Sale!

Professional Nursing Practice 7th Edition Blais Hayes Test Bank

$80.00 $12.99

Professional Nursing Practice 7th Edition Blais Hayes Test Bank

ISBN-13: 978-0133801316

ISBN-10: 0133801314

 

Description

Professional Nursing Practice 7th Edition Blais Hayes Test Bank

ISBN-13: 978-0133801316

ISBN-10: 0133801314

 

 

 

Be the best nurse you can be:

Nursing test banks are legit and very helpful. This test bank on this page can be downloaded immediately after you checkout today.

Here is the definition of nursing

Its true that you will receive the entire legit test bank for this book and it can happen today regardless if its day or night. We have made the process automatic for you so that you don’t have to wait.

We encourage you to purchase from only a trustworthy provider:

Our site is one of the most confidential websites on the internet. We maintain no logs and guarantee it. Our website is also encrypted with an SSL on the entire website which will show on your browser with a lock symbol. This means not a single person can view any information.

Have any comments or suggestions?

When you get your file today you will be able to open it on your device and start studying for your class right now.

Remember, this is a digital download that is automatically given to you after you checkout today.

Free Nursing Test Questions:

 

Blais/Hayes, Test Item File for Professional Nursing Practice: Concepts and Perspectives, 7e

Chapter 13: The Nurse as Colleague and Collaborator

Question 1

Which group established a standard of professional performance focused on the nurse’s collaboration with clients, families, and other healthcare professionals?

  1. The National Council of State Boards of Nursing
  2. The National League for Nursing
  3. The American Association of Colleges of Nursing
  4. The American Nurses Association

Correct Answer: 4

Rationale: The ANA Nursing: Scope and Standards of Practice includes collaboration by the registered nurse with clients and families as well as other healthcare providers. The National League for Nursing and the American Association of Colleges of Nursing accredit schools of nursing. The National Council of State Boards of Nursing manages the administration of licensure examinations.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 247

 

Question 2

Which option represents the highest level of collaboration?

  1. The nurse, physician, and dietician have communicated individually with the client.
  2. The nurse, physician, and dietician have all written an individual plan of care and included it in the client’s medical record.
  3. The nurse and physician have discussed the nutritional needs of the client and have referred the patient to the dietician for a nutritional plan and teaching.
  4. The physician wrote a medical order for the nurse to contact dietary for a consult.

Correct Answer: 3

Rationale: The highest level of collaboration is co-management and referral, whereby providers retain responsibility and accountability for their own aspects of care, and clients are directed to other providers when the problem is beyond the current caregiver’s expertise. In this scenario, the option about the nurse and physician discussing the client’s nutritional needs and referring nutritional care to the dietician reflects that level of collaboration. Communicating independently with the client, having separate plans of care, and the unilateral decision making (medical order) options reflect parallel communication and function, which are lower levels of collaboration.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 3

Which option characterizes effective collaboration?

  1. Outcomes are positive for each healthcare provider.
  2. Common purpose and goals are identified at the outset.
  3. There is interdisciplinary goal setting for the patient.
  4. Each provider evaluates own outcomes.

Correct Answer: 2

Rationale: Characteristics of effective collaboration include common purpose and goals identified at the outset, clinical competence of each provider, interpersonal competence, humor, trust, and valuing and respecting diverse and complementary knowledge. The outcomes may not be positive for each healthcare provider, as compromise may be necessary. Interdisciplinary goal setting may be an outcome of collaboration but does not necessarily indicate that the collaboration was effective. Evaluation of own outcomes does not reflect effective collaboration.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 4

The physician and nurse have asked the client to make a difficult decision regarding treatment options. The client says, “I don’t really know what to do. Do whatever you think is best.” According to characteristics of collaborative care, what is true of this situation?

  1. The client must make the treatment decisions.
  2. The client retains the right not to participate in this decision.
  3. The healthcare professionals are responsible for the client’s health.
  4. The client is asking the healthcare professionals to define what health means to the client.

Correct Answer: 2

Rationale: The patient self-determination states that the client has the right to choose to participate or not participate in healthcare decisions. The client does not have to make decisions, but has the right to make decisions if desired. Responsibility for health falls on the client rather than on healthcare professionals. Each individual’s concept of health is important and legitimate for that individual. Although clients lack expert remembering, they have their own ideas about health and illness.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 247

 

Question 5

Collaborative practice creates a synergy among clients and providers. What does this statement mean?

