Collaboration NCLEX Style Questions
Which situation reflects primary sources of conflict? (Select all that apply.) A nurse who is gossiping about a coworker A nurse assistant who communicates assessment findings with the healthcare provider A nurse and a physical therapist who are collaborating to provide care to an elderly client A physician who does not believe that a nurse practitioner can provide "on-call" care to clients A nurse who places blame on the respiratory therapist for not administering a medication on time
A nurse assistant who communicates assessment findings with the healthcare provider A nurse and a physical therapist who are collaborating to provide care to an elderly client A nurse who places blame on the respiratory therapist for not administering a medication on time Primary sources of conflict include role boundary issues like scope of practice and accountability issues. A nursing assistant who communicates nursing assessment findings to the healthcare provider is experiencing role boundary issues. A physician who does not believe a nurse practitioner can provide care to a client is having scope-of-practice issues. A nurse who blames a respiratory therapist for not being able to administer a medication on time is having accountability issues. A nurse and physical therapist who collaborate on care are not experiencing conflict. A nurse who is gossiping about a coworker is contributing to horizontal violence, which is not a primary source of conflict. Next Question
The nurse manager wants to promote communication skills for successful collaboration among the nursing staff. Which communication style should the nurse use? Active listening Parallel communication Dominance in conversation Status-based communication
Active listening Active listening is attentive communication that decreases miscommunication. Parallel communication is the lowest level of communication and does not support collaboration like higher levels of information exchange or consultation. Status-based communication does not support collaboration, but team-centered communication does support collaboration. Dominance and argumentative styles of communication do not promote collaboration.
The nurse plans to discuss strategies to recognize and manage conflict. Which strategy should be included? (Select all that apply.) Calling in sick during conflict Addressing issues as they arise Ignoring each other when angry Treating each other with respect Acknowledging each other's accomplishments
Addressing issues as they arise Treating each other with respect Acknowledging each other's accomplishments Strategies that may help prevent or reduce conflict include addressing issues when they arise, avoiding destructive criticism, treating others with respect, defusing arguments, listening and considering each other's point of view, fairly allocating resources, defining role expectations, encouraging feedback, and acknowledging each other's professional and personal accomplishments and achievements. Ignoring the conflict or calling in sick are not appropriate strategies to manage conflict.
Which activities should the nurse recognize as supporting the building of skills for successful collaboration of interprofessional healthcare teams? (Select all that apply.) Focusing care delivery on individual groups Advocating for policy change with local legislation Role playing scenarios to practice communication skills Encouraging clinical problem solving through group work Practicing with additional credentials to increase nursing authority
Advocating for policy change with local legislation Role playing scenarios to practice communication skills Encouraging clinical problem solving through group work Practicing with additional credentials to increase nursing authority Nursing collaboration is supported by working in groups and having a voice in the community on health policy through advocacy, professional communication skills, and increased authority and accountability. Focusing care is an individual task.
Nurses are utilizing an approach that involves addressing an issue of conflict with a resolution that satisfies both parties. Which approach is being used? Competing Compromising Accommodating Avoiding
Compromising Compromising involves addressing the conflict with a solution that satisfies all parties. Avoiding is purposely not addressing the conflict, sometimes done to collect more information. Competing involves an assertive presentation of one's side of the issue. Accommodating neglects the desires of one side to allow the other party satisfactory resolution.
The nurse wants to provide collaborative care for a client who has terminal cancer. Which action should the nurse include? Providing comfort interventions Assessing the client's preferences regarding care Consulting an oncology-certified nurse when planning care Giving the physician priority when delivering care
Consulting an oncology-certified nurse when planning care Seeking expertise from an oncology-certified nurse when planning care for the client with terminal cancer is consistent with providing collaborative care. Assessing the client's preferences regarding care and providing comfort interventions are nursing responsibilities that the nurse is required to meet, regardless of the care setting or the type of care being provided. It is not appropriate for the nurse to give one team member priority over another when delivering care.
A nurse is planning to teach a class about preventing workplace bullying. Which behavior should the nurse include? (Select all that apply.) Encouraging nonthreatening reporting Developing acceptable codes of conduct Isolating the victim to provide a safe environment Educating others about the ramifications of bullying Talking about the abuser to make the victim feel better
Encouraging nonthreatening reporting Developing acceptable codes of conduct Educating others about the ramifications of bullying Nonthreatening reporting that is taken seriously, developing acceptable codes of conduct, and education on the impact of bullying all support the prevention of bullying in the workplace. The victim may already feel isolated and should be made to feel part of a supported team. Talking about the abuser does not promote professional behaviors.
