Test Bank For Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice, 2nd Edition
Preview Extract
Chapter 2: Interprofessional Collaboration and Care Coordination
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____
1. The nurse correlates which of the following as one of the primary driving factors to the identified
need for improved transitional care services in todayโs healthcare system?
1. Shortage of primary care healthcare providers
2. Increase in the numbers of patients readmitted within 30 days of discharge
3. Decrease in the numbers of acute care beds
4. Shortage of registered nurses employed in hospitals
____
2. The nurse is discussing follow-up care with a patient who is being discharged. The patient and
family cross their arms and state angrily that the team’s suggestions are not acceptable. Which
response by the nurse is MOST appropriate?
1. โWe only want what’s best for you.โ
2. โWe will leave you alone to discuss your options.โ
3. โPerhaps you did not understand the recommendations.โ
4. โLet’s discuss other options that might work well for you and your family.โ
____
3. The nurse is preparing a patient for discharge who will be requiring physical therapy (PT) for
rehabilitation after a total knee replacement. After reading the healthcare providerโs order for PT,
which would be the nurse’s initial action?
1. Teach the family the exercises needed for the patient.
2. Call home health and schedule a therapist to visit the home for therapy.
3. Set up appointments according to the order with the hospital PT department.
4. Discuss the various types of settings for therapy and have the patient choose the
venue.
____
4. Which should be the focus of an educational session for nurses and other members of the
interdisciplinary team when addressing high rates of patient readmission to the health system?
1. Medication errors
2. Coordination of care
3. Adverse clinical events
4. Roles of each member providing care
____
5. Which is a basic principle of the Patient Protection and Affordable Care Act of 2010 that the nurse
should include in a teaching session for members of the healthcare team?
1. Limiting choices of healthcare providers to control costs
2. Lowering the cost of care by decreasing readmissions
3. Mandating insurance charges to increase hospital revenues
4. Extending length of stays in acute care facilities
____
6. In preparing a patient for transfer from the hospital to a rehabilitation facility after joint
replacement surgery, which action does the nurse implement to manage the patientโs transition of
care?
1. Reviewing newly prescribed medications with the patient and the family
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2. Notifying the insurance carrier of the patientโs discharge
3. Teaching about clinical manifestations of infection
4. Initiating transition planning the day of discharge
____
7. The case manager interviews a hospitalized patient who requires inpatient rehabilitation before
being discharged home after hip replacement surgery. The case manager works with the hospital
nursing staff, the rehabilitation center, the patientโs family members, and other care providers to
assist with a successful transition. Which is the primary goal of the care management model
described here?
1. To provide greater peace of mind for the patient and his or her family members
2. To track a patientโs progress to ensure that appropriate care is provided until
discharge
3. To manage concerns that are related to the patientโs medical care and treatment
regimen only
4. To provide a continuum of clinical services in order to help contain costs and
improve patient outcomes
____
8. The nurse provides discharge teaching for a patient who is being discharged after receiving
intravenous antibiotics for pneumonia. Which statement by the nurse demonstrates effective use of
the teach-back method?
1. โDo you understand the information I have presented?โ
2. โPlease show me how you would clean the site before infusing the medication.โ
3. โYou need to have another set of serum cultures before discharge.โ
4. โPlease complete this short quiz about your discharge instructions.โ
____
9. The nurse prepares to present information for patients during multidisciplinary rounds (MDR).
Which does the nurse plan to include when presenting information on assigned patients?
1. The medical plan for the current shift
2. A comprehensive overview of the patientโs clinical situation
3. General actions that need to be completed before the patientโs discharge
4. Results from a risk screen indicating potential postโacute care needs
____
10. The nurse is caring for a patient who is reporting pain of 8 out of 10 on a 1 to 10 numerical pain
scale. The nurse administers the prescribed pain medication. When the nurse reevaluates the
patient 1 hour later, the patient is still reporting pain of 8 out of 10. Which action by the nurse is
appropriate at this time?
1. Wait for the healthcare provider to make rounds to report the problem.
2. Report to the healthcare provider by telephone.
3. Increase the dosage of the medication.
4. Include in the nursing report that the medication is ineffective.
____
11. In providing a change-of-shift report to the oncoming nurse, which is the main objective for
ensuring effective communication during a patient hand-off?
