4700 Test 2 Interactive module questions

· Case manager is part of the interdisciplinary team who is a nurse leader whose role is to ____________. (select all that apply) o Monitor patient care o evaluate options for patient care o provide informed consent for procedures o advocate for the patient o coordinate patient care

o Monitor patient care o evaluate options for patient care o advocate for the patient o coordinate patient care

· Some facilities have introduced an "introduction step" to SBAR called ISBAR in efforts to include an introduction for clinicians during patient hand off o True o False

o True

choose the method of reimbursement that includes the cost of providing the service plus a markup for profit. · Flat rate · charge · cost based · rate based on services rendered

· charge

Why is conflict an expected occurrence on a large medical surgical unit? (Select all that apply) a) People of comparable beliefs b) people with different values c) people of similar backgrounds d) people with shared interests e) people who have different goals

-people with different values -people who have different goals

A new nurse manager is learning about fiscal planning. which are barriers for nurse managers participation in fiscal planning? (Select all that apply) · Nursing input in fiscal planning is undervalued. · Nursing education lacks preparation in fiscal planning. · Nurses lack the intuition necessary for fiscal planning. · Nurses are directly involved in fiscal planning. · Many nurses perceive that fiscal planning is difficult.

· Nursing education lacks preparation in fiscal planning. · Many nurses perceive that fiscal planning is difficult.

· What is the goal of SBAR's "assessment" phase? o Communicate what you think is the problem o convey the current data relevant to the reason for communicating o communicate what you think should be done right now o provide a concise description of what is happening

o Communicate what you think is the problem

· What does an interprofessional team member need to understand about role clarity for the team to be successful? o Why the roles and responsibilities exist o the role andresponsibilities of all teammates o roles and responsibilities of those outside their team o individual role and responsibilities

o the role and responsibilities of all teammates

· Which statements demonstrate the patient benefits derived from care provided by an interprofessional team? (select all that apply) o "we have been so pleased with the care my mother has been given while she recovered from her fall." o "The nurses all seem to really care about each of their patients" o "The physical therapist and my nurse worked together to schedule my therapy before my wife came to visit" o "All my medications are given to me by the same nurse and always on time" o "The rooms are so nicely decorated, and someone comes in daily to dust and clean the floor" o "my doctor, the nurse, the social worker, and the dietitian had a meeting with me today about my discharge plan."

o "we have been so pleased with the care my mother has been given while she recovered from her fall." o "The nurses all seem to really care about each of their patients" o "The physical therapist and my nurse worked together to schedule my therapy before my wife came to visit" o "my doctor, the nurse, the social worker, and the dietitian had a meeting with me today about my discharge plan."

· In an interprofessional team, the role of a nurse leader is elevated from caregiver to include which essential responsibilities? (select all that apply) o Minimizing the role of technology in the delivery of care. o Assuring client and client family satisfaction. o Implementing a team approach to care delivery. o Supporting client autonomy related to care decisions. o Assuring be effective transition from facility to home care. o Integrating all aspects of client care.

o Assuring client and client family satisfaction. o Implementing a team approach to care delivery. o Supporting client autonomy related to care decisions. o Assuring be effective transition from facility to home care. o Integrating all aspects of client care.

· A client who experienced a traumatic musculoskeletal injury to the right arm was transported to the local hospital's emergency department. The initial care was delivered by an interprofessional team. What specialized, patient focused care should this form of care delivery provide to this patient? o the patient will be assigned a primary nurse at the time of admission to the emergency department. o A physician will assume the management of care role. o Effective communication between individual team members and with the patient will be a priority. o All physical care will be delivered by a registered nurse.

o Effective communication between individual team members and with the patient will be a priority.

· Which aspects of creating a successful interprofessional team are addressed by SBAR? Select all that apply o Maintaining a shared vision o ensuring role clarity o communicating effectively and efficiently o offering a recommended plan of action or next steps o determining leadership of the team

o Maintaining a shared vision o ensuring role clarity o communicating effectively and efficiently o offering a recommended plan of action or next steps

· What is considered to be the greatest challenge to the implementation of an interprofessional Primary Health care team? o Overcoming through the traditional provider dominated role of determining patient care o the cost of implementation such as a varied team o getting nurses to actively participate in the planning of patient care using this model o assuring patient acceptance of the care model

o Overcoming through the traditional provider dominated role of determining patient care

· using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? (select all that apply) o Past medical history o admitting diagnosis o current medications o patient name and room number o issues identified for discussion

o Past medical history o admitting diagnosis o current medications o patient name and room number

· In an interprofessional team, what do teammates need to understand in order to have a shared vision? (select all that apply) o Potential challenges to meeting outcomes o aftercare options o cost of the implemented services o why certain members are included o desired outcomes

o Potential challenges to meeting outcomes o aftercare options o desired outcomes

