TEST BANK FOR DAVIS ADVANTAGE FOR MEDICAL SURGICAL NURSING MAKING CONNECTIONS TO PRACTICE 2ND EDITION BY HOFFMAN

TEST BANK FOR DAVIS ADVANTAGE FOR MEDICAL SURGICAL NURSING MAKING CONNECTIONS TO PRACTICE 2ND EDITION BY HOFFMAN PREFACE TEST BANK with Complete Questions and Solutions. To clarify, this is the TEST BANK, not the textbook. You get immediate access to download your test bank. You will receive a complete test bank; in other words, all chapters will be there. Test banks come in PDF format; therefore, you do not need specialized software to open them. Answers available at the end of each chapter. Chapter 1: Foundations for Medical-Surgical Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient evidence to support a change in practice. Which type of study provides the strongest evidence to support a practice change? 1) Randomized control study 2) Quasi-experimental study 3) Case-control study 4) Cohort study 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by the nurse supports this model? 1) Evaluating care 2) Assessing needs 3) Diagnosing problems 4) Providing compassion 3. Which action should the nurse implement when providing patient care in order to support The Joint Commission9s (TJC) National Patient Safety Goals (NPSG)? 1) Silencing a cardiorespiratory monitor 2) Identifying each patient using one source 3) Determining patient safety issues upon admission 4) Decreasing the amount of pain medication administered 4. Which interprofessional role does the nurse often assume when providing patient care in an acute care setting? 1) Social worker 2) Client advocate 3) Care coordinator 4) Massage therapist 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem. Which is the first action the nurse should implement? 1) Developing a question 2) Disseminating the findings 3) Conducting a review of the literature 4) valuating outcomes of practice change 1 | P a g e6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence carries the lowest level of support for a practice change? 1) Level IV 2) Level V 3) Level VI 4) Level VII 7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should the nurse identify for this research study? 1) Level I 2) Level II 3) Level III 4) Level IV 8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research study? 1) Level IV 2) Level V 3) Level VI 4) Level VII 9. Which statement should the nurse make when communicating the S= in the SBAR approach for effective communication? 1) The patient presented to the emergency department at 0200 with lower left abdominal pain.= 2) The patient rated the pain upon admission as a 9 on a 10-point numeric scale.= 3) The patient has no significant issues in the medical history.= 4) The patient was given a prescribed opioid analgesic at 0300.= 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The nurse would begin her communication with which statement if correctly using the SBAR format? 1) The patient9s heartrate is 110.= 2) I think this patient needs to be transferred to the critical care unit.= 3) The patient is a 68-year-old male patient admitted last night.= 4) The patient is complaining of chest pain.= 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of safety? 1) Advocating for a patient who is experiencing pain 2) Considering the patient9s culture when planning care 3) Evaluating patient learning style prior to implementing discharge instructions 4) Assessing the right drug prior to administering a prescribed patient medication 12. Which type of nursing is the root of all other nursing practice areas? 1) Pediatric nursing 2) Geriatric nursing 3) Medical-surgical nursing 4) Mental health-psychiatric nursing 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new graduate nurses? 1) Patient advocacy 2) Patient education 3) Disease pathophysiology 4) Therapeutic communication 2 | P a g e14. Which statement regarding the use of the nursing process in clinical practice is accurate? 1) The nursing process is closely related to clinical decision-making.= 2) The nursing process is used by all members of the interprofessional team to plan care.= 3) The nursing process has 4 basic steps: assessment, planning, implementation, evaluation.= 4) The nursing process is being replaced by the implementation of evidence-based practice.= 15. Which is the basis of nursing care practices and protocols? 1) Assessment 2) Evaluation 3) Diagnosis 4) Research 16. Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting? 1) Space in hospital rooms 2) Medications received to treat pain 3) Time spent with the health-care team 4) Poor quality food received from dietary 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the nurse manager presenting staff education focusing on TJC benchmarks, which of the following topics would be most appropriate? 1) Implementation of evidence-based practice 2) Implementation of patient-centered care 3) Implementation of medical asepsis practices 4) Implementation of interprofessional care 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission site visit for accreditation? 1) Visitation rights 2) Education level of staff 3) Fall prevention protocol 4) Infection control practices 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse verifying the patient9s identification using at least two sources? 1) Prior to delivering a meal tray 2) Prior to passive range of motion 3) Prior to medication administration 4) Prior to documenting in the medical record 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would necessitate the nurse to use SBAR during the hand-off process? 1) Wound care 2) Discharge to home 3) Transfer to radiology 4) Medication education Multiple Response Identify one or more choices that best complete the statement or answer the question. 21. The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication. Which student responses indicate the need for further education related to this procedure? Select all that apply. 1) A hand-off is required prior to administering a medication.= 3 | P a g e2) A hand-off is required during change of shift.= 3) A hand-off is required for a patient is transferred to the surgical suite.= 4) A hand-off is required whenever the nurse receives a new patient assignment.= 5) A hand-off is required prior to family visitation.= 22. Which actions by the nurse enhance patient safety during medication administration? Select all that apply. 