Deck 5: Inter-Professional Teamwork and Collaboration

Question 1

Who has the authority to enforce the Privacy Rule (HIPAA)?

A)The president
B)Agency for Healthcare Quality
C)The Office of Civil Rights
D)U.S. Department of Justice

Answer 1

The Office of Civil Rights

Question 2

What type of health care focuses on diagnosis and treatment in acute and emergency settings as described by the World Health Organization (2011)?

A)tertiary care
B)primary care
C)secondary care
D)ancillary care

Answer 2

secondary care

Question 3

Which of the following is not correct regarding Team STEPPS?

A)Developed in part by the Agency for Healthcare Research and Quality
B)Designed as a process to assist healthcare professionals with safety concerns in organizations
C)Has four phases
D)Has three phases

Answer 3

Has four phases

Question 4

The Tuckman and Jensen (1977)Conceptual Model of team process development includes five stages.However,not all teams go through them in order.During which stage do team members start to work together cooperatively within the group?

A)adjourning
B)forming
C)performing
D)norming

Question 5

Nurse X has a newly admitted 67-year-old male patient (Mr.Z)who has a diagnosis to rule out MI.She telephones Mr.Z's physician and tells him,"Mr.Z has a pulse of 160." Which step of Crew Resource Management did she use?

A)opening or attention getter
B)state your concern
C)state the problem as you see it
D)obtain agreement (or buy-in)

Question 6

An interdisciplinary team is assigned to work on patient safety concerns for the pediatric unit on a large urban not-for-profit hospital.Two of the team members are complaining that one nurse is taking charge and assigning duties to everybody randomly without consulting any of the other nurses on the team.One nurse pushes back and says,"You can't tell me what to do.You are not my manager!" Which stage of group process is the team in?

A)norming
B)forming
C)informing
D)storming

Question 7

Nurse B has been noted for his excellent communication skills.Three skills Nurse B uses in his daily nursing practice to ensure effective communication with staff and patients and/or families are listed below.Which is not correct as far as how Nurse B effectively communicates with others?

A)sensitive to other's values and cultural differences
B)uses mindguards to ensure patients clearly understand discharge orders
C)shows a genuine interest in the team members
D)displays good verbal and written communication skills

Question 8

The Quality and Safety Education for Nurses (QSEN)initiative defined teamwork and collaboration within health care as having four key elements.Which of the following is not one of these key elements?

A)the whole is greater than the sum
B)fostering open communication
C)mutual respect
D)shared decision making

Question 9

What is the primary goal of Crew Resource Management?

A)enhanced communication
B)enhanced ability to function under stressful situations
C)enhanced situational awareness
D)enhanced ability to overcome fatigue

Question 10

Some reasons why a team may not reach maturity are listed below.When NP A and NP Z repeatedly argue before the meeting but say nothing during the team meetings,this is an example of which type of reason why this team may never reach maturity?

A)ineffective leadership
B)problematic members
C)unclear goals and communication
D)open interpersonal relationships

Question 11

Verma,Paterson,and Medves (2006)identified that changing the culture in academic health sciences should begin with the development and evaluation of interdisciplinary curriculum at what academic level?

A)high school
B)undergraduate
C)graduate
D)postdoctoral

Question 12

Status has been described as the measure of worth that has been conferred on an individual by a specified group.Team members who initiate communication more have been discovered to have which type of status within the group?

A)leader
B)middle
C)high
D)low

Question 13

Synergy has been defined as a characteristic of great teams and teamwork.Which of the following statements is not correct about synergy and the application of synergy in health care?

A)"The bonus that is achieved when things work together harmoniously."
B)The whole is greater than its parts.
C)The Synergy Model of Professional Caring and Ethics was developed by the American Association of Critical Care Nurses.
D)The synergy model matches the characteristics of the nurse, clinical unit or system with the patient's ability to achieve identified outcomes.

Question 14

Team member roles have been identified as fitting into three categories of roles: group task roles,group maintenance roles,and self-oriented roles.Which of the following is considered to be a self-oriented role?

A)Watches the internal operations of the group and provides feedback on how the participants are doing and ways to improve their involvement
B)Seeks attention, boasts about accomplishments and capabilities
C)Offers information, viewpoints, and suggestions about the chosen problem or task
D)Stimulates the group to higher levels of achievement and a better quality of work

Question 15

There are four generations in nursing that are seen in the healthcare environment.In a study by Lavoie-Tremblay et al.(2008),which generation tends to leave the profession due to exposure to difficult nursing work environments?