· In the SBAR model, when giving recommendations, what kinds of things should be communicated? (select all that apply) o The background or context of the situation o the patient's condition and state what you think the problem is o any new treatments or changes ordered o opinions for further action o a concise evaluation of the situation in a couple of sentences

o any new treatments or changes ordered o opinions for further action

· What is the goal of SBAR's "recommendation" phase? o Communicate what you think is the problem o convey the current data irrelevant to the reason for communicating o communicate what you think should be done right now o provide a concise description of what is happening

o communicate what you think should be done right now

· What factors contribute to the success of interprofessional teams? (Select all that apply) o enjoying the work experience o establishing an interpersonal relationship with team members o forming clear and efficient communication o having role clarity o acknowledging the shared vision

o forming clear and efficient communication o having role clarity o acknowledging the shared vision

· which factor does the joint commission consider to be the biggest challenge to successful interprofessional teams? o Personality clashes o lack of shared vision o inefficient communication o not having the right people on the team

o inefficient communication

· In the SBAR model, what should be conveyed when explaining the situation? (select all that apply) o Information in a narrative or story form o objective statement of the problem o recommendations for treatment changes o assessment data collected o events currently happening

o objective statement of the problem o recommendations for treatment changes o assessment data collected o events currently happening

· What factors are considered when determining the appropriateness of implementing care via the interprofessional team?(select all that apply) o the facilities yearly budget o Skill of the attending staff o The physical location of the facility o The complexity of the required patient care o The acuity level of the patient population o Physical design of the care facility

o the facilities yearly budget o Skill of the attending staff o The complexity of the required patient care o The acuity level of the patient population

Two nurses were selected to learn about a new piece of technology that could improve the accuracy of patient assessments. This training was to be provided at a long distance from the hospital, and the nurses employer could only afford travel expenses for one nurse. The hospital chose to send the nurse who had historically shown more proficiency in teaching others about new technology. This displeased the nurse who was not selected, who was then unfriendly to the nurse who was selected. What is the likely source of conflict between these nurses? a) Cultural b) lack of resources c) professional competition d) personal/professional beliefs

professional competition

a nurse manager is considering how to gain more staff involvement in meeting budgetary goals. which activity is most likely to result in staff understanding and participating in budgetary goals? · Communicating budgetary planning goals to staff · comparing actual expenses with budgeted expenses · Forecasting or estimating needs using current data · Being held accountable for the unit's financial results

· Communicating budgetary planning goals to staff

What area do consumers value the most when seeking health care? · Low cost, ability to meet patient outcomes, and advanced technology · Advanced technology, staffing levels, and low cost · High quality, low cost, and ability to meet patient outcomes · Ability to meet patient outcomes, advanced technology, and staffing levels

· High quality, low cost, and ability to meet patient outcomes

A nurse manager is considering the reasons for the current problems with the health care system. Which are negative consequences of higher spending in health care? (Select all that apply) · Higher spending may result in overuse of technology. · Higher spending may result in duplication of services. · Higher spending may result in over utilization of services. · Higher spending guarantees a higher quality of care. · Higher spending may result in higher quality of care

· Higher spending may result in overuse of technology. · Higher spending may result in duplication of services. · Higher spending may result in over utilization of services.

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current US health care system. Which statement about resource utilization is most accurate? · Additional funding for healthcare resources would improve the status of US health. · The health care resources that are available in the United States are not used cost effectively. · Limiting spending for healthcare resources will improve the quality of US health. · Currently there is scarcity of resources available in EU S health care system.

· The health care resources that are available in the United States are not used cost effectively.

the nurse manager of a surgical unit must hire travel RNS to work during busy times. knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity towards these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurses contract states that the nurse may be required to work each weekend during the contracted timeframe). What type of conflict resolution strategy is the manager using? a) Compromising b) smoothing c) competing d) avoiding

Compromising

The unit manager of a medical surgical unit undergoing restructuring changes realizes that to create more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as "smoothing". Smoothing is best defined as: a) Slang for avoiding. b) The transfer of an aggressive employee to another unit. c) Looking towards something that parties in conflict are in agreement about. d) Declaring a resolution to the strategy that may be perceived as a lose lose but is in the best interest of the unit.

Looking towards something that parties in conflict are in agreement about.

