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

Accepted Answer

The Privacy Rule,also known as the Health Insurance Portability and Accountability Act (HIPAA),defines standards for protecting the privacy and confidentiality of personal patient information.The Office for Civil Rights,which is located in the Health and Human Services division of the federal government,is responsible for enforcing the Privacy Rule.

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

Accepted Answer

Since teamwork and collaboration occurs in many different settings,it is important to recognize the different levels of care and the characteristics of each.Primary care,as defined by the World Health Organization (2011)focuses on the reduction of social disparities,focusing on patient needs and expectations,and public policy reforms.Secondary care focuses on diagnosis and treatment in acute and emergency settings.Tertiary care emphasizes long-term rehabilitation and palliative care.Ancillary care may also be a type of tertiary care depending on what is involved.

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

Accepted Answer

Team STEPPS was designed to assist health care professionals in creating and sustaining a culture of safety and as a process to assist health care professionals with safety concerns in organizations.It was developed in collaboratively between the Department of Defense's Patient Safety Program and the Agency for Healthcare Research and Quality.Team STEPPs has three phases not four.

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

Accepted Answer

The Tuckman and Jensen's (1977)five-stage model of group process provides guidelines for potential behavior of team members in collaborative groups.During the norming stage,which is the third stage of team process,team members begin to show effective cooperation and collaboration.The forming stage occurs when the group first forms and focuses on relationship building.The next stage (storming)includes interpersonal interaction and reaction.The fourth stage,performing,is where the group matures and has stable relationships,and the bulk of the appointed tasks are done.The final stage is adjourning where termination and closure occur.

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)

Accepted Answer

Todd Bishop,a crew resource management expert,designed a five-step process for building assertive statements that includes advocacy and inquiry steps.These five steps are: 1)opening or attention getter,2)state your concern,3)state the problem as you see it,4)state a solution,and 5)obtain agreement (or buy-in).When Nurse X tells Mr.Z's physician that "Mr.Z has a pulse of 160," she has implemented the second step (state your concern).

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

Accepted Answer

The first stage of the team process as described by Tuckman and Jensen (1977)is the forming stage,where the team is created and meets for the first time.The second stage of team development is the storming stage,where opposing opinions or interpersonal agendas or issues can surface,increasing the potential for conflict or uneasiness (as noted in the above scenario).This is a natural part of team formation and should be expected whenever people from a variety of disciplines,specialties,and experiences work together.The third stage is the norming stage,where a feeling of group cohesion occurs.The fourth stage is performing,where the team comes together to achieve group goals,and the final stage is adjourning,where termination and consolidation occur.

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

Accepted Answer

Effective nurses acquire and use excellent communication skills.Four key characteristics of excellent communication that Nurse B may be demonstrating are: 1)sensitive of other's values and cultural differences,2)aware of other's abilities,3)shows a genuine interest in the team members,and 4)displays good verbal and written communication skills.The use of mindguards occurs in groupthink (not excellent communication as described in this scenario)by team members to withhold conflicting/disharmonious information that is in direct opposition to the team's views and thoughts.

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

Accepted Answer

The Quality and Safety Education for Nurses (QSEN)initiative focuses on fostering open communication,mutual respect,shared decision making,and functioning effectively within nursing and interprofessional teams,not "the whole is greater than the sum," which is part of the definition for the term synergy.

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

Accepted Answer

Crew Resource Management (CRM)is a type of effective team management that emphasizes communication,assertiveness,situational awareness,problem solving,decision making,and teamwork.The primary goal of CRM is situational awareness,not enhanced communication.Situational awareness pertains to the degree of accuracy by which an individual's perception of the environment truly mirrors reality; hence it is the key component to being able to fully identify any discrepancy between what is happening and what should be happening.

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

Accepted Answer

Not all teams may reach maturity and be able to function together in an effective manner.Some reasons why this may occur are: 1)ineffective leadership,2)problematic members (as seen in this scenario with the two NPs),3)unclear goals and communication,and 4)lack of focus or energy.Open interpersonal relationships is a characteristic of a highly effective team,not one that may never reach maturity.

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

Accepted Answer

In order to effectively change the culture in academic sciences that promotes interdisciplinary collaboration and curriculum,this should begin at the undergraduate level (Verma,Paterson,& Medves,2006).

