Module 37 Collaboration

Module 37   Collaboration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Collaboration

1) A home health nurse manager is planning care for a male client being discharged after hospitalization for complications of diabetes mellitus. This client requires an extensive dressing change twice a day, help with activities of daily living, and comprehensive education. The nurse manager is planning visits from home health nurses, aides, and therapists. The nurse manager is working within the context of which of the following?

1. A) Health education
2. B) Case management
3. C) Collaboration
4. D) Health promotion

Answer:  B

Explanation:

1. A) Collaboration means a collegial working relationship with other healthcare providers to supply client care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one or more individuals overseeing the needs and requirements of a particular individual’s health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation, but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.
2. B) Collaboration means a collegial working relationship with other healthcare providers to supply client care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one or more individuals overseeing the needs and requirements of a particular individual’s health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation, but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.
3. C) Collaboration means a collegial working relationship with other healthcare providers to supply client care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one or more individuals overseeing the needs and requirements of a particular individual’s health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation, but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.

 

1. D) Collaboration means a collegial working relationship with other healthcare providers to supply client care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one or more individuals overseeing the needs and requirements of a particular individual’s health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation, but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require.

Page Ref: 2376

Cognitive Level:  Analyzing

Client Need:  Physiological Integrity

Nursing Process:  Assessment

Learning Outcome:  1. Examine the essential aspects of collaborative nursing practice.

 

2) The nurse and physician are discussing follow-up care with a client who is being discharged home and the client’s family. The client and family cross their arms and state angrily that the team’s suggestions are not acceptable. What is the best response by the nurse?

1. A) “We will leave you alone to discuss your options.”
2. B) “We only want what’s best for you.”
3. C) “Let’s discuss other options that might work well for you and your family.”
4. D) “Perhaps you did not understand the recommendations.”

Answer:  C

Explanation:

1. A) The client is the center of the team, and the goal is to facilitate healing. There are always other options to consider to reach that goal. The nurse would discuss other options with the client, which will most likely increase cooperation by the client, who will feel in control as the decision is made. By leaving the room, the nurse and doctor have turned their backs on the client. The client may not understand the recommendations, but pointing that out can be seen as demeaning. Telling the client that the doctor only wants what is best sends the message that the client does not know what is best, when, in fact, a well-informed client does know what is best and should be able to make the correct choice.
2. B) The client is the center of the team, and the goal is to facilitate healing. There are always other options to consider to reach that goal. The nurse would discuss other options with the client, which will most likely increase cooperation by the client, who will feel in control as the decision is made. By leaving the room, the nurse and doctor have turned their backs on the client. The client may not understand the recommendations, but pointing that out can be seen as demeaning. Telling the client that the doctor only wants what is best sends the message that the client does not know what is best, when, in fact, a well-informed client does know what is best and should be able to make the correct choice.
3. C) The client is the center of the team, and the goal is to facilitate healing. There are always other options to consider to reach that goal. The nurse would discuss other options with the client, which will most likely increase cooperation by the client, who will feel in control as the decision is made. By leaving the room, the nurse and doctor have turned their backs on the client. The client may not understand the recommendations, but pointing that out can be seen as demeaning. Telling the client that the doctor only wants what is best sends the message that the client does not know what is best, when, in fact, a well-informed client does know what is best and should be able to make the correct choice.
4. D) The client is the center of the team, and the goal is to facilitate healing. There are always other options to consider to reach that goal. The nurse would discuss other options with the client, which will most likely increase cooperation by the client, who will feel in control as the decision is made. By leaving the room, the nurse and doctor have turned their backs on the client. The client may not understand the recommendations, but pointing that out can be seen as demeaning. Telling the client that the doctor only wants what is best sends the message that the client does not know what is best, when, in fact, a well-informed client does know what is best and should be able to make the correct choice.

Page Ref: 2378

Cognitive Level:  Evaluating

Client Need:  Psychosocial Integrity

Nursing Process:  Planning

Learning Outcome:  4. Compare strategies for conflict prevention, response, and management.

3) The nurse and physician are preparing a client for discharge who will be requiring physical therapy (PT) to rehabilitate after a total knee replacement. After reading the physician order for PT, which would be the nurse’s initial action?

1. A) Set up appointments according to the order with the hospital PT department.
2. B) Call home health and schedule a therapist to visit the home for therapy.
3. C) Discuss the various types of settings for therapy and have the client choose the venue.
4. D) Teach the family the exercises needed for the client.

Answer:  C

Explanation:

