Deck 24: Communicating for Continuity of Care

Question 1

A nurse has been employed as a staff nurse for 20 years.When comparing her current clients to those she cared for at the beginning of her career,the nurse finds that clients today are

A) being discharged later.
B) coping with being discharged earlier.
C) dealing with simpler medication and treatment regimens.
D) significantly healthier at the time of discharge.

Answer 1

coping with being discharged earlier.

Question 2

A nursing instructor is educating a student nurse about bridging the gap between diminishing financial support for chronic care and multifaceted health care demands that can be long lasting.The instructor recognizes that further teaching is warranted when the student nurse lists which of the following as an indispensable means for accomplishing this?

A) Self-management
B) Family involvement
C) Shared decision making
D) Family nonengagement

Answer 2

Family nonengagement

Question 3

The nurse manager conducts an in-service for staff nurses about the importance of client-centered care.When educating staff nurses about characteristics of client-centered care,the nurse manager lists which of the following characteristics?

A) It promotes dependence within clients.
B) It supports allowing the client time for questions.
C) It considers whom information should be provided to.
D) It respects the amount of information desired by clients.
E) It encourages providing clients with sufficient information.

Answer 3

It supports allowing the client time for questions.
It considers whom information should be provided to.
It respects the amount of information desired by clients.
It encourages providing clients with sufficient information.

Question 4

Which of the following best describes continuity of care?

A) It involves only clients with acute physical conditions.
B) It involves client-centered high-quality care across clinical settings.
C) It should focus on episodic hospital care of seriously ill clients.
D) Relational, informational, and functional are its key components.

Question 5

A nursing instructor educates a class of student nurses about informational continuity.The nursing instructor lists which of the following as characteristics of informational continuity?

A) It allows for the same client information to be available to providers throughout the health care system.
B) It allows for specific information to follow the client from primary to secondary care settings, but not vice versa.
C) It promotes interrupted flow of data and clinical impressions between health care providers and agencies.
D) Its purpose is to provide continuously coordinated, high-quality care.
E) It refers to data exchanges among providers and provider systems and between providers and clients.

Question 6

A client asks a nurse to explain the Affordable Care Act.When explaining it to the client,the nurse tells the client

A) it will begin in the year 2018.
B) it is state legislation for health care.
C) it emphasizes disease promotion and health prevention.
D) it provides new consumer protections.

Question 7

The nurse recognizes that a characteristic of effective team collaboration includes which of the following?

A) It promotes inclusion of the client and family.
B) It increases fragmentation of client care.
C) It discourages synergistic creativity among professionals.
D) Its goal is to duplicate efforts to promote safe, high-quality care.

Question 8

When working on a hospital unit,the nurse should begin the discharge planning process at which time?

A) With a careful review of initial admission data.
B) Within 24 hours of the hospital admission.
C) Just prior to the client's hospital admission.
D) Immediately before the client is discharged.

Question 9

The nurse is caring for a client who will be transferred from the hospital unit to an acute rehabilitation facility.In order to ensure continuity of care for the client,the nurse should

A) manage continuity through a rigid approach.
B) communicate infrequently with the health care team.
C) use a shared management plan when providing health services.
D) prohibit sharing information about the client in order to abide by HIPAA regulations.

Question 10

The nurse recognizes that a potential barrier to effective team communication includes which of the following?

A) Team role clarity
B) Lack of territoriality
C) Professional rivalries
D) Transparent job responsibilities

Question 11

The nurse is teaching at a community center about how the focus on care provision has shifted from the hospital to the community and a public health focus.The nurse teaches the community members that health care systems organized around acute,episodic care no longer suffice as a primary service model due to the complexity of contemporary health care,which requires a different care process to match new health realities.The nurse lists which of the following reasons for this?

A) Decreased ethnic and racial diversity
B) Overall shorter life spans secondary to superinfections
C) Oversupply of highly skilled physicians and registered nurses
D) Higher incidence of chronic health conditions

Question 12

The nurse demonstrates understanding of continuity of care (COC)when doing which of the following?

A) Providing care in an untimely manner
B) Utilizing management plans that are inconsistent
C) Encouraging a longitudinal construct in health care
D) Demonstrating inflexibility when managing the client's care

Question 13

A staff nurse educates a nursing student about collaborative health care teams.The staff nurse recognizes that additional teaching is warranted when the nursing student lists which of the following as a characteristic of a collaborative health care team?

A) They are composed of a single health care discipline in order to maintain cost effectiveness.
B) They are broadly classified as multidisciplinary, interdisciplinary, and transdisciplinary teams.
C) Two or more skilled clinical practitioners will combine efforts in providing care.
D) There is an expectation that care will be provided collaboratively.

Question 14

A home health nurse visits a client and his spouse once per week to change the client's wound dressing.By visiting the client and his spouse weekly,the nurse develops a sense of clinical responsibility and an accumulated knowledge of the client and spouse's personal and medical circumstances.This situation describes which component of continuity of care (COC)?

A) Internal continuity
B) Relational continuity
C) Management continuity
D) Informational continuity

Question 15

The nurse is working within an interdisciplinary team.The nurse recognizes that interdisciplinary teams are characterized by

A) only formal interactions.
B) individual problem solving.
C) absence of overlapping of professional roles.
D) a common mission of working together to resolve complex clinical problems.

Question 16

To build relational continuity with each client,the nurse strives for

A) the use of data to tailor current treatment and care to each client's evidenced needs.
B) accurate record sharing and technology to allow real-time communication exchanges between providers and with clients in remote sites.
C) a consistent, coherent care management approach that can be flexibly adjusted as client needs change.
D) a therapeutic relationship with a practitioner that spans more than one episode of care and leads, in the practitioner, to a sense of clinical responsibility and an accumulated knowledge of the client's personal and medical circumstances

Question 17

A nurse manager educates a group of staff nurses about primary care.Which of the following should the nurse manager list as a key feature of primary care?

A) It lacks the characteristic of person centeredness.
B) It functions as the final contact point for common health care problems.
C) The focus is on comprehensive care, which can meet many client needs without referral.
D) The underlying goal is to offer a highly depersonalized form of care related to a stronger knowledge about individual health care needs and responses over time.

Question 18

The nurse is caring for a client with a chronic health condition.The nurse recognizes that in order to achieve high-quality health outcomes for this client,which of the following should occur?

A) Clients and families must have consistency of personnel.
B) Clients and families must have irresponsible relationships.
C) Clients and families should be provided with vague information.
D) Ongoing collaborative support from coordinated health services is discouraged.