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

Accepted Answer

Scott (1967)noted that differences in status can motivate people and provide them with a sense of identification within a group.High status team members tend to initiate communication more often,have more influence over decisions the team makes,and are provided with more opportunities to participate (Owens,Mannic,& Neale,1998).Low status members may feel intimidated or even ignored by higher status team members,hence may not benefit as fully from the high status individual's expertise (Topping,Norton,& Scafidi,2003).

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.

Accepted Answer

Synergy occurs when "...things work together harmoniously" as noted by Mark Twain,and when the whole is greater than its parts (Steven Covey,1989).The Synergy Model of Professional Caring and Ethics was developed by the American Association of Critical Care Nurses in which the characteristics of the patient (not the nurse),clinical unit,or system are matched with the nurse's competencies (not the patient's ability to achieve identified outcomes)(Hardin & Kaplan,2005).

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

Accepted Answer

Common team member roles can be grouped into three categories: group task roles,group maintenance roles,and self-oriented roles.The self-oriented roles are concerned with personal needs of the group members and may sometimes negatively impact the effectiveness of the group as a whole.Four types of roles are seen in this category: 1)aggressor-deflates the contribution of the group by attacking their ideas or displaying excessive competitiveness,2)blocker-has a tendency to be negative,stubborn,or resistant to new ideas,3)recognition seeker-seeks attention,boasts about accomplishments and capabilities,and 4)dominator-tries to assert control through manipulation or using flattery,giving orders,or interrupting others.

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

Accepted Answer

A 2008 study by Lavoie-Tremblay et al.(2008)identified that nurses from Generation Y tended to leave the nursing profession more often citing exposure to difficult nursing work environments,than did their more senior counterparts.

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

Accepted Answer

While some healthcare providers may be comfortable receiving important patient information such as elevated electrolyte blood levels via e-mail or text message,the primary tool for communicating urgent information is still the 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."

Accepted Answer

The SBARR (Situation,Background,Assessment,Recommendation,and Response)method of communication assists team members with having situational awareness and clearly communicating the present situation to others.In this scenario,the assessment is decreased peristalsis,abdominal discomfort,and narcotic analgesic use,which details the patient's condition for the physician."Ms.Smith hasn't had a bowel movement in two days,which she states is unusual for her," is background information."Can we start her on Colace?" is the recommendation."I'm calling about Ms.Smith in 414" is giving the physician the identity of the patient you are calling about and setting the situation.

Question 18

Which of the following is considered a group maintenance role for a team member?
A)encourager
B)coordinator
C)Blocker
D)Orienter

Accepted Answer

Team member roles can be categorized according to three types of roles: groups task roles,group maintenance roles,and self-oriented roles.Six roles that are frequently considered to be group maintenance roles in teams are: 1)encourager,2)harmonizer,3)gatekeeper,4)standard seeker,5)group observer,and 6)follower.The coordinator and orienter are seen in the group task role category since they pertain to clarifying and synthesizing information for the group (coordinator)or summarizing,pointing to departures from the original goals,and raising questions concerning the direction of the discussion (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

Accepted Answer

The SBARR method of communication has been proven to be effective when communicating in health care teams between team members.The acronym SBARR stands for Situation,Background,Assessment,Recommendation,and Response.

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

Accepted Answer

The Health Insurance Portability and Accountability Act (HIPAA),also referred to as the Privacy Act,was enacted to ensure the privacy of personal and confidential patient information.These eighteen recognized personal health identifiers are: names,geographic subdivisions smaller than a state,all elements of dates (except for the year),telephone numbers,fax numbers,social security numbers,medical record numbers,health plan beneficiary numbers,account numbers,license and/or certificate numbers,vehicle identification and serial numbers,device identification and serial numbers,Web universal resource locators (URLs),Internet Protocol (IP)addresses,biometric locators (including fingerprints or voiceprints),full-face photographs or images,and any other unique identifying numbers,characteristics,or codes.

Quiz 5: Inter-Professional Teamwork and Collaboration

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

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

Which of the following is not correct regarding Team STEPPS?

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?

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?

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?

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?

What is the primary goal of Crew Resource Management?

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?

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?

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?

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?

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?

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?

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

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?

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

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

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?