1. Avoiding lawsuits
2. Promoting patient safety
3. Facilitating quality improvement
4. Ensuring documentation is complete
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____
12. The nurse managers in a community hospital have been charged with reviewing job descriptions of
unlicensed assistive personnel (UAPs) and have questions about the delegation of certain patient
care activities to UAPs by nurses. To whom would committee members direct their questions to
obtain definitive answers about the parameters of nurse delegation to UAPs?
1. The State Board of Nursing
2. The American Nurses Association
3. The hospital’s Chief Nursing Officer
4. The hospital’s Chief Executive Officer
____
13. The nurse provides care to a patient who is newly diagnosed with type 2 diabetes mellitus. Which
interprofessional care team member is most important for the nurse to include when planning care
related to the patientโs blood glucose levels and nutritional and energy needs?
1. Registered dietitian/nutritionist (RD)
2. Home care coordinator
3. Speech-language pathologist (SLP)
4. Physical therapist
____
14. In providing an educational program to new graduate nurses, which statement by one of the
participants indicates the need for further teaching related to the Five Rights of Delegation?
1. โIf the UAP has completed training, I can assign any task to them.โ
2. โI need to follow up on a patient when the UAP reports a change in the patientโs
condition.โ
3. โIt is the UAPโs responsibility to ask questions if unsure of the task to be
completed.โ
4. โI am ultimately responsible for ensuring that all delegated tasks are completed.โ
____
15. The nurse is managing care for a patient who recently had a stroke and has difficulty swallowing
and is concerned about potential aspiration. Which member of the healthcare team can best assess
this patientโs swallowing ability?
1. Occupational therapist
2. Dietician
3. Social worker
4. Speech pathologist
____
16. A patient with type 1 diabetes mellitus has developed an open sore on the shin, is having trouble
meeting daily goals for exercising, and is scheduled for discharge in a couple of days. When
planning for this patientโs continued care, who will the nurse notify to coordinate the patientโs
needs after discharge?
1. Pharmacist
2. Case manager
3. Physical therapist
4. Occupational therapist
____
17. The home care nurse is planning care for a patient with diabetes mellitus who requires an extensive
dressing change twice a day, assistance with activities of daily living (ADLs), and comprehensive
education. Which role is the nurse assuming by coordinating the care this patient requires?
1. Collaborator
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2. Case manager
3. Health educator
4. Health promoter
____
18. A school-age patient 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 patientโs care and the scene is chaotic. The parents are
extremely anxious and want to know what is happening. The case manager asks for an
interdisciplinary team meeting to speak with the patientโs parents. Which is the rationale for this
meeting?
1. To allow for each specialty to independently describe their roles in the patientโs
care
2. To share information for care planning and to prevent priority conflicts,
redundancy, and omissions in care
3. To allow the primary healthcare provider to take the lead in the decision making
regarding the patientโs care
4. To prevent the parents from trying to change the goals of care
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____
19. Which initiatives were instrumental to the United States addressing healthcare that is coordinated,
safe, and focused on the patientโs unique needs across all setting care settings? Select all that
apply.
1. Project RED (Re-engineered Discharge)
2. To Err Is Human: Building a Safer Health Care System
3. Crossing the Quality Chasm: A New Health System for the 21st Century
4. Transforming Care at the Bedside Project
5. Project BOOST (Better Outcomes for Older Adults through Safe Transitions)
____
20. The nurse case manager has been extensively involved with a shooting victim and members of the
patientโs family in coordinating care of providers from many disciplines as the patient progressed
from the emergency department (ED) to the intensive care unit (ICU), and then onto the
medical-surgical unit. After 3 weeks of hospitalization, the case manager is helping to prepare the
patient for discharge to a rehabilitation center. Which outcomes have been documented in the
literature as benefits of such collaboration? Select all that apply.
1. Improved patient outcomes
2. Decreased duplication of healthcare services
3. Increased overall cost of healthcare services
4. Decreased patient morbidity and mortality
5. Decreased level of job satisfaction
____
21. The nurse recognizes which factors as important to a successful transitional care program? Select
all that apply.
1. Patient-centered approach
2. Agency-centered approach
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3. Outcomes focused
4. Disease management focused
5. Patient education focused
____
22. Which of the following statements by a patient indicates that teaching was effective about the role
of the transition care nurse in the plan of care. Select all that apply.