1) Answering the call bell while transporting medications for a different patient 2) Identifying the patient using two sources prior to administering the medication 3) Holding a medication if the patient9s diagnosis does not support its use 4) Administering the medication two hours after the scheduled time 5) Having another nurse verify the prescribed dose of insulin the patient is to receive 23. The medical-surgical nurse assumes care for a patient who is receiving continuous cardiopulmonary monitoring. Which actions by the nurse enhance safety for this patient? Select all that apply. 1) Silencing the alarm during family visitation 2) Assessing the alarm parameters at the start of the shift 3) Responding to the alarm in a timely fashion 4) Decreasing the alarm volume to enhance restful sleep 5) Adjusting alarm parameters based on specified practitioner prescription 24. The nurse is planning an interprofessional care conference for a patient who is approaching discharge from the hospital. Which members of the interprofessional team should the nurse invite to attend? Select all that apply. 1) Physician 2) Pharmacist 3) Unit secretary 4) Social worker 5) Home care aide 25. The nurse manager wants to designate a member of the nursing team as the care coordinator for a patient who will require significant care during the hospitalization. Which skills should this nurse possess in order to assume this role? Select all that apply. 1) Effective clinical reasoning 2) Effective communication skills 3) Effective infection control procedures 4) Effective documentation 5) Effective intravenous skills Chapter 1: Foundations for Medical-Surgical Nursing Answer Section MULTIPLE CHOICE 1. ANS: 1 Chapter number and title: 1, Foundations for Medical Surgical Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 003-004 Heading: Evidence-Based Nursing Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care 4 | P a g eCognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 Systematic reviews of randomized control studies (Level I) are the highest level of evidence because they include data from selected studies that randomly assigned participants to control and experimental groups. The lower the numerical rating of the level of evidence indicates the highest level of evidence; therefore, this type of study provides the strongest evidence to support a practice change. 2 Quasi-experimental studies are considered Level III; therefore, this study does not provide the strongest evidence to support a practice change. 3 4 Case-control studies are considered Level IV; therefore, this study does not provide the strongest evidence to support a practice change. Cohort studies are considered Level IV; therefore, this study does not provide the strongest evidence to support a practice change. PTS: 1 CON: Evidence-Based Practice 2. ANS: 4 Chapter number and title: 1, Foundations of Medical-Surgical Practice Chapter learning objective: Explaining the importance of patient-centered care in the management of medical- surgical patients Chapter page reference: 004-005 Heading: Patient-Centered Care in the Medical-Surgical Setting Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Evaluation is a step in the nursing process; however, this is not an action that supports the patient-centered care model. 2 Assessment is a step in the nursing process; however, this is not an action that supports the patient-centered care model. 3 Diagnosis is a step in the nursing process; however, this is not an action that supports the patient-centered care model. 4 Compassion is a competency closely associated with patient-centered care; therefore, this action supports the patient-centered model of care. PTS: 1 CON: Nursing Roles 3. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing implications to medical-surgical nurses of Quality and Safety Education for Nurses (QSEN) competencies Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Safety Difficulty: Moderate 5 | P a g eFeedback 1 Safely using alarms is a NPSG identified by TJC. Silencing a cardiorespiratory monitor is not nursing action that supports this NPSG. 2 Patient identification using two separate resources is a NPSG identified by TJC. Identifying a patient using only one source does not support this NPSG. 3 Identification of patient safety risks is a NPSG identified by the TJC. Determining patient safety issues upon admission supports this NPSG. 4 Safe use of medication is a NPSG identified by the TJC. Decreasing the amount of pain medication administered does not support this NPSG. PTS: 1 CON: Safety 4. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role and competencies of medical-surgical nursing Chapter page reference: 006-007 Heading: Interprofessional Collaboration and Communication Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Comprehension [Understanding] Concept: Nursing Roles Difficulty: Easy Feedback 1 2 3 4 The nurse does not often assume the interprofessional role of social worker when providing patient care in an acute care setting. The nurse does not often assume the interprofessional role of client advocate role when providing patient care in an acute care setting. The nurse often assumes the interprofessional role of care coordinator when providing patient care in an acute care setting. The nurse does not often assume the interprofessional role of massage therapist when providing patient care in an acute care setting. PTS: 1 CON: Nursing Roles 5. ANS: 1 Chapter number and title: 1, Foundations of Medical-Surgical Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 003 Heading: Box 1.3 Steps of Evidence-Based Practice Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Analysis [Analyzing] Concept: Evidence-Based Practice Difficulty: Difficult Feedback 1 2 3 4 6 | P a g e The first step of evidence-based practice is to develop a question based on the clinical issue. The last step of evidence-based practice is to disseminate findings. The second step of evidence-based practice is to conduct a review of the literature, or current evidence, available. The fifth step of evidence-based practice is to evaluate the outcomes associated with the practice change.PTS: 1 CON: Evidence-Based Practice 6. ANS: 4 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 004 Heading: Box 1.4 Evaluating Levels of Evidence Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 2 3 4 The lower the numeric value of the evidence the greater the support for a change in practice. Level IV evidence does not carry the lowest level of support for a practice change. The lower the numeric value of the evidence the greater the support for a change in practice. Level V evidence does not carry the lowest level of support for a practice change. The lower the numeric value of the evidence the greater the support for a change in practice. Level VI evidence does not carry the lowest level of support for a practice change. The lower the numeric value of the evidence the greater the support for a change in practice. Level VII evidence carries the lowest level of support for a practice change. PTS: 1 CON: Evidence-Based Practice 7. