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CH 2
inter professional collaboration and care coordination
| Question | Answer |
|---|---|
| The nurse correlates which of the following as one of the primary driving factors to the identified need for improved transitional care services in today’s healthcare system? | Increase in the numbers of patients readmitted within 30 days of discharge |
| The nurse is discussing follow-up care with a patient who is being discharged. The patient and family cross their arms and state angrily that the team's suggestions are not acceptable. Which response by the nurse is MOST appropriate? | “Let's discuss other options that might work well for you and your family.” |
| The nurse is preparing a patient for discharge who will be requiring physical therapy (PT) for rehabilitation after a total knee replacement. After reading the healthcare provider’s order for PT, which would be the nurse's initial action? | Discuss the various types of settings for therapy and have the patient choose the venue. |
| Which should be the focus of an educational session for nurses and other members of the interdisciplinary team when addressing high rates of patient readmission to the health system? | Coordination of care |
| Which is a basic principle of the Patient Protection and Affordable Care Act of 2010 that the nurse should include in a teaching session for members of the healthcare team? | Lowering the cost of care by decreasing readmissions |
| n preparing a patient for transfer from the hospital to a rehabilitation facility after joint replacement surgery, which action does the nurse implement to manage the patient’s transition of care? | Teaching about clinical manifestations of infection |
| The case manager interviews a hospitalized patient who requires inpatient rehabilitation before being discharged home after hip replacement surgery. The case manager works with the hospital nursing staff, the rehabilitation center, the patient’s famil | To provide a continuum of clinical services in order to help contain costs and improve patient outcomes |
| The nurse provides discharge teaching for a patient who is being discharged after receiving intravenous antibiotics for pneumonia. Which statement by the nurse demonstrates effective use of the teach-back method? | Please show me how you would clean the site before infusing the medication.” |
| The nurse prepares to present information for patients during multidisciplinary rounds (MDR). Which does the nurse plan to include when presenting information on assigned patients? | Results from a risk screen indicating potential post–acute care needs |
| The nurse is caring for a patient who is reporting pain of 8 out of 10 on a 1 to 10 numerical pain scale. The nurse administers the prescribed pain medication. When the nurse reevaluates the patient 1 hour later, the patient is still reporting pain of | Report to the healthcare provider by telephone. |
| n providing a change-of-shift report to the oncoming nurse, which is the main objective for ensuring effective communication during a patient hand-off? | Promoting patient safety |
| The nurse managers in a community hospital have been charged with reviewing job descriptions of unlicensed assistive personnel (UAPs) and have questions about the delegation of certain patient care activities to UAPs by nurses. To whom would committee | The State Board of Nursing |
| The nurse provides care to a patient who is newly diagnosed with type 2 diabetes mellitus. Which interprofessional care team member is most important for the nurse to include when planning care related to the patient’s blood glucose levels and nutriti | Registered dietitian/nutritionist (RD) |
| In providing an educational program to new graduate nurses, which statement by one of the participants indicates the need for further teaching related to the Five Rights of Delegation? | If the UAP has completed training, I can assign any task to them.” |
| The nurse is managing care for a patient who recently had a stroke and has difficulty swallowing and is concerned about potential aspiration. Which member of the healthcare team can best assess this patient’s swallowing ability? | Speech pathologist |
| A patient with type 1 diabetes mellitus has developed an open sore on the shin, is having trouble meeting daily goals for exercising, and is scheduled for discharge in a couple of days. When planning for this patient’s continued care, who will the nur | Case manager |
| The home care nurse is planning care for a patient with diabetes mellitus who requires an extensive dressing change twice a day, assistance with activities of daily living (ADLs), and comprehensive education. Which role is the nurse assuming by coordi | case manager |
| A school-age patient is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the patient’s car | To share information for care planning and to prevent priority conflicts, redundancy, and omissions in care |
| Which initiatives were instrumental to the United States addressing healthcare that is coordinated, safe, and focused on the patient’s unique needs across all setting care settings? Select all that apply | 2. To Err Is Human: Building a Safer Health Care System 3. Crossing the Quality Chasm: A New Health System for the 21st Century |
| The nurse case manager has been extensively involved with a shooting victim and members of the patient’s family in coordinating care of providers from many disciplines as the patient progressed from the emergency department (ED) to the intensive care | Improved patient outcomes Decreased duplication of healthcare services Decreased patient morbidity and mortality |
| The nurse recognizes which factors as important to a successful transitional care program? Select all that apply. | Patient-centered approach Outcomes focused Patient education focused |
| Which of the following statements by a patient indicates that teaching was effective about the role of the transition care nurse in the plan of care. Select all that apply. | This nurse will visit me in my home for the next month.” This nurse will visit be before I am discharged. This nurse will make follow-up phone calls during the second month that I am at home. |
| The case manager assembles a team of healthcare professionals, including the patient’s primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did | interdisciplinary interprofessional |
| The post-discharge call nurse provides care to a patient after discharge. Which actions does the nurse implement when assuming this role? Select all that apply. | Connecting the patient to home care based on current needs Identifying potential challenges the patient may be experiencing Answering questions from the patient’s caregiver, who was not present during discharge teaching |
| When discussing the importance of interprofessional collaboration, which advantages should the nurse include? Select all that apply. | Improved team member satisfaction Enhanced communication among team members Increased patient satisfaction with discharge transition process |
Created by:
iballe
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