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NR446 Collaborative Healthcare Exam Review Questions with Verified Answers 100% Correct

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This document contains the NR446 Collaborative Healthcare Exam Review Questions with Verified Answers 100% Correct

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Exam 1: NR446 / NR-446
Collaborative Healthcare |
Review Questions with Verified
Answers | 100% Correct | Grade
A – Chamberlain
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supervising - Answer: is the process of directing, monitoring, and evaluating the performance
of tasks by another member of the health care team. RNs are responsible for the supervision
of client care tasks delegated to APs and PNs.



delegating - Answer: is the process of transferring the authority and responsibility to another
team member to complete a task, while retaining the accountability



Assigning - Answer: is the process of transferring the authority, accountability, and
responsibility of client care to another member of the health care team.



5 Rights of Delegation - Answer: Right task, Right person, Right direction/communication,
Right circumstance, Right supervision/evaluation



Right task - Answer: is repetitive, requires little supervision, and is relatively noninvasive for
the client. Identify what tasks are appropriate to delegate for each specific client



Right person - Answer: Assess and verify the competency of the health care team member.
The task must be within the team member's scope of practice. The team member must have
the necessary competence/training.



Right direction/communication - Answer: Data that needs to be collected ● Method and time
line for reporting, including when to report concerns/findings ● Specific task(s) to be
performed; client-specific instructions ● Expected results, time lines, and expectations for
follow-up communication. clear and concise language

,Right circumstance - Answer: Assess the health status and complexity of care required by the
client. ● Match the complexity of care demands to the skill level of the health care team
member. ● Consider the workload of the team member.



right supervision/evaluation - Answer: Provide supervision, either directly or indirectly
(assigning supervision to another licensed nurse). ● Provide clear directions and expectations
of the task to be performed (time frames, what to report). ● Monitor performance. ● Provide
feedback. ● Intervene if necessary



What can RN's not delegate to UAP or LPN? - Answer: (teaching, evaluation, or assessment)
the nursing process, client education or tasks that require clinical judgement



Leadership - Answer: an interactive process that provides needed guidance and direction



Type of leadership - Answer: autocratic, democratic, laissez-faire, transactional,
transformational, servant-leader, interactional



Autocratic/Authoritative leadership - Answer: Makes decisions for the group. ● Motivates by
coercion. ● Communication occurs down the chain of command. ● Work output by staff is
usually high: good for crisis situations and bureaucratic settings. ● Effective for employees
with little or no formal education.



Democratic leadership - Answer: Includes the group when decisions are made. ● Motivates by
supporting staff achievements. ● Communication occurs up and down the chain of command.
● Work output by staff is usually of good quality: good when cooperation and collaboration
are necessary.



laissez-faire leadership - Answer: Makes very few decisions, and does little planning. ●
Motivation is largely the responsibility of individual staff members. ● Communication occurs
up and down the chain of command and between group members. ● Work output is low
unless an informal leader evolves from the group. ● Effective with professional employees.

, transformational leader - Answer: empower followers to assume responsibility for a
communal vision, and personal development is a secondary outcome. *focus on
empowerment and vision



transactional leader - Answer: focus on immediate problems, maintaining the status quo and
using rewards to motivate followers. *Focus is mainly on tasks and getting the job done.



interactional leadership - Answer: the leadership behavior is generally determined by the
relationship between the leaders personality and the specific situation



servant-leader - Answer: put serving others, such as employees, customers, and the
community as number one priority over themselves



leadership outcomes - Answer: increase job satisfaction, empowerment, and autonomy
among nurses, and also increases pt. safety/satisfaction, fewer adverse events, and
complications



Management functions - Answer: planning, organizing, staffing, directing,
controlling/coordinating



Planning - Answer: The decisions regarding what needs to be done, how it will be done, and
who is going to do it. *encompasses determining philosophy, goals, objectives, policies,
procedures, and rules; carrying out long- and short-range projections; determining a fiscal
course of action; and managing planned change.



Organizing - Answer: The organizational structure that determines the lines of authority,
channels of communication, and where decisions are made. *establishing the structure to
carry out plans, determining the most appropriate type of patient care delivery, and grouping
activities to meet unit goals.



Staffing - Answer: The acquisition and management of adequate staff and staffing mix

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