Sherpath: Collaboration
Which organization states that collaboration can enhance health diplomacy and lower health disparities? American Nurses Association (ANA) International Council of Nurses (ICN) National League for Nursing (NLN) Institute of Medicine (IOM)
American Nurses Association (ANA) (Rationale: The ANA code of ethics states that collaboration can enhance health diplomacy and lower health disparities.)
Which response from the nurse indicates effective collaboration and communication with the health care provider? "Something is wrong with this patient." "I believe the patient might be dehydrated and recommend fluids." "The patient is 76 years old with abnormal laboratory test values, so you should do something." "The patient is having chest pain."
"I believe the patient might be dehydrated and recommend fluids." (Rationale: Offering information about the patient and a recommendation indicates effective collaboration and communication with the health care provider.)
Which organizations use collaboration in their code of ethics? Select all that apply. Institute of Medicine (IOM) American Nurses Association (ANA) International Council of Nurses (ICN) National Academy of Medicine (NAM) Quality and Safety Education for Nurses (QSEN)
American Nurses Association (ANA) (Rationale: The ANA uses collaboration in its code of ethics to help protect human rights.) International Council of Nurses (ICN) (Rationale: The ICN uses collaboration in the code of ethics to consistently maintain a collaborative relationship in nursing and other fields.)
Match the right of delegation to its description. Appropriate patient care situation Appropriate task assigned to the right individual Appropriate (clear, concise) instructions Appropriate follow-up and feedback by the nurse Right circumstance Right supervision Right direction Right person Right task
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
Which nursing scenario represents delegation? Talking to a health care provider about home health care for a patient Discussing with the patient when a shower can be taken Asking an unlicensed assistive personnel to feed a patient Notifying a social worker about community resources for a patient
Asking an unlicensed assistive personnel to feed a patient (Rationale: The nurse is displaying delegation when asking the unlicensed assistive personnel to feed a patient.)
Which action by the nurse is an important aspect of collaboration? Communicating to the team Assuming all care of the patient Being task oriented Achieving personal outcomes
Communicating to the team (Rationale: Communication to the team ensures patient goals are met and is an important aspect of collaboration.)
Which concepts are associated with collaboration? Select all that apply. Competency Standard Skill Rights of delegation Level of quality
Competency (Rationale: Collaboration is a competency for nurses to function effectively in teams.) Standard (Rationale: Collaboration is a standard for nurses to maintain and is described in the American Nurses Association's code of ethics and standards of care.) Skill (Rationale: Because collaboration is a competency, it is also a skill.) Level of quality (Rationale: Because collaboration is a standard, it is also a level of quality.)
Which attitude for collaboration is described in the Quality and Safety Education for Nurses (QSEN) competency? Esteems the expertise of all group members Functions competently in the role as a nurse Recognizes the impact of own personal communication on team members Identifies team members' roles and scopes of practice
Esteems the expertise of all group members (Rationale: An attitude for collaboration is esteeming the views and expertise of all group members.)
Which organization determined that collaboration, or working as part of the interdisciplinary team, is one of five core proficiencies for both students and professionals? Institute of Medicine (IOM) American Nurses Association (ANA) National League for Nursing (NLN) International Council of Nurses (ICN)
Institute of Medicine (IOM) (Rationale: 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.)
Which nursing action facilitates team building directly with the patient? Notifying the health care provider about the patient's limited resources Keeping the patient aware about the status of the health care team collaboration Contacting the occupational and physical therapists about the patient's rehabilitation potential Collaborating with the health care provider and family members about the patient's rehabilitation
Keeping the patient aware about the status of the health care team collaboration (Rationale: Ongoing communication with the patient about the status of the health care team collaboration is essential and facilitates team building with the patient.)
Match the components of SBAR to its example. Need to find source of infection and contamination Review all equipment used and match infection to source Infection rate up 14% in cardiac rehabilitation unit Never used to have infections in the cardiac rehabilitation unit Recommendation Background Assessment Situation
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
Which situation represents collaboration? Nurse and dietitian working on different quality improvement teams Nurse preparing a community presentation about support groups Nurse improving self to become a better team member Nurse and physical therapist discussing options for patient care
Nurse and physical therapist discussing options for patient care (Rationale: Collaboration is defined as a process of two or more individuals who come together to work toward a common goal; thus, a nurse and physical therapist discussing options for patient care describes collaboration.)
Which situation represents effective delegation? Nurse assigns the pharmacist to administer medications. Nurse assigns the unlicensed assistive personnel to assess a patient. Nurse assigns another registered nurse (RN) to care for an unstable patient. Nurse assigns a licensed practical nurse (LPN) to suture a small wound.
