Nightingale College BSN 225 | Week 6 Sherpath Quizzes | Answered Correctly.

Which situation describes collaboration? Three individuals listening to a lecture on respect for team members Two individuals working on different patient teams One individual preparing an online seminar for working in teams >>Two or more individuals working toward a common goal Which health care team member would the nurse consult to help a patient get dressed in the morning? >>Occupational therapist Physical therapist Health care provider Social worker Which information is correct about delegating care? The nurse can delegate evaluation. The nurse relies on the national nurse practice act for delegation. >>The nurse retains accountability for tasks delegated. The nurse avoids the scope of practice when delegating. Which example is one of the five rights of delegation? Right time >>Right direction or communication Right drug or prescription Right documentation Which skills or components are needed to be an effective nurse collaborator? Select all that apply.  >Team building  >Critical thinking  >Communication  Personal purpose  Independent goal Which team-building skills would the nurse use to be an effective collaborator?  >Recognizing resource limitations >Starting and ending a meeting on time  >Advocating on the patient’s behalf  Aggressively challenging team members  Avoiding conflict about safety issues Which factors are components of critical thinking? Select all that apply.  >Scientific research  >Best practices  Volunteer input  >Continual learning  >Clinical experience Which nursing behavior would enhance health care team communication when directly caring for patients? Conversing with the hospital board members >>Rounding with health care providers Validating an acquaintance’s feelings Reviewing an education pamphlet Which question represents one of the areas of the acronym SBAR? What is happening in the future? Which assignments should be delegated? Has the nurse contacted the health care provider? >>What action(s) should be initiated for this problem? Which organization states that collaboration can enhance health diplomacy and lower health disparities? >>American Nurses Association (ANA) International Council of Nurses (ICN) National League for Nursing (NLN) Institute of Medicine (IOM) Under which heading is collaboration listed as a standard in the book, Nursing: Scope and Standards of Practice?Standards of Practice >>Standards of Professional Performance Core Proficiency and Competency Core Scope of Practice Competency Which organization determined that collaboration, or working as part of the interdisciplinary team, is one of five core proficiencies for both students and professionals? >>Institute of Medicine (IOM) American Nurses Association (ANA) National League for Nursing (NLN) International Council of Nurses (ICN) Which competencies are associated with Quality and Safety Education for Nurses (QSEN)? Select all that apply.  Patient-centered care  Teamwork and collaboration X Infection control  Evidence-based practice  Informatics Which situation represents collaboration? Nurse and dietitian working on different quality improvement teams Nurse preparing a community presentation about support groups Nurse improving self to become a better team member >>Nurse and physical therapist discussing options for patient care Which situation represents effective delegation? Nurse assigns the pharmacist to administer medications. Nurse assigns the unlicensed assistive personnel to assess a patient. >>Nurse assigns another registered nurse (RN) to care for an unstable patient. Nurse assigns a licensed practical nurse (LPN) to suture a small wound. Match the right of delegation to its description. Appropriate patient care situation>>Right circumstanceAppropriate task assigned to the right individual>>Right person Appropriate (clear, concise) instructions>>Right direction Appropriate follow-up and feedback by the nurse>>Right supervision Which nursing behaviors demonstrate safe delegation? X Taking over the delegated task  Validating that instructions are understood X Permitting unlicensed assistive personnel to administer intravenous medications  Assessing the patient before assigning a task X Allowing unlicensed assistive personnel to delegate vital signs to other unlicensed assistive personnel Which tasks would the nurse assign to unlicensed assistive personnel (UAP)?  Vital signs X Assessment of dressing X Pain management  Hygienic care  Ambulation with a walker Which patient scenario fits within Background for SBAR? Health care provider notified Needs pain medication Currently reporting moderate pain >>Recent past medical history of an arm fracture Which behaviors would the nurse implement for collaboration?  Using humor  Maintaining clinical competence Using strategies for taking charge  Using Situation, Background, Assessment, and Recommendation (SBAR)  Reading progress notes Which response from the nurse indicates effective collaboration and communication with the health care provider? “Something is wrong with this patient.”>>“I believe the patient might be dehydrated and recommend fluids.” “The patient is 76 years old with abnormal laboratory test values, so you should do something.” “The patient is having chest pain.” Place the information in the correct order for Situation, Background, Assessment, and Recommendation (SBAR) communication. 1. Patient is short of breath with swelling in ankles and feet. 2. Patient was admitted with heart failure and diabetes 2 days ago. 3. Patient’s problems include lungs filling with fluid and having too much fluid (fluid overload). 4. Patient’s health care provider notified to obtain medication to help the patient breathe easier and rid the body of fluid. Which nursing scenario represents delegation? Talking to a health care provider about home health care for a patient Discussing with the patient when a shower can be taken >>Asking an unlicensed assistive personnel to feed a patient Notifying a social worker about community resources for a patient Match the health care team member to the patient’s needs. Patient needs help with activities of daily living>>Occupational therapist Patient needs help with joint and muscle movement>>Physical therapist Patient needs help determining interactions of medications>>Pharmacist Patient needs help obtaining supplies for a new treatment>>Social worker Which situations indicate the nurse used critical thinking?  The nurse delegated a stable patient to a licensed practical nurse (LPN).  The nurse identified an allergy to a medication and notified the health care provider.  