A)Traditional
B)Baby boomers
C)Generation X
D)Generation Y

Question 16

When delivering and providing urgent information,which of the following is considered the primary tool?

A)e-mail message
B)text message
C)fax
D)telephone

Question 17

The SBARR technique (situation,background,assessment,recommendation,response)is designed to improve communication among healthcare personnel.Which of the following is an example of a recommendation?

A)"I'm calling about Ms. Smith in 414."
B)"Ms. Smith has decreased peristalsis, abdominal discomfort, and is on a narcotic analgesic."
C)"Can we start her on Colace 2 bid and add magnesium citrate if no BM within 8 hours?"
D)"Ms. Smith hasn't had a bowel movement in two days, which she states is unusual for her."

Question 18

Which of the following is considered a group maintenance role for a team member?

A)encourager
B)coordinator
C)Blocker
D)Orienter

Question 19

Which of the following is one of the elements used in the acronym SBARR?

A)Scenario
B)Background
C)Awareness
D)Resolution

Question 20

The Health Insurance Portability and Accountability Act (HIPAA)has identified eighteen personal health identifiers that need to be protected under this law.Which of the following is not one of these recognized personal health identifiers?

A)telephone numbers
B)e-mail addresses
C)hospital or facility admission dates
D)number of items liked on Facebook or Pinterest

Question 21

Horizontal violence between nurses may be seen as acts of aggression by one individual to another.It usually consists of verbal or emotional abuse,but can include physical abuse as well.Which of the following are considered to be common acts of verbal or emotional horizontal violence? Select all that apply.

A)raising of eyebrows or making faces in response to comments from the individual
B)not being available to provide assistance in moving a patient
C)accidentally bumping into a new nurse causing her to drop a handful of patient charts
D)saying that the reason why everyone has to stay late is because Nurse Q did not get her work done on time
E)snide remarks or abrupt response to questions posed by a new nurse on the unit
F)group infighting and refusal to let a new nurse speak when the group or clique is present

Question 22

Some aspects of mentoring between an expert nurse preceptor and novice nurse are listed below.Which is not correct about this relationship?

A)focuses on professional aspects of nursing
B)is mutually beneficial
C)can be a one-on-one or one-to-two relationship
D)involves good communication

Question 23

Eight characteristics of groupthink have been identified by Janis (1972).Which of the following is not a characteristic of groupthink?

A)collective rationalism
B)belief in the inherent morality of the team
C)self-censorship
D)illusion of vulnerability

Question 24

E-mail etiquette has specific guidelines and preference especially in the workplace.Which of the following are correct tips for communicating via e-mail? Select all that apply.

A)be brief and reply sparingly as appropriate
B)reply immediately to an angry message
C)use good judgment as e-mail may not be private
D)use clear subject lines
E)do not forward e-mail messages from others without their permission

Question 25

Nurse Q has contacted Dr.H regarding Mrs.C's condition.No orders were given and Dr.H responded rather inappropriately to Nurse Q's inquiry.According to the guidelines provided by Calfee (1998),how should Nurse Q document this interaction?

A)Document the call in the chart, the information relayed, and the fact that no orders were given.
B)Contact the supervisor and complete a peer review committee report.
C)Complete an incident report and route the report to the chief of the medical staff and medical ethics committee.
D)Complete a physician's order and send the patient to the emergency room physician to obtain the needed orders.

Question 26

Which is one of the phases of the Team STEPPS system for safety improvement within health care organizations?

A)storming phase
B)external trainers and internal healthcare staff
C)pretraining assessment to determine the readiness of the site to participate
D)uses an encourager to keep the momentum going

Question 27

Great teams and teamwork occur in health care and winning teams develop when people with differing ideas,backgrounds,and beliefs come together to work synergistically and harmoniously.Six characteristics of great teams have been identified.Which of the following are some of these six characteristics? Select all that apply.

A)active participation by most of the team members
B)assessment of the team's composition
C)communication link with effective communication patterns in place
D)static action plan that can be defined toward the middle or end of the team
E)must have a clearly stated purpose

Question 28

Some strategies that leaders can use to avoid groupthink behaviors are listed below.Which is not correct?

A)preventing this from happening by removing anyone who begins to encourage these behaviors
B)allowing the group time to gather additional data
C)encouraging independent thinking
D)encouraging members to verbalize their ideas