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 004 Heading: Box 1.4 Evaluating Levels of Evidence Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Evidence-Based Practice Difficulty: Moderate Feedback 1 A systemic review of randomized controlled studies, not a quasi-experimental research study, is identified as Level I. 2 Evidence from at least one study randomized control study, not a quasi-experimental research study, is identified as Level II. 3 A quasi-experimental research study is identified as a Level III. 4 Evidence from case-control or cohort studies, not a quasi-experimental research study, is identified as a Level IV. PTS: 1 CON: Evidence-Based Practice 8. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 004 7 | P a g eHeading: Box 1.4 Evaluating Levels of Evidence Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Evidence-Based Practice Difficulty: Moderate Feedback 1 Evidence from case-control or cohort studies, not a single descriptive research study, is identified as a Level IV. 2 Evidence from systemic reviews of descriptive or qualitative studies, not a single descriptive research study, is identified as Level V. 3 Evidence from a single descriptive research study is identified as Level VI. 4 Evidence from expert individual authorities or committees, not a single descriptive research study, is identified as Level VII. PTS: 1 CON: Evidence-Based Practice 9. ANS: 1 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role of interprofessional collaboration and teamwork in the provision of safe, quality patient care Chapter page reference: 005 Heading: Box 1.6 The SBAR Approach for Effective Communication Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Communication Difficulty: Moderate Feedback 1 2 3 4 The S= reflects the patient9s current situation which is communicated by providing a brief statement of the issue. This statement by the nurse exemplifies the current situation. The A= reflects the patient9s assessment data. This statement by the nurse exemplifies the patent9s assessment data. The B= reflects the patient9s medical history. This statement by the nurse exemplifies communicating the patient9s history related to the current problem. The R= reflects specific actions needed to address the situation. This statement by the nurse exemplifies the actions implemented to address current level of pain. PTS: 1 CON: Communication 10. ANS: 4 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role of interprofessional collaboration and teamwork in the provision of safe, quality patient care Chapter page reference: 005 Heading: Box 1.6 The SBAR Approach for Effective Communication Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Analysis [Analyzing] Concept: Communication Difficulty: Moderate Feedback 8 | P a g elOMoARcPSD| 1 2 3 4 This statement is the A= in the SBAR communication. This is an assessment finding by the staff nurse. This statement is the R= in the SBAR communication. This is the recommendation by the staff nurse. This statement is the B= in the SBAR communication. This is the background information. This statement is the S= in the SBAR communication. This is the situation information. PTS: 1 CON: Communication 11. ANS: 4 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing implications to medical-surgical nurses of Quality and Safety Education for Nurses (QSEN) competencies Chapter page reference: 006 Heading: Box 1.8 Quality and Safety Education for Nursing (QSEN) Competencies Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Safety Difficulty: Moderate Feedback 1 Advocating for a patient who is in pain exemplifies the QSEN competency of patient- centered care, not safety. 2 Considering the patient9s cultural background exemplifies the QSEN competency of patient-centered care, not safety. 3 Evaluating the patient9s learning style prior to implementing discharge instructions exemplifies the QSEN competency of patient-centered care, not safety. 4 Assessing the right drug prior to administering a prescribed medication exemplifies the QSEN competency of safety. PTS: 1 CON: Safety 12. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role and competencies of medical-surgical nursing Chapter page reference: 002 Heading: Introduction Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Knowledge [Remembering] Concept: Nursing Difficulty: Easy Feedback 1 Pediatric nursing is not the root of all nursing practice areas. 2 Geriatric nursing is not the root of all nursing practice areas. 3 Medical-surgical nursing is the root of all nursing practice as care provided here can be implemented in all other areas of nursing practice. 4 Mental health-psychiatric nursing is not the root of all nursing practice areas. PTS: 1 CON: Nursing 13. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice 9 | P a g elOMoARcPSD| Chapter learning objective: Describing the role and competencies of medical-surgical nursing Chapter page reference: 002-003 Heading: Competencies in Medical-Surgical Nursing Integrated Processes: Teaching and Learning Client Need: Physiological Integrity/Physiological Adaptation Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 Patient advocacy is not identified as an academic-practice gap for new graduate nurses. 2 Patient education is not identified as an academic-practice gap for new graduate nurses. 3 Knowledge of pathophysiology of patient conditions is identified as an academic- practice gap for new graduate nurses. 