Chapter 2: Interprofessional Collaboration and Care Coordination
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The home care nurse is planning care for a diabetic patient requiring an
extensive dressing change twice a day, assistance with activities of daily living
(ADLs), and comprehensive education. Which role is the nurse assuming by
coordinating the care this patient requires?
a. Collaborator
b. Case manager
c. Health educator
d. Health promoter
2. 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 appropriate?
a. “We only want what's best for you.”
b. “We will leave you alone to discuss your options.”
c. “Perhaps you did not understand the recommendations.”
d. “Let's discuss other options that might work well for you and your
family.”
3. The nurse is preparing a patient for discharge who will be requiring physical
therapy (PT) to rehabilitate after a total knee replacement. After reading the
health-care provider’s order for PT, which would be the nurse's initial action?
a. Teach the family the exercises needed for the patient.
b. Call home health and schedule a therapist to visit the home for therapy.
c. Set up appointments according to the order with the hospital PT
department.
d. Discuss the various types of settings for therapy and have the patient
choose the venue.
4. The nurse is caring for a patient with rheumatoid arthritis who expresses the
desire to remain active as long as possible. In order for the patient to meet this
goal, what should the nurse prepare to do?
a. Tell the patient there is no hope.
b. Ask the patient the reason for the decision.
c. Teach the patient nutrition and joint exercises.
, d. Refer the patient to the appropriate professionals.
5. A nurse is working as the designated leader of a group of health-care providers
in a community clinic setting. The team members are working to decrease the
number of adolescent pregnancies in the community. They have defined the
problem and are now focusing on objectives and considering various
viewpoints presented by the group. The nurse is tasked with helping the team to
stay focused in order to address the defined problem. Which competency of
collaboration does this describe?
a. Trust
b. Mutual respect
c. Communication
d. Decision making
6. 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
which group, organization, or individual would committee members direct their
questions to obtain definitive answers about the parameters of nurse delegation
to UAPs?
a. The state board of nursing
b. The American Nurses Association
c. The hospital's Chief Nursing Officer
d. The hospital's Chief Executive Officer
7. Which statement is a primary and historical barrier to effective nurse-physician
collaboration that has persisted over time?
a. The view among the general population that nurses’ contributions to
patients’ care is less important to their health and well-being compared
to the contribution of physicians
b. The nurses’ and physicians’ perceptions of inequity in their roles, with
nurses assuming a subservient role and physicians assuming leadership
and superior role in health-care settings
c. A general lack of education provided in schools for health professionals
about the benefits on health-care quality linked
d. A lack of published evidence about the effectiveness of collaborative
efforts among and between nurses and physicians to nurse-physician
collaboration
, 8. A patient with Type 1 diabetes mellitus has developed an open sore on the shin
and is having trouble meeting daily goals for exercising. The patient is
scheduled for discharge in a couple of days. When planning for this patient’s
continued care, who will the nurse notify regarding the patient’s needs after
discharge?
a. The pharmacy
b. The case manager
c. The physical therapist
d. The occupational therapist
9. A patient who is recovering from coronary bypass surgery is placed on a
critical pathway for extended care. Which patient statement indicates
appropriate understanding of the plan of care?
a. “I cannot alter the critical pathway plan.”
b. “I must be able to meet goals that are set for me.”
c. “My insurance plan can deny payment if I do not meet goals.”
d. “The chosen critical pathway can be altered to meet my needs.”
10. The case manager interviews an older adult patient hospitalized after hip
replacement surgery. The patient requires in-patient rehabilitation prior to being
discharged home. The case manager works with the hospital nursing staff, the
rehabilitation center, the patient’s family members, and other care providers to
assist with a smooth transition. Which is the primary goal of the care
management model described here?
a. To provide greater peace of mind for the patient and his or her family
members
b. To track a patient’s progress to ensure that appropriate care is provided
until discharge
c. To manage concerns that are related to the patient’s medical care and
treatment regimen only
d. To provide a continuum of clinical services in order to help contain costs
and improve patient outcomes
11. The patient’s case manager, diabetes educator, and dietician meet to discuss the
patient’s needs in preparation for discharge to home. The patient’s primary
health-care provider arrives and states, “I will be making all decisions
regarding the patient’s discharge care.” With the primary health-care provider’s
decision to lead the team, the dynamic has shifted between which two types of
teams?
