Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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Chapter 27: Inter-
and Intraprofessional Practice and Leading in Professional Practice Settings Waddell/Walto
n: Yoder-Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
John is part of an interdisciplinary care team on a surgical unit. Interdisciplinary care teams:
Increase fragmentation of care.
Improve quality of patient care.
Increase duplication of services.
Need to include licenced and unregulated care providers.
ANS: B
The benefits of interdisciplinary care can be recognized through reduced duplication of s
e rvices, decreased fragmentation of care, and improved quality of care for patients. Impl
ementation and integration of interdisciplinary teams within Canada‘s health care sy stem
has the potential to allow health care providers to practise to their full scope of pra ctice
and create innovative, sustainable ways to provide high quality health care for all C ana
dians.
DIF: Cognitive Level: Understand REF:
Page 488 TOP:
Nursing Process: Assessment
The nurse manager is setting up the room assignments for the unit. One patient on the uni
t is in critical condition and is going to require more care than the others. Before delegati
ng a N RIGB.CM
task, a nurse manager s h ou ld:
U S N T
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vbHHHvbHHHvb
vb
vb
O
a. Delegate the admission assess e licenced practical nurse.
ment to th
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.
ANS: C
To delegate effectively, the nurse manager must assess the abilities required in the situatio
n and the abilities that staff have. The nurse manager can thereby anticipate the amount o
f direction, monitoring, explanation, and independence that are needed.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Planning
A key advantage that a nurse manager has in terms of delegating is that:
Patients receive less attention because too many staff members make it difficult
to coordinate care.
Nurses report less pressure to perform necessary tasks themselves.
Administration can predict overtime more accurately.
Team skills can be used more effectively
. ANS: D
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
The use of multilevel health care providers enables health care organizations and nurses
t o provide patient-
centred care, with a focus on abilities and skills that can be employed to perform what i
s needed when it is needed. As tasks become more complicated, delegating skills to othe
r workers enables the nurse to deliver a complex level of care effectively.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Assessment
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:
Accountable and responsible.
Accountable and liable.
Authoritative and liable.
Responsible and task oriented.
ANS: A
The nurse manager should hold self and others accountable for actions and outcomes.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Implementation
The night nurse understands that certain factors need to be considered before tasks
a re delegated to others. These factors include which of the following?
Complexity of the task and the age of the delegate.
Potential for benefit and the complexity of the task.
Potential for benefit and the number of staff.
Complexity of the taskNanUdRthSeIpNotGenTtiBal.foCrOhaMrm
. ANS: D
In delegating tasks to others, the nurse considers factors such as stability of the patient, s
afety of the situation and of the patient, time and intensity of the task involved, and level
of critical thinking required to achieve desired outcomes.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Assessment
During a fire drill, the nurse manager becomes very assertive and directive in
h er communications with staff. This type of situational leadership depends on:
Supportive behaviour by the leader and immature followers.
The relationship with the followers and the type of behaviour of the leader.
Well-trained followers, combined with a strong leader who acts quickly.
The leader‘s ability to evaluate personnel and communicate that evaluation.
ANS: B
The effectiveness of leaders depends on their relationships with followers, which should
develop through motivating and inspiring others, as opposed to managing and controllin
g them.
DIF: Cognitive Level: Understand REF:
Page 494 TOP:
Nursing Process: Assessment
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
The unit manager is working in a large metropolitan facility and is told that two unregula
t ed care providers are to be assigned to work with her. Delegation begins with:
Acknowledging the arrival of the second unregulated care provider on the unit.
Providing clear directions to both unregulated care providers.
Matching tasks with qualified persons.
Receiving reports from the prior shift.
ANS: C
In delegating tasks to unregulated care providers, the nurse must consider what cannot be
delegated, in addition to the factors of safety, time, critical thinking, and stability of pat
ients‘ conditions.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Planning
Although interdisciplinary health care teams are the ideal in Canada, which of the followi
ng is an identified barrier to interdisciplinary collaboration?
Power equalities.
Overlapping scopes of practice.
Lack of legislative authority.
Lack of professional association support.
ANS: B
Identified barriers to interdisciplinary collaboration include policies (including policy ov
e rload), funding, power inequalities, and overlapping scopes of practice.
DIF:
NURSINGTB.COM
Cognitive Level: Understand REF: Page 489
TOP: Nursing Process: Assessment
Who is accountable when a registered nurse performs a ―transfer of function‖ fro
m a physician activity?
The physician.
The director of nursing.
The nurse.
The institution.
ANS: C
The registered nurse is accountable and responsible for nursing care provided. Activities c
onsidered outside the legislative scope of nursing practice were ―covered‖ by extensive us
e of delegation, or ―transfer of function,‖ from physicians. In some cases, the physician a
p parently presumes that it would be the employer‘s responsibility to ensure that the nurse
was competent to provide the care, whereas the employer placed a large portion of the re s
ponsibility on the nurse and thus the nursing regulatory body.
