Collaboration and teamwork

Question 1

Describe the essential aspects of collaborative health care interprofessional health care team members to promote optimal client outcomes.

Answer 1

interprofessional communication
role clarification
patient-centered goals
reduces errors
provides support for all
has shared values between all
allows for recognition of successes

Question 2

Discuss methods of communication used between the

Question 3

Discuss strategies to promote collaboration within the health care team.

Answer 3

promote that collaboration makes for a more successful team

Question 4

how do interprofessional health care team members to promote optimal client outcomes.

Answer 4

by promoting the client to not only participate in their care, but have a say in what happens to them and for them

Question 4

benefits of interprofessional teams

Answer 4

Improved access to and coordination of health care services
Greater efficiency of client referral and client-care services
Increased quality of community health services
Decrease in complications, length of stay, sentinel events, mortality, and staff turnover

Question 5

The primary teamwork skills presented in this course are as follows.

Answer 5

• Team structure: Identify who is on the team or who should be included in the team.
• Communication: Utilize strategies to communicate effectively among the identified team.
• Leadership: Identify strategies to effectively lead teams and support the team’s use of these strategies.
• Situation monitoring: Encourage team members to be aware of and understand the teams’ performance and the impact it has on the clients’ outcomes.
• Mutual support: Support the team by providing feedback to assist them to function better as a team (distribute workload, manage conflict).

Question 6

a newly licensed nurses is talking about their day with another nurse. which statement by the newly licensed nurse demonstrates incivility?
A: i hate when i have to ask my preceptor for help with tasks i am unsure about.
B: the charge nurse called me stupid in front of the team.
C: my preceptor laughs when I tell a joke.
D: the charge nurse give me a difficult assignment

Answer 6

B: the charge nurse called me stupid in front of the team

Question 7

a nurse is caring for a client who has diabetes mellitus and does not adhere to the prescribed diet. which of the following interventions by the nurse demonstrates collaborative health care?
A: requesting a referral to a dietitian to work with the client.
B: instructing the client’s family no to bring in snacks for the client.
C: asking the client why they are not adhering to the prescribed diet
D: informing the client that they will get used to eating the prescribed diet.

Answer 7

A: requesting a referral to a dietitian to work with the client

Question 8

a nurse is using the introduction, situation, background, assessment, recommendation, and readback communication tool when contacting a provider about a client who has Parkinson’s disease. which of the following statements by the nurse should be included in the situation component?
A: the client is coughing while eating.
B: should I obtain a chest X-ray?
C: i will request a referral with a speech therapist
D: the client has a history of Parkinson’s disease.

Answer 8

A: the client is coughing while eating

Question 9

a nurse is teaching an in-service about zero-tolerance for bullying and incivility in the health care facility. which of the following information should the nurse include?
A: bullying can result in an increase in productivity.
B: incivility can result in improved communication in the workplace
C: incivility can result in a reduction of medical errors.
D: bullying can result in an increase in nursing turnover

Answer 9

D: bullying can result in an increase in nursing turnover

Question 10

a nurse is teaching a newly licensed nurse about receiving and transcribing verbal prescriptions. which of the following instructions should the nurse include?
A: read back the prescription to the provider after transcribing.
B: use symbols when transcribing a verbal prescription.
C: include abbreviations when transcribing a verbal prescription.
D: place a zero after a decimal when transcribing a dosage.

Answer 10

A: read back the transcription to the provider after transcribing

Question 11

a nurse is using the introduction, situation, background, assessment, recommendation, and readback communication tool when contacting a provider about a client who has COPD. which of the following statements by the nurse should be include in the assessment component?
A: the client has a history of COPD
B: the client has a respiratory rate of 38/min
C: i will obtain a sputum culture
D: should i increase the client’s supplemental oxygen?

Answer 11

B: the client has a respiratory rate of 38/min

Question 12

a nurse is caring for a client who asks. “why do i have to talk to so many people before i can go home? don’t these people communicate?” which of the following statements should the nurse make?
A: they are very busy and do not have time to communicate about your health.
B: why are you concerned about talking to your health care team?
C: your health care team works together so you can safely go home
D: the sooner you talk with them, the sooner you can leave.

Answer 12

C: your health care team works together so that you can safely go home

Question 13

a nurse is teaching a newly licensed nurse about what to include in a medication reconciliation form for a client who is being transferred to a new facility. which of the following instructions should the nurse include?
A: include a list of medications that the client no longer needs.
B: do not include OTC medications the client takes
C: include medications the client took at home.
D: do not include nutritional supplements the client takes.

Answer 13

C: include the medications that the client took at home

Question 14

a nurse is teaching a class about barriers to inter-professional collaboration between health care professionals. the nurse should include that which of the following is a barrier?
A: trust in the ability of a team member
B: unresolved conflicts between team members.
C: effective communication between team members
D: cultural competency within team members

Answer 14

B: unresolved conflicts between team members

Question 15

a nurse and an assistive personal disagree about how to move a client from the bed to a stretcher. which of the following statements should the nurse make to promote conflict resolution?
A: i’m the nurse, you are the AP, so do what i say.
B: you always need to get your own way.
C: let’s discuss how we can work together.
D: if you do not help me. i will report you to the charge nurse

Answer 15

C: let’s discuss how we can work together

Question 16

a nurse is preparing a discharge plan for a client following a bilateral below-the-knee amputation. which of the following interventions is the priority?
A: check the availability of transportation to follow-up appointments.
B: request a referral for a home health nurse
C: provide the client with written material about their medications.
D: determine whether the client’s home is wheelchair accessible

Answer 16

D: determine whether the client’s home is wheelchair accessible

Question 17

a nurse is teaching about change-of-shift report with a newly licensed nurse. which of the following statements should d the nurse make?
A: change-of-shift report performed at the client’s bedside results in increased overtime by nurses.
B: using ISBARR during change-of-shift report decreases the risk of missing information.
C: change-of-shift report performed at the client’s beside decreases client satisfaction about their care
D: taking notes during change-of-shift report increase the risk for error

Answer 17

B: using ISBARR during change-of-shift report decreases the risk of missing information.