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The home care nurse is planning care for a diabetic patient requiring an
extensive dressing change twice a day, assistance with activities of daily living
(ADLs), and comprehensive education. Which role is the nurse assuming by
coordinating the care this patient requires?
a. Collaborator
b. Case manager
c. Health educator
d. Health promoter
2. 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 appropriate?
a. “We only want what's best for you.”
b. “We will leave you alone to discuss your options.”
c. “Perhaps you did not understand the recommendations.”
d. “Let's discuss other options that might work well for you and your
family.”
3. The nurse is preparing a patient for discharge who will be requiring physical
therapy (PT) to rehabilitate after a total knee replacement. After reading the
health-care provider’s order for PT, which would be the nurse's initial action?
a. Teach the family the exercises needed for the patient.
b. Call home health and schedule a therapist to visit the home for therapy.
c. Set up appointments according to the order with the hospital PT
department.
d. Discuss the various types of settings for therapy and have the patient
choose the venue.
4. The nurse is caring for a patient with rheumatoid arthritis who expresses the
desire to remain active as long as possible. In order for the patient to meet this
goal, what should the nurse prepare to do?
a. Tell the patient there is no hope.
b. Ask the patient the reason for the decision.
c. Teach the patient nutrition and joint exercises.
, d. Refer the patient to the appropriate professionals.
5. A nurse is working as the designated leader of a group of health-care providers
in a community clinic setting. The team members are working to decrease the
number of adolescent pregnancies in the community. They have defined the
problem and are now focusing on objectives and considering various
viewpoints presented by the group. The nurse is tasked with helping the team to
stay focused in order to address the defined problem. Which competency of
collaboration does this describe?
a. Trust
b. Mutual respect
c. Communication
d. Decision making
6. 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
which group, organization, or individual would committee members direct their
questions to obtain definitive answers about the parameters of nurse delegation
to UAPs?
a. The state board of nursing
b. The American Nurses Association
c. The hospital's Chief Nursing Officer
d. The hospital's Chief Executive Officer
7. Which statement is a primary and historical barrier to effective nurse-physician
collaboration that has persisted over time?
a. The view among the general population that nurses’ contributions to
patients’ care is less important to their health and well-being compared
to the contribution of physicians
b. The nurses’ and physicians’ perceptions of inequity in their roles, with
nurses assuming a subservient role and physicians assuming leadership
and superior role in health-care settings
c. A general lack of education provided in schools for health professionals
about the benefits on health-care quality linked
d. A lack of published evidence about the effectiveness of collaborative
efforts among and between nurses and physicians to nurse-physician
collaboration
, 8. A patient with Type 1 diabetes mellitus has developed an open sore on the shin
and is having trouble meeting daily goals for exercising. The patient is
scheduled for discharge in a couple of days. When planning for this patient’s
continued care, who will the nurse notify regarding the patient’s needs after
discharge?
a. The pharmacy
b. The case manager
c. The physical therapist
d. The occupational therapist
9. A patient who is recovering from coronary bypass surgery is placed on a
critical pathway for extended care. Which patient statement indicates
appropriate understanding of the plan of care?
a. “I cannot alter the critical pathway plan.”
b. “I must be able to meet goals that are set for me.”
c. “My insurance plan can deny payment if I do not meet goals.”
d. “The chosen critical pathway can be altered to meet my needs.”
10. The case manager interviews an older adult patient hospitalized after hip
replacement surgery. The patient requires in-patient rehabilitation prior to being
discharged home. The case manager works with the hospital nursing staff, the
rehabilitation center, the patient’s family members, and other care providers to
assist with a smooth transition. Which is the primary goal of the care
management model described here?
a. To provide greater peace of mind for the patient and his or her family
members
b. To track a patient’s progress to ensure that appropriate care is provided
until discharge
c. To manage concerns that are related to the patient’s medical care and
treatment regimen only
d. To provide a continuum of clinical services in order to help contain costs
and improve patient outcomes
11. The patient’s case manager, diabetes educator, and dietician meet to discuss the
patient’s needs in preparation for discharge to home. The patient’s primary
health-care provider arrives and states, “I will be making all decisions
regarding the patient’s discharge care.” With the primary health-care provider’s
decision to lead the team, the dynamic has shifted between which two types of
teams?