1. A) The nurse best exhibits the characteristic that the client has a right to self-determination by presenting the methods available for PT and answering the client’s questions about each so the client can make an informed decision. The nurse would not refer the client for outpatient therapy unless the client requests that form of therapy. Scheduling home PT is leaving the client out of the decision-making process. The therapy that the client requires must be performed by a professional physical therapist. To teach the family exercises encroaches upon the expertise of the professional who will be performing the service.
2. B) The nurse best exhibits the characteristic that the client has a right to self-determination by presenting the methods available for PT and answering the client’s questions about each so the client can make an informed decision. The nurse would not refer the client for outpatient therapy unless the client requests that form of therapy. Scheduling home PT is leaving the client out of the decision-making process. The therapy that the client requires must be performed by a professional physical therapist. To teach the family exercises encroaches upon the expertise of the professional who will be performing the service.
3. C) The nurse best exhibits the characteristic that the client has a right to self-determination by presenting the methods available for PT and answering the client’s questions about each so the client can make an informed decision. The nurse would not refer the client for outpatient therapy unless the client requests that form of therapy. Scheduling home PT is leaving the client out of the decision-making process. The therapy that the client requires must be performed by a professional physical therapist. To teach the family exercises encroaches upon the expertise of the professional who will be performing the service.
4. D) The nurse best exhibits the characteristic that the client has a right to self-determination by presenting the methods available for PT and answering the client’s questions about each so the client can make an informed decision. The nurse would not refer the client for outpatient therapy unless the client requests that form of therapy. Scheduling home PT is leaving the client out of the decision-making process. The therapy that the client requires must be performed by a professional physical therapist. To teach the family exercises encroaches upon the expertise of the professional who will be performing the service.

Page Ref: 2378

Cognitive Level:  Applying

Client Need:  Physiological Integrity

Nursing Process:  Implementation

Learning Outcome:  5. Differentiate between different types of interdisciplinary and intradisciplinary groups in nursing and healthcare delivery.

 

4) The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?

1. A) Teach the client nutrition and joint exercises.
2. B) Ask the client the reason for the decision.
3. C) Tell the client there is no hope.
4. D) Refer the client to the appropriate professionals.

Answer:  D

Explanation:

1. A) The number of clients with chronic diseases with healthcare needs is increasing rapidly, and nurses and physicians cannot meet all of these clients’ needs. When a client expresses the desire to live as normally as possible, the nurse should refer the client to professionals who can help the client meet that goal. The nurse can teach some nutrition and exercise but cannot go into the depth that this client would need. The client with a chronic disease should not be told there is no hope but should be helped toward reaching desired goals. Asking the client the reason for the decision is irrelevant to the situation.
2. B) The number of clients with chronic diseases with healthcare needs is increasing rapidly, and nurses and physicians cannot meet all of these clients’ needs. When a client expresses the desire to live as normally as possible, the nurse should refer the client to professionals who can help the client meet that goal. The nurse can teach some nutrition and exercise but cannot go into the depth that this client would need. The client with a chronic disease should not be told there is no hope but should be helped toward reaching desired goals. Asking the client the reason for the decision is irrelevant to the situation.
3. C) The number of clients with chronic diseases with healthcare needs is increasing rapidly, and nurses and physicians cannot meet all of these clients’ needs. When a client expresses the desire to live as normally as possible, the nurse should refer the client to professionals who can help the client meet that goal. The nurse can teach some nutrition and exercise but cannot go into the depth that this client would need. The client with a chronic disease should not be told there is no hope but should be helped toward reaching desired goals. Asking the client the reason for the decision is irrelevant to the situation.
4. D) The number of clients with chronic diseases with healthcare needs is increasing rapidly, and nurses and physicians cannot meet all of these clients’ needs. When a client expresses the desire to live as normally as possible, the nurse should refer the client to professionals who can help the client meet that goal. The nurse can teach some nutrition and exercise but cannot go into the depth that this client would need. The client with a chronic disease should not be told there is no hope but should be helped toward reaching desired goals. Asking the client the reason for the decision is irrelevant to the situation.

Page Ref: 2376

Cognitive Level:  Applying

Client Need:  Physiological Integrity

Nursing Process:  Implementation

Learning Outcome:  2. Analyze factors that affect collaboration in health care.

 

5) A nurse is working as the designated leader of a group of healthcare providers in a community clinic setting. The team members are working to decrease the number of teenage pregnancies in the community. They have defined the problem and are now focusing on objectives and considering various viewpoints presented by the group. The nurse is tasked with helping the team to stay focused in order to address the defined problem. Which of the competencies of collaboration does this describe?

1. A) Decision making
2. B) Mutual respect
3. C) Trust
4. D) Communication

Answer:  A

Explanation:

1. A) Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints, and often requires guidance and direction from a group leader. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when an individual is confident in the actions of another individual. Both mutual respect and trust imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration; it occurs only if the involved parties are committed to understanding each other’s professional roles and appreciating each other as individuals.
2. B) Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints, and often requires guidance and direction from a group leader. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when an individual is confident in the actions of another individual. Both mutual respect and trust imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration; it occurs only if the involved parties are committed to understanding each other’s professional roles and appreciating each other as individuals.
3. C) Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints, and often requires guidance and direction from a group leader. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when an individual is confident in the actions of another individual. Both mutual respect and trust imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration; it occurs only if the involved parties are committed to understanding each other’s professional roles and appreciating each other as individuals.

 

1. D) Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints, and often requires guidance and direction from a group leader. Mutual respect occurs when two or more people show or feel honor or esteem toward one another. Trust occurs when an individual is confident in the actions of another individual. Both mutual respect and trust imply mutual process and outcome and may be expressed verbally or nonverbally. Communication is necessary in effective collaboration; it occurs only if the involved parties are committed to understanding each other’s professional roles and appreciating each other as individuals.

Page Ref: 2380-2381

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Assessment

Learning Outcome:  3. Summarize the purpose and need for a chain of command within an organization.