NR222 Interprofessional Collaboration

After receiving the report, Stacy begins to assess the client, who states that pain is 9/10. The client requests additional pain medication, but there are no medications available at this time. Who should Stacy contact for assistance? 1. Speech therapist​ 2. Case manager​ 3. Healthcare provider​ 4. Registered dietitian​

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A standardized communication tool used in healthcare to enhance quality care and client safety uses the acronym ISBAR. What does ISBAR stand for? 1. Identify, Situation, Background, Assessment, Recommendation 2. Input, Status, Behavior, Action, Response 3. Information, Standardization, Benefit, Action, Reaction 4. Include, Select, Basis, Assist, Respond

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How does interprofessional collaboration improve health and wellness? 1. Leverages knowledge from multiple disciplines to improve the care of an individual 2. Adds significant paperwork to the admission process 3. Increases the cost and reduces the efficiency of the healthcare environment 4. Increases the number of medical errors​

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Stacy Calhoun (preferred pronouns she, her) is a registered nurse in a medical-surgical unit. Today, she is assigned to care for an older adult client who had a below-the-knee amputation of the right leg two days ago. The client is planning to discharge today and her daughter is at the bedside. Stacy prepares to receive a report from the night shift nurse. Where is the best location for the hand-off report to occur?​ 1. Inside the client's room​ 2. Hallway outside the client's room​ 3. In the nurses' station​ 4. In the break room​

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While Stacy is receiving the hand-off report, the physical therapist enters the room. What role does the physical therapist play in the client's recovery?​ 1. Teaching the client how to use a mobility device​ 2. Helping the client learn to dress​ 3. Making community referrals for a support group 4. Setting up home health to change surgical bandages weekly​

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Which strategies implemented by the nurse would facilitate safe client transfer from the medical-surgical unit to the intensive care unit (ICU)? Select all that apply. ​ 1. The transfer should occur during daytime hours only during the weekday.​ 2. The nurse should use a standardized communication tool to provide information to the ICU nurse. ​ 3. The nurse should ask the client's family members to relay information to the ICU nurse. 4. The nurse should allow time to answer any questions the ICU nurse has before transitioning the client. ​ 5. The nurses from both departments should meet face-to-face to discuss the client's transition.​

2, 4, 5

Select the letter from the acronym ISBAR to match the information communicated. ​ 1. Recommend next action steps to assist the client. 2. State the main reason for the communication. 3. Give relevant assessment data that presents a clear picture of the client's current status. 4. Provide any relevant background information that is needed to make decisions. 5. Introduce yourself and identify your location and role in the care of the client.

1. R 2. S 3. A 4. B 5. I

The night shift nurse uses a standardized communication tool to provide hand-off information to Stacy. Drag and drop the correct letter of the ISBAR tool to match the statements. 1. The client's pain has been increasing over the past 4 hours. 2. Continue to monitor the client's pain. You may need to contact the healthcare provider. 3. The client had surgery two days ago and has a history of diabetes mellitus. 4. The client's temperature, pulse, and blood pressure are elevated. The blood sugar level is normal. 5. My name is Anna, RN. I have been caring for the client for the past 12 hours.

1. S 2. R 3. B 4. A 5. I

Match the healthcare professional to the role they play.​ 1. Specializes in improving swallowing after a stroke​ 2. Assists the client with a broken leg to use crutches properly​ 3. Teaches about a heart-healthy diet following a heart attack​ 4. Coordinates discharge to home with home health services​ 5. Provides community referrals to a support group 6. Prescribes medication to treat an infection 7. Delivers bedside care to the client based on identified needs

1. Speech therapist 2. Physical Therapist 3. Registered Dietitian 4. Case Manager 5. Social Worker 6. Healthcare Provider 7. Registered Nurse

Stacy phones the healthcare provider. Which statement represents the recommendation?​ 1. "The night nurse gave all available pain medication."​ 2. "The client's pain has been increasing over the past 4 hours."​ 3. "The client reports pain 9/10 and vital signs are elevated."​ 4. "Can I have a prescription for a stronger pain medication?"​

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When Stacy returns to the nurses' station, she overhears the night shift nurse mention that Stacy is a new graduate and probably not capable of caring for such a complicated client. When the nurse sees that Stacy has overheard the comment, the nurse groans and walks away. What action should Stacy take first?​ 1. Complain to another coworker about the rude comment​. 2. Notify the supervisor for support before speaking to the nurse directly. 3. Ignore the comment and continue with client care despite hurt feelings​ 4. Approach the nurse privately and ask to speak about the comment​.

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Below is an example of an ISBAR communication between a registered nurse and a healthcare provider. Which statement represents each part of ISBAR? Good evening, Dr. Jones. This is Anna Patrick, RN, calling from St. Mary's Hospital medical-surgical unit about your client, Mr. Smith, in room 611. I'm doing well. Thank you for asking. Mr. Smith has reported severe pain in his left knee that is not relieved by the oral pain medication ordered. He had a knee replacement two days ago and has been working with a physical therapist to use crutches. He reports his pain as 9/10 one hour after receiving the ordered pain medication. His temperature is normal, but his blood pressure, pulse rate, and respiratory rate are elevated. There are no signs of infection at his surgical incision. Can I get a prescription for another pain medication that may help to better relieve Mr. Smith's pain?​

Identify : This is Anna Patrick, RN, calling from St. Mary's Hospital medical-surgical unit about your client, Mr. Smith in room 611 Situation: "Mr. Smith has reported severe pain in his left knee that is not relieved by the oral pain medication ordered. Background: He had a knee replacement two days ago and has been working with a physical therapist to use crutches."​ Assessment: He reports his pain as 9/10 one hour after receiving the ordered pain medication. His temperature is normal, but his blood pressure, pulse rate, and respiratory rate are elevated. There are no signs of infection at his surgical incision Recommendation: Can I get a prescription for another pain medication that may help to better relieve Mr. Smith's pain?"