Deck 18: Patient-Centred Care: Interprofessional Collaborative Practice

Question 1

A nurse is planning care for a patient on the basis of Orlando's nursing process.The nursing process occurs in which of the following orders?

A)Perception,feeling,thought,action.
B)Feeling,thought,perception,action.
C)Thought,feeling,action,perception.
D)Perception,thought,feeling,action.

Answer 1

Perception,thought,feeling,action.

Question 2

A nurse is describing the antibiotic she is about to administer through a patient's central line.The patient accepts what the nurse is saying and is able to repeat it back.The patient does not internalize this information or ask questions.This is an example of which of the five ways of knowing?

A)Constructed knowing.
B)Received knowing.
C)Subjective knowing.
D)Perceived knowing.

Answer 2

Received knowing.

Question 3

A nurse is caring for six patients on a postsurgical unit.She hears a code blue being called on one of her patients,and she runs to the patient's room.When the nurse arrives,a code leader has been established.The first thing the nurse should do is which of the following?

A)Introduce herself as the patient's nurse,offering her specific knowledge and skills.
B)Immediately jump in and assist with the airway.
C)Stand back,observe the situation and wait to be given a role by the code leader.
D)Acknowledge that the situation is under control and go back to her other five patients.

Answer 3

Introduce herself as the patient's nurse,offering her specific knowledge and skills.

Question 4

A nurse determines that a patient is in pain and decides to give an analgesic medication that has been ordered.The nurse then goes back to assess the patient's pain after 30 minutes.The act of administering the analgesic medication is best described as which stage of the nursing process?

A)Assessment.
B)Planning.
C)Intervention.
D)Evaluation.

Question 5

Who is the expert in the patient's management of illness?

A)The nurse.
B)The physician.
C)The patient.
D)The interprofessional team.

Question 6

A nurse calls the physician and says,"Dr.Green,the patient LT is complaining of increased pain to his left leg,rating it 8/10.LT is the 8-year-old boy in room 12 who broke his femur in a snowboarding accident yesterday.His pain has been well controlled at 2 to 4/10 for the past day,but his analgesic dose was weaned after rounds this morning.His foot does not appear to be swollen below the cast,and his perfusion is okay with palpable pedal pulses and a capillary refill of 2-3 seconds to the toes on the left foot." Which elements of SBAR communication did the nurse include? (Select all that apply. )

A)Situation.
B)Subjective information.
C)Background.
D)Assessment.
E)Recommendation.
F)Reassessment.

Question 7

When communicating with other members of the interprofessional team,the nurse should explain which of the following?

A)Situation,background,assessment,and reassessment.
B)Situation,background,assessment,and recommendations.
C)Subjective information,behaviour,assessment,and recommendations.
D)Socialization,behaviour,action,and reaction.

Question 8

A patient undergoing chemotherapy visits with his interprofessional team once a month.He observes the oncologist encouraging other team members,such as the nurse,the pharmacist,or the social worker,to take on the lead role during the meetings,on the basis of the patient's concerns and goals.Which leadership element is being demonstrated by the oncologist?

A)Inspiring a shared vision.
B)Enabling others to act.
C)Challenging the process.
D)Encouraging the heart.

Question 9

Which way of knowing is primarily affected by the ideals that are significant or important to the person,the family,or the community?

A)Empirical knowing.
B)Aesthetic knowing.
C)Personal knowing.
D)Ethical knowing.

Question 10

What would be the best question to ask a patient in the noticing phase of the Clinical Judgement Model?

A)"Where is the pain the worst?"
B)"How are you feeling today?"
C)"How was your night?"
D)"What are your goals for today?"

Question 11

A nurse is caring for a patient who has been admitted after a hip replacement.The responding phase in the Clinical Judgement Model would include which of the following? (Select all that apply. )

A)Developing actions to address the patient's health and social issues.
B)Planning implementation for the actions to address the patient's health and social issues.
C)Seeking the patient's agreement to the interventions.
D)Consider the evidence necessary to determine whether certain goals have been reached.
E)Assessing the patient's response during care.f.Reflecting on the care that was provided.

Question 12

Which of the following patterns of knowing relates to how a nurse,as a unique individual,chooses to respond in a situation involving a patient?

A)Empirical knowing.
B)Personal knowing.
C)Aesthetic knowing.
D)Ethical knowing.

Question 13

The Canadian Interprofessional Health Collaborative (CIHC)has four key competencies for interprofessional collaboration.They include role clarification,team functioning,collaborative leadership,and which of the following?

A)Patient-centred care.
B)Quality improvement.
C)Dealing with interprofessional conflict.
D)Reflection.

Question 14

To clarify the role of a nurse in patient-centred care,a nurse is responsible for which of the following?

A)Asking other interprofessional team members about their roles.
B)Shadowing other interprofessional team members to experience their roles.
C)Being able to explain own role and the knowledge and skills that the nurse brings to patient-centred care.
D)Being able to explain the roles of all interprofessional team members.

Question 15

What is the cause of internalized myths that nurses may have about their own profession and those of other health care providers?

A)Role ambiguity.
B)Media portrayal.
C)Familial experiences.
D)Socialization.

Question 16

A nurse gathers information through the noticing phase of the Clinical Judgement Model.The nurse is interpreting this information by using experience,expertise,and knowledge,along with personality and environment.This is best described as which of the following?

A)Intuitive interpreting.
B)Narrative interpreting.
C)Experiential interpreting.
D)Analytic interpreting.

Question 17

At morning rounds,a nurse explains the change in status that her patient had overnight.The interprofessional team members all recognize that this nurse has been working in the unit for more than 10 years and is extremely competent at assessment and interpretation.This recognition influences how the team is interpreting the nurse's report.Which aspect is being described?

A)Affinity.
B)Immediacy.
C)Respect.
D)Control.