Deck 6: Care Coordination and Communication on the Front Linesthe Clinician Role

Question 1

The project known as "Quality and Safety Education for Nurses" (QSEN) lists key competencies areas using statements that describe the knowledge, skills, and attitudes that form the foundation of a connected care practice. Which key competency is most likely to focus on knowledge?

A) Quality improvement
B) Patient-centered care
C) Evidence-based practice
D) Teamwork and collaboration

Answer 1

C
Explanation: Evidence-based practice is the QSEN standard most likely to be based on knowledge since it will require research for and evaluation of patient care information. Quality improvement is likely to involve knowledge, skills, and attitudes for implementation. Patient-centered care may be heavily focused on skills and attitudes, along with teamwork and collaboration.

Question 2

Quadruple aim goals and connected care activities can sometimes seem theoretical and impractical to front line clinicians. Which practical step is introduced to clinicians by clinical managers to achieve connected care?

A) Review nursing clinical textbooks to identify essential clinical skills.
B) Enroll in a college course that focuses on the connected care process.
C) Use self-learning and organization resources to find the information.
D) Join a peer group designed to clarify the changes in clinical activities.

Answer 2

C
Explanation: A practical step introduced by a clinical manager is for the clinician to use self-learning and organization resources to find the information and build the skill necessary to achieve connected care. Reviewing nursing clinical textbooks to identify essential clinical skills may or may not be a practical suggestion. Enrolling in a college class to acquire knowledge about the connected care process may not be practical financially or time wise. Peer groups may or may not be able to clarify the changes associated with connected care.

Question 3

In health care, the nurse and patients will often communicate in a face-to-face manner. Empathy skills are important to communicate that the nurse hears the patient, which results in the patient feeling cared for. Which comment by the nurse is an example of an empathy skill?

A) "Can you explain the reasons you felt you care was excellent?"
B) "Let me make sure that I understand the reasons for your stress."
C) "Let's make a plan together to help you reduce your frustration and get your diabetes under control."
D) "Are you willing to tell me what happened at home prior to admission?"

Answer 3

C
Explanation: The statement that communicates a sense of support to the patient is the one that indicates that the nurse and patient will work together to manage the patient's medical condition. The remaining options are examples of active listening. Asking the patient to explain the determination of excellent care exhibits the use of a probing question in order to gain additional information. An inquiry by the nurse to validate the patient's information is the use of reflection to give feedback on the patient's message. Open-ended questions are used to encourage the patient to share information; the example question is a closed-ended, and can be answered "yes" or "no" without providing additional information.

Question 4

The first pillar of connected care involves care coordination for front line clinicians. Which type of care coordination is appropriate for reducing hospitalizations for high-risk patients?

A) Recognizing a patient as a readmission risk after three admissions for the same diagnosis
B) Using multidisciplinary teams with an RN delivering the majority of the interventions
C) Seeking input and collaboration from the primary care provider as needs are identified
D) Utilizing face-to-face communication between team members trained in care coordination

Question 5

Teamwork within a connected care setting results in achieving patient\professional satisfaction, better outcomes, and reducing medical errors and adverse events. All teamwork requires a foundation based on mutual respect. Which front line behavior most effectively promotes team work?

A) Assisting by lending a hand
B) Giving constructive suggestions
C) Supporting and encouraging
D) Squashing gossip and rumors

Question 6

The third pillar of connected care is based on collaboration between front line clinicians and nonclinical support personnel. Which situation best supports this collaboration?

A) Technical support personnel are available for assistance during preset hours.
B) Scheduling personnel use facility policies and guidelines for appointments.
C) Clinicians ask for the development of technical capabilities in advance.
D) Clinicians in outpatient surgery work with non-clinical personnel to schedule visits.

Question 7

The results of Medicare mandated patient experience surveys can be publicly reported as a way to monitor organizational progress in improving communication. Which area causes the greatest concern when it receives a low score?

A) Patients who reported that their nurses "Always" communicated well
B) Patients who reported that their doctors "Always" communicated well
C) Patients who stated "Yes," they were given information about what to do at home
D) Patients who "Strongly Agree" they understood their care when they left the hospital

Question 8

To achieve the quadruple aim using connected care, front line clinicians must actually understand, accept, and embed connected care activities into their daily work life.

Question 9

One reason communication fails in the healthcare setting is related to distraction and multitasking for a clinician who is providing care for an individual patient with a terminal or life-threatening condition.

Question 10

Care transitions in a connected care setting are likely to be more problematic if transition processes are strictly carried out by registered nurses.