Exam 37: Collaboration

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

The case manager assembles a team of healthcare professionals,including the 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? Select all that apply.

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

A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer.The nurse is receiving the shift report and finds the family member has been assigned as a client.The nurse reporting off duty 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 client who is recovering from coronary bypass surgery is placed on a critical pathway for extended care.Which client statement indicates appropriate understanding of the plan of care?

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

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 and the scene is chaotic.The parents are extremely anxious and want to know what's 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 client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercising.The client is scheduled for discharge in a couple of day.When planning for this client's continued care,who will the nurse notify regarding the client's needs after discharge?

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 to stay focused in order to address the defined problem.Which of the competencies of collaboration does this describe?

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 client care activities to UAPs by nurses.To which group,organization,or individual would committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAPs?

The Chief Nursing Officer and Chief Medical Officer in an urban teaching hospital are leading a series of meetings with nurses,physicians,hospital lawyers,and risk managers to review and update hospital privileging procedures and requirements for advanced practice RNs and physicians new to the hospital.This is an example of which type of collaborative team?

The nurse educator is teaching a group of nursing students about the benefits of participating in an interdisciplinary team when planning and implementing client care.When quoting research on this subject,which statement by the educator is appropriate?

The nurse 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.Which is the rationale for why the nurse is experiencing conflict regarding this situation?

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?

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 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 a laboring mother and may lose their jobs.The nurse manager for both units supports the plan for an integrated unit,reports that jobs would 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 in spite of the nurse manager's effort for a smooth transition? Select all that apply.

The client's case manager,diabetes educator,and nutritionist meet to discuss the client's needs in preparation for discharge to home.The client's primary healthcare provider arrives and states,"I will be making all decisions regarding the client's discharge care." With the primary healthcare provider's decision to lead the team,the dynamic has shifted between which two types of teams?

In arranging community services for a client who is diagnosed 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?

The hospital's nurse case manager has been extensively involved with a shooting victim and members of the client's family in coordinating care of providers from many disciplines as the client 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 client for discharge to a rehabilitation center where treatment will continue.Which outcomes have been documented in the literature as benefits of such collaboration? Select all that apply.

The nurse is preparing a client for discharge who will be requiring physical therapy (PT)to rehabilitate after a total knee replacement.After reading the healthcare provider's order for PT,which would be the nurse's initial action?