The collaborative team treating a client includes the cardiologist, dietician, social services, and a nurse case manager. The team works together to establish a plan of care based on the client's goals. Which outcome is likely to result from this type of collaboration for the client? Decreased adherence with the plan of care Increased healthcare costs Improved relationship between the physician and the client Enhanced continuity of care
Enhanced continuity of care When effective collaboration occurs, quality of care improves; effective collaboration directly impacts client outcomes and enhanced continuity of care results. An increase, not a decrease, in adherence with the care plan is an outcome of collaboration. Healthcare costs will decrease, not increase, with collaboration. An improved physician-client relationship is not an outcome of collaboration; however, improved relationships do occur within the healthcare team as a result of collaboration.
Which act should the nurse recognize as horizontal violence? Maltreatment of a housekeeper by the nurse Battery of a client by a nurse Physical threats by a nurse against a nursing assistant Gossiping by one nurse against another nurse
Gossiping by one nurse against another nurse Horizontal violence involves acts, like gossiping, by one nurse against another nurse. Battery of a client is criminal abuse. Maltreatment and threats to other team members or insubordinates is bullying.
An organization has goals to promote mutual respect within the interprofessional team and to improve client outcomes. Which action by the organization supports mutual respect? Placing physician leaders for each hospital department Upholding the tradition of patriarchal nurse physician relationships Implementing interprofessional rounding Promoting verbal acknowledgment of mutual respect
Implementing interprofessional rounding Interprofessional rounding promotes mutual respect through collaboration on client-centered care. Verbal acknowledgement is not meaningful without nonverbal support. Physician leadership should have nursing counterparts to promote mutual understanding of authority. The traditional nurse physician relationship must change to allow for mutual trust in collaboration.
The nurse has ideas on how to streamline charting in the electronic medical record. Which interprofessional team member should the nurse consult? Information technology expert Complementary healthcare provider Unlicensed assistive personnel Paramedical technologist
Information technology expert The information technology expert would be the collaborative partner to explore changes and to enhance the electronic medical record.The paramedical technologist would be consulted for laboratory and imaging issues.The unlicensed assistive personnel can help with delegated tasks of hands on care.The complementary healthcare provider would be consulted for complementary medical therapies such as acupuncture.
The nurse is planning care for a client following a surgical procedure. Which collaborative action should the nurse include? (Select all that apply.) Changing the medication order after speaking with the client about adverse effects Informing the dietician that the client is on a special diet and needs reteaching about the diet Consulting the pharmacist regarding interactions between medications the client is prescribed Informing the pharmacist that the client's blood pressure (BP) is low and to hold the BP medication Updating the physical therapist regarding the client's physical activity and tolerance earlier in the day
Informing the dietician that the client is on a special diet and needs reteaching about the diet Consulting the pharmacist regarding interactions between medications the client is prescribed Updating the physical therapist regarding the client's physical activity and tolerance earlier in the day Collaborative actions that are client centered lead to improved client outcomes. Consulting the pharmacist, updating the physical therapist, and informing the dietician are all appropriate collaborative actions for the nurse to take. Telling the pharmacist to hold the client's medications without consulting the prescribing provider is outside the scope of practice of the nurse, as is changing the medication order. The nurse would report adverse effects or changes in the client's condition to the prescribing provider, who would be responsible for changing the medication order.
Two hospitals in a small town are trying to increase their nursing staff. In the hopes of attracting more applicants, one is offering sign-on bonuses to entice BSN-prepared staff members to join their team. Which type of conflict could occur in this situation? Interpersonal conflict Intrapersonal conflict Intergroup conflict Interorganizational conflict
Interorganizational conflict Interorganizational conflict occurs when one organization within the same market is in direct competition with another. If one organization is able to offer sign-on bonuses and other benefits that create a competitive advantage, this may alter the ability of other organizations to recruit and retain staff, creating conflict. Intergroup conflict is conflict between teams that are in competition for rewards or resources. Intrapersonal conflict is conflict that occurs within an individual that causes stress from real or perceived pressure generated by incompatible expectations or goals. Interpersonal conflict is conflict between two or more individuals due to differences and/or personalities or due to competition or concern over territory, roles, or responsibilities.
