chapter 27 Flashcards
John is part of an interdisciplinary care team on a surgical unit. Interdisciplinary care teams:
a. Increase fragmentation of care.
b. Improve quality of patient care.
c. Increase duplication of services.
d. Need to include licenced and unregulated care providers.
B
The nurse manager is setting up the room assignments for the unit. One patient on the unit is
in critical condition and is going to require more care than the others. Before delegating a
task, a nurse manager should:
a. Delegate the admission assessment to the licenced practical nurse.
b. Review the employee’s performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
d. Create a task analysis of critical behaviours for the patient.
C
A key advantage that a nurse manager has in terms of delegating is that:
a. Patients receive less attention because too many staff members make it difficult to
coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively.
D
The nurse on the shift from 2300 to 700 hours is assigning a component of care to an
unregulated care provider. The night nurse should remain:
a. Accountable and responsible.
b. Accountable and liable.
c. Authoritative and liable.
d. Responsible and task oriented.
A
The night nurse understands that certain factors need to be considered before tasks are
delegated to others. These factors include which of the following?
a. Complexity of the task and the age of the delegate.
b. Potential for benefit and the complexity of the task.
c. Potential for benefit and the number of staff.
d. Complexity of the task and the potential for harm.
D
During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on:
a. Supportive behaviour by the leader and immature followers.
b. The relationship with the followers and the type of behaviour of the leader.
c. Well-trained followers, combined with a strong leader who acts quickly.
d. The leader’s ability to evaluate personnel and communicate that evaluation.
B
The unit manager is working in a large metropolitan facility and is told that two unregulated
care providers are to be assigned to work with her. Delegation begins with:
a. Acknowledging the arrival of the second unregulated care provider on the unit.
b. Providing clear directions to both unregulated care providers.
c. Matching tasks with qualified persons.
d. Receiving reports from the prior shift.
C
Although interdisciplinary health care teams are the ideal in Canada, which of the following
is an identified barrier to interdisciplinary collaboration?
a. Power equalities.
b. Overlapping scopes of practice.
c. Lack of legislative authority.
d. Lack of professional association support.
B
Who is accountable when a registered nurse performs a “transfer of function” from a
physician activity?
a. The physician.
b. The director of nursing.
c. The nurse.
d. The institution.
C
In some provinces, a restricted activities or controlled acts model is currently in place. A
main distinction between this model and the model of licensure that is still used in most
other provinces is that:
a. Each health care provider is registered to conduct specific tasks.
b. Specific acts are licenced.
c. Acts cannot be shared among health care providers unless they are registered.
d. Nurses are bound by exclusive scopes of practice.
B
Which of the following exemplifies accountability for a nurse manager?
a. Consistently submitting budgets on time.
b. Consistently performing the responsibilities outlined for nurse managers at the
institution.
c. Explaining why registered nurse coverage was reduced on nights to the Nursing
Practice Committee after serious patient injury.
d. Actively soliciting ideas regarding scheduling from staff.
C
Which of the following is a benefit of the controlled acts model over the licensure model?
a. Decreased flexibility in allowing patients choice in their care provider.
b. Limited range of professional responsibility.
c. No firm boundaries.
d. Recognition that scope of practice is static.
C
Although benefits of the controlled acts model are advantageous and arguably necessary, the
legislative reform to recognize overlapping competencies has caused:
a. Role clarity.
b. A decrease in “turf” competition among health care providers.
c. A difficulty in optimizing skill mix.
d. Static boundaries for health care providers.
C
In delegating to an unregulated care provider in a home health setting, which of the
following represents the most appropriate delegation communication?
a. “You will be taking care of Mrs. Srivastava. Mrs. Srivastava needs assistance with
her bath.”
b. “You will need to help Mrs. Srivastava get into and out of her shower. Ensure that
you check the condition of her feet, and let me know if you have any concerns
when you check in.”
c. “I am not sure that you know how to do this, but I am giving you Mrs. Srivastava.
She is quite obese and needs skin care.”
d. “Mrs. Srivastava needs help to get into and out of her bathtub. Her bath will need
to be completed by 10:00. When you are helping her to dry, please check between
her toes and toenails, and phone me by 10:30 if you notice nail discoloration or
redness.”
D
Which of the following is a domain of the National Interprofessional Competency
Framework?
a. Quality improvement.
b. Interprofessional conflict resolution.
c. Contextual issues.
d. Interdisciplinary communication.
B
