Deck 37: Collaboration

Question 1

A nurse who is caring for an adult client in the intensive care unit (ICU)is given a verbal prescription by a first-year medical resident.The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription.What is the most likely reason why the nurse is experiencing conflict regarding this situation?

A)The resident seems unsure of the prescription.
B)The nurse only takes prescription orders from attending healthcare providers.
C)The nurse does not like first-year residents.
D)The nurse may not trust the resident to make the best care decisions.

Answer 1

The nurse may not trust the resident to make the best care decisions.

Question 2

Which of the following is a primary barrier to effective nurse-physician collaboration that has persisted over time?

A)The view among the general population that nurses' contributions to client care are less important to health and well-being than physicians' contributions
B)Nurses' and physicians' perceptions of inequity in their roles,with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings
C)A general lack of education among health professionals about the ways in which nurse-physician collaboration improves healthcare quality
D)A lack of published evidence regarding the effectiveness of collaborative efforts among and between nurses and physicians
E)A lack of support at the federal level for efforts to improve healthcare among the general population through increased nurse-physician-client collaboration

Answer 2

Nurses' and physicians' perceptions of inequity in their roles,with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings

Question 3

A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercise.The client is scheduled for discharge in a couple of days.When planning for this client's continued care,who will the nurse notify regarding the client's postdischarge needs?

A)The pharmacy
B)The case manager
C)The occupational therapist
D)The physical therapist

Answer 3

The case manager

Question 4

A group of nurses are in a staff meeting on a medical-surgical unit headed by the new unit nurse manager.The manager announces that nurses should not criticize and make fun of other nurses or there will be repercussions.Several nurses at the meeting suggest that the nurse manager talk to the individual nurses who are exhibiting this behavior.When assessing the staff's group dynamics,which action by the nurse manager is appropriate?

A)Insist that this is an appropriate new policy.
B)Recognize that the group already has defined behavioral norms.
C)Discipline the staff nurses who spoke out.
D)Request a transfer to another unit.

Question 5

An experienced nurse is delivering a presentation to a group of nursing students about the importance of collaboration in the healthcare environment.The nurse wants to use evidence from the literature to support her argument.Which of the following are documented benefits of collaboration that the nurse should discuss in her presentation? Select all that apply.

A)Improved client outcomes
B)Reduction in duplication of healthcare services
C)Increased overall cost of healthcare services
D)Decreased client morbidity and mortality
E)Higher level of job satisfaction

Question 6

A nurse is working as the designated leader of a group of healthcare 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 stay focused in order to address the defined problem.Which of the competencies of collaboration does this describe?

A)Decision making
B)Mutual respect
C)Trust
D)Communication

Question 7

A home healthcare nurse is planning care for an older adult client.Which interdisciplinary program would best support the needs of an older adult client within the community? Select all that apply.

A)Assertive community treatment (ACT)
B)YMCA
C)Programs of All-Inclusive Care for the Elderly (PACE)
D)Outpatient clinic
E)Meals on Wheels

Question 8

In arranging community services for a client who is diagnosed with schizophrenia,the nurse case manager discusses options with the assertive community treatment (ACT)team.Which team disciplines should the nurse expect will be part of the client's ACT interdisciplinary team?

A)Psychiatrists,nurses,social workers,employment counselors
B)Speech pathologists,occupational therapists,nurses,physicians
C)Teachers,school administrators,psychiatrists,nurses
D)Transportation providers,nurses,physicians,social workers

Question 9

A case manager assembles a team of healthcare professionals,including a client's primary healthcare provider,physical therapist,and social worker,for the purpose of collaborative discharge planning and decision making.Which type of team did the case manager assemble?

A)Intradisciplinary team
B)Interdisciplinary team
C)Interorganizational team
D)Management team

Question 10

The nurse managers in a community hospital have been charged with reviewing the job descriptions of unlicensed assistive personnel (UAP),and they have questions about the delegation of certain client care activities to UAP by nurses.To which group,organization,or individual would the committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAP?

A)The hospital's Chief Nursing Officer
B)The hospital's Chief Executive Officer
C)The state board of nursing
D)The American Nurses Association

Question 11

A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer.When receiving the shift report,the nurse finds that this family member has been assigned as a client.The nurse who cared for this individual on the outgoing shift states that the client is very demanding and complains a lot.Which action by the staff nurse who is assigned care for the oncoming shift is appropriate?

A)Discuss the situation with the charge nurse.
B)Resolve to refrain from reacting negatively to the client.
C)Tell the client to change the behavior.
D)Ask the healthcare provider to help control the client.

Question 12

The nurses in the emergency department (ED)and the staff nurses on the neurology unit are experiencing conflict.The ED nurses are not pleased with the amount of time it takes for the neurology unit's admitting nurse to receive face-to-face handoff communication for clients who are being admitted to that unit.Which type of conflict is being experienced by these nurses?

A)Intrapersonal conflict
B)Interpersonal conflict
C)Intergroup conflict
D)Interorganizational conflict

Question 13

The nurse is preparing for the discharge of a client who will require physical therapy (PT)for rehabilitation following a total knee replacement.After reading the healthcare provider's order for PT,what should the nurse do next?

