Chapter 13: The Nurse as Colleague and Collaborator

Chapter 13: The Nurse as Colleague and Collaborator

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Which group established a standard of professional performance focused on the nurse’s collaboration with clients, families, and other healthcare professionals?

1. The National Council of State Boards of Nursing
2. The National League for Nursing
3. The American Association of Colleges of Nursing
4. The American Nurses Association

Correct Answer: 4

Rationale: The ANA Nursing: Scope and Standards of Practice includes collaboration by the registered nurse with clients and families as well as other healthcare providers. The National League for Nursing and the American Association of Colleges of Nursing accredit schools of nursing. The National Council of State Boards of Nursing manages the administration of licensure examinations.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 247

 

Question 2

Which option represents the highest level of collaboration?

1. The nurse, physician, and dietician have communicated individually with the client.
2. The nurse, physician, and dietician have all written an individual plan of care and included it in the client’s medical record.
3. The nurse and physician have discussed the nutritional needs of the client and have referred the patient to the dietician for a nutritional plan and teaching.
4. The physician wrote a medical order for the nurse to contact dietary for a consult.

Correct Answer: 3

Rationale: The highest level of collaboration is co-management and referral, whereby providers retain responsibility and accountability for their own aspects of care, and clients are directed to other providers when the problem is beyond the current caregiver’s expertise. In this scenario, the option about the nurse and physician discussing the client’s nutritional needs and referring nutritional care to the dietician reflects that level of collaboration. Communicating independently with the client, having separate plans of care, and the unilateral decision making (medical order) options reflect parallel communication and function, which are lower levels of collaboration.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 3

Which option characterizes effective collaboration?

1. Outcomes are positive for each healthcare provider.
2. Common purpose and goals are identified at the outset.
3. There is interdisciplinary goal setting for the patient.
4. Each provider evaluates own outcomes.

Correct Answer: 2

Rationale: Characteristics of effective collaboration include common purpose and goals identified at the outset, clinical competence of each provider, interpersonal competence, humor, trust, and valuing and respecting diverse and complementary knowledge. The outcomes may not be positive for each healthcare provider, as compromise may be necessary. Interdisciplinary goal setting may be an outcome of collaboration but does not necessarily indicate that the collaboration was effective. Evaluation of own outcomes does not reflect effective collaboration.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 4

The physician and nurse have asked the client to make a difficult decision regarding treatment options. The client says, “I don’t really know what to do. Do whatever you think is best.” According to characteristics of collaborative care, what is true of this situation?

1. The client must make the treatment decisions.
2. The client retains the right not to participate in this decision.
3. The healthcare professionals are responsible for the client’s health.
4. The client is asking the healthcare professionals to define what health means to the client.

Correct Answer: 2

Rationale: The patient self-determination states that the client has the right to choose to participate or not participate in healthcare decisions. The client does not have to make decisions, but has the right to make decisions if desired. Responsibility for health falls on the client rather than on healthcare professionals. Each individual’s concept of health is important and legitimate for that individual. Although clients lack expert remembering, they have their own ideas about health and illness.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 247