Nurse assigns another registered nurse (RN) to care for an unstable patient. (Rationale: The nurse can assign an unstable patient to another RN; RNs are able to care for unstable patients.)
Which health care team member would the nurse consult to help a patient get dressed in the morning? Occupational therapist Physical therapist Health care provider Social worker
Occupational therapist (Rationale: The occupational therapist works directly with the patient on strategies for activities of daily living, including dressing independently.)
Place the information in the correct order for Situation, Background, Assessment, and Recommendation (SBAR) communication. 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 is short of breath with swelling in ankles and feet. Patient's health care provider notified to obtain medication to help the patient breathe easier and rid the body of fluid.
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.
Match the health care team member to the patient's needs. Patient needs help with activities of daily livingPatient needs help with joint and muscle movementPatient needs help determining interactions of medicationsPatient needs help obtaining supplies for a new treatment Clergy Pharmacist Physical therapist Occupational therapist Dietitian Social worker
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
Which competencies are associated with Quality and Safety Education for Nurses (QSEN)? Select all that apply. Patient-centered care Teamwork and collaboration Infection control Evidence-based practice Informatics
Patient-centered care (Rationale: Patient-centered care is a competency associated with QSEN, a core competency for nursing education.) Teamwork and collaboration (Rationale: Teamwork and collaboration are competencies associated with QSEN, core competencies for nursing education.) Evidence-based practice (Rationale: Evidence-based practice is a recognized QSEN competency, a core competency for nursing education.) Informatics (Rationale: Informatics is a recognized QSEN competency, a core competency for nursing education.)
Which patient scenario fits within Background for SBAR? Health care provider notified Needs pain medication Currently reporting moderate pain Recent past medical history of an arm fracture
Recent past medical history of an arm fracture (Rationale: The patient having a recent past medical history of an arm fracture is consistent with Background in SBAR (what led to this current situation?).)
Which team-building skills would the nurse use to be an effective collaborator? Select all that apply. Recognizing resource limitations Starting and ending a meeting on time Advocating on the patient's behalf Aggressively challenging team members Avoiding conflict about safety issues
Recognizing resource limitations (Rationale: Recognizing resource limitations is an important team-building skill because it strengthens the team's solutions.) Starting and ending a meeting on time (Rationale: Starting and ending a meeting on time demonstrates how time constraints are important considerations for health care professionals.) Advocating on the patient's behalf (Rationale: Advocating on the patient's behalf is an important team-building skill; nurses advocate for vulnerable patients.)
Which example is one of the five rights of delegation? Right time Right direction or communication Right drug or prescription Right documentation
Right direction or communication (Rationale: Right direction or communication is one of the five rights of delegation. It involves giving clear, concise instructions.)
Which nursing behavior would enhance health care team communication when directly caring for patients? Conversing with the hospital board members Rounding with health care providers Validating an acquaintance's feelings Reviewing an education pamphlet
Rounding with health care providers (Rationale: Rounding with health care providers enhances health care team communication because the nurse is interacting with the health care provider and patient, all of whom are members of the health care team.)
Which factors are components of critical thinking? Select all that apply. Scientific research Best practices Volunteer input Continual learning Clinical experience
Scientific research (Rationale: Scientific research is a component of critical thinking because it serves as the basis of critical thinking.) Best practices (Rationale: Best practices are a component of critical thinking because they provide the best course of action.) Continual learning (Rationale: Continual learning is a component of critical thinking because it improves decision-making.) Clinical experience (Rationale: Clinical experience is a component of critical thinking because the experience helps develop critical thinking.)
Which result is associated with competency in teamwork and collaboration? Full nursing proficiency Effective time management Shared decision-making Improved research protocols
Shared decision-making (Rationale: Shared decision-making is a recognized result of teamwork and collaboration.)
Under which heading is collaboration listed as a standard in the book, Nursing: Scope and Standards of Practice? Standards of Practice Standards of Professional Performance Core Proficiency and Competency Core Scope of Practice Competency
Standards of Professional Performance (Rationale: Collaboration is listed as a standard in the section called Standards of Professional Performance.)
Which behaviors are skills of collaboration in the Quality and Safety Education for Nurses (QSEN) competencies? Select all that apply. Starts conflict resolution when necessary Appreciates the risks connected to handoff communication States own personal viewpoints in patient care conferences Values patients', families', and team members' styles of communication Describes how team functioning affects safety and the quality of patient care
Starts conflict resolution when necessary (Rationale: Starting conflict resolution when necessary is a skill of collaboration in the QSEN competencies.) States own personal viewpoints in patient care conferences (Rationale: Stating personal viewpoints in patient care conferences is a skill of collaboration in the QSEN competencies.)