4 Therapeutic communication is not identified as an academic-practice gap for new graduate nurses. PTS: 1 CON: Critical Thinking 14. ANS: 1 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice= Chapter learning objective: Describing the role and competencies of medical-surgical nursing Chapter page reference: 003 Heading: Competencies Related to the Nursing Process Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy Feedback 1 2 3 4 The nursing process is closely related to the nurse9s decision-making in the clinical environment. This statement is accurate. The nursing process is not used by all members of the interprofessional team to plan care. The nursing process has 5, not 4, basic steps: assessment, diagnosis, planning, implementation, and evaluation. The nursing process is not being replaced by the implementation of evidence-based practice. PTS: 1 CON: Critical Thinking 15. ANS: 4 Chapter number and title: 1, Foundations for Medical-Surgical Nursing Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 003-004 Heading: Evidence-Based Nursing Care Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Knowledge [Remembering] Concept: Evidence-Based Practice Difficulty: Easy 10 | P a g elOMoARcPSD| Feedback 1 Assessment is a step in the nursing process; however, this is not the basis for nursing care practices and protocols. 2 Evaluation is a step in the nursing process; however, this is not the basis for nursing care practices and protocols. 3 Diagnosis is a step in the nursing process; however, this is not the basis for nursing care practices and protocols. 4 Evidence that is obtained through research is the basis for nursing care practices and protocols. PTS: 1 CON: Evidence-Based Practice 16. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Explaining the importance of patient-centered care in the management of medical- surgical patients Chapter page reference: 004-005 Heading: Patient-Centered Care in the Medical-Surgical Setting Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Knowledge [Remembering] Concept: Communication Difficulty: Easy Feedback 1 Space in each hospital room is not a common theme of patient dissatisfaction. 2 Medications received for pain management is not a common theme of patient dissatisfaction. 3 A lack of time with members of the health care team is a common theme of patient dissatisfaction. 4 Poor food quality is not a common theme of patient dissatisfaction. PTS: 1 CON: Communication 17. ANS: 2 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Explaining the importance of patient-centered care in the management of medical- surgical patients Chapter page reference: 004-005 Heading: Patient-Centered Care in the Medical-Surgical Setting Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Quality Improvement Difficulty: Moderate Feedback 1 2 3 4 11 | P a g e Implementation of evidence-based practice is not the benchmark in which acute care facilities are evaluated against. Implementation of patient-centered care is the benchmark in which acute care facilities are evaluated against. Implementation of medical asepsis practices is not the benchmark in which acute care facilities are evaluated against. Implementation of interprofessional care is not the benchmark in which acute care facilities are evaluated against.lOMoARcPSD| PTS: 1 CON: Quality Improvement 18. ANS: 1 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Explaining the importance of patient-centered care in the management of medical- surgical patients Chapter page reference: 004-005 Heading: Patient-Centered Care in the Medical-Surgical Setting Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Quality Improvement Difficulty: Moderate Feedback 1 Visitation rights should be evaluated prior to a TJC accreditation site visit as this aspect of patient-centered care is incorporated into the site evaluation. 2 The education level of staff is not evaluated prior to a TJC accreditation visit. This information should be evaluated for a hospital that is attempting to earn Magnet status. 3 While the fall prevention program will be reviewed during a TJC accreditation site visit this is not an aspect of patient-centered care. 4 While infection control practices will be reviewed during a TJC accreditation site visit this is not an aspect of patient-centered care. PTS: 1 CON: Quality Improvement 19. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Practice Chapter learning objective: Discussing implications to medical-surgical nurses of Quality and Safety Education for Nurses (QSEN) competencies Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Safety and Infection Control Cognitive level: Application [Applying] Concept: Safety Difficulty: Moderate Feedback 1 While the nurse should take care to deliver the meal tray to the correct patient this circumstance does not require verification of patient identity through two sources. 2 While the nurse should take care to implement passive range of motion on the correct patient this circumstance does not require verification of patient identity through two sources. 3 The nurse should identify a patient using two sources prior to medication administration. 4 While the nurse should take care to document patient care in the correct medical record this circumstance does not require verification of patient identity through two sources. PTS: 1 CON: Safety 20. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role of interprofessional collaboration and teamwork in the provision of safe, quality patient care 12 | P a g elOMoARcPSD| Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Communication, Safety Difficulty: Moderate Feedback 1 Effective staff communication is essential to safe patient care, especially during hand- offs. Implementation of wound care is not an example of a hand-off situation. 2 Effective staff communication is essential to safe patient care, especially during hand- offs. Discharge to home is not an example of a hand-off situation. 3 Effective staff communication is essential to safe patient care, especially during hand- offs. Patient transfer to another unit of the hospital necessitate a change in who is responsible for direct patient care; therefore, this situation would necessitate the need for SBAR during the hand-off process. 