Deck 26: Practising and Leading in Interdisciplinary Settings

Question 1

According to the National Interprofessional Competency Framework,which domain is considered relevant in every situation?

A) Role clarification
B) Team functioning
C) Patient-centred care
D) Collaborative leadership

Answer 1

Patient-centred care

Question 2

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.

Answer 2

assess the amount of guidance and support needed in a particular situation.

Question 3

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

Answer 3

Complexity of the task and the potential for harm

Question 4

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

Question 5

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.

Question 6

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.

Question 7

Which statement reflects a multidisciplinary team approach?

A) Team members understand each others' roles and work collaboratively to care for a patient who has just experienced a myocardial infarction.
B) Team members have a shared understanding of health care protocols in caring for a mother and her newborn son.
C) Team members work in parallel to each other in caring for a patient with meningitis.
D) Team members meet on a daily basis to share assessment findings and plan the care of a 12-year-old girl who has newly diagnosed leukemia.

Question 8

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

Question 9

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

Question 10

Which of the following is considered an organizational facilitator to primary care and public health collaboration?

A) Shared protocols
B) Role clarity
C) Education and training
D) Philosophy and personal identity

Question 11

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.

Question 12

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.

Question 13

Which of the following is considered a system-relevant barrier to primary care and public health collaboration?

A) Lack of common agenda
B) Power and control issues
C) Resource limitations
D) Relationship challenges

Question 14

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

Question 15

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.

Question 16

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.

Question 17

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

Question 18

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."

Question 19

Determination of unregulated care provider's educational preparation and certification is related to the concept of:

A) accountability.
B) authority.
C) role performance.
D) assignment.

Question 20

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.

Question 21

When there is lack of role clarity,health care providers tend to remain in their own disciplinary silos.Which of the following would counteract this tendency?

A) Rearranging team membership
B) Assigning a team leader
C) Engaging licencing organizations to increase scope of practice details
D) Practising patient-centred care

Question 22

Sammi,a registered nurse,is part of an interdisciplinary team that provides care to patients with acute cardiac interferences.The team has not been functioning optimally.and Sammi is aware that this may cause a(n)

A) increase in the cohesiveness of the team.
B) escalation of turf protection.
C) increase in the quality of patient care.
D) decrease in workplace stress.

Question 23

The rational for the shift to interdisciplinary teams for health care delivery in Canada is related to

A) the aging of the population.
B) increased utilization of unregulated care providers.
C) nurse shortages.
D) an increase in acute illness and comorbidity.
E) increasing specialization of health care providers.

Question 24

When there is lack of role clarity within an interdisciplinary health care team,health care providers tend to

A) work more closely together for role clarity.
B) move away from their own disciplinary silos.
C) revert to what is familiar and what they know in relation to health care roles.
D) increase communication to enable a sharing of role expectations.

Question 25

One strategy to facilitate clarity about team members and the team process is to

A) ensure a range of personality styles on the team.
B) establish co-location of the team.
C) appoint a physician as the team leader.
D) engage a variety of health care providers on the team with different levels of power.

Question 26

In transferring a patient,Leslie,an unregulated care provider,uses improper technique.The patient is injured,and as a result,a lawsuit is launched in which both Neha,the delegator,and Leslie,the delegatee,are named.Neha is named in the suit because she

A) retains responsibility for the care of the patient.
B) worked the same shift as Leslie.
C) has passive accountability for delegation.
D) retains accountability for the outcomes of care for the patient.