1. โThis nurse will visit me in my home for the next month.โ
2. โThis nurse will call me every day to make sure that I take my medications.โ
3. โThis nurse will visit be before I am discharged.โ
4. โThis nurse will monitor my progress for the next year.โ
5. โThis nurse will make follow-up phone calls during the second month that I am at
home.โ
____
23. The case manager assembles a team of healthcare professionals, including the patientโs 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?
Select all that apply.
1. Management
2. Intradisciplinary
3. Interdisciplinary
4. Interprofessional
5. Primary nursing care
____
24. The post-discharge call nurse provides care to a patient after discharge. Which actions does the
nurse implement when assuming this role? Select all that apply.
1. Calling the patient within 12 hours after discharge
2. Connecting the patient to home care based on current needs
3. Identifying potential challenges the patient may be experiencing
4. Diagnosing new medical problems that necessitate the patient to seek further
follow-up
5. Answering questions from the patientโs caregiver, who was not present during
discharge teaching
____
25. When discussing the importance of interprofessional collaboration, which advantages should the
nurse include? Select all that apply.
1. Improved team member satisfaction
2. Increased division among team members
3. Increased safety with medication administration
4. Enhanced communication among team members
5. Increased patient satisfaction with discharge transition process
Copyright ยฉ 2020 F. A. Davis Company
Chapter 2: Interprofessional Collaboration and Care Coordination
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 2. Describing changes in the healthcare landscape
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Comprehension
Concept: Healthcare System/Economics
Difficulty: Moderate
Feedback
1
2
3
4
The shortage of physicians may impact access to care, but it is not one of the
primary factors driving transitional care services.
The readmission rates of hospitalized patients, particularly Medicare
beneficiaries, are one driving factor in the call for improved transitional care
services.
The number of acute care beds should not impact transitional care services. The
patientโs condition and healthcare needs guide this decision.
The nursing shortage may impact the ability to provide direct care services, but
it is not one of the driving forces.
PTS: 1
CON: Healthcare System | Economics
2. ANS: 4
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 5. Defining interprofessional collaboration in the healthcare setting
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: Communication
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1
2
Telling the patient that the doctor only wants what is best sends the message that
the patient does not know what is best, when, in fact, a well-informed patient
does know what is best and should be able to make the correct choice.
By leaving the room, the nurse and doctor are not addressing the patient and
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family concerns.
The patient may not understand the recommendations, but pointing that out can
be seen as demeaning. This statement does encourage the patient to ask other
questions.
The patient is the center of the team, and the goal is to facilitate healing. There
are always other options to consider to reach that goal, and it is important to
involve the patient and family in these options.
PTS: 1
CON: Communication
3. ANS: 4
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 4. Exploring the role of the registered nurse in patient-centered
transitional care programs
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Collaboration
Difficulty: Moderate
Feedback
1
2
3
4
The therapy that the patient requires must be performed by a professional
physical therapist. To teach the family exercises encroaches on the expertise of
the professional who will be performing the service.
Scheduling home physical therapy (PT) is leaving the patient out of the
decision-making process. The schedule for home visits are best made by the
patient/family directly with the provider.
The patient may choose a facility that provides PT that is closer to their home,
so it is best to have the patient/family make these arrangements.
The nurse best exhibits the characteristic that the patient has a right to
self-determination by presenting the methods available for PT and answering the
patient’s questions about each so the patient can make an informed decision.
PTS: 1
CON: Collaboration
4. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 1. Discussing the importance of successful transitions for
medical-surgical patients
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Healthcare System
Copyright ยฉ 2020 F. A. Davis Company
Difficulty: Moderate
Feedback
1
2
3
4
The safety of the patient is at risk during transitions between care settings,
particularly following an acute hospitalization. The patientโs needs may go
unmet, and there is the risk for medication errors; however, these are not the
focus of an education session regarding readmission rates.
Hospital readmission rates are often attributed to a lack of coordination of care
as patients are discharged to rehabilitation facilities, long-term care agencies, or
back to their homes; therefore, this should be the focus of the educational
session.