Conflict can have a negative or positive influence on those involved. True False

True

Conflict is needed to promote organizational growth True False

True

the negotiation strategies mirror that of the nursing process True False

True

Nurse leaders understand that there are various stages of conflict. What is the final stage? Conflict Resolution a) Conflict Aftermath b) Latent Conflict c) Manifest Conflict

a) Conflict Aftermath

A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. what type of conflict exists in this situation? a) Felt conflict b) perceived conflict c) manifest conflict d) latent conflict

a) Felt conflict

Common causes of organizational conflict are: a) Poor communication b) changes c) unclear expectations d) diversity in the workplace e) assertive communication

a) Poor communication b) changes c) unclear expectations d) diversity in the workplace

For a nurse leader, what is the optimal goal in resolving conflict between team members? a) Prevent violence b) demonstrate managerial skills c) create a win win solution for all d) prevent further conflict on the same issue

create a win win solution for all

Conflicts resulting from differing or contradictory beliefs among two or more individuals are known as ____________. a) External conflicts b) organizational conflicts c) interpersonal conflicts d) intergroup conflicts

intergroup conflicts

For the nurse leader to be effective in their role, the leader does not need to identify the stages of conflict but only acknowledges existence to begin the resolution. True False

False

Negotiation closure ends with restating the final decision in order to assess individual understanding of the resolution. True False

False

Workplace violence is decreasing among health care workers true false

False

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years and this change will create conflict. At what stage does this conflict exist? a) Latent conflict stage b) felt conflict stage c) perceived conflict stage d) manifest conflict stage

Latent conflict stage

The nurse leaders optimal goal in conflict resolution is to create a win win situation. True False

True

nurse leaders should encourage or establish an appropriate amount of conflict in the workplace. true false

True

The nursing director of a cardiovascular surgical intensive care unit has received reports from staff members that one of the cardiovascular physician groups is not willing to follow some of the recently instituted procedures related to initial admission orders this group is at odds with the unit staff. What attributes of negotiation must the director employ to foster a successful outcome between the two groups? (select all that apply) a) Maintaining neutral facial expressions b) maintaining a professional stance c) maintaining neutral body language d) maintaining a strong closed posture e) maintaining an aggressive speech pattern

a) Maintaining neutral facial expressions b) maintaining a professional stance c) maintaining neutral body language

The members of a nursing staff claimed that the lab department is not reporting patients' critical values fast enough, but the lab department claims that it is. The nursing manager and the lab department director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon the scenario, what type of conflict exists? a) Intrapersonal conflict b) intergroup conflict c) transpersonal conflict d) interpersonal conflict

a) intergroup conflict

A new graduate nurse has been assigned to a RN preceptor with a history of being tough, uncivil, and intimidating two new nurses. During the first day on the job, the graduate nurse has a harsh exchange with the RN. What type of conflict is this? a) Intrapersonal conflict b) interpersonal conflict c) intergroup conflict d) resolution conflict

a) interpersonal conflict

the nurse leader must be aware of barriers that can prevent effective mediation. These include which of the following? (Select all that apply) a) intimidation b) ridicule c) manipulation d) active listening e) negative body language

a) intimidation b) ridicule c) manipulation e) negative body language

A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lives in small town Pennsylvania and is reluctant to leave her alone. What type of conflict is this? a) intergroup b) interpersonal c) interfunctional d) intrapersonal

a) intrapersonal

A new nurse on a medical surgical unit has an uncomfortable encounter with one of the RNS. Both the RN and the new nurse realized that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used? a) Competing b) cooperating/ accommodating c) avoidance d) smoothing

avoidance

A nursing educator at a local hospital is responsible for assigning nursing interns to specific units to begin orientation while they simultaneously complete their last nursing school clinical course. 8 interns want to be assigned to the ICU, but there are only two slots available. As a result, the nurse educator decides that the two interns with the highest GPA's and who interviewed the best will be assigned to the ICU. The interns agree this is a fair solution. What strategy did the educator employ? a) Due process b) consensus c) mediation d) flattery

consensus

· when you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating? o Situation o Background o Recommendation o Assessment

o Assessment

· The SBAR tool was first used in the hospital to facilitate safe patient hand offs o True o False

o False

· which of the following is important for ensuring team collaboration efforts will be successful? o Shared vision, role clarity, and use of effective communication o Shared visions, effective communication, and primary care provider acts as team leader o role clarity, primary care provider acts as team leader, and nurse leader is a subordinate o Effective communication, team leader is the primary care provider, and sound delivery models

o Shared vision, role clarity, and use of effective communication

· Bachelors degree prepared nurses tasked with the need to understand interprofessional communication and collaboration in order to be prepared to improve patient health care outcomes. o True o False

o True

· SBAR and ISBAR provide the nurse leader with the tools to effectively communicate between team members o True o False

o True

· SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members. o True o False

o True

· Some facilities have included an "introduction step" to SBAR now called ISBAR in efforts to include an introduction for clinicians during patient handoff. o True o False

o True

· What is the goal of SBAR's "situation" phase? o Communicate what you think is the problem o convey the current data relevant to the reason for communicating o communicate what you think should be done right now o provide a concise description of what is happening

o provide a concise description of what is happening·

A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate? · They reduced the need for documentation. · They can be used to monitor quality of care. · They reduce the need for utilization review. · They accurately predict patient progress.

