ch 24 collaboration

Question 1

delegation

Answer 1

3 priciples:

• -Delegating within the scope of practice for all team members based on the state’s nurse practice act.
• –Not delegating tasks related to assessment, planning, evaluation, and accountability.
• –Ensuring that the person to whom the task is delegated does not delegate that task to someone else.

Question 2

5 rights delegation

Answer 2

1. right person
2. right direction or communication- clear
3. right circumstances- apprp pt care sit
4. right supervision- appr follow-up and feedback by rn
5. right task- within scope and apprp task

Question 3

Which skills or components are needed to be an effective nurse collaborator?

Answer 3

team building
critical thinking
communication

Question 4

Which team-building skills would the nurse use to be an effective collaborator?

Answer 4

• recognize resource limfacs
• start and end meeting on time
• advocating on behalf pt

Question 5

Which factors are components of critical thinking?

Answer 5

• scientific research
• best practices
• continual learning
• clinical experiences

Question 6

code of ethics by the American Nurses Association (ANA) (2015)

Answer 6

The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy and reduce health disparities.

Question 7

International Council of Nurses Code of Ethics (2012)

Answer 7

also contains “The nurse sustains a collaborative and respectful relationships with coworkers in nursing and other fields.

Question 8

standards of prof nursing practice

Answer 8

• –Standards of practice include the nurse’s responsibility for use of the nursing process to provide safe, competent care.
• –Standards of professional performance include collaboration along with other aspects of nursing care (e.g., education, ethics, leadership, communication).

Question 9

Which organization states that collaboration can enhance health diplomacy and lower health disparities?

Answer 9

American Nurses Association (ANA)

The ANA code of ethics states that collaboration can enhance health diplomacy and lower health disparities.

Question 10

Under which heading is collaboration listed as a standard in the book, Nursing: Scope and Standards of Practice?

Answer 10

standards of professional performance

Question 11

Which organization determined that collaboration, or working as part of the interdisciplinary team, is one of five core proficiencies for both students and professionals?

Answer 11

Institute of Medicine (IOM)

IOM (now known as the National Academy of Medicine) found that collaboration, or working as part of the interdisciplinary team, is one of five core areas of proficiencies/competencies for both students and professionals.

Question 12

Which competencies are associated with Quality and Safety Education for Nurses (QSEN)?

Answer 12

• pt centered care
• tmwork and collab
• evidence-based practice
• informatics

Question 13

Which situation represents effective delegation?

Answer 13

rn assigned another rn to care unstable pt

Question 14

Match the right of delegation to its description.

Answer 14

Appropriate patient care situation
—Right circumstance
Appropriate task assigned to the right individual
—Right person
Appropriate (clear, concise) instructions —Right direction
Appropriate follow-up and feedback by the nurse
—Right supervision

Question 15

Which behaviors would the nurse implement for collaboration?

Answer 15

• humor
• maintain clinical competence
• using SBAR
• reading progress notes

Question 16

Which concepts are associated with collaboration?

Answer 16

competency
standard
skill
level of quality

Question 17

Which behaviors are skills of collaboration in the Quality and Safety Education for Nurses (QSEN) competencies?

Answer 17

• starts conflict resolution when necessary

- states own personal viewpoints in pt care conferences

Question 18

Which attitude for collaboration is described in the Quality and Safety Education for Nurses (QSEN) competency?

Answer 18

esteems expertise of all group members

Question 19

Which situation represents collaboration?

Answer 19

rn and pt discussing options pt care

Question 20

Which nursing behaviors demonstrate safe delegation?

Answer 20

• validating instructions understood

- assessing pt before assigned task

Question 21

Which tasks would the nurse assign to unlicensed assistive personnel (UAP)?

Answer 21

-vitals
hygenic care
-ambulation w walker

Question 22

Which patient scenario fits within Background for SBAR?

Answer 22

recent past med history arm fracture

Question 23

Which response from the nurse indicates effective collaboration and communication with the health care provider?

Answer 23

-i believe pt might be dehydrated and recommend fluids

Question 24

Which result is associated with competency in teamwork and collaboration?

Answer 24

shared decision making

Question 25

Place the information in the correct order for Situation, Background, Assessment, and Recommendation (SBAR) communication.

Answer 25

• –Patient is short of breath with swelling in ankles and feet.
• –Patient was admitted with heart failure and diabetes 2 days ago.
• –Patient’s problems include lungs filling with fluid and having too much fluid (fluid overload).
• –Patient’s health care provider notified to obtain medication to help the patient breathe easier and rid the body of fluid.

Question 26

Which nursing scenario represents delegation?

Answer 26

asking UAP feed pt

Question 27

Match the health care team member to the patient’s needs.

Answer 27

Patient needs help with activities of daily living
—Occupational therapist
Patient needs help with joint and muscle movement
—Physical therapist
Patient needs help determining interactions of medications
—-Pharmacist
Patient needs help obtaining supplies for a new treatment
—Social worker

Question 28

Which situations indicate the nurse used critical thinking?

Answer 28

• rn delegrate stable pt to lpn
• rn id allergy to med and notify hcp
• rn offer review best practice in interdisciplinary care conference

Question 29

Which organizations use collaboration in their code of ethics?

Answer 29

• american nurses assoc (ANA)

- international council nurses (ICN)

Question 30

Match the components of SBAR to its example.

Answer 30

Need to find source of infection and contamination
—-Assessment
Review all equipment used and match infection to source
—-Recommendation
Infection rate up 14% in cardiac rehabilitation unit
—–Situation
Never used to have infections in the cardiac rehabilitation unit
—-Background

Question 31

Which action by the nurse is an important aspect of collaboration?

Answer 31

communication to team

Question 32

Which nursing action facilitates team building directly with the patient?

Answer 32

keeping pt aware about status of health care team collaboration