The safety of the patient is at risk during transitions between care settings,
particularly following an acute hospitalization. The patientโs needs may go
unmet, and there is the risk for adverse clinical events; however, these are not
the focus of an education session regarding readmission rates.
The role of each member of the interdisciplinary team is not the focus of an
educational session to decrease hospital readmission rates.
PTS: 1
CON: Healthcare System
5. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 2. Describing changes in the healthcare landscape
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Healthcare System
Difficulty: Moderate
Feedback
1
2
3
4
Increasing access, improving quality and safety, and lowering costs are the basic
principles of the Patient Protection and Affordable Care Act (ACA) signed in
2010. Limiting choices is not one of the guiding principles and could
compromise patient outcomes.
Decreased cost of care is a basic principle of the Patient Protection and
Affordable Care Act (ACA) of 2010. Readmissions to acute care facilities,
particularly within 30 days of discharge, increase the cost of healthcare.
Increasing access, improving quality and safety, and lowering costs are the basic
principles of the Patient Protection and Affordable Care Act (ACA), which does
not address increasing hospital revenues.
Increasing access, improving quality and safety and lowering costs are the basic
principles of the Patient Protection and Affordable Care Act (ACA). Extending
lengths of stay would increase healthcare costs when the patient can be managed
in a less skilled environment.
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PTS: 1
CON: Healthcare System
6. ANS: 3
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 1. Discussing the importance of successful transitions for
medical-surgical patients
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application
Concept: Communication/Safety
Difficulty: Moderate
Feedback
1
2
3
4
The nurse performs a comprehensive medication review when managing a
transition from an acute care facility to a rehabilitation facility, and this includes
ALL medications, not just the newly ordered medications.
It is not a nursing responsibility to contact the insurance carrier. This is managed
by other healthcare professionals, such as the care coordinator, case manager, or
hospital business office, etc.
When managing the patientโs transition of care, it is essential for the nurse to
provide information that necessitates a follow-up. For this patient, clinical
manifestations indicative of infection will need to be reported to the provider.
When managing a patientโs transition of care, the nurse initiates this planning at
least 24 hours prior to discharge.
PTS: 1
CON: Communication | Safety
7. ANS: 4
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 3. Describing models of transitional care
Chapter page reference: 10-11
Heading: Evidence-Based Models of Transitional Care
Integrated Processes: Nursing Process: Evaluation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehensive [Understanding]
Concept: Economics/Collaboration
Difficulty: Moderate
Feedback
1
2
The involvement of case managers in care typically provides greater peace of
mind for patients and family members, but this is not the primary goal of this
service.
Tracking progress is an important aspect of care coordination by the case
manager but is not the primary goal.
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The focus includes not only medical care, but issues related to health promotion
and disease prevention, the cost of healthcare received, and planning for the
efficient use of resources.
Case managers coordinate patient care to help ensure that a continuum of
clinical services is provided. The goal of case management is to improve patient
outcomes and to help contain costs.
PTS: 1
CON: Economics | Collaboration
8. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 1. Discussing the importance of successful transitions for
medical-surgical patients
Chapter page reference: 12
Heading: Box 2.1 Teach Back
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application
Concept: Nursing Roles
Difficulty: Difficult
Feedback
1
2
3
4
When using the teach-back method, the nurse avoids asking close-ended
questions that require a โyesโ or โnoโ answer from the patient.
The nurse reassesses patient understanding by asking the patient to repeat
information or demonstrate an activity.
The nurse should avoid the use of medical terminology when providing
information using the teach-back method. โSerum culturesโ is not lay
terminology and may confuse the patient.
The patient should be asked to provide information back to the nurse using his
or her own words. Asking the patient to take a written quiz is not appropriate
when using the teach-back method.
PTS: 1
CON: Nursing Roles
9. ANS: 4
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 6. Identifying the roles of healthcare professionals coordinating care
for patients
Chapter page reference: 13-14
Heading: Interprofessional Communication
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment
Cognitive Level: Analysis [Analyzing]
Concept: Collaboration/Communication
Difficulty: Moderate
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Feedback
1
2
3
4
The overall medical plan or the plan for the day is presented during the MDR,
not the plan for one shift.
A brief, not comprehensive, overview of the patientโs clinical situation is
presented during the MDR.
Specific, not general, action that needs to be completed prior to the patientโs
discharge is presented during the MDR.
