Deck 27: Inter- and Intraprofessional Practice and Leading in Professional Practice Settings

Question 1

The nurse manager is setting up the room assignments for the unit.One patient on the unit is in critical condition and is going to require more care than the others.Before delegating a task,a nurse manager should:

A) Delegate the admission assessment to the licenced practical nurse.
B) Review the employee's performance assessment for the most recent period.
C) Assess the amount of guidance and support needed in a particular situation.
D) Create a task analysis of critical behaviours for the patient.

Answer 1

Assess the amount of guidance and support needed in a particular situation.

Question 2

Although interdisciplinary health care teams are the ideal in Canada,which of the following is an identified barrier to interdisciplinary collaboration?

A) Power equalities.
B) Overlapping scopes of practice.
C) Lack of legislative authority.
D) Lack of professional association support.

Answer 2

Overlapping scopes of practice.

Question 3

Which of the following is considered a system-relevant barrier to primary care and public health collaboration?

A) Lack of common agenda.
B) Power and control issues.
C) Resource limitations.
D) Relationship challenges.

Answer 3

Power and control issues.

Question 4

A key advantage that a nurse manager has in terms of delegating is that:

A) Patients receive less attention because too many staff members make it difficult to coordinate care.
B) Nurses report less pressure to perform necessary tasks themselves.
C) Administration can predict overtime more accurately.
D) Team skills can be used more effectively.

Question 5

Who is accountable when a registered nurse performs a "transfer of function" from a physician activity?

A) The physician.
B) The director of nursing.
C) The nurse.
D) The institution.

Question 6

The nurse on the shift from 2300 to 700 hours is assigning a component of care to an unregulated care provider.The night nurse should remain:

A) Accountable and responsible.
B) Accountable and liable.
C) Authoritative and liable.
D) Responsible and task oriented.

Question 7

Sammi,a registered nurse,is part of an interdisciplinary team that provides care to patients with acute cardiac interferences.The team has not been functioning optimally and Sammi is aware that this may cause a(n):

A) Increase in the cohesiveness of the team.
B) Escalation of turf protection.
C) Increase in the quality of patient care.
D) Decrease in workplace stress.

Question 8

When there is lack of role clarity within an interdisciplinary health care team,health care providers tend to:

A) Work more closely together for role clarity.
B) Move away from their own disciplinary silos.
C) Revert to what is familiar and what they know in relation to health care roles.
D) Increase communication to enable a sharing of role expectations.

Question 9

Although benefits of the controlled acts model are advantageous and arguably necessary,the legislative reform to recognize overlapping competencies has caused:

A) Role clarity.
B) A decrease in "turf" competition among health care providers.
C) A difficulty in optimizing skill mix.
D) Static boundaries for health care providers.

Question 10

According to the National Interprofessional Competency Framework,which domain is considered relevant in every situation?

A) Role clarification.
B) Team functioning.
C) Patient-centred care.
D) Collaborative leadership.

Question 11

Which of the following is a benefit of the controlled acts model over the licensure model?

A) Decreased flexibility in allowing patients choice in their care provider.
B) Limited range of professional responsibility.
C) No firm boundaries.
D) Recognition that scope of practice is static.

Question 12

Which of the following is a domain of the National Interprofessional Competency Framework?

A) Quality improvement.
B) Interprofessional conflict resolution.
C) Contextual issues.
D) Interdisciplinary communication.

Question 13

During a fire drill,the nurse manager becomes very assertive and directive in her communications with staff.This type of situational leadership depends on:

A) Supportive behaviour by the leader and immature followers.
B) The relationship with the followers and the type of behaviour of the leader.
C) Well-trained followers,combined with a strong leader who acts quickly.
D) The leader's ability to evaluate personnel and communicate that evaluation.

Question 14

In some provinces,a restricted activities or controlled acts model is currently in place.A main distinction between this model and the model of licensure that is still used in most other provinces is that:

A) Each health care provider is registered to conduct specific tasks.
B) Specific acts are licenced.
C) Acts cannot be shared among health care providers unless they are registered.
D) Nurses are bound by exclusive scopes of practice.