  1. The client has the final responsibility for decision-making.
  2. Responsibility for health remains with the client.
  3. The sum of the actions of the parties is greater than individual efforts.
  4. The parties value and respect the diversity of their knowledge bases.

Correct Answer: 3

Rationale: Synergy means that the sum of the efforts of the parties is greater than the parts. It does not mean that the client has final responsibility for decision-making or that responsibility for health remains with the client. It does not mean that the parties value and respect diversity of knowledge bases.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 6

When considering collaborative practice, interdisciplinary healthcare teams have been particularly effective in which environment?

  1. Emergency departments
  2. Critical care units
  3. Outpatient services
  4. Obstetrical services

Correct Answer: 3

Rationale: Interdisciplinary healthcare teams function in all the environments listed. According to the text, the teams have been particularly effective in outpatient services, where clients are seen by a primary care physician or by a nurse practitioner and consultations are implemented as needed.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 7

  1. S. Kim developed a theory of collaborative decision making in nursing practice. This theory describes and explains collaborative interactions between nurses and which other group?
  2. Physicians
  3. Clients
  4. Other nurses
  5. Ancillary personnel

Correct Answer: 2

Rationale: This theory describes and explains collaborative interactions between clients and nurses in making healthcare decisions and the effect on outcomes. It does not address physician–nurse, nurse–nurse, or nurse–ancillary personnel collaboration.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Discuss the nurse’s role in collaboration.

Page Number: p. 249

 

Question 8

Dalton extended Kim’s theory of collaborative decision making in nursing practice to include which group?

  1. Social workers
  2. Children and vulnerable populations
  3. Psychologists
  4. Family caregivers

Correct Answer: 4

Rationale: Kim’s original theory discussed the nurse and the client. Dalton extended this theory to include family caregivers. This theory extension did not include social workers, children, vulnerable populations, or psychologists.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.4. Respect the centrality of the patient/family as core members of any health care team.

AACN Essential Competencies: VI 2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Discuss the nurse’s role in collaboration.

Page Number: p. 249

 

Question 9

What is true about the nurse’s role in collaboration?

  1. Collaboration occurs mainly with physicians.
  2. By law, nurses can collaborate only on client care issues.
  3. Peer collaboration can occur only when both nurses are educated at the baccalaureate level.
  4. It may include collaboration on health-related research.

Correct Answer: 4

Rationale: Nurses collaborate with clients, peers, and other healthcare professionals. They frequently collaborate about client care, but may also be involved in collaborating on such topics as bioethical issues, legislation, health-related research, and with professional organizations. There is not a requirement that the nurses involved have a baccalaureate degree.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Discuss the nurse’s role in collaboration.

Page Number: p. 249

 

Question 10

What must nurses do to fulfill a collaborative role?

  1. Graduate with at least a baccalaureate degree.
  2. Assume increased authority in practice areas.
  3. Redesign unit policies to allow collaboration.
  4. Lobby state boards of nursing to approve this collaborative role.

Correct Answer: 2

Rationale: Collaboration without action is incomplete. In order for the nurse to benefit from collaboration, there is a need to assume accountability and increased authority in the area where the nurse practices. A baccalaureate degree is not required. It is not necessary to write specific unit policies to allow for collaboration. The state boards of nursing support the American Nurses Association standard on collaborationRemember, lobbying is not needed.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Implementation; Nursing Process

Learning Outcome: 2. Discuss the nurse’s role in collaboration.

Page Number: p. 249

 

Question 11

The laboratory supervisor states, “I would like to collaborate with nursing services to improve the way they order laboratory tests.” What is the error in this statement?

  1. Laboratory supervisors should have no influence on nursing service.
  2. An integrated delivery system centers on the client’s health needs, not on the particular care given by one group.
  3. The issues between laboratory services and nursing services are generally related to the way orders are written by physicians.
  4. Collaboration cannot occur between disciplines in a hospital.

Correct Answer: 2

Rationale: This statement focuses on what one service (nursing) is doing wrong. This goes against the idea that an integrated system focuses on the client’s health needs, not on the particular care given by one group. This laboratory supervisor can have influence on nursing services by collaborating with that service, not by criticizing and directing what nursing will do. This is true no matter what the issue is and what causes the problem. Collaboration often occurs between and among disciplines in a hospital.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Discuss the nurse’s role in collaboration.

Page Number: p. 249

 

Question 12

Norton’s theory of communicator style describes nine specific communicator styles. Which nurse is using the attentive style?