The nurse should share the results from any risk screens that indicate the
patientโs potential needs for post-acute care during the MDR.
PTS: 1
CON: Collaboration | Communication
10. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 5. Defining interprofessional collaboration in the healthcare setting
Chapter page reference: 13-14
Heading: Interprofessional Communication
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Medication/Communication
Difficulty: Moderate
Feedback
1
2
3
4
Waiting for the provider to does not address the patientโs immediate needs
related to pain.
In this case reporting to the provider by telephone is appropriate to address the
patientโs unrelieved pain.
The nurse cannot alter the dose of medication without an order from the
provider.
The nurse would address the patient’s distress immediately and later include the
event in the end-of-shift report to the oncoming nurse.
PTS: 1
CON: Medication | Communication
11. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 6. Identifying the roles of healthcare professionals coordinating care
for patients
Chapter page reference: 13-14
Heading: Interprofessional Communication
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Communication/Safety
Difficulty: Easy
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Feedback
1
2
3
4
Hand-off communication may be scrutinized during a lawsuit, but avoiding
litigation is not a primary objective.
Ineffective communication is the primary cause of sentinel events, making
patient safety the primary objective of the hand-off communication process.
Analysis of hand-off communication may be a quality improvement criterion,
not a primary objective.
Hand-off communication may be verbal or written, but documentation is not the
primary objective.
PTS: 1
CON: Communication | Safety
12. ANS: 1
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 6. Identifying the roles of healthcare professionals coordinating care
for patients
Chapter page reference: 15-16
Heading: Composition/Roles of the ICT/Registered Nurse/Delegation/Table 2.1 โ Five Rights of
Delegation
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Healthcare System
Difficulty: Moderate
Feedback
1
2
3
4
Parameters for the delegation of patient care tasks by nurses to UAPs are
established by each state’s board of nursing.
This organization does not provide definitive answers regarding tasks that nurses
can delegate to UAPs.
This individual does not provide definitive answers regarding tasks that nurses
can delegate to UAPs.
This individual does not provide definitive answers regarding tasks that nurses
can delegate to UAPs.
PTS: 1
CON: Healthcare System
13. ANS: 1
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 7. Exploring unique patient situations requiring or enhanced by
interprofessional collaboration
Chapter page reference: 16
Heading: Composition/Roles of the ICT/Registered Dietician/Nutritionist
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis
Concept: Collaboration/Healthcare System
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Difficulty: Moderate
Feedback
1
2
3
4
The RD is the professional who assesses the patientโs nutritional needs,
develops meal plans, and provides education about dietary modifications related
to the individualโs disease process.
Although a home care coordinator may be appropriate to assist the patient with
medication administration needs, this member of the interprofessional care team
is not the most important to include when planning care based on the patientโs
dietary/nutritional needs related to the diagnosis of type 2 diabetes mellitus.
The SLP may be needed for the patient who has difficulty swallowing; however,
there is no indication that this patient is having problems swallowing.
The physical therapist will be involved in facilitating this patientโs strength and
mobility, and needs to be aware of the patientโs glucose levels; however, this
healthcare professional is not the primary person responsible for nutrition.
PTS: 1
CON: Collaboration | Healthcare System
14. ANS: 1
Chapter number and title: 2. Interprofessional Collaboration and Coordination
Chapter learning objective: 6. Identifying the roles of healthcare professionals coordinating care
for patients
Chapter page reference: 15-16
Heading: Composition and Roles of the ICT//Registered Nurse/Delegation/Table 2.1 โ Five Rights
of Delegation
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application
Concept: Healthcare System/Collaboration
Difficulty: Difficult
Feedback
1
2
3
UAPs are accountable to and work under the supervision of the registered nurse
when performing a delegated patient care activity and require ongoing
monitoring. Even though the UAP has completed training, the nurse must still
ensure that the delegated task is something that the UAP is competent to
perform. Additionally, patient circumstances may require closer monitoring of
the UAP.
The health condition of the patient must be stable. If there is a change, the
delegatee must communicate this to the licensed nurse, who reassesses the
situation and the appropriateness of the delegation.
The licensed nurse is expected to communicate specific instructions for the
delegated activity to the delegatee; the delegatee, as part of two-way
communication, should ask any clarifying questions. The delegatee must
understand the terms of the delegation and must agree to accept the delegated
activity.