Question 18

a nurse is teaching a client who has end-stage kidney disease and a new sacral pressure injury. the client’s provider has requested a plastic surgery consultation. which of the following statements by the client indicates an understanding of the consultation?
A: the plastic surgeon might adjust my renal diet
B:the plastic surgeon will assist me with financial counseling.
C: the plastic surgeon might change my wound care treatment
D: the plastic surgeon will coordinate my health care team.

Answer 18

C: the plastic surgeon might change my wound care treatment

Question 19

a charge nurse is proving teaching to a group of nurses about the collaborative teamwork skill of situation monitoring. which of the following statements by a nurse indicates an understanding of the teaching?
A: situation monitoring identifies who should be included on the team
B: situation monitoring identifies strategies to lead teams effectively.
C: situation monitoring focuses on the awareness of the team’s performance on client outcomes.
D:situation monitoring supports the team by providing feedback to assist the team to function better

Answer 19

C: situation monitoring focuses on the awareness of the team’s performance on client outcomes.

Question 20

a nurse is assigned to care for a client. the client’s provider is known to become angry and yell at the nurse. which of the following actions by the nurse demonstrates the use of cognitive rehearsal?
A: The nurse asks another nurse to be present as a witness when the provider arrives.
B: the nurse confronts the provider outside the client’s room
C: the nurse notifies the charge nurse about the provider’s actions.
D: the nurse mentally practices in advance what to say to the provider.

Answer 20

D: the nurse mentally practices in advance what to say to the provider.

Question 21

Interpersonal communication skills

Answer 21

Building strong relationships helps to improve:
* performance,
* job satisfaction
* social skills
These are also known as interpersonal communication skills.

Question 22

The Joint Commission recognizes what with communication

Answer 22

The Joint Commission (TJC) recognizes that
communication plays a major factor in client
safety-related events.

Question 23

barriers to communication

Answer 23

• Interruptions
• Misunderstandings
• Language barriers
• Hesitation to speak up to authority figures
• Complex Patients
• Incivility
• Bullying

Question 24

barriers to communication increase vulnerability to?

Answer 24

• Mistakes
• Inaccuracies
• Oversights
  Especially during the hand-off phase of client care.

Question 25

collaborative health care

Answer 25

• Client-centered
• Involves members from different healthcare professions
• Work towards a common goal of improving or restoring client health
• Improves client safety, quality of care, and healthcare outcomes

Question 26

benefits of the interprofessional teams

Answer 26

• Improves access to and coordination of healthcare services
• Greater efficiency of client referral and client-care service
• Increased quality of community health services
  decreases in:
• Complications
• Length of stay
• Sentinel Events
• Mortality
• Staff Turnover

Question 27

the four areas of the interprofessional education collaborative (IPEC)

Answer 27

values and ethics
roles and responsibilities
communication
teams and teamwork

Question 28

values and ethics of the IPEC

Answer 28

Work with team members to maintain a climate of shared values, ethical conduct, and mutual respect.

Question 29

roles and responsibilities of IPEC

Answer 29

• Use the knowledge of one’s own role and team members’ expertise to address individual and population health outcomes.

Question 30

communication of IPEC

Answer 30

• Communicate in a responsive, responsible, respectful, and compassionate manner with team members.

Question 31

silos

Answer 31

• Groups within an organization’s infrastructure (departments, professionals, schools) that work with their own area of responsibility and create a division of labor.

Question 31

teams and teamwork

Answer 31

• Apply values and principles of the science of teamwork to adapt one’s role in a variety of team settings.

Question 32

perspective

Answer 32

there needs to be more than one perspective in all forms of care for a client

Question 33

TeamSTEPPS®: An Evidence-Based
Interprofessional Strategy

Answer 33

Team Strategies, Tools to Enhance Performance and Patient Safety

Question 34

receive-record-read back

Answer 34

• When Receiving A Prescription
  
  • Record it
  • Read it
  • Do not just repeat it
  • Read it back as written to the prescriber
  • Verify

Question 35

closed loop communication

Answer 35

The use of standardized terminology and procedures to ensure the message between sender and receiver is received, clarified, and
has been correctly interpreted.

Question 36

(I)SBAR(R)

Answer 36

• Introductions: Give your name and client
  care role and ask the receiver for their
  name and client care role.
• Situation: Describe what is currently
  happening to the client that needs to be
  addressed.
• Background: Provide pertinent clinical
  background.
• Assessment: Give a brief evaluation of
  the situation.
• Recommendation: Give suggestion(s) for
  care.
• Read back/Repeat: Summarize, allow
  time for questions, and repeat or reread
  information, as needed.