DIF: Cognitive Level: Apply REF:
Page 489 TOP:
Nursing Process: Implementation
vb vb vb vb vb vb vb vb vb
Chapter 27: Inter-
and Intraprofessional Practice and Leading in Professional Practice Settings Waddell/Walto
n: Yoder-Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
John is part of an interdisciplinary care team on a surgical unit. Interdisciplinary care teams:
Increase fragmentation of care.
Improve quality of patient care.
Increase duplication of services.
Need to include licenced and unregulated care providers.
ANS: B
The benefits of interdisciplinary care can be recognized through reduced duplication of s
e rvices, decreased fragmentation of care, and improved quality of care for patients. Impl
ementation and integration of interdisciplinary teams within Canada‘s health care sy stem
has the potential to allow health care providers to practise to their full scope of pra ctice
and create innovative, sustainable ways to provide high quality health care for all C ana
dians.
DIF: Cognitive Level: Understand REF:
Page 488 TOP:
Nursing Process: Assessment
The nurse manager is setting up the room assignments for the unit. One patient on the uni
t is in critical condition and is going to require more care than the others. Before delegati
ng a N RIGB.CM
task, a nurse manager s h ou ld:
U S N T
vb vb
vbHHHvbHHHvb
vb
vb
O
a. Delegate the admission assess e licenced practical nurse.
ment to th
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.
ANS: C
To delegate effectively, the nurse manager must assess the abilities required in the situatio
n and the abilities that staff have. The nurse manager can thereby anticipate the amount o
f direction, monitoring, explanation, and independence that are needed.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Planning
A key advantage that a nurse manager has in terms of delegating is that:
Patients receive less attention because too many staff members make it difficult
to coordinate care.
Nurses report less pressure to perform necessary tasks themselves.
Administration can predict overtime more accurately.
Team skills can be used more effectively
. ANS: D
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
The use of multilevel health care providers enables health care organizations and nurses
t o provide patient-
centred care, with a focus on abilities and skills that can be employed to perform what i
s needed when it is needed. As tasks become more complicated, delegating skills to othe
r workers enables the nurse to deliver a complex level of care effectively.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Assessment
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:
Accountable and responsible.
Accountable and liable.
Authoritative and liable.
Responsible and task oriented.
ANS: A
The nurse manager should hold self and others accountable for actions and outcomes.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Implementation
The night nurse understands that certain factors need to be considered before tasks
a re delegated to others. These factors include which of the following?
Complexity of the task and the age of the delegate.
Potential for benefit and the complexity of the task.
Potential for benefit and the number of staff.
Complexity of the taskNanUdRthSeIpNotGenTtiBal.foCrOhaMrm
. ANS: D
In delegating tasks to others, the nurse considers factors such as stability of the patient, s
afety of the situation and of the patient, time and intensity of the task involved, and level
of critical thinking required to achieve desired outcomes.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Assessment
During a fire drill, the nurse manager becomes very assertive and directive in
h er communications with staff. This type of situational leadership depends on:
Supportive behaviour by the leader and immature followers.
The relationship with the followers and the type of behaviour of the leader.
Well-trained followers, combined with a strong leader who acts quickly.
The leader‘s ability to evaluate personnel and communicate that evaluation.
ANS: B
The effectiveness of leaders depends on their relationships with followers, which should
develop through motivating and inspiring others, as opposed to managing and controllin
g them.
DIF: Cognitive Level: Understand REF:
Page 494 TOP:
Nursing Process: Assessment
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
The unit manager is working in a large metropolitan facility and is told that two unregula
t ed care providers are to be assigned to work with her. Delegation begins with:
Acknowledging the arrival of the second unregulated care provider on the unit.
Providing clear directions to both unregulated care providers.
Matching tasks with qualified persons.
Receiving reports from the prior shift.
ANS: C
In delegating tasks to unregulated care providers, the nurse must consider what cannot be
delegated, in addition to the factors of safety, time, critical thinking, and stability of pat
ients‘ conditions.
DIF: Cognitive Level: Understand REF:
Page 490 TOP:
Nursing Process: Planning
Although interdisciplinary health care teams are the ideal in Canada, which of the followi
ng is an identified barrier to interdisciplinary collaboration?
Power equalities.
Overlapping scopes of practice.
Lack of legislative authority.
Lack of professional association support.
ANS: B
Identified barriers to interdisciplinary collaboration include policies (including policy ov
e rload), funding, power inequalities, and overlapping scopes of practice.
DIF:
NURSINGTB.COM
Cognitive Level: Understand REF: Page 489
TOP: Nursing Process: Assessment
Who is accountable when a registered nurse performs a ―transfer of function‖ fro
m a physician activity?
The physician.
The director of nursing.
The nurse.
The institution.
ANS: C
The registered nurse is accountable and responsible for nursing care provided. Activities c
onsidered outside the legislative scope of nursing practice were ―covered‖ by extensive us
e of delegation, or ―transfer of function,‖ from physicians. In some cases, the physician a
p parently presumes that it would be the employer‘s responsibility to ensure that the nurse
was competent to provide the care, whereas the employer placed a large portion of the re s
ponsibility on the nurse and thus the nursing regulatory body.
DIF: Cognitive Level: Apply REF:
Page 489 TOP:
Nursing Process: Implementation