  1. The nurse speaks forcefully to a peer who made a clinical error.
  2. The nurse is obviously listening to the client and makes eye contact during the conversation.
  3. The nurse monopolizes the lunchtime conversation with other nurses.
  4. While the client is describing his or her health history, the nurse interrupts with questions about current complaints.

Correct Answer: 2

Rationale: To use an attentive style of communication, the nurse makes eye contact and obviously listens during conversation. Although verbal feedback is given during this style of communication, the nurse does not interrupt or monopolize conversation. Speaking forcefully may be necessary in some situations, but does not exemplify attentive communication.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 254

 

Question 13

The hospital is a complex organization in which some amount of conflict is always present. How is this level of conflict described?

  1. Latent
  2. Felt
  3. Perceived
  4. Overt

Correct Answer: 1

Rationale: The constant level of conflict present in complex organizations is called latent conflict. Perceived conflict is when awareness begins. Felt conflict is when hostilities, anxieties, and stress erupt. Overt conflict results when the conflict is acted out.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 255

 

Question 14

The conflict negotiator tells the group that the desire is a win-win solution. What does this desire indicate?

  1. Each side of the argument gets all it requests.
  2. One side and the negotiator are successful in winning at least one point in the argument.
  3. Each side is satisfied with the resolution.
  4. In order to achieve resolution, each side compromises on items it views as important.

Correct Answer: 3

Rationale: Win-win is a situation in which each side is satisfied with the resolution. Although each side may compromise on some points, it should not have to compromise on items that are viewed as important. In that case, this would be more of a lose-lose resolution. If each side could get all it requests, there would be no conflict. There is no requirement that either side win a specific number of points, just that each side is satisfied with the resolution.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 256

 

Question 15

The nurse-manager has received several reports of unprofessional behavior regarding a nurse. While discussing these reports with the nurse, the manager remains warm, caring, and respectful. What type of feedback is the manager providing?

  1. Negative
  2. Positive
  3. Neutral
  4. Incongruous

Correct Answer: 2

Rationale: Because the nurse-manager is using the positive communication techniques of remaining warm, caring, and respectful, the feedback is considered positive. The determination of negative or positive is based upon communication style, not content of the message. Feedback is categorized as positive or negative, not neutral or incongruous.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 254

 

Question 16

The nursing team is tasked with making a decision regarding implementation of a new unit policy. What is the first step this team should take in this work?

  1. Obtain an institutional pledge to finance any necessary changes.
  2. Outline the priority needs of the work team.
  3. Organize interventions to solve the problem.
  4. Clearly define the problem being addressed.

Correct Answer: 4

Rationale: The first step in the decision-making is clearly defining the problem being addressed. After this step is done, the priorities of client care should be addressed, interventions should be designed and organized, and financial support should be considered.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 255

 

Question 17

A conflict between two groups has gone through the conflict management process, but the groups are still not working well together. Is this a normal situation?

  1. Yes; groups often have difficulty letting go of the conflict.
  2. Yes; when bargaining is used, the outcome is often unpredictable.
  3. No; these groups should go back through the problem-solving process.
  4. No; some problems are not amenable to conflict management.

Correct Answer: 1

Rationale: Even though conflict management techniques have been used, groups often have difficulty letting go of the conflict, particularly if the conflict has been a major source of discussion between team members. There is no indication that bargaining makes the outcome unpredictable, that these groups should go back through the process, or that the problem was not amenable to conflict management techniques. In most cases, the groups should be allowed to work through the letting-go process to see whether the situation improves.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 256

 

Question 18

The nurses on the unit have approached the nurse-manager with reports that a physician is abusive and rude in interactions with staff. The nurse-manager says, “Don’t take the remarks personally and maybe they will stop.” This is an example of which negotiation technique?

  1. Forcing
  2. Bargaining
  3. Smoothing over
  4. Avoidance

Correct Answer: 3

Rationale: Smoothing over is a short-term resolution focused on minimizing the felt conflict without resolving it. Forcing uses power or influence to impose a preference and may include using a higher authority to enforce change. In this situation, forcing could be done by the nurse-manager complaining to the chief of medical staff about the physician’s behavior. Bargaining is the same as negotiating. Avoidance is when one side of the conflict makes the decision to cease discussion and withdraw. If the nurse-manager had said “Just ignore the remarks,” that would be avoidance.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 256

 

Question 19

How does today’s healthcare consumerism affect the need for collaboration?

  1. Consumers are not interested in how lifestyle affects health.
  2. Consumers expect to be involved in decision making.
  3. Consumers are hesitant to assume responsibility for their own health.
  4. Consumers expect physicians to make decisions for them.