The nurse offered a review of best practices in an interdisciplinary care conference. X The nurse offered a long, detailed summary to the health care team. X The nurse avoided a conflict with a health care team member by ignoring the issue. Which organizations use collaboration in their code of ethics? X Institute of Medicine (IOM)  American Nurses Association (ANA)  International Council of Nurses (ICN) X National Academy of Medicine (NAM) X Quality and Safety Education for Nurses (QSEN) Match the components of SBAR to its example.Need to find source of infection and contamination>>Assessment Review all equipment used and match infection to source>>Recommendation Infection rate up 14% in cardiac rehabilitation unit>>Situation Never used to have infections in the cardiac rehabilitation unit>>Background Which action by the nurse is an important aspect of collaboration? >>Communicating to the team Assuming all care of the patient Being task oriented Achieving personal outcomes Which concepts are associated with collaboration?  Competency  Standard  Skill X Rights of delegation  Level of quality Which behaviors are skills of collaboration in the Quality and Safety Education for Nurses (QSEN) competencies?  Starts conflict resolution when necessary X Appreciates the risks connected to handoff communication  States own personal viewpoints in patient care conferences X Values patients’, families’, and team members’ styles of communication X Describes how team functioning affects safety and the quality of patient care Which nursing action facilitates team building directly with the patient? Notifying the health care provider about the patient’s limited resources >>Keeping the patient aware about the status of the health care team collaboration Contacting the occupational and physical therapists about the patient’s rehabilitation potential Collaborating with the health care provider and family members about the patient’s rehabilitation Which attitude for collaboration is described in the Quality and Safety Education for Nurses (QSEN) competency? >>Esteems the expertise of all group membersFunctions competently in the role as a nurse Recognizes the impact of own personal communication on team members Identifies team members’ roles and scopes of practice Match the type of communication to its characteristic. Has fluid ethical and legal boundaries>>Social Has sharing but in a limited capacity from the nurse>>Therapeutic Has the focus on the nurse>>Nontherapeutic . Which feature of the nurse–patient helping relationship is legally upheld by the Health Insurance Portability and Accountability Act (HIPAA)? >>Confidentiality Respect Caring Empathy Match the key concept of professional communication to its example. Nurse asks the patient’s name preference during initial contact>>Respect Nurse defends the rights of others, especially vulnerable patients>>Advocacy Nurse has confidence and commands respect>>Assertiveness Nurse keeps the nurse–patient relationship therapeutic, not social>>Professional boundaries For which reason would the nurse avoid nontherapeutic communication in a nurse–patient helping (therapeutic) relationship? Focuses on patient’s options Exhibits empathy to the patient Shifts the emphasis to the patient >>Requires justification of actions from the patient Which nursing responses are considered nontherapeutic?  Asking “why” questions XXUsing open-ended questions  Offering advice  Agreeing with the patient XXProviding general leads Match the phase of the nurse–patient helping relationship with its activity.Collaborating among the nurse, patient, and others>>Working Transitioning to another caregiver>>Termination Predetermining topics of interaction>>Preorientation Observing, interviewing, and assessing patients>>Orientation Which distance range (in feet) is considered social space in proxemics? 4-12 feet Which behaviors would the nurse implement when using active listening? XXLightly touching the patient’s arm  Maintaining eye level with the patient  Keeping arms uncrossed  Facing the patient  Leaning toward the patient XXAllowing time for the patient to answer Match the verbal therapeutic technique to its example. “I’ll sit with you for a while.”>>Offering self “You seem frustrated.”>>Sharing observations “Tell me about some of your concerns.”>>Using open-ended comments “It is time for physical therapy.”>>Giving information Which techniques promote therapeutic communication? XXAsking “yes” or “no” questions  Conveying acceptance  Using focused comments  Using humor XXOffering generalized responses Which impairments may impede communication? XXGustatory  Hearing  Visual  Cognitive XXOlfactory  Physical Which technique would the nurse use to facilitate communication with a hearing-impaired patient? Learn sign language.Provide background music to block out extraneous sounds. Stand at a distance greater than 8 feet while talking. >>Make sure the area is well lit. Which strategy would the nurse use to facilitate communication with a visually impaired patient? Allow the patient to explore the room independently. >>Use analog clock descriptors to specify location. Place bright colors in various areas of the room. Provide a writing board for the patient to write messages. Match the defense mechanism to its definition. Refusing to admit the reality of a situation>>Denial Using personal strengths to overcome feelings of inadequacy>Compensation Choosing not to think consciously about unpleasant feelings>Suppression Taking on certain characteristics of another>>Introjection Which important patient insight may be gained by communicating with family members? Identifying cognitive impairment in a family member Providing data from primary sources >>Recognizing the existence of support systems Determining assistive devices to use for interpreting gestures Which scenario complies with regulations of confidentiality? Whispering in a crowded elevator to another nurse about a patient’s diagnosis Providing laboratory test results to the adult patient’s mother Posting a picture of the patient and nurse with the patient’s status on social media >>Refusing to tell the patient’s partner about the diagnosis without patient authorization Which standard communication strategies would the nurse use to positively influence the nurse–patient helping relationship? Select all that apply.>>Leaning toward the patient as the patient speaks Completing the patient interview standing at the patient’s bedside >>Holding the patient’s hand while the health care provider provides the results of a biopsy >>Remaining silent while being present in the room Standing in the doorway while asking if there is anything the patient needs