Which skills or components are needed to be an effective nurse collaborator? Select all that apply. Team building Critical thinking Communication Personal purpose Independent goal
Team building (Rationale: Team building is a skill the nurse needs to be an effective collaborator because it helps build a cohesive team.) Critical thinking (Rationale: Critical thinking is a skill the nurse needs to be an effective collaborator because it insightfully determines the best course of action for the team.) Communication (Rationale: Communication is a skill the nurse needs to be an effective collaborator because it allows the nurse to interact successfully with all team members.)
Which situations indicate the nurse used critical thinking? Select all that apply. The nurse delegated a stable patient to a licensed practical nurse (LPN). The nurse identified an allergy to a medication and notified the health care provider. The nurse offered a review of best practices in an interdisciplinary care conference. The nurse offered a long, detailed summary to the health care team. The nurse avoided a conflict with a health care team member by ignoring the issue.
The nurse delegated a stable patient to a licensed practical nurse (LPN). (Rationale: When the nurse delegates appropriately, critical thinking is used; it is appropriate to delegate a stable patient to the LPN.) The nurse identified an allergy to a medication and notified the health care provider. (Rationale: When the nurse identifies missing data or unsafe practices, critical thinking is used; identifying an allergy to a medication meets this criterion.) The nurse offered a review of best practices in an interdisciplinary care conference. (Rationale: Offering a review of best practices in an interdisciplinary care conference indicates critical thinking.)
Which information is correct about delegating care? The nurse can delegate evaluation. The nurse relies on the national nurse practice act for delegation. The nurse retains accountability for tasks delegated. The nurse avoids the scope of practice when delegating.
The nurse retains accountability for tasks delegated. (Rationale: The nurse retains accountability for patient outcomes and care based on that delegation because that is a legal requirement of delegation.)
Which situation describes collaboration? Three individuals listening to a lecture on respect for team members Two individuals working on different patient teams One individual preparing an online seminar for working in teams Two or more individuals working toward a common goal
Two or more individuals working toward a common goal (Rational: Collaboration is defined as a process of two or more individuals coming together to work with a common goal; thus, two or more employees working toward a common goal describes collaboration.)
Which behaviors would the nurse implement for collaboration? Select all that apply. Using humor Maintaining clinical competence Using strategies for taking charge Using Situation, Background, Assessment, and Recommendation (SBAR) Reading progress notes
Using humor (Rationale: Humor is fundamental to the collaboration process, as is trust, and would be implemented by the nurse.) Maintaining clinical competence (Rationale: Maintaining clinical competence is fundamental to the collaboration process, as is accountability.) Using Situation, Background, Assessment, and Recommendation (SBAR) (Rationale: SBAR is a type of communication that supports collaborative care and would be implemented by the nurse.) Reading progress notes (Rationale: Reading progress notes and recommendations from other health care disciplines supports collaborative care and would be implemented by the nurse.)
Which nursing behaviors demonstrate safe delegation? Select all that apply. Taking over the delegated task Validating that instructions are understood Permitting unlicensed assistive personnel to administer intravenous medications Assessing the patient before assigning a task Allowing unlicensed assistive personnel to delegate vital signs to other unlicensed assistive personnel
Validating that instructions are understood (Rationale: This is safe delegation because it facilitates clarity in communication, encourages expression of feelings and ideas, and is one of the five rights of delegation.) Assessing the patient before assigning a task (Rationale: This is safe delegation because the nurse assesses the patient before assigning tasks to make sure the right person has the right task, both of which are components of the five rights of delegation.)
Which tasks would the nurse assign to unlicensed assistive personnel (UAP)? Select all that apply. Vital signs Assessment of dressing Pain management Hygienic care Ambulation with a walker
Vital signs (Rationale: The nurse would assign taking vital signs because it is within the UAP's scope.) Hygienic care (Rationale: The nurse would assign hygienic care because it is within the UAP's ability.) Ambulation with a walker (Rationale: The nurse would assign ambulation with a walker because it is within the UAP's ability.)
Which question represents one of the areas of the acronym SBAR? What is happening in the future? Which assignments should be delegated? Has the nurse contacted the health care provider? What action(s) should be initiated for this problem?
What action(s) should be initiated for this problem? (Rationale: "What action(s) should be initiated for this problem?" is a question that represents Recommendation in SBAR.)