4 Effective staff communication is essential to safe patient care, especially during hand- offs. Medication education is not an example of a hand-off situation. PTS: 1 MULTIPLE RESPONSE 21. ANS: 2, 3, 4 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role of interprofessional collaboration and teamwork in the provision of safe, quality patient care Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Analysis [Analyzing] Concept: Communication Difficulty: Difficult Feedback 1. 2. 3. 4. 5. PTS: 1 This is incorrect. Hand-off communication is not required prior to the administration of medication. The nurse would, however, verify the patient9s identity using two sources. This is correct. Hand-off communication is required when patient care is transferred from one provider to another, such as during the change of shift. This is correct. Hand-off communication is required when patient care is transferred from one provider to another, such as when a patient is transferred to the surgical suite. This is correct. Hand-off communication is required when patient care is transferred from one provider to another, such as anytime the nurse receives a new patient assignment. This is incorrect. Hand-off communication is not required prior to family visitation. CON: Communication 22. ANS: 2, 3, 5 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing implications to medical-surgical nurses of Quality and Safety Education for Nurses (QSEN) competencies 13 | P a g e CON: Communication | SafetylOMoARcPSD| Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Safety and Infection Control Cognitive level: Application [Applying] Concept: Safety Difficulty: Moderate Feedback 1. 2. 3. 4. 5. PTS: 1 This is incorrect. Interruptions should be minimized during the medication administration process; therefore, the nurse should not answer the call bell for another patient while transporting medications for administration. This is correct. Verification of the right patient is one of the rights of medication administration; therefore, the nurse would identify the patient using two sources prior to the administration of medication. This is correct. The nurse should ensure that the rationale for all medications are associated with the patient condition; therefore, this action enhances patient safety during medication administration. This is incorrect. One of the rights of medication administration is the right time, which correlates to 30 minutes before or 30 minutes after the scheduled time. This nursing action would not enhance patient safety during medication administration. This is correct. Verifying the dose of a high-risk medication, such as insulin, enhances patient safety during medication administration. CON: Safety 23. ANS: 2, 3, 5 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing implications to medical-surgical nurses of Quality and Safety Education for Nurses (QSEN) competencies Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Safety and Infection Control Cognitive level: Analysis [Analyzing] Concept: Safety Difficulty: Difficult Feedback 1. 2. 3. 4. 5. PTS: 1 This is incorrect. Monitor alarms should be audible even during family visitation. Inaudible alarms may impede patient safety. This is correct. The nurse should assess the alarm parameters, comparing to the prescribed settings, at the start of each shift. This action enhanced patient safety. This is correct. The nurse should respond to all alarms in a timely fashion, which enhances patient safety. This is incorrect. Monitor alarms should be audible at all times, even when the patient is asleep to enhance patient safety. This is correct. The nurse should adjust alarm parameters based on specific practitioner prescriptions. This action enhances safety. CON: Safety 24. ANS: 1, 2, 4 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role of interprofessional collaboration and teamwork in the provision of safe, quality patient care 14 | P a g elOMoARcPSD| Chapter page reference: 006-007 Heading: Interprofessional Collaboration and Communication Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Collaboration Difficulty: Moderate Feedback 1. 2. 3. 4. 5. PTS: 1 This is correct. The physician is a member of the interprofessional team and should be invited to participate in the care conference. This is correct. The pharmacist is a member of the interprofessional team and should be invited to participate in the care conference. This is incorrect. The unit secretary is not a member of the interprofssional team; therefore, would not require an invitation to attend the care conference. This is correct. The social worker is a member of the interprofessional team; therefore, should be invited to participate in the care conference. This is incorrect. The home care aide, while a member of the interprofessional team, would not benefit from attending a care conference while the patient is hospitalized. CON: Collaboration 25. ANS: 1, 2, 4 Chapter number and title: 1, Foundation of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role of interprofessional collaboration and teamwork in the provision of safe, quality patient care Chapter page reference: 006-007 Heading: Interprofessional Collaboration and Communication Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Analysis [Analyzing] Concept: Collaboration Difficulty: Difficult Feedback 1. . 3. 4. 5. PTS: 1 This is correct. Effective clinical reasoning is a skill required for the nurse to assume the role of care coordinator. This is correct. Effective communication is a skill required for the nurse to assume the role of care coordinator. This is incorrect. Effective infection control procedures are expected to meet the standard of care; however, this skill is not required for the nurse to assume the role of care coordinator. This is correct. Effective documentation, a form of communication, is a skill required for the nurse to assume the role of care coordinator. This is incorrect. Effective intravenous skills are not required for the nurse to assume the role of care coordinator. CON: Collaboration 15 | P a g elOMoARcPSD| 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? 1) Collaborator 2) Case manager 3) Health educator 4) 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? 1) We only want what's best for you.= 2) We will leave you alone to discuss your options.= 3) Perhaps you did not understand the recommendations.= 4) 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 provider9s order for PT, which would be the nurse's initial action? 