Question 15

The unit manager is working in a large metropolitan facility and is told that two unregulated care providers are to be assigned to work with her.Delegation begins with:

A) Acknowledging the arrival of the second unregulated care provider on the unit.
B) Providing clear directions to both unregulated care providers.
C) Matching tasks with qualified persons.
D) Receiving reports from the prior shift.

Question 16

John is part of an interdisciplinary care team on a surgical unit.Interdisciplinary care teams:

A) Increase fragmentation of care.
B) Improve quality of patient care.
C) Increase duplication of services.
D) Need to include licenced and unregulated care providers.

Question 17

Which of the following exemplifies accountability for a nurse manager?

A) Consistently submitting budgets on time.
B) Consistently performing the responsibilities outlined for nurse managers at the institution.
C) Explaining why registered nurse coverage was reduced on nights to the Nursing Practice Committee after serious patient injury.
D) Actively soliciting ideas regarding scheduling from staff.

Question 18

The night nurse understands that certain factors need to be considered before tasks are delegated to others.These factors include which of the following?

A) Complexity of the task and the age of the delegate.
B) Potential for benefit and the complexity of the task.
C) Potential for benefit and the number of staff.
D) Complexity of the task and the potential for harm.

Question 19

Which of the following is considered an organizational facilitator to primary care and public health collaboration?

A) Shared protocols.
B) Role clarity.
C) Education and training.
D) Philosophy and personal identity.

Question 20

In delegating to an unregulated care provider in a home health setting,which of the following represents the most appropriate delegation communication?

A) "You will be taking care of Mrs.Srivastava.Mrs.Srivastava needs assistance with her bath."
B) "You will need to help Mrs.Srivastava get into and out of her shower.Ensure that you check the condition of her feet,and let me know if you have any concerns when you check in."
C) "I am not sure that you know how to do this,but I am giving you Mrs.Srivastava.She is quite obese and needs skin care."
D) "Mrs.Srivastava needs help to get into and out of her bathtub.Her bath will need to be completed by 10:00.When you are helping her to dry,please check between her toes and toenails,and phone me by 10:30 if you notice nail discoloration or redness."

Question 21

The rationale for the shift to interdisciplinary teams for health care delivery in Canada is related to: (Select all that apply.)

A) The aging of the population.
B) Increased utilization of unregulated care providers.
C) Nurse shortages.
D) An increase in acute illness and comorbidity.
E) Increasing specialization of health care providers.

Question 22

When there is lack of role clarity,health care providers tend to remain in their own disciplinary silos.Which of the following would counteract this tendency?

A) Rearranging team membership.
B) Assigning a team leader.
C) Engaging licencing organizations to increase scope of practice details.
D) Practising patient-centred care.

Question 23

One strategy to facilitate clarity about team members and the team process is to:

A) Ensure a range of personality styles on the team.
B) Establish colocation of the team.
C) Appoint a physician as the team leader.
D) Engage a variety of health care providers on the team with different levels of power.

Question 24

In transferring a patient,Leslie,an unregulated care provider,uses improper technique.The patient is injured,and as a result a lawsuit is launched in which both Neha,the delegator,and Leslie,the delegatee,are named.Neha is named in the suit because she:

A) Retains responsibility for the care of the patient.
B) Worked the same shift as Leslie.
C) Has passive accountability for delegation.
D) Retains accountability for the outcomes of care for the patient.

Question 25

What is an intraprofessional team is composed of? (Select all that apply.)

A) A mix of same discipline with different levels of education.
B) Members of same discipline.
C) Members of different disciplines.
D) Members of different disciplines with extended levels of education.

Question 26

Barriers to initiating interprofessional collaboration are many.Which of the following apply? (Select all that apply.)

A) Practice protection.
B) Regulatory mechanisms.
C) The concept is well accepted.
D) Outdated legislation.

Question 27

The controlled acts model is structured so that those outside a particular profession are not necessarily restricted.The controlled acts model has several benefits over the licensure model.Which of the following is not a benefit over the licensed manner? (Select all that apply.)

A) It allows professionals to perform to the range of their competency and abilities.
B) It places greater emphasis on standards and competence.
C) It increases flexibility in allowing patients more choice in providers.
D) Perform particular services or functions within professions.