The nurse experiences workplace bullying. Which action should the nurse anticipate from the administration to support steps toward successful resolution of this issue? Asking the nurse to provide at least three witnesses to the event Encouraging the employee to transfer out of the department Ignoring the report of bullying until it is reported more than once Obtaining details of the event before taking action
Obtaining details of the event before taking action The nurse manager would obtain details on who was involved, when the event occurred, and details of the event before taking action to resolve the bullying issue. Witnesses would be encouraged to come forward but are not required. The manager would support resolution of the bullying, not encourage the employee to change roles or ignore the report.
A client tells the nurse that the pain medication is ineffective and causes too many side effects. Which interprofessional team member should the nurse consult? (Select all that apply.) Dentist Dietician Physician Pharmacist Complementary healthcare provider
Physician Pharmacist Complementary healthcare provider The physician ordering pain medication is one interprofessional team member to involve, as they are aware of the ineffectiveness and adverse effects of the current medication ordered.The pharmacist is another interprofessional team member to assess interaction of all medications currently prescribed and recommend untried therapies.The complementary healthcare provider can provide adjunct therapies for pain like massage and reflexology. A dentist would be consulted for issues of the teeth, gums, and oral cavity. A dietician would be consulted for nutrition needs.
The nurse is examining role expectations and boundary issues causing primary sources of conflict within a healthcare unit. Which issue should be addressed by the nursing staff? (Select all that apply.) Resistance to change Lack of understanding Inaccurate information Consistent cooperation Effective communication
Resistance to change Lack of understanding Inaccurate information Role expectations and boundary issues are a primary source of conflict within a healthcare unit. They may arise from a lack of understanding or awareness of which task each team member is to perform due to miscommunication, inaccurate information, and resistance of some members to change. Cooperation and effective communication often lead to conflict resolution.
The nurse is designing activities to promote skill building for nursing collaboration. Which activity should be included? (Select all that apply.) Reviewing scope of practice for nurses Performing a self-assessment of strengths Analyzing different communication styles Explaining how authority impacts care delivery Acknowledging that barriers to team building will never change
Reviewing scope of practice for nurses Performing a self-assessment of strengths Analyzing different communication styles Explaining how authority impacts care delivery QSEN (Quality and Safety Education for Nurses) identified characteristics related to teamwork and collaboration that support skill building for the nurse. The nurse should review scope of practice, self-assess strengths, analyze different communication skills, and understand how authority impacts care delivery. Barriers exist to team building, but they should not be viewed as insurmountable.
The nurse wants to improve collaborative decision-making skills. Which action promotes collaboration between nurses and the interprofessional team? Delaying feedback on results to ensure that all collected data were reviewed by the team first Removing the client from the decision-making process Sharing responsibility of the outcome of the decision Depending on physician leadership to ultimately make the decision for the team
Sharing responsibility of the outcome of the decision Collaboration in decision making results in shared responsibility of the outcome of the decision. The client should be involved in decision making. The physician should hold a collaborative, not supervisory, position within the team. Feedback should be prompt to evaluate and make changes as needed.
The nurse is involved in a situation of hostility with a co-worker that is escalating in an open area. Which action should the nurse take to best address the situation? Walking away from the employee and ignoring the situation Continuing the interaction in the current location Calling for upper-level administration to assist Taking the interaction to a private place
Taking the interaction to a private place Conflict should not take place in open areas. It is best to move the conflict to a private area. Upper-level administration may be involved if members of supervision are involved in the conflict. Walking away to establish boundaries may be done if the conflict cannot be moved to a private area but not with the intention of ignoring the situation.
The nurse attended a class about preventing horizontal violence in the workplace. Which action by the nurse indicates that learning occurred? Teaching others through unit presentations about the ramifications of workplace violence Ignoring negative statements of others about nurses on the unit Allowing nurses who have been victims to approach and humiliate their abusers Encouraging gossip about peers and other staff members
Teaching others through unit presentations about the ramifications of workplace violence Each nurse and nurse manager has a responsibility to act to prevent workplace bullying. One way to prevent this form of aggression and violence is to educate others about the ramifications of bullying. Condoning or encouraging gossip, ignoring negative comments, and allowing humiliating or hostile behaviors are actions that promote, rather than discourage, bullying in the workplace.