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The licensed nurse, along with the employer and the delegatee, is responsible for
ensuring that the delegatee possesses the appropriate skills and knowledge to
perform the activity.
PTS: 1
CON: Healthcare System | Collaboration
15. ANS: 4
Chapter number and title: 2. Interprofessional Collaboration and Coordination
Chapter learning objective: 5. Defining interprofessional collaboration in the healthcare setting
Chapter page reference: 17
Heading: Composition and Roles of the Interprofessional Care Team/Rehabilitation Therapy
Integrated Processes: Nursing Process: Implementation: Planning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application
Concept: Collaboration/Safety
Difficulty: Difficult
Feedback
1
2
3
4
The occupational therapist (OT) is the professional who assesses and retrains the
patient to perform activities of daily living such as bathing, brushing teeth,
dressing, cooking, doing laundry, and performing skills necessary to return to
optimal functions.
The registered dietitian/nutritionist (RD) is the professional who assesses the
patientโs nutritional needs, develops meal plans, and provides education about
dietary modifications related to the individualโs disease process.
Social workers (SWs) are professionals who assess the psychosocial functioning
of patients and families. They intervene as necessary, connecting patients and
families to necessary support and resources in the community.
The speech-language pathologist (SLP) is the professional who assesses,
diagnoses, and treats patients with disorders relating to speech, language,
swallowing, voice, and cognitive communication. The SLP develops specific
exercises and recommends food consistencies for patients with dysphagia,
dysarthria, and a tracheostomy to help prevent complications.
PTS: 1
CON: Collaboration | Safety
16. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 6. Identifying the roles of healthcare professionals coordinating care
for patients
Chapter page reference: 18
Heading: Composition and Roles of the Interprofessional Care Team/Case Manager
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Collaboration/Nursing Roles
Difficulty: Moderate
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Feedback
1
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The pharmacist will be involved in the management of the patientโs medications
but will not be the coordinator of care.
Because the patientโs needs and progress have changed, the nurse notifies the
case manager to coordinate changes in care needed after discharge. This
patientโs exercise program, as well as wound care, needs to be examined, and
the case manager is the individual to coordinate this change.
A physical therapist may be needed, but this patientโs complications are best
coordinated by the case manager.
The occupational therapist mainly deals with the upper body areas needing
rehabilitation and would not be coordinating all aspects of this patientโs care.
PTS: 1
CON: Collaboration | Nursing Roles
17. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 4. Exploring the role of the registered nurse in patient-centered
transitional care programs
Chapter page reference: 18
Heading: Composition and Roles of the Interprofessional Care Team /Case Manager
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Collaboration
Difficulty: Easy
Feedback
1
2
3
4
Although collaboration is an aspect of care coordination, the role of the case
manager includes more that collaboration. Collaboration involves a collegial
working relationship with other healthcare providers to provide patient care that
involves the discussion of diagnoses and management in the delivery of care.
The case manager (CM) utilizes the processes of assessing, planning,
facilitating, advocating, and providing available resources to meet the
individualโs health needs with quality and cost-effective outcomes in mind. A
CM incorporates the input of the Interprofessional Care Team (ICT) to plan
in-hospital care and discharge transition care. This professional monitors
services to ensure that the patient has the available resources to return to optimal
health.
Health education would be included in this particular situation but represents
only one role of the CM.
Health promotion activities include disease prevention and healthy lifestyle
interventions and would be a component of this patientโs transition but only
reflect one role of the CM.
PTS:
1
CON: Collaboration
Copyright ยฉ 2020 F. A. Davis Company
18. ANS: 2
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 7. Exploring unique patient situations requiring or enhanced by
interprofessional collaboration
Chapter page reference: 19-20
Heading: Unique Patient Situations Requiring or Enhanced by Interprofessional Collaboration
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis
Concept: Family/Collaboration
Difficulty: Moderate
Feedback
1
2
3
4
Interdisciplinary collaboration engages each professionalโs contribution to
coordinated care, and the goal is not about each individual providerโs role/input.
Interdisciplinary collaboration engages each professionalโs contribution to
coordinated care planning, implementation, and accomplishment of patient
goals, with possibly less redundancy, more efficiency, and fewer care omissions.
