Deck 13: The Nurse As Colleague and Collaborator

Question 1

A conflict between two groups has gone through the conflict management process,but the groups are still not working well together.Is this a normal situation?

A)Yes;groups often have difficulty letting go of the conflict.
B)Yes;when bargaining is used,the outcome is often unpredictable.
C)No;these groups should go back through the problem-solving process.
D)No;some problems are not amenable to conflict management.

Answer 1

Yes;groups often have difficulty letting go of the conflict.

Question 2

Which option characterizes effective collaboration?

A)Outcomes are positive for each healthcare provider.
B)Common purpose and goals are identified at the outset.
C)There is interdisciplinary goal setting for the patient.
D)Each provider evaluates own outcomes.

Answer 2

Common purpose and goals are identified at the outset.

Question 3

Which option represents the highest level of collaboration?

A)The nurse,physician,and dietician have communicated individually with the client.
B)The nurse,physician,and dietician have all written an individual plan of care and included it in the client's medical record.
C)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.
D)The physician wrote a medical order for the nurse to contact dietary for a consult.

Answer 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.

Question 4

Norton's theory of communicator style describes nine specific communicator styles.Which nurse is using the attentive style?

A)The nurse speaks forcefully to a peer who made a clinical error.
B)The nurse is obviously listening to the client and makes eye contact during the conversation.
C)The nurse monopolizes the lunchtime conversation with other nurses.
D)While the client is describing his or her health history,the nurse interrupts with questions about current complaints.

Question 5

The nurses on the unit have approached the nurse-manager with reports that a physician is abusive and rude in interactions with staff.The nurse-manager says,"Don't take the remarks personally and maybe they will stop." This is an example of which negotiation technique?

A)Forcing
B)Bargaining
C)Smoothing over
D)Avoidance

Question 6

How does today's healthcare consumerism affect the need for collaboration?

A)Consumers are not interested in how lifestyle affects health.
B)Consumers expect to be involved in decision making.
C)Consumers are hesitant to assume responsibility for their own health.
D)Consumers expect physicians to make decisions for them.

Question 7

The laboratory supervisor states,"I would like to collaborate with nursing services to improve the way they order laboratory tests." What is the error in this statement?

A)Laboratory supervisors should have no influence on nursing service.
B)An integrated delivery system centers on the client's health needs,not on the particular care given by one group.
C)The issues between laboratory services and nursing services are generally related to the way orders are written by physicians.
D)Collaboration cannot occur between disciplines in a hospital.

Question 8

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?

A)The client must make the treatment decisions.
B)The client retains the right not to participate in this decision.
C)The healthcare professionals are responsible for the client's health.
D)The client is asking the healthcare professionals to define what health means to the client.

Question 9

Collaborative practice creates a synergy among clients and providers.What does this statement mean?

A)The client has the final responsibility for decision-making.
B)Responsibility for health remains with the client.
C)The sum of the actions of the parties is greater than individual efforts.
D)The parties value and respect the diversity of their knowledge bases.

Question 10

The nurse-manager has received several reports of unprofessional behavior regarding a nurse.While discussing these reports with the nurse,the manager remains warm,caring,and respectful.What type of feedback is the manager providing?

A)Negative
B)Positive
C)Neutral
D)Incongruous

Question 11

The conflict negotiator tells the group that the desire is a win-win solution.What does this desire indicate?

A)Each side of the argument gets all it requests.
B)One side and the negotiator are successful in winning at least one point in the argument.
C)Each side is satisfied with the resolution.
D)In order to achieve resolution,each side compromises on items it views as important.

Question 12

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?

A)Physicians
B)Clients
C)Other nurses
D)Ancillary personnel

Question 13

Issues such as access to health care can only be solved by using which technique?

A)Technology
B)Collaboration
C)Awareness
D)Legislation

Question 14

What is true about the nurse's role in collaboration?

A)Collaboration occurs mainly with physicians.
B)By law,nurses can collaborate only on client care issues.
C)Peer collaboration can occur only when both nurses are educated at the baccalaureate level.
D)It may include collaboration on health-related research.

