Question 1

The nurse is presenting an in-service on the importance of collaborative communication.The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members?

Accepted Answer

A)   The occurrence of a patient event resulting in death or serious injury
B)   Decreased ability to document expenses of care provided
C)   Longer time to begin surgical cases
D)   Increased time to discharge patients to outpatient care A

Question 2

A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit.The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration?

Accepted Answer

A)   Vertical violence
B)   Lateral violence
C)   Descending violence
D)   Personal violence B

Question 3

A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital.What type of nurse-to-nurse collaboration does this assignment demonstrate?

Accepted Answer

A)   Interprofessional collaboration
B)   Shared governance collaboration
C)   Interorganizational collaboration
D)   Mentoring collaboration D

Question 4

The nurse is caring for a patient with a progressive,degenerative muscle illness.The patient states that she would like to remain in her home with her daughter as long as possible.What action should the nurse take?

Accepted Answer

A)   Teach the patient muscle strengthening and stretching exercises.
B)   Tell the patient to make plans to move to an assisted-living facility.
C)   Discuss resources to help the patient and make appropriate referrals.
D)   Ask the patient to come in for daily physical therapy.

Question 5

The management of a community hospital is trying to encourage a more collaborative environment among staff members.Which concept is most important for management to develop first?

Accepted Answer

A)   Post educational posters about how well collaboration is being performed
B)   Highlight that no single profession can meet the needs of all patients
C)   Provide meetings for each department on how their role affects patients
D)   Begin implementing evaluations of collaborative skills on annual performance reviews

Question 6

Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.)

Accepted Answer

A)   Prescribing a new medication dose
B)   Health promotion activities
C)   End-of-life comfort decisions
D)   Interpreting laboratory results
E)   Lifestyle changes to improve health

Question 7

A patient has been admitted to an acute care hospital unit.The nurse explains the hospital philosophy that the patient be an active part of planning their care.The patient verbalizes understanding of this request when they make which statement?

Accepted Answer

A)   "I will have to do whatever the physician says I need to do."
B)   "Once a plan is developed, it cannot be changed."
C)   "My insurance will not pay if I don't do what you want me to do."
D)   "We can work together to adjust my plan as we need to."

Question 8

The nurse and physician are explaining the home care that will be needed by a patient after discharge.The patient's spouse states angrily that it will not be possible to provide the care recommended.What is the best response by the nurse?

Accepted Answer

A)   "Let me review what is needed again."
B)   "It is important that you do what the physician has prescribed."
C)   "What concerns do you have about the prescribed care?"
D)   "I can come back after you talk with your spouse about the care."

Question 9

Which patient scenario describes the best example of professional collaboration?

Accepted Answer

A)   The nurse, physician, and physical therapist have all visited separately with the patient.
B)   The nurse, physical therapist, and physician have all developed separate care plans for the patient.
C)   The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation.
D)   The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.

Question 10

Which statement correctly describes the nurses' role in collaboration?

Accepted Answer

A)   State boards of nursing mandate that collaboration can only occur in hospitals.
B)   Collaboration should occur only with physicians.
C)   Collaboration occurs only between nurses with the same level of education.
D)   Collaboration may occur in health-related research.

Exam 42: Collaboration