The parents of a minor child should be involved in all aspects of care and
decision making.
Interdisciplinary collaboration engages each professionalโs contribution to
coordinated care. The primary provider is a member of the team, not
automatically the decision maker.
Interdisciplinary collaboration engages each professionalโs contribution, and the
parents of a minor child should be involved in all aspects of care and decision
making.
PTS:
1
CON: Family | Collaboration
MULTIPLE RESPONSE
19. ANS: 2, 3
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 2. Describing changes in the healthcare landscape
Chapter page reference: 9-12
Heading: Introduction/Transitional Care Model
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Comprehension
Concept: Healthcare System
Difficulty: Moderate
Feedback
1
This is incorrect. Project RED is a research group that develops and tests
Copyright ยฉ 2020 F. A. Davis Company
2
3
4
5
strategies that improve hospital discharge processes. The RED is based on 12
interrelated components that promote patient safety and decrease readmissions.
This is correct. The Institute of Medicine (IOM) released To Err Is Human:
Building a Safer Health System (2000), which addresses the quality and
fragmentation of healthcare throughout the United States and recommends
necessary transformations in healthcare needed to provide safe, effective,
patient-centered, efficient, timely, and equitable care.
This is correct. The IOM released Crossing the Quality Chasm: A New Health
System for the 21st Century, which addresses the quality and fragmentation of
healthcare throughout the United States and recommends necessary
transformations in healthcare needed to provide safe, effective, patient-centered,
efficient, timely, and equitable care.
This is incorrect. The Transforming Care at the Bedside (TCAB) project was
implemented in 2003 to address the recommendations related to improving the
quality and safety of patient care on medical-surgical units.
This is incorrect. The objectives of Project BOOST are to identify patients at
risk for readmission on admission, reduce 30-day readmission rates, decrease
length of stay, and improve communication of patient care information during
discharge.
PTS: 1
CON: Healthcare System
20. ANS: 1, 2, 4
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 3. Describing models of transitional care
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: Nursing Process: Evaluation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Collaboration
Difficulty: Moderate
1
2
3
4
Feedback
This is correct. Research findings suggest that collaboration in healthcare among
patients, family members, caregivers, and communities leads to improved patient
outcomes, a reduction in duplicated healthcare services, and a decrease in patient
morbidity and mortality.
This is correct. Research findings suggest that collaboration in healthcare among
patients, family members, caregivers, and communities leads to improved patient
outcomes, a reduction in duplicated healthcare services, and a decrease in patient
morbidity and mortality.
This is incorrect. Research findings suggest that collaboration in healthcare among
patients, family members, caregivers, and communities leads to a decreased, not
increased, cost of care.
This is correct. Research findings suggest that collaboration in healthcare among
Copyright ยฉ 2020 F. A. Davis Company
5
patients, family members, caregivers, and communities leads to improved patient
outcomes, a reduction in duplicated healthcare services, and a decrease in patient
morbidity and mortality.
This is incorrect. Collaborative efforts have also been found to contribute to an
enhanced sense of autonomy. This increase in sense of autonomy has been linked
to nursesโ greater job satisfaction.
PTS: 1
CON: Collaboration
21. ANS: 1, 3, 5
Chapter number and title: 2. Interprofessional Collaboration and Coordination
Chapter learning objective: 1. Discussing the importance of successful transitions for
medical-surgical patients
Chapter page reference: 9-10
Heading: Overview of Transitional Care
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Comprehension
Concept: Healthcare System
Difficulty: Moderate
Feedback
1
2
3
4
5
This is correct. Transitional care programs are patient-centered and typically
manage the transitions of patients from acute care to post-acute care settings.
This is incorrect. Transitional care programs are patient-centered and typically
manage the transitions of patients from acute care to post-acute care settings.
This is correct. The goals of successful transitional are to avoid poor health
outcomes, ensure continuity of care, and facilitate safe transition between care
settings.
This is incorrect. Transitional care programs are time limited, whereas disease
management programs are ongoing and not as patient centered.
This is correct. The emphasis of transitional care programs is on coordination of
care, patient engagement and education, addressing causes of poor outcomes,
and avoiding preventable readmissions.
