Question 1

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.

Accepted Answer

Before delegating a task, the nurse manager should assess the amount of guidance and support needed in a particular situation as the patient in critical condition will require more care than the others. It is important to ensure that the appropriate level of supervision and support is provided to the staff member to ensure safe and effective care for the patient. A, B, and D are not the best choices as delegation should be based on the specific needs of the patient and the qualifications and competencies of the staff members, not just their job titles or past performance assessments.

Question 2

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.

Accepted Answer

Overlapping scopes of practice can lead to confusion and territorial disputes among professionals, hindering effective interdisciplinary collaboration.

Question 3

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.

Accepted Answer

B

Question 4

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.

Accepted Answer

Delegation allows a nurse manager to effectively use the skills and expertise of the team members, leading to better coordination of care and improved outcomes for patients. Additionally, delegation can help distribute workload and prevent burnout among individual nurses. Therefore, choice D is the best option as it highlights the advantage of using team skills more effectively through delegation.

Question 5

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.

Accepted Answer

The registered nurse is accountable for their own actions and decisions, including performing a transfer of function. It is within the scope of practice for a registered nurse to perform certain activities that may have been traditionally performed by a physician as long as they have the appropriate education and training to do so. Therefore, it is the responsibility of the nurse to ensure that they are properly trained and competent to perform the activity.

Question 6

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.

Accepted Answer

The nurse should delegate the component of care to an unregulated care provider while still remaining accountable and responsible for the overall care of the patient. Accountability means accepting ownership for the outcome of the delegation, while responsibility means adhering to a professional standard of care and ensuring the delegation is appropriate and safe for the patient. Liable and authoritative are not appropriate terms in this situation. Task-oriented implies simply completing a task, rather than considering the overall care of the patient.

Question 7

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.

Accepted Answer

When a team is not functioning optimally, it often leads to a rise in turf protection, which is essentially the act of protecting one's own territory or profession. This can cause conflict within the team and thus negatively impact patient care.

Question 8

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.

Accepted Answer

When there is a lack of role clarity, healthcare providers tend to revert to what is familiar and what they know in relation to healthcare roles, which may result in working within their own disciplinary silos and decreased communication. This can ultimately lead to conflicts and decreased patient outcomes. Therefore, it is important for healthcare providers to communicate and work together to establish role clarity within the interdisciplinary team.

Question 9

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.

Accepted Answer

The recognition of overlapping competencies makes it difficult to optimize skill mix, as it may lead to uncertainty about which provider should perform a particular task. This can also lead to role ambiguity, as providers may be unsure about their scope of practice in relation to other providers. The other choices (A, B, and D) are not accurate descriptions of the impact of the controlled acts model.

Question 10

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.

Accepted Answer

Patient-centred care is considered relevant in every situation according to the National Interprofessional Competency Framework. While the other domains (role clarification, team functioning, and collaborative leadership) are important, they may not be necessary in every situation.

Question 11

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.

Accepted Answer

The controlled acts model allows for more flexibility and adaptability in healthcare practices, as it does not impose firm boundaries on who can perform certain tasks, unlike the licensure model which often has rigid scopes of practice.

Question 12

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.

Accepted Answer

The National Interprofessional Competency Framework includes "Interprofessional conflict resolution" as one of its key domains, focusing on the ability to deal with disagreements and conflicts in a collaborative healthcare environment.

Question 13

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.

Accepted Answer

Situational leadership theory proposes that the best leadership style depends on the situation at hand. In this case, during a fire drill, a more assertive and directive style may be needed to ensure staff safety. This type of situational leadership is dependent on the relationship between the leader and followers and the type of behavior exhibited by the leader. It does not necessarily depend on the maturity or training of the followers, or the leader's ability to evaluate personnel.

Question 14

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.

Accepted Answer

In the restricted activities or controlled acts model, specific acts (such as administering medication or performing a surgical procedure) are licensed and only those who are registered to perform those acts may do so. This is different from the model of licensure used in most other provinces, where health care providers are licensed to practice within a certain scope of practice, but not necessarily to perform specific acts.

Question 15

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.

Accepted Answer

Delegation begins with matching tasks with qualified persons. This means that the unit manager should first assess the skills and competencies of the two unregulated care providers and assign tasks that match their qualifications. Providing clear directions and receiving reports from the prior shift are important steps in the delegation process, but they should come after matching tasks with qualified persons. Acknowledging the arrival of the second unregulated care provider is not directly related to delegation, but it is still important to welcome new staff members to the unit.

Question 16

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.

Accepted Answer

Interdisciplinary care teams improve quality of patient care by bringing together healthcare professionals from different backgrounds to collaborate and provide comprehensive care. They work together to develop treatment plans that address the physical, emotional and social needs of patients.

Question 17

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.

Accepted Answer

Accountability means taking responsibility for one's actions or decisions. In this scenario, the nurse manager is explaining why registered nurse coverage was reduced on nights when a serious patient injury occurred. This shows that the nurse manager is taking responsibility for the decision and is being accountable for the consequences. Options A, B, and D are important responsibilities of a nurse manager, but they do not necessarily exemplify accountability.

Question 18

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.

Accepted Answer

Before delegating tasks, the night nurse must assess the complexity of the task and the potential for harm to the patient. This ensures that tasks are delegated appropriately and safely to other staff members. Factors such as the age of the delegate or the number of staff available may not be relevant when determining delegation.

Question 19

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.

Accepted Answer

The answer of Which of the following is considered an...

Question 20

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."

Accepted Answer

Option D clearly states the task to be performed, the time frame for completion, and specific instructions for assessing and reporting any abnormalities. It also provides information on what to do if there are concerns. This clear communication helps to ensure that the task is completed safely and effectively. Options A, B, and C are not as clear or detailed, which could lead to confusion or errors in completing the task.

Quiz 27: Inter- and Intraprofessional Practice and Leading in Professional Practice Settings

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:

Although interdisciplinary health care teams are the ideal in Canada,which of the following is an identified barrier to interdisciplinary collaboration?

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

A key advantage that a nurse manager has in terms of delegating is that:

Who is accountable when a registered nurse performs a "transfer of function" from a physician activity?

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:

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) :

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

Although benefits of the controlled acts model are advantageous and arguably necessary,the legislative reform to recognize overlapping competencies has caused:

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

Which of the following is a benefit of the controlled acts model over the licensure model?

Which of the following is a domain of the National Interprofessional Competency Framework?

During a fire drill,the nurse manager becomes very assertive and directive in her communications with staff.This type of situational leadership depends on:

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:

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:

John is part of an interdisciplinary care team on a surgical unit.Interdisciplinary care teams:

Which of the following exemplifies accountability for a nurse manager?

The night nurse understands that certain factors need to be considered before tasks are delegated to others.These factors include which of the following?

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

In delegating to an unregulated care provider in a home health setting,which of the following represents the most appropriate delegation communication?