A)Set up outpatient appointments for the client with the hospital's PT department
B)Call home health and schedule a therapist to visit the client's home for PT
C)Inform the client about the settings in which PT may occur and have the client choose the venue
D)Teach the client's family the exercises that will be included in the client's PT regimen

Question 14

A school-age client 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 client's care,and the scene is chaotic.The client's parents are extremely anxious and want to know what is happening.The case manager asks for an interdisciplinary team meeting to speak with the client's parents.Which is the rationale for this meeting?

A)To allow for each specialty to practice independently
B)To share and evaluate information for care planning and implementation,and to prevent priority conflicts,redundancy,and omissions in care
C)To allow the primary healthcare provider to make all decisions regarding the client's care
D)To prevent the client's parents from trying to change the plan of care

Question 15

A community hospital wants to implement a labor-delivery-recovery-postpartum unit to replace the labor and delivery and mother/baby units.The nurses who work on the mother/baby unit are concerned they will not be able to care for laboring mothers and may lose their jobs.The nurse manager for both units supports the plan for an integrated unit,reports that jobs will not be lost,and involves the team members in the planning process,which includes cross-training all nursing staff.Based on the information presented,what causes of conflict may occur despite the nurse manager's effort for a smooth transition? Select all that apply.

A)Mistrust
B)Miscommunication
C)Ambiguous role expectations
D)Resistance to change
E)Ineffective leadership

Question 16

A nurse manager overhears two staff nurses talking about a third nurse,who has the day off.The two nurses are making unflattering comments regarding the third nurse in front of several other nurses who work on the unit.The nurse manager discreetly asks to speak to the two nurses in private and states,"This behavior isn't OK,especially in a hospital like ours with a 'zero-tolerance policy.' If you have an issue with another nurse,please deal with that nurse directly.If you'd like me to help you with this,please let me know,and the four of us can meet." The nurse manager's behavior modeled strategies for dealing with which type of workplace conflict?

A)Intergroup conflict
B)Sexual harassment
C)Horizontal violence
D)Intrapersonal conflict

Question 17

The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible.In order for the client to meet this goal,what should the nurse prepare to do?

A)Teach the client about nutrition and joint exercises.
B)Ask the client about the reasons for this goal.
C)Tell the client that activity limitations are inevitable with rheumatoid arthritis.
D)Provide referrals to other professionals who can help the client meet this goal.

Question 18

A nurse is discussing the plan of care with a client who is preparing for discharge.The client has a strong objection to portions of the plan of care.The nurse recognizes that there is a conflict.Which response by the nurse indicates an understanding of the client's position and a willingness to collaborate regarding the discharge plan?

A)"You are not being cooperative in your plan of care."
B)"This plan of care was ordered by the physician."
C)"Let's talk about your objections and possible solutions or alternatives."
D)"I will ask your family to help convince you that this plan of care is best."

Question 19

A home health nurse is planning care for an adult client who is being discharged from the hospital after experiencing complications of diabetes mellitus.The client requires an extensive dressing change twice per day,help with activities of daily living,and comprehensive education.To ensure these needs are met,the nurse is coordinating home visits from aides and therapists.Which role is the nurse assuming by coordinating this client's care?

A)Health educator
B)Case manager
C)Client advocate
D)Health promoter

Question 20

The nurse is discussing follow-up care with a client who is being discharged.The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable.Which response by the nurse is appropriate?

A)"We will leave you alone to discuss your options."
B)"We only want what's best for you."
C)"Let's discuss other options that might work well for you and your family."
D)"Perhaps you did not understand the recommendations."

Question 21

Nurse leaders in a local hospital created a neurotrauma (NT)unit healthcare team focused on improving outcomes for stroke clients.This team includes acute care nurses,physicians,other care partners (e.g. ,physical therapists,social workers,case managers,dietitians),and representatives from the NT outpatient clinic.The 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 clients,asking the same or similar questions to obtain data needed for the treatment plan.Which type of communication and action is represented in this scenario?

A)Parallel communication
B)Parallel functioning
C)Information exchange
D)Coordination and consultation
E)Co-management and referral

Question 22

Which of the following conflict-related communication styles involves attempting to satisfy the concerns of others while neglecting the self?

A)Compromising
B)Accommodating
C)Avoiding
D)Competing

Question 23

________ occurs when two or more individuals show or feel honor or esteem toward one another,and it is an important element of successful collaborative practice.

A)Trust
B)Conflict management
C)Mutual respect
D)Effective communication

Question 24

Which of the following is an example of covert conflict?

A)Complaining to a friend about an assigned job task
B)Yelling at a coworker who has insulted another coworker
C)Telling a manager that you think she is being unnecessarily harsh
D)Warning a client that inappropriate contact and comments will not be tolerated

Question 25

Which of the following individuals would be included on an interdisciplinary healthcare team but not on an interprofessional healthcare team?

A)Nurse practitioner
B)Laboratory technologist
C)Pharmacist
D)Physical therapist

Question 26

Nurses who demonstrate mindsight are able to

A)focus on being "in the moment" so that they can dedicate their full attention to the events and emotions they are currently experiencing.
B)predict events that will occur in the future with reasonable certainty.
C)interpret events and emotions from another person's perspective.
D)recognize their personal triggers to stress that result in conflict,then retrain their brain to respond differently.