1) Teach the family the exercises needed for the patient. 2) Call home health and schedule a therapist to visit the home for therapy. 3) Set up appointments according to the order with the hospital PT department. 4) 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? 1) Tell the patient there is no hope. 2) Ask the patient the reason for the decision. 3) Teach the patient nutrition and joint exercises. 4) 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? 1) Trust 2) Mutual respect 3) Communication 4) 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? 1) The state board of nursing 2) The American Nurses Association 3) The hospital's Chief Nursing Officer 16 | P a g elOMoARcPSD| 4) 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? 1) The view among the general population that nurses9 contributions to patients9 care is less important to their health and well-being compared to the contribution of physicians 2) The nurses9 and physicians9 perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and superior role in health-care settings 3) A general lack of education provided in schools for health professionals about the benefits on health-care quality linked 4) 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 patient9s continued care, who will the nurse notify regarding the patient9s needs after discharge? 1) The pharmacy 2) The case manager 3) The physical therapist 4) 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? 1) I cannot alter the critical pathway plan.= 2) I must be able to meet goals that are set for me.= 3) My insurance plan can deny payment if I do not meet goals.= 4) 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 patient9s family members, and other care providers to assist with a smooth transition. Which is the primary goal of the care management model described here? 1) To provide greater peace of mind for the patient and his or her family members 2) To track a patient9s progress to ensure that appropriate care is provided until discharge 3) To manage concerns that are related to the patient9s medical care and treatment regimen only 4) To provide a continuum of clinical services in order to help contain costs and improve patient outcomes 11. The patient9s case manager, diabetes educator, and dietician meet to discuss the patient9s needs in preparation for discharge to home. The patient9s primary health-care provider arrives and states, I will be making all decisions regarding the patient9s discharge care.= With the primary health-care provider9s decision to lead the team, the dynamic has shifted between which two types of teams? 1) Intradisciplinary to interdisciplinary team 2) Multidisciplinary to intradisciplinary team 3) Interprofessional to interdisciplinary team 4) Interdisciplinary to multidisciplinary team 12. A school-age patient is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the patient9s care and the scene is chaotic. The parents are extremely anxious and want to know what is happening. The case manager asks for an interdisciplinary team meeting to speak with the patient9s parents. Which is the rationale for this meeting? 1) To allow for each specialty to practice independently 2) To share and evaluate information for care planning and implementation, and prevent 17 | P a g elOMoARcPSD| priority conflicts, redundancy, and omissions in care 3) To all the primary health-care provider to make all the decision regarding the patient9s care 4) To prevent the parents from trying to change the plan of care 13. The Chief Nursing Officer and Chief Medical Officer in an urban teaching hospital are leading a series of meetings with nurses, physicians, hospital lawyers, and risk managers to review and update hospital privileging procedures and requirements for advanced practice RNs and physicians new to the hospital. This is an example of which type of collaborative team? 1) Intradisciplinary 2) Interdisciplinary 3) Multidisciplinary 4) Complementary 14. A local hospital formed a neurotrauma (NT) team with the following members: acute care nurses, physicians, other care partners (e.g., physical therapists, social workers, case managers, dieticians), and representatives from the NT outpatient clinic. This team is led by a physician who makes treatment decisions based on the treatment plans developed by individual team members who each communicate with the patients, asking the same or similar questions to obtain data needed for their treatment plan. Which type of communication and action is represented in the scenario described? 1) Parallel communication 2) Parallel functioning 3) Information exchange 4) Coordination and consultation 15. The nurse is caring for a patient who is reporting pain of 8/10 on a 1 to 10 numeric pain scale. The nurse administers the prescribed pain medication. When the nurse re-evaluates the patient one hour later, the patient is still reporting pain of 8/10. Which action by the nurse is appropriate at this time? 1) Wait for the health-care provider to make rounds to report the problem. 2) Report to the health-care provider by telephone. 3) Increase the dosage of the medication. 4) Include in the nursing report that the medication is ineffective. 16. Handoff communication, the transfer of information during transitions in care such as during change-of-shift report, includes an opportunity to ask questions, clarify, and confirm the information between sender and receiver. Which is the main objective for ensuring effective communication during a patient handoff? 1) To avoid lawsuits 2) To ensure patient safety 3) To facilitate quality improvement 4) To make sure all documentation is done 17. The nurse is providing care to a patient diagnosed with end-stage renal disease. When planning a care plan conference for this patient, who does the nurse invite to participate? 1) The oncologist 2) The psychiatrist 3) The hospital CEO 4) The family members 18. Which should be the focus of an educational session for nurses and other members of the interdisciplinary team when addressing high rates of patient readmission to the health system? 1) Medication errors 2) Coordination of care 3) Adverse clinical events 4) Roles of each member providing care 19. Which patient population should the nurse focus on to increase access to care that is coordinated, safe, and focused on the patient9s unique needs across all care settings? 