Question 15

Which group established a standard of professional performance focused on the nurse's collaboration with clients,families,and other healthcare professionals?

A)The National Council of State Boards of Nursing
B)The National League for Nursing
C)The American Association of Colleges of Nursing
D)The American Nurses Association

Question 16

Dalton extended Kim's theory of collaborative decision making in nursing practice to include which group?

A)Social workers
B)Children and vulnerable populations
C)Psychologists
D)Family caregivers

Question 17

When considering collaborative practice,interdisciplinary healthcare teams have been particularly effective in which environment?

A)Emergency departments
B)Critical care units
C)Outpatient services
D)Obstetrical services

Question 18

The hospital is a complex organization in which some amount of conflict is always present.How is this level of conflict described?

A)Latent
B)Felt
C)Perceived
D)Overt

Question 19

The nursing team is tasked with making a decision regarding implementation of a new unit policy.What is the first step this team should take in this work?

A)Obtain an institutional pledge to finance any necessary changes.
B)Outline the priority needs of the work team.
C)Organize interventions to solve the problem.
D)Clearly define the problem being addressed.

Question 20

What must nurses do to fulfill a collaborative role?

A)Graduate with at least a baccalaureate degree.
B)Assume increased authority in practice areas.
C)Redesign unit policies to allow collaboration.
D)Lobby state boards of nursing to approve this collaborative role.

Question 21

What percentage of Medicare dollars are thought to be expended on care provided in the last year of life?

A)A little less than 10%
B)More than 25%
C)At least 40%
D)Just under 60%

Question 22

The nurse would like to start a self-help group for persons who would like to lose weight.Which organization would it be helpful for this nurse to contact?

A)American Nurses Association
B)National League for Nursing
C)National Mental Health Consumers' Self-Help Clearinghouse
D)National Coalition of Self-Help

Question 23

The clinical documentation committee is facing issues with the nursing staff regarding the upgrading of the documentation software.The committee chair plans to review the stages of conflict with the committee in preparation for implementation of the software.In which order should the stages be reviewed?

A)Overt
B)Latent
C)Perceived
D)Aftermath

Question 24

The nurse is collaborating with another health care provider to help a client regain skills needed to function in the home environment.This nurse is most likely working with a member of which discipline?

A)Physical therapy
B)Social work
C)Occupational therapy
D)Respiratory therapy

Question 25

The high school graduate is considering a career as a clinical social worker.What is true of the level of education required?

A)Clinical social work is highly dependent upon on-the-job training,so no formal post-secondary education is required.
B)Clinical social work requires a baccalaureate degree in social work and a 3-year residency program.
C)Clinical social work is open to those with bachelor's degrees in any related field.
D)Clinical social work requires a master's degree in social work.

Question 26

Which statement reflects a belief that is central to holistic,collaborative health care?

A)Interdisciplinary decisions are made about the client's care.
B)Collaboration involves questioning and ordering.
C)Responsibility for health falls on the client rather than on healthcare professionals.
D)Healthcare providers hold the best idea about what will meet the client's needs.

Question 27

The nurse manager is reflecting on a negotiation conducted with the medical director which did not produce a desired outcome.In which order should the manager reflect upon this episode?

A)The goal is to win against the other side
B)Each side has a goal to get as much as possible
C)Each side believes that both sides cannot achieve their goals
D)Resources are limited for each side to get as much as possible

Question 28

What is true about poverty in the United States?

A)The number of poor in the United States has decreased sharply in the last 10 years.
B)The number of people living in extreme poverty has increased in recent years.
C)The number of poor in the United States has increased sharply in the last 10 years.
D)The number of people living in extreme poverty has decreased in recent years.

Question 29

The high school graduate is considering pharmacy as a career.What is true of the level of education necessary for licensure as a pharmacist?

A)The pharmacist can enter practice as an intern pharmacist with an associate degree.
B)Once a person has achieved a baccalaureate degree,he or she is eligible to apply for pharmacy school.
C)The entry level education for a pharmacist is the Doctor of Pharmacy or PharmD.
D)A person wishing to be a pharmacist must earn a master's degree in biologic science prior to beginning pharmacy school.