Question 1

The nurse manager has been implementing strategies to improve the communication between nurses and physicians. Which outcome indicates that these strategies have been effective?

Accepted Answer

A)   Physicians responding to pages sometime during the day
B)   Resident physicians arriving on time for interdisciplinary rounds
C)   Nurses making excuses to patients for delays in physician assessment of problems
D)   Nurses calling the pharmacy repeatedly for missed medication doses in the medication cart Correct B

Question 2

A subgroup within a Shared Governance committee is tasked with identifying reasons for poor role perception of the nurses when compared with physicians within a healthcare organization. What would the subgroup identify as historic causes for this perception issue? Standard Text: Select all that apply.

Accepted Answer

A)   Years of experience
B)   Most nurses are female
C)   Most physicians are male
D)   Significant salary differences
E)   Physicians have more education Correct B,C,D,E

Question 3

The director of a skilled nursing facility plans to implement interprofessional teams as an approach to caring for the older residents. What outcomes would the director expect after implementing this team approach? Standard Text: Select all that apply.

Accepted Answer

A)   Improved resident mental status
B)   Improved resident functional status
C)   Improved management in urinary incontinence
D)   Improved relationship with insurance companies
E)   Short-term improvement in resident health status Correct A,B,C,E

Question 4

The staff nurse is caring for a patient whose status is rapidly deteriorating. The nurse has not been able to contact the patient's physician and is becoming increasingly concerned about the patient's status. If the organization supported collaborative teams, what would the nurse do at this time?

Accepted Answer

A)   Call a code.
B)   Call a huddle.
C)   Call the supervisor.
D)   Call the patient's family. Correct

Question 5

During an interprofessional team meeting one nurse explains how deterioration in a patient's status is not the fault of the nurse. What is this nurse demonstrating during the meeting?

Accepted Answer

A)   Courage
B)   Blame game
C)   Assertiveness
D)   Independence Correct

Question 6

Weekly "heads up" conferences are being planned for a patient care area. What will the nurse manager explain as the overall goal for these conferences?

Accepted Answer

A)   Identify problems
B)   Generate solutions
C)   Discuss communication issues
D)   Discover breaks in the system Correct

Question 7

The director of nursing is outlining the implementation steps for interprofessional teams. Which step would ensure equal power between all of the professions participating on the team?

Accepted Answer

A)   Encourage stethoscopes be placed in pockets.
B)   Expect everyone to wear street clothes and lab coats.
C)   Schedule the daily team meeting to occur in the morning.
D)   Inform that everyone will be referred to with their first name. Correct

Question 8

The nurse is informing a physician of a change in a patient's status. Which statement exemplifies assertive communication?

Accepted Answer

A)   "I thought you might want to stop and see the patient to see for yourself what's going on."
B)   "The patient's respiratory rate is now 26 and heart rate is 104 with ectopy."
C)   "The patient has diabetes and no one has diagnosed it yet."
D)   "When you have some time can you look at the patient's laboratory values?" Correct

Question 9

The nurse manager is working with the head of the medical department to structure daily conferences with nursing, physicians, and pharmacy. What will the manager explain as the purpose of these conferences? Standard Text: Select all that apply.

Accepted Answer

A)   Validate nursing concerns
B)   Minimize the hierarchy
C)   Support safe systems
D)   Share information
E)   Increase openness Correct

Question 10

The nurse manager is observing a daily patient care conference attended by physicians, nurses, and pharmacy staff. Which observation indicates the conference is not being effective to improve patient care?

Accepted Answer

A)   Physician listens to the nurse explain the patient's response to treatment
B)   Nurse asks pharmacist to described expected side effects of a medication
C)   Physician asks pharmacist to recommend a medication with quick results
D)   Physician telling nurse to gather the patients' medical records for the conference Correct

Question 11

The nurse manager is determining reasons why the goal of safe quality patient care is not being achieved. Which factors would the manager identify as deterrents to safe quality care? Standard Text: Select all that apply.

Accepted Answer

A)   Authoritative attitude of physicians toward nurses
B)   Poor integration about common concepts of care
C)   Minimization of the nurses' role in patient care
D)   Adherence to procedures is substandard
E)   Poor communication Correct

Question 12

Interprofessional team meetings have been occurring sporadically on a patient care area. Which observation indicates that these meetings need to be reinforced to support quality patient care?

Accepted Answer

A)   Nurses assisting each other with patient care activities
B)   Nursing assistive personnel (NAP)  volunteering to work extra shifts
C)   Nurses sharing results of committee projects during routine staff meetings
D)   Nurses complaining that physicians are too busy to address patient care issues Correct

Question 13

The administrator of a healthcare organization that utilizes interprofessional collaboration is struggling with reduced income and decides that staffing cuts need to occur. When planning these cuts what issue must remain the central focus?

Accepted Answer

A)   Support of the stakeholders
B)   Achievement of goals
C)   Patient well-being
D)   Staff support Correct

Question 14

The nurse is using electronic communication to notify a physician who is attending an off-site meeting about the status of a patient. Which actions would the nurse include when communicating electronically?

Accepted Answer

A)   Be clear and concise.
B)   Use exclamation points.
C)   Type in all capital letters.
D)   Type in shorthand. Correct

Question 15

The nurse manager is creating a process to improve the culture of safety on a patient care area. Which actions would the nurse manager include in this process? Standard Text: Select all that apply.

Accepted Answer

A)   Method to report problems
B)   Adopt a zero-tolerance attitude
C)   Structure anonymous problem reporting
D)   Exempting physicians from participating
E)   Education on proper communication etiquette Correct

Question 16

The nurse manager is working with an architect to physically redesign a patient care area. The new design removes a central nurse's station and creates patient care pods. How will the redesign of the care area influence team development?

Accepted Answer

A)   Facilities collaboration
B)   Segregates care givers
C)   Maximizes care giver focus
D)   Reduces redundancy Correct

Exam 7: Interprofessional Team Building