Collaboration, Accountability, Ethics, Health Policy, Advocacy, Quality Improvement Test 5
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Material health
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Material Health
Collaboration, Accountability, Ethics, Health Policy, Advocacy, Quality Improvement Test 5
When performing collaborative health care, the nurse must implement which of the following?
A. Delegate decision-making authority to each health care provider
B. Assume a leadership role in directing the...
Collaboration, Accountability, Ethics,
Health Policy, Advocacy, Quality
Improvement Test 5
When performing collaborative health care, the nurse must implement which of the following?
A. Delegate decision-making authority to each health care provider
B. Assume a leadership role in directing the health care team
C. Be physically present for the implementation of all aspects of the care plan
D. Rely on the expertise of other health care team members - Correct Answer D
In collaboration, each member of the team, including the client, participates in sharing ideas and
reaching consensus on the best plan of care. The team is generally led by the health care professional
most skilled in the client's specific areas of need. Once the plan is established, it may be implemented by
any member of the team or a designate at an appropriate time or place.
The primary care physician has recommended to the nurse that the client be discharged to a
rehabilitation center for further care. The nurse discusses the recommendation with the family and
client, who decide that this is not what they want to do. The nurse's next action is to:
A. Notify the case manager that the family is noncompliant
B. Discuss available acceptable options with the family
C. Notify the physician about the family's decision
D. Tell the family that this is the physician's order - Correct Answer B
The family and client are a part of the collaborative team. If the family does not favor a
recommendation, the nurse explores other options open to the client, such as home health care, and
then communicates the client's wishes to the team.
A nurse is having difficulty with a particular product that is needed to care for a client. The nurse asks a
more experienced colleague to suggest ways to use the product appropriately. This is an example of:
A. Line authority
,B. Chain of command
C. Staff authority
D. Nursing responsibility - Correct Answer C
Staff authority is an advisory. In this case, the more experienced nurse offers advice to the nurse who is
having difficulty with a product.
The home health nurse is visiting an 86-year-old client who weighs 96 pounds to assess the client's
postoperative progress. The nurse observes the aide giving a bath and notes that the aide puts powder
in the folds of the perineal area. To promote a collaborative setting, the nurse would:
A. Report the aide to the agency
B. Report the aide to the physician
C. Take the aide aside and teach the appropriate skin care
D. Ask the family to request another aide - Correct Answer C
The role of the nurse in this instance is one of a teacher. The nurse cannot assume that the aide was or
was not taught appropriately, and would take the aide aside and gently explain appropriate care for this
client. This action puts the client in the center of the team and promotes collaboration
A 73-year-old client is in the hospital for pneumonia for the third time in 6 months. During the nursing
history, the nurse discovers that the client has few financial resources, lives alone, and has not received
needed immunizations. To provide excellence in care, the nurse should:
A. Tell the client of the need to move to long-term care
B. Request consultations with other disciplines
C. Recommend that the client remain in the hospital until wee
D. Request an order from the physician for long-term care - Correct Answer B
Many older adults choose to remain in their own homes to care for themselves. In today's world, the
nurse recognizes that with the proper resources, this is a possibility. The nurse might request a social
worker and a nutritionist to help the client with home care resources, and might also ask the physician
for the appropriate immunizations.
,The nurse is working in a busy pediatric ICU. Several of the nurses on the unit are interested, at the
request of parents, in changing the rules to allow families to be present in a code situation for their
child. The nurse are afraid to speak their minds openly because some of the doctors do not support the
change and the nurses do not want to cause hard feelings. The nurse manager suggests a meeting of all
concerned and might use which of the following to help with decision making?
A. Have group members present concerns and questions on paper
B. Present both sides of the argument to the group members
C. Ask the nurses t present their changes
D. Ask the members to be open minded - Correct Answer A
Nurses and doctors have a function as a team for the benefit of the client. Using the nominal group
technique has the benefit of members submitting their ideas privately, which can help decrease friction
in the group as a whole.
The home health nurse has made a visit to a client who is receiving several therapies by health team
members in the home for arthritis and postoperative care. Upon return to the home health office, the
nurse plans to:
A. Review the cases for the next day
B. Communicate the client's status to the rest of the team
C. Report to the manager
D. Call the client to reinforce teaching - Correct Answer B
Since the client is receiving several therapies, the nurse would communicate with team members
regarding the client's current status and progress in collaboration.
A nurse educator is explaining the difference between groups and teams. What are some of the specific
characteristics of teams that the nurse identifies. (Select all that apply)
A. Task completion is delegated to individuals
B. Team members are only individually accountable
C. A team is a specialized type of group
D. Team members have a variety of goals
, E. Teams have a flexible hierarchy - Correct Answer C,E
In a team, task completion and product creation are collaborative in nature, as opposed to being
delegated to individuals. A team comprises individuals who agree to work in tandem to accomplish a
common goal.
A nurse is forming an intradisciplinary team to help implement electronic records. Who might be
requested to join the team? (Select all that apply)
A. A hospital administrator
B. An orthopedic surgeon
C. A nurse supervisor
D. A hospital records supervisor
E. A nurse anesthesiologist - Correct Answer C,E
Intradisciplinary teams are formed by members of the same profession who work toward achieving a
common goal. Only nurses would be part of an intra disciplinary nursing team.
A 73-year-old client is being discharged following knee replacement surgery. The home health care
nurse is forming an interdisciplinary collaborative team to provide care for the client. What would be
some characteristics of this team? (Select all that apply)
A. Decisions are made by the treatment team
B. There is limited communication among team members
C. A physician will make all the treatment decisions
D. Individual members of the team participate in the overall treatment planning
E. The physical therapist would be the leader - Correct Answer A,D
Members of the multidisciplinary team set goals and develop client treatment plans in a more
autonomous fashion. In a multidisciplinary team approach, a single team member-usually a physician-
makes the treatment decisions.
What are some of the benefits of interdisciplinary teams? (Select all that apply)
A. Greater emphasis on individual expertise
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