWERSVERIFIED 100% CORRECT!!
Question 1
Which group established a standard of professional performance focused on
the nurse's collaboration with clients, families, and other healthcare
professionals?
1. The National Council of State Boards of Nursing
2. The National League for Nursing
3. The American Association of Colleges of Nursing
4. The American Nurses Association Answer - Correct Answer: 4
Rationale: The ANA Nursing: Scope and Standards of Practice includes
collaboration by the registered nurse with clients and families as well as other
healthcare providers. The National League for Nursing and the American
Association of Colleges of Nursing accredit schools of nursing. The National
Council of State Boards of Nursing manages the administration of licensure
examinations.
Question 2
Which option represents the highest level of collaboration?
1. The nurse, physician, and dietician have communicated individually with the
client.
2. The nurse, physician, and dietician have all written an individual plan of care
and included it in the client's medical record.
3. The nurse and physician have discussed the nutritional needs of the client
and have referred the patient to the dietician for a nutritional plan and
teaching.
,4. The physician wrote a medical order for the nurse to contact dietary for a
consult. Answer - Correct Answer: 3
Rationale: The highest level of collaboration is co-management and referral,
whereby providers retain responsibility and accountability for their own
aspects of care, and clients are directed to other providers when the problem is
beyond the current caregiver's expertise. In this scenario, the option about the
nurse and physician discussing the client's nutritional needs and referring
nutritional care to the dietician reflects that level of collaboration.
Communicating independently with the client, having separate plans of care,
and the unilateral decision making (medical order) options reflect parallel
communication and function, which are lower levels of collaboration.
Question 3
Which option characterizes effective collaboration?
1. Outcomes are positive for each healthcare provider.
2. Common purpose and goals are identified at the outset.
3. There is interdisciplinary goal setting for the patient.
4. Each provider evaluates own outcomes. Answer - Correct Answer: 2
Rationale: Characteristics of effective collaboration include common purpose
and goals identified at the outset, clinical competence of each provider,
interpersonal competence, humor, trust, and valuing and respecting diverse
and complementary knowledge. The outcomes may not be positive for each
healthcare provider, as compromise may be necessary. Interdisciplinary goal
setting may be an outcome of collaboration but does not necessarily indicate
that the collaboration was effective. Evaluation of own outcomes does not
reflect effective collaboration.
Question 4
The physician and nurse have asked the client to make a difficult decision
regarding treatment options. The client says, "I don't really know what to do.
Do whatever you think is best." According to characteristics of collaborative
care, what is true of this situation?
,1. The client must make the treatment decisions.
2. The client retains the right not to participate in this decision.
3. The healthcare professionals are responsible for the client's health.
4. The client is asking the healthcare professionals to define what health means
to the client. Answer - Correct Answer: 2
Rationale: The patient self-determination states that the client has the right to
choose to participate or not participate in healthcare decisions. The client does
not have to make decisions, but has the right to make decisions if desired.
Responsibility for health falls on the client rather than on healthcare
professionals. Each individual's concept of health is important and legitimate
for that individual. Although clients lack expert remembering, they have their
own ideas about health and illness.
Question 5
Collaborative practice creates a synergy among clients and providers. What
does this statement mean?
1. The client has the final responsibility for decision-making.
2. Responsibility for health remains with the client.
3. The sum of the actions of the parties is greater than individual efforts.
4. The parties value and respect the diversity of their knowledge bases.
Answer - Correct Answer: 3
Rationale: Synergy means that the sum of the efforts of the parties is greater
than the parts. It does not mean that the client has final responsibility for
decision-making or that responsibility for health remains with the client. It
does not mean that the parties value and respect diversity of knowledge bases.
Question 6
When considering collaborative practice, interdisciplinary healthcare teams
have been particularly effective in which environment?
1. Emergency departments
, 2. Critical care units
3. Outpatient services
4. Obstetrical services Answer - Correct Answer: 3
Rationale: Interdisciplinary healthcare teams function in all the environments
listed. According to the text, the teams have been particularly effective in
outpatient services, where clients are seen by a primary care physician or by a
nurse practitioner and consultations are implemented as needed.
Question 7
H. S. Kim developed a theory of collaborative decision making in nursing
practice. This theory describes and explains collaborative interactions between
nurses and which other group?
1. Physicians
2. Clients
3. Other nurses
4. Ancillary personnel Answer - Correct Answer: 2
Rationale: This theory describes and explains collaborative interactions
between clients and nurses in making healthcare decisions and the effect on
outcomes. It does not address physician-nurse, nurse-nurse, or nurse-ancillary
personnel collaboration.
Question 8
Dalton extended Kim's theory of collaborative decision making in nursing
practice to include which group?
1. Social workers
2. Children and vulnerable populations
3. Psychologists
4. Family caregivers Answer - Correct Answer: 4
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