18 | P a g elOMoARcPSD| 1) Pediatric patients 2) Older adult patients 3) Young adult patients 4) Acute needs patients 20. Which is a basic principle of the Patient Protection and Affordable Care Act of 2010 that the nurse should include in a teaching session for members of the health-care team? 1) Decreased access 2) Decreased cost of care 3) Decreased quality of care 4) Decreased safety Multiple Response Identify one or more choices that best complete the statement or answer the question. 21. The hospital9s nurse case manager has been extensively involved with a shooting victim and members of the patient9s family in coordinating care of providers from many disciplines as the patient progressed from the emergency department (ED) to the intensive care unit (ICU), and then onto the medical-surgical unit. After three weeks of hospitalization, the case manager is helping to prepare the patient for discharge to a rehabilitation center where treatment will continue. Which outcomes have been documented in the literature as benefits of such collaboration? Select all that apply. 1) Improved patient outcomes 2) Decreased duplication of health-care services 3) Increased overall cost of health-care services 4) Decreased patient morbidity and mortality 5) Decreased level of job satisfaction 22. The case manager assembles a team of health-care professionals, including the patient9s primary health-care provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble? Select all that apply. 1) Management 2) Intradisciplinary 3) Interdisciplinary 4) Interprofessional 5) Primary nursing care 23. The nurse is preparing to document care provided to the patient during the day shift. The nurse documents that the patient experienced an increased pain level while ambulating which required an extra dose of pain medication; took a shower; visited with family; and ate a small lunch. Which information is important to include during the oral end-of-shift reporting? Select all that apply. 1) The last antibiotics given 2) The patient9s taking a shower 3) The patient9s visit with family 4) The extra dose of pain medication 5) The patient9s response to ambulation 24. When the nurse receives a telephone order from the health-care provider's office, which guidelines are used to ensure the order is correct? Select all that apply. 1) Ask the prescriber to speak slowly. 2) Read the order back to the prescriber. 3) Know agency policy for telephone orders. 4) Sign the prescriber9s name and credentials. 5) Ask the prescriber to repeat or spell out medication. 25. When discussing the importance of interprofessional collaboration, which advantages should the nurse include? Select all that apply. 19 | P a g elOMoARcPSD| 1) Improved team member satisfaction 2) Increased division among team members 3) Increased safety with medication administration 4) Enhanced communication among team members 5) Increased patient satisfaction with discharge transition process Chapter 2: Interprofessional Collaboration and Care Coordination Answer Section MULTIPLE CHOICE 1. ANS: 2 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Exploring the role of the registered nurse in patient-centered transitional care programs Chapter page reference: 017 Heading: Case Manager Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Comprehension [Understanding] Concept: Collaboration Difficulty: Easy Feedback 1 2 3 4 Collaboration means a collegial working relationship with other health-care providers to supply patient care. Collaborative practice requires the discussion of diagnoses and management in the delivery of care. Case management involves one or more individuals overseeing the needs and requirements of a particular individual's health. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation, but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require. Health promotion activities include disease prevention and healthy lifestyle interventions. Health education would be included in this particular situation, but collaboration is a more inclusive definition of what is occurring with these individuals and the care they require. PTS: 1 CON: Collaboration 2. ANS: 4 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Defining interprofessional collaboration in the health-care setting Chapter page reference: 010-011 Heading: The Care Transitions Program Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Communication Difficulty: Moderate Feedback 20 | P a g elOMoARcPSD| 1 2 3 4 Telling the patient that the doctor only wants what is best sends the message that the patient does not know what is best, when, in fact, a well-informed patient does know what is best and should be able to make the correct choice. By leaving the room, the nurse and doctor have turned their backs on the patient. The patient may not understand the recommendations, but pointing that out can be seen as demeaning. The patient is the center of the team, and the goal is to facilitate healing. There are always other options to consider to reach that goal. The nurse would discuss other options with the patient, which will most likely increase cooperation by the patient, who will feel in control as the decision is made. PTS: 1 CON: Communication 3. ANS: 4 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Exploring the role of the registered nurse in patient-centered transitional care programs Chapter page reference: 011 Heading: The Care Transitions Program Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Application [Applying] Concept: Collaboration Difficulty: Moderate Feedback 1 The therapy that the patient requires must be performed by a professional physical therapist. To teach the family exercises encroaches upon the expertise of the professional who will be performing the service. 2 Scheduling home PT is leaving the patient out of the decision-making process. 3 The nurse would not refer the patient for outpatient therapy unless the patient requests that form of therapy. 