· They can be used to monitor quality of care.

Healthcare is not only financed by private insurance, government funding and private donations but also by individual out of pocket expenses. · True · False

· True

The RN on a medical surgical unit has experienced several changes in its administrative structure due to conflicts with the mission of the hospital. The RN realizes that the conflict should be managed to allow for what outcomes? (Select all that apply) a) Growth within the organization b) reduced employee satisfaction c) innovation d) enhanced productivity e) diminished productivity

a) Growth within the organization c) innovation d) enhanced productivity

The ICU and Ed director of a small hospital has recently experienced conflict with the Ed staff and ICU staff related to patient transfers occurring at the end of shift. The Ed nursing staff work 12 hour shifts from 11:00 AM to 11:00 PM, while the ICU nursing staff work 12 hour shifts from 7:00 AM to 7:00 PM. The director realizes that the two nursing department's must negotiate to resolve the conflict what is a critical goal in negotiation? (Select all that apply) a) That both parties perceive that they have won something they value b) That gains for each party are different c) that both parties feel like they have gained something they wanted d) that each party willingly reveals their negotiating limits e) that the hidden agendas of all parties be exposed

a) That both parties perceive that they have won something they value c) that both parties feel like they have gained something they wanted

The nurse manager believes that the nursing unit is experiencing too little conflict. what signs within the organization would indicate that this is true? a) The organization has become less effective. b) The organization has become static. c) Employees have become immobilized. d) Employees feel motivated.

a) The organization has become static.

The nurse manager on a busy unit that has recently been experiencing shift conflicts. As the staff have different opinions on conflicts, what is the best first step to take to resolving conflict? a) assessing what factors are affecting the judgment of the people involved in the conflict b) Assessing the extent of competition occurring within the workplace c) Showing preference to the day shift as the shift has more experienced staff d) Determining the difference between intrapersonal interpersonal an intergroup conflict

a) assessing what factors are affecting the judgment of the people involved in the conflict

A nurse manager is faced with a conflict situation. One of the nurse managers team members is confused about their hospital responsibilities. this team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. What questions should the nurse manager asked to analyze the situation? (Select all that apply) a) Which individuals need to be fired? b) What learning opportunities can be introduced? c) What individual factors are involved? d) Who are the people involved? e) What environmental factors are involved?

- What individual factors are involved? -Who are the people involved? - What environmental factors are involved?

· The SBAR tool was first used in the hospital to facilitate safe patient handoff o True o False

o False

An ICU supervisor is about to enter an important negotiation with the hospital CEO. Which actions can the supervisor perform during the negotiation to increase its likelihood of success? (select all that apply) a) Look for hidden agendas. b) Determine the incentives of the CEO. c) Role model good communication skills. d) Restate what has been agreed upon, both verbally and in writing. e) Take a break if either becomes tired or angry.

-Role model good communication skills. -Take a break if either becomes tired or angry.

A unit manager is tasked with developing a new organ procurement team. This type of team involves multiple entities within the hospital, as well as community partners and surgical groups that will need to be brought together. Which actions should be practiced during the preparation stage of a negotiation? (Select all that apply) a) Making sure the understanding is in writing b) knowing the unit managers own possible agendas c) knowing the issue, the other parties involved, and their possible agendas d) making sure everyone agrees to a single understanding

-knowing the unit managers own possible agendas -knowing the issue, the other parties involved, and their possible agendas

· The role of the clinical nurse leader is directly associated with the successful leadership of an interprofessional health care team. Which statements made by the CNL expressed the components of that role? (select all that apply) o "I've worked with clients from admission through discharge, and when necessary until their death." o "I'll share the patients care outcomes with the physical therapist today" o "I've worked with clients diagnosed with cardiac issues for nearly 15 years" o "the client and I will discuss the health care insurance options available to the family" o "The unit nurses have talked with the family and identified a need for a social services consult" o "We need to determine what, if any, safety issues exist related to this client's ability to ambulate independently"

o "I'll share the patients care outcomes with the physical therapist today" o "I've worked with clients diagnosed with cardiac issues for nearly 15 years" o "The unit nurses have talked with the family and identified a need for a social services consult" o "We need to determine what, if any, safety issues exist related to this client's ability to ambulate independently"

· what is the best focus response when asked, "what does clear an effective communication mean?" (select all that apply) o Giving as much information as possible about everything related to the patient handoff. o Always presenting information in a concrete manner. o A thorough handoff of the situation, including background, your assessment, and any recommendations. o Information is presented in language the receiver can understand o Checking for the receivers understanding before moving on

o A thorough handoff of the situation, including background, your assessment, and any recommendations. o Information is presented in language the receiver can understand o Checking for the receivers understanding before moving on