Deck 24: Communicating for Continuity of Care

Question 1

A staff nurse educates a nursing student about collaborative health care teams. The staff nurse recognizes that additional teaching is warranted when the nursing student lists which of the following as a characteristic of a collaborative health care team?

A) They are composed of a single health care discipline to maintain cost effectiveness.
B) They are broadly classified as multidisciplinary, interdisciplinary, and transdisciplinary teams.
C) Two or more skilled clinical practitioners will combine efforts in providing care.
D) There is an expectation that care will be provided collaboratively.

Answer 1

They are composed of a single health care discipline to maintain cost effectiveness.

Question 2

The nurse is working within an interdisciplinary team. The nurse recognizes that interdisciplinary teams are characterized by what factor?

A) They include only formal interactions.
B) They focus on individual problem solving.
C) There is an absence of overlapping of professional roles.
D) They share a common mission of working together to resolve complex clinical problems.

Answer 2

They share a common mission of working together to resolve complex clinical problems.

Question 3

What primary difference will a nurse employed as a staff nurse for 20 years find when comparing patient discharge scenarios over those years?

A) Patient discharge occurs after lengthier hospitalization
B) Patient are likely to require support after discharge
C) Medication and treatment regimens are less complex
D) Patients are significantly healthier at the time of discharge.

Answer 3

Patient are likely to require support after discharge

Question 4

The nurse manager conducting an in-service for staff nurses about the importance of patient-centered care will discuss which characteristics?

A) Promoting dependence of patients on staff.
B) Allowing the patient time for questions.
C) Supporting the patient in making informed decisions
D) Respecting the patients' cultural values and needs
E) Incorporating effective teaching method as appropriate

Question 5

A nursing instructor is educating a student nurse about bridging the gap between diminishing financial support for chronic care and multifaceted health care demands that can be long lasting. The instructor recognizes that further teaching is warranted when the student nurse lists which of the following as an indispensable means for accomplishing this?

A) Self-management
B) Family involvement
C) Shared decision-making
D) Minimal professional interventions

Question 6

Which characteristic is a key element of relational continuity with patients and with the entire team?

A) Team role clarity
B) Lack of territoriality
C) Shared decision-making
D) Transparent job responsibilities

Question 7

When working on a hospital unit, the nurse should begin the discharge planning process at which time?

A) Immediately after a careful review of initial admission data
B) Within 24 hours of the hospital admission
C) Just prior to the patient's hospital admission
D) Immediately before the patient is discharged

Question 8

The nurse demonstrates understanding of continuity of care (COC) when doing which of the following? (Select all that apply)

A) Providing care in an timely manner
B) Utilizing management plans that are consistent
C) Encouraging a longitudinal construct in health care
D) Demonstrating flexibility when managing the patient's care
E) Planning only care that the patient can afford and is comfortable with

Question 9

A nursing instructor educates a class of student nurses about informational continuity. The nursing instructor lists which of the following as characteristics of informational continuity?

A) It allows for the same patient information to be available to providers throughout the health care system.
B) It allows for specific information to follow the patient from primary to secondary care settings, but not vice versa.
C) It promotes interrupted flow of data and clinical impressions between health care providers and agencies.
D) Its purpose is to provide continuously coordinated, high-quality care.
E) It refers to data exchanges among providers and provider systems and between providers and patients.

Question 10

A patient asks a nurse to explain the Affordable Care Act. When explaining it to the patient, the nurse provides the patient with what information?

A) It begin in the year 2000.
B) It is legislated by each state independently
C) It emphasizes disease promotion and health prevention.
D) It provides new consumer protections.

Question 11

Which statement best describes continuity of care (COC)?

A) It prioritizes patients with acute physical conditions.
B) It involves patient-centered high-quality care across clinical settings.
C) It focuses on episodic hospital care of seriously ill patients.
D) Its key component is cost effect patient care

Question 12

A home health nurse visits a patient and his spouse once per week to change the patient's wound dressing. By visiting the patient and his spouse weekly, the nurse develops a sense of clinical responsibility and an accumulated knowledge of the patient and spouse's personal and medical circumstances. This situation describes which component of continuity of care (COC)?

A) Internal continuity
B) Relational continuity
C) Management continuity
D) Informational continuity

Question 13

Which statement should the nurse manager cite as a key feature of the medical home in primary care model? (Select all that apply)

A) It stresses the importance of person centeredness.
B) It functions as the final contact point for common health care problems.
C) The focus is on comprehensive care, which can meet many patient needs without referral.
D) It offers care related to a stronger knowledge about individual health care requirements
E) Care responses are refined over time related to the understanding of the patient's needs.

Question 14

The nurse is teaching at a community center about how the focus on care provision has shifted from the hospital to the community and a public health focus. The nurse teaches the community members that health care systems organized around acute, episodic care no longer suffice as a primary service model due to the complexity of contemporary health care, which requires a different care process to match new health realities. The nurse lists which of the following reasons for this?

A) Increased ethnic and racial diversity
B) Overall shorter life spans
C) Inadequate supply of highly skilled healthcare providers and professional nurses
D) Higher incidence of chronic health conditions
E) Fewer deaths resulting from improved treatment modalities

Question 15

The nurse recognizes that a characteristic of effective team collaboration includes which of the following?

A) It promotes inclusion of the patient and family.
B) It adds to the fragmentation of patient care.
C) It discourages synergistic creativity among professionals.
D) Its goal is to duplicate efforts to promote safe, high-quality care.

Question 16

To build relational continuity with each patient, the nurse implements what intervention?

A) The use of data to tailor current treatment and care to each patient's evidenced needs.
B) Accurate record sharing and technology to allow real-time communication exchanges between providers and with patients in remote sites.
C) A consistent, coherent care management approach that can be flexibly adjusted as patient needs change.
D) A therapeutic relationship with a practitioner that spans more than one episode of care that leads to a sense of clinical responsibility and an accumulated knowledge of the patient's needs

Question 17

The nurse is caring for a patient with a chronic health condition. The nurse recognizes that to achieve high-quality health outcomes for this patient, which factor is the priority?

A) Consistency of care-providing personnel.
B) Relationships between family and patient must be functional
C) Patients and families should be provided with the information they request
D) Collaborative support from coordinated health services is provided when available

Question 18

The nurse is caring for a patient who will be transferred from the hospital unit to an acute rehabilitation facility. To ensure continuity of care for the patient, the nurse should engage in what action?

A) Managing continuity of care through a rigid approach
B) Communicating with the health care team only for emergencies
C) Using a shared management plan when providing health services.
D) Limiting sharing information about the patient to abide by HIPAA regulations.