4 The nurse best exhibits the characteristic that the patient has a right to self- determination by presenting the methods available for PT and answering the patient's questions about each so the patient can make an informed decision. PTS: 1 CON: Collaboration 4. ANS: 4 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Identifying the roles of health-care professionals coordinating care for patients Chapter page reference: 015-019 Heading: Providers Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Analysis [Analyzing] Concept: Collaboration Difficulty: Hard Feedback 1 The patient with a chronic disease should not be told there is no hope but should be helped toward reaching desired goals. 2 Asking the patient the reason for the decision is irrelevant to the situation. 3 The nurse can teach some nutrition and exercise but cannot go into the depth that this patient would need. 21 | P a g elOMoARcPSD| 4 The number of patients with chronic diseases with health-care needs is increasing rapidly, and nurses and primary health-care providers cannot meet all of these patients9 needs. When a patient expresses the desire to live as normally as possible, the nurse should refer the patient to professionals who can help the patient meet that goal. PTS: 1 CON: Collaboration 5. ANS: 4 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Defining interprofessional collaboration in the health-care setting Chapter page reference: 013-015 Heading: Interprofessional Collaboration Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Comprehension [Understanding] Concept: Collaboration Difficulty: Easy Feedback 1 Trust occurs when an individual is confident in the actions of another individual. Both mutual respect and trust imply mutual process and outcome and may be expressed verbally or nonverbally. 2 Mutual respect occurs when two or more people show or feel honor or esteem toward one another. 3 Communication is necessary in effective collaboration; it occurs only if the involved parties are committed to understanding each other's professional roles and appreciating each other as individuals. 4 Decision making involves shared responsibility for the outcome. The team must follow specific steps of the decision-making process, beginning with a clear definition of the problem. Team decision making must be directed at the objectives of the effort and requires full consideration and respect for various and diverse viewpoints, and often requires guidance and direction from a group leader. PTS: 1 CON: Collaboration 6. ANS: 1 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Identifying the roles of health-care professionals coordinating care for patients Chapter page reference: 014-015 Heading: Interprofessional Education Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Comprehension [Understanding] Concept: Legal Difficulty: Easy Feedback 1 Parameters for the delegation of patient care tasks by nurses to UAPs are established by each state's board of nursing. 2 3 This organization does not provide definitive answers regarding tasks that nurses can delegate to UAPs. This individual does not provide definitive answers regarding tasks that nurses can delegate to UAPs. 22 | P a g elOMoARcPSD| 4 This individual does not provide definitive answers regarding tasks that nurses can delegate to UAPs. PTS: 1 CON: Legal 7. ANS: 2 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Defining interprofessional collaboration in the health-care setting Chapter page reference: 013-015 Heading: Interprofessional Collaboration Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Comprehension [Understanding] Concept: Collaboration Difficulty: Easy Feedback 1 Evidence does not suggest that the general population views nurses9 contributions to the care of patients as less important, thus this is not considered a primary barrier to nurse- physician collaboration. 2 A primary and historical barrier to effective nurse-physician collaboration has been nurses9 and physicians9 perceptions of inequity in their roles, with nurses assuming a subservient role and medical providers perceiving their role to be superior in the provision of health-care services. 3 4 Likewise, because health professional students are in fact educated about the benefits of collaborative practice and published evidence has documented the effectiveness of collaboration in improving patient outcomes, these are not barriers to collaboration. In addition, the federal government, as evidenced in particular by the Healthy People initiative, has promoted collaborative efforts among patients, nurses, physicians, other health-care providers, and the larger community to improve the health of the U.S. population. PTS: 1 CON: Collaboration 8. ANS: 2 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Identifying the roles of health-care professionals coordinating care for patients Chapter page reference: 017-018 Heading: Case Manager Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Application [Applying] Concept: Collaboration Difficulty: Moderate Feedback 1 2 The pharmacy is not needed as part of the team at this time. The patient9s needs and progress have changed. The nurse notifies the case manager to coordinate changes in care needed after discharge. This patient9s exercise program needs to be revamped, and the case manager is the individual to coordinate this change. 3 A physical therapist may be needed, but the nurse would coordinate care best by notifying the case manager. 4 The occupational therapist mainly deals with the upper body areas needing rehabilitation. PTS: 1 23 | P a g e CON: CollaborationlOMoARcPSD| 9. ANS: 4 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Exploring unique patient situations requiring or enhanced by interprofessional collaboration Chapter page reference: 019-020 Heading: Unique Patient Situations Requiring or Enhanced by Interprofessional Collaboration Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment 3 Management of Care Cognitive level: Analysis [Analyzing] Concept: Management Difficulty: Difficult Feedback 1 2 3 4 The patient is included in the discussion of meeting goals. The case manager monitors and works with the patient to alter the pathway as needed during the recovery process. It is possible to have variances in a critical pathway that, if documented properly, should be paid for by insurance. Care maps, or critical pathways, are flexible enough to be adjusted and tailored to the patient's needs and wishes. PTS: 1 CON: Management 10. ANS: 4 Chapter number and title: 2, Interprofessional Collaboration and Care Coordination Chapter learning objective: Describing models of transitional care