Exam (elaborations)
Chapter 2 Interprofessional Collaboration and Care Coordination
- Course
- Medical-Surgical Nursing
- Institution
- Broward Community College
Chapter 2 Interprofessional Collaboration and Care Coordination
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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialChapter 2: Interprofessional Collaboration and Care Coordination
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The home care nurse is planning care for a diabetic patient requiring an extensive dressing change twice a
day, assistance with activities of daily living (ADLs), and comprehensive education. Which role is the nurse
assuming by coordinating the care this patient requires?
1) Collaborator
2) Case manager
3) Health educator
4) Health promoter
____ 2. The nurse is discussing follow-up care with a patient who is being discharged. The patient and family cross
their arms and state angrily that the team's suggestions are not acceptable. Which response by the nurse is
appropriate?
1) “We only want what's best for you.”
2) “We will leave you alone to discuss your options.”
3) “Perhaps you did not understand the recommendations.”
4) “Let's discuss other options that might work well for you and your family.”
____ 3. The nurse is preparing a patient for discharge who will be requiring physical therapy (PT) to rehabilitate after
a total knee replacement. After reading the health-care provider’s order for PT, which would be the nurse's
initial action?
1) Teach the family the exercises needed for the patient.
2) Call home health and schedule a therapist to visit the home for therapy.
3) Set up appointments according to the order with the hospital PT department.
4) Discuss the various types of settings for therapy and have the patient choose the venue.
____ 4. The nurse is caring for a patient with rheumatoid arthritis who expresses the desire to remain active as long as
possible. In order for the patient to meet this goal, what should the nurse prepare to do?
1) Tell the patient there is no hope.
2) Ask the patient the reason for the decision.
3) Teach the patient nutrition and joint exercises.
4) Refer the patient to the appropriate professionals.
____ 5. A nurse is working as the designated leader of a group of health-care providers in a community clinic setting.
The team members are working to decrease the number of adolescent pregnancies in the community. They
have defined the problem and are now focusing on objectives and considering various viewpoints presented
by the group. The nurse is tasked with helping the team to stay focused in order to address the defined
problem. Which competency of collaboration does this describe?
1) Trust
2) Mutual respect
3) Communication
4) Decision making
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____ 6. The nurse managers in a community hospital have been charged with reviewing job descriptions of unlicensed
assistive personnel (UAPs) and have questions about the delegation of certain patient care activities to UAPs
by nurses. To which group, organization, or individual would committee members direct their questions to
obtain definitive answers about the parameters of nurse delegation to UAPs?
1) The state board of nursing
2) The American Nurses Association
3) The hospital's Chief Nursing Officer
4) The hospital's Chief Executive Officer
____ 7. Which statement is a primary and historical barrier to effective nurse-physician collaboration that has
persisted over time?
1) The view among the general population that nurses’ contributions to patients’ care is less
important to their health and well-being compared to the contribution of physicians
2) The nurses’ and physicians’ perceptions of inequity in their roles, with nurses assuming a
subservient role and physicians assuming leadership and superior role in health-care
settings
3) A general lack of education provided in schools for health professionals about the benefits
on health-care quality linked
4) A lack of published evidence about the effectiveness of collaborative efforts among and
between nurses and physicians to nurse-physician collaboration
____ 8. A patient with Type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting
daily goals for exercising. The patient is scheduled for discharge in a couple of days. When planning for this
patient’s continued care, who will the nurse notify regarding the patient’s needs after discharge?
1) The pharmacy
2) The case manager
3) The physical therapist
4) The occupational therapist
____ 9. A patient who is recovering from coronary bypass surgery is placed on a critical pathway for extended care.
Which patient statement indicates appropriate understanding of the plan of care?
1) “I cannot alter the critical pathway plan.”
2) “I must be able to meet goals that are set for me.”
3) “My insurance plan can deny payment if I do not meet goals.”
4) “The chosen critical pathway can be altered to meet my needs.”
____ 10. The case manager interviews an older adult patient hospitalized after hip replacement surgery. The patient
requires in-patient rehabilitation prior to being discharged home. The case manager works with the hospital
nursing staff, the rehabilitation center, the patient’s family members, and other care providers to assist with a
smooth transition. Which is the primary goal of the care management model described here?
1) To provide greater peace of mind for the patient and his or her family members
2) To track a patient’s progress to ensure that appropriate care is provided until discharge
3) To manage concerns that are related to the patient’s medical care and treatment regimen
only
4) To provide a continuum of clinical services in order to help contain costs and improve
patient outcomes
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____ 11. The patient’s case manager, diabetes educator, and dietician meet to discuss the patient’s needs in preparation
for discharge to home. The patient’s primary health-care provider arrives and states, “I will be making all
decisions regarding the patient’s discharge care.” With the primary health-care provider’s decision to lead the
team, the dynamic has shifted between which two types of teams?
1) Intradisciplinary to interdisciplinary team
2) Multidisciplinary to intradisciplinary team
3) Interprofessional to interdisciplinary team
4) Interdisciplinary to multidisciplinary team
____ 12. A school-age patient is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple
traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals
are involved in the patient’s care and the scene is chaotic. The parents are extremely anxious and want to
know what is happening. The case manager asks for an interdisciplinary team meeting to speak with the
patient’s parents. Which is the rationale for this meeting?
1) To allow for each specialty to practice independently
2) To share and evaluate information for care planning and implementation, and prevent
priority conflicts, redundancy, and omissions in care
3) To all the primary health-care provider to make all the decision regarding the patient’s care
4) To prevent the parents from trying to change the plan of care
____ 13. The Chief Nursing Officer and Chief Medical Officer in an urban teaching hospital are leading a series of
meetings with nurses, physicians, hospital lawyers, and risk managers to review and update hospital
privileging procedures and requirements for advanced practice RNs and physicians new to the hospital. This
is an example of which type of collaborative team?
1) Intradisciplinary
2) Interdisciplinary
3) Multidisciplinary
4) Complementary
____ 14. A local hospital formed a neurotrauma (NT) team with the following members: acute care nurses, physicians,
other care partners (e.g., physical therapists, social workers, case managers, dieticians), and representatives
from the NT outpatient clinic. This team is led by a physician who makes treatment decisions based on the
treatment plans developed by individual team members who each communicate with the patients, asking the
same or similar questions to obtain data needed for their treatment plan. Which type of communication and
action is represented in the scenario described?
1) Parallel communication
2) Parallel functioning
3) Information exchange
4) Coordination and consultation
____ 15. The nurse is caring for a patient who is reporting pain of 8/10 on a 1 to 10 numeric pain scale. The nurse
administers the prescribed pain medication. When the nurse re-evaluates the patient one hour later, the patient
is still reporting pain of 8/10. Which action by the nurse is appropriate at this time?
1) Wait for the health-care provider to make rounds to report the problem.
2) Report to the health-care provider by telephone.
3) Increase the dosage of the medication.
4) Include in the nursing report that the medication is ineffective.
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