Correct Answer: 2

Rationale: Today’s healthcare consumers have greater knowledge about their health than in previous years, and they are increasingly influencing healthcare delivery. Formerly, people expected a physician to make decisions about their care; today, however, consumers expect to be involved in making these decisions. Consumers have also become aware of how lifestyle affects health, and they are not hesitant to assume responsibility for their own health.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care,

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 4. Analyze factors that affect collaboration in health care.

Page Number: p. 251

 

Question 20

Issues such as access to health care can only be solved by using which technique?

  1. Technology
  2. Collaboration
  3. Awareness
  4. Legislation

Correct Answer: 2

Rationale: Although technology, awareness, and legislation also have the potential to solve today’s healthcare issues, these techniques also depend upon collaboration.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 4. Analyze factors that affect collaboration in health care.

Page Number: p. 253

 

Question 21

Which statement reflects a belief that is central to holistic, collaborative health care?

  1. Interdisciplinary decisions are made about the client’s care.
  2. Collaboration involves questioning and ordering.
  3. Responsibility for health falls on the client rather than on healthcare professionals.
  4. Healthcare providers hold the best idea about what will meet the client’s needs.

Correct Answer: 3

Rationale: While interdisciplinary decisions are made and collaboration takes place, the basic belief is that the responsibility for health falls on the client rather than on the healthcare professional. Healthcare providers can offer ideas about what will meet a client’s health needs; but in holistic, collaborative care, these are not necessarily the best ideas.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 4. Analyze factors that affect collaboration in health care.

Page Number: p. 247

 

Question 22

The nurse would like to start a self-help group for persons who would like to lose weight. Which organization would it be helpful for this nurse to contact?

  1. American Nurses Association
  2. National League for Nursing
  3. National Mental Health Consumers’ Self-Help Clearinghouse
  4. National Coalition of Self-Help

Correct Answer: 3

Rationale: In the United States, the National Mental Health Consumers’ Self-Help Clearinghouse provides information on current support groups and guidelines about how to start a self-help group. The ANA and NLN do not provide this information. The remaining option is not a valid group.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 4. Analyze factors that affect collaboration in health care.

Page Number: p. 252

 

Question 23

What is true about poverty in the United States?

  1. The number of poor in the United States has decreased sharply in the last 10 years.
  2. The number of people living in extreme poverty has increased in recent years.
  3. The number of poor in the United States has increased sharply in the last 10 years.
  4. The number of people living in extreme poverty has decreased in recent years.

Correct Answer: 2

Rationale: The number of poor in the United States has remained fairly stable in recent years; however, the number of people living in extreme poverty has increased.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 4. Analyze factors that affect collaboration in health care.

Page Number: p. 253

 

Question 24

What percentage of Medicare dollars are thought to be expended on care provided in the last year of life?

  1. A little less than 10%
  2. More than 25%
  3. At least 40%
  4. Just under 60%

Correct Answer: 2

Rationale: In the United States, it is estimated that more than 25% of Medicare dollars are expended for the last year of life.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: V.3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of health care services.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 4. Analyze factors that affect collaboration in health care.

Page Number: p. 253

 

Question 25

The high school graduate is considering pharmacy as a career. What is true of the level of education necessary for licensure as a pharmacist?

  1. The pharmacist can enter practice as an intern pharmacist with an associate degree.
  2. Once a person has achieved a baccalaureate degree, he or she is eligible to apply for pharmacy school.
  3. The entry level education for a pharmacist is the Doctor of Pharmacy or PharmD.
  4. A person wishing to be a pharmacist must earn a master’s degree in biologic science prior to beginning pharmacy school.

Correct Answer: 3

Rationale: A person who wishes to become a pharmacist must have at least 2 years of post-secondary education prior to applying for pharmacy school. A baccalaureate degree is not necessary, nor is a master’s degree. Once admitted to pharmacy school, the student must achieve a PharmD in order to take the licensure examination for pharmacy. There is no process by which a person with an associate degree can become a pharmacist through an internship.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education, and licensure requirements).

NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 5. Compare and contrast the roles and expectations of other disciplines providing care for clients.

Page Number: p. 257

 

Question 26

The high school graduate is considering a career as a clinical social worker. What is true of the level of education required?

  1. Clinical social work is highly dependent upon on-the-job trainingRemember, no formal post-secondary education is required.
  2. Clinical social work requires a baccalaureate degree in social work and a 3-year residency program.
  3. Clinical social work is open to those with bachelor’s degrees in any related field.
  4. Clinical social work requires a master’s degree in social work.