PTS: 1
CON: Healthcare System
22. ANS: 1, 3, 5
Chapter number and title: 2. Interprofessional Collaboration and Coordination
Chapter learning objective: 4. Exploring the role of the registered nurse in patient-centered
transitional care programs
Chapter page reference: 10-11
Heading: TCM Model
Integrated Processes: Nursing Process: Evaluation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application
Concept: Collaboration/Nursing Roles
Copyright ยฉ 2020 F. A. Davis Company
Difficulty: Difficult
Feedback
1
2
3
4
5
This is correct. The transition care nurse (TCN) visits the patient in the hospital
and, after discharge, visits the patient weekly at home for a month.
This is incorrect. The TCN will visit weekly, but will not call the patient daily to
remind them to take medications.
This is correct. The TCN visits the patient in the hospital and, after discharge,
visits the patient weekly at home for a month.
This is incorrect. The TCN conducts follow-up phone calls during the second
month. The patient is followed for approximately 8 weeks.
This is correct. The TCN conducts follow-up phone calls during the second
month. The patient is followed for approximately 8 weeks.
PTS: 1
CON: Collaboration | Nursing Roles
23. ANS: 3, 4
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 3. Describing models of transitional care
Chapter page reference: 13-15
Heading: Interprofessional Collaboration
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Collaboration
Difficulty: Easy
1
2
3
4
5
Feedback
This is incorrect. Management teams are executive-level teams that run the
day-to-day operations of a corporation.
This is incorrect. Intradisciplinary teams include members of the same profession.
This is correct. Interdisciplinary teams include professionals of varied
backgrounds who share decision making. The terms interprofessional team and
interdisciplinary team are synonymous.
This is correct. Interdisciplinary teams include professionals of varied
backgrounds who share decision making. The terms interprofessional team and
interdisciplinary team are synonymous.
This is incorrect. A primary nursing care team includes a primary nurse and
associate nurses who will provide care to a patient during a hospital stay.
PTS: 1
CON: Collaboration
24. ANS: 2, 3, 5
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 6. Identifying the roles of healthcare professionals coordinating care
for patients
Chapter page reference: 18
Copyright ยฉ 2020 F. A. Davis Company
Heading: Composition and Roles of the Interprofessional Care Team /Ad Hoc Members
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Communication/Promoting Health
Difficulty: Difficult
1
2
3
4
5
Feedback
This is incorrect. The post-discharge call nurse calls the patient 24 to 48 hours
after discharge, not 12 to 24 hours post-discharge.
This is correct. The post-discharge call nurse often identifies patient needs that
may necessitate a referral to home healthcare.
This is correct. The calls are typically scripted and involve data collection for
outcome measures or identification of missed discharge planning opportunities
and activities. The post-discharge call nurse hopes to identify potential challenges
early in an attempt to prevent a readmission.
This is incorrect. It is outside the scope of practice for the nurse to diagnose
medical problems. However, the post-discharge call nurse can collect data that
would support the need to schedule a follow-up based on the data collected.
This is correct. The post-discharge call nurse may also have the opportunity to
answer questions for a caregiver who was not present during the discharge
teaching process.
PTS: 1
CON: Communication | Promoting Health
25. ANS: 1, 4, 5
Chapter number and title: 2, Interprofessional Collaboration and Care Coordination
Chapter learning objective: 7. Exploring unique patient situations requiring or enhanced by
interprofessional collaboration
Chapter page reference: 20
Heading: Unique Patient Situations Requiring or Enhanced By Interprofessional
Collaboration/(Box 2.3 Advantages of Interprofessional Collaboration)
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Collaboration
Difficulty: Moderate
1
2
3
4
Feedback
This is correct. Improved team member satisfaction is an advantage of
interprofessional collaboration.
This is incorrect. There is a decreased, not increased, division among team
members with interprofessional collaboration.
This is incorrect. There is increased safety with the discharge transition process,
but this collaboration is not directly related to medication administration.
This is correct. Enhanced communication among team members is an advantage of
Copyright ยฉ 2020 F. A. Davis Company
5
interprofessional collaboration.
This is correct. Increased patient satisfaction with the discharge transition process
is an advantage of interprofessional collaboration.
PTS:
1
CON: Collaboration
Copyright ยฉ 2020 F. A. Davis Company
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