Correct Answer: 4

Rationale: While there are various entry levels into social work, clinical social work requires a master’s degree in social work. It cannot be achieved through on-the-job training. A baccalaureate degree is available in social work, but there is no avenue of entering clinical social work through a residency program. Those persons holding bachelor’s degrees in related fields such as psychology and sociology may be qualified for some entry-level jobs in social work, but do not have the qualifications to be a clinical social worker.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education, and licensure requirements).

NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 5. Compare and contrast the roles and expectations of other disciplines providing care for clients.

Page Number: p. 258

 

Question 27

The nurse is collaborating with another health care provider to help a client regain skills needed to function in the home environment. This nurse is most likely working with a member of which discipline?

  1. Physical therapy
  2. Social work
  3. Occupational therapy
  4. Respiratory therapy

Correct Answer: 3

Rationale: The discipline charged with the responsibility of helping a client regain skills to function in the home or work environment is occupational therapy. The physical therapist’s work is focused more on musculoskeletal problems and increasing mobility and decreasing pain. The occupational therapist’s work is much broader, focusing on physical, psychological, and social needs. Social workers focus on helping people cope with and solve personal and family problems such as long-term care placement, availability of resources, and referrals to resources. Respiratory therapists focus on management of respiratory issues.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education, and licensure requirements).

NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 5. Compare and contrast the roles and expectations of other disciplines providing care for clients.

Page Number: p. 259

 

Question 28

The nurse manager is reviewing the collaboration continuum in preparation for presenting this information during a staff meeting. In which order, from lowest to highest, should the manager explain this continuum?

  1. Referral
  2. Consultation
  3. Coordination
  4. Co-management
  5. Parallel functioning
  6. Information exchange
  7. Parallel communication

Correct Answer: 7, 5, 6, 3, 2, 4, 1

Rationale: In the collaboration continuum the lowest level begins with parallel communication, then moves to parallel functioning, information exchange, coordination, consultation, co-management, and ends with the highest level of referral.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.3. Value the perspectives and expertise of all health team members.

AACN Essential Competencies: VI.2. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, patient-centered care.

NLN Competencies: Relationship-centered Care; Practice; Share responsibility; Collaborate and work cooperatively with others.

Nursing/Integrated Concepts: Implementation; Teaching/Learning

Learning Outcome: 1. Explain the essential aspects of collaborative health care.

Page Number: p. 248

 

Question 29

The clinical documentation committee is facing issues with the nursing staff regarding the upgrading of the documentation software. The committee chair plans to review the stages of conflict with the committee in preparation for implementation of the software. In which order should the stages be reviewed?

  1. Overt
  2. Latent
  3. Perceived
  4. Aftermath

Correct Answer: 2, 3, 1, 4

Rationale: There are five stages, or levels, of conflict. Latent conflict is always present when there is a complex organization or when roles are differentiated and may come into conflict. Perceived conflict is when awareness begins. The conflict may or may not progress beyond a latent or perceived level. When it does progress, felt conflict occurs, and hostilities, anxieties, and stress erupt. Overt conflict results when the conflict is acted out and battle lines are drawn. Conflict aftermath comes about with a resolution, which may or may not be optimal. The results may range from full cooperation to active or passive resistance. Although the conflict is resolved, the behaviors may still be affected. There may be difficulty letting go of feelings once there is resolution.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Implementation; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 255

 

Question 30

The nurse manager is reflecting on a negotiation conducted with the medical director which did not produce a desired outcome. In which order should the manager reflect upon this episode?

  1. The goal is to win against the other side
  2. Each side has a goal to get as much as possible
  3. Each side believes that both sides cannot achieve their goals
  4. Resources are limited for each side to get as much as possible

Correct Answer: 2, 4, 3, 1

Rationale: With competitive negotiation the following occurs: the tangible goals are for each side to get as much as possible; there are insufficient resources for each side to attain the desired goal; each side believes it is not possible for both sides to attain the desired goal; and the goal is to win against the other side.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: II.C.8. Contribute to resolution of conflict and disagreement.

AACN Essential Competencies: VI.3. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

NLN Competencies: Relationship-centered Care; Practice; Resolve conflicts.

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 3. Describe competencies needed for collaborative practice.

Page Number: p. 256

Reviews

There are no reviews yet.

Be the first to review “Professional Nursing Practice 7th Edition Blais Hayes Test Bank”

Your email address will not be published. Required fields are marked *