NURS 2320 exam 3 questions with correct answers
A newly licensed nurse is assigned to an experienced nurse for training
on a medical unit of a hospital. What type of nurse-to-nurse
collaboration does this assignment demonstrate?
a.
Interprofessional
b.
Shared governance
c.
Interorganizational
d.
Mentoring Correct Answer-ANS: D
Mentoring is a collaborative partnership between a novice nurse and an
expert nurse to help transition a nurse through career development,
personal growth, and socialization into the profession. Interprofessional
collaboration is working with several disciplines. Shared governance is a
type of management for nursing. Interorganizational collaboration often
includes teams from inside and outside an organization to meet a
common goal.
Sarah is a nurse manager in a surgical unit. She is concerned about a
conflict between Lucy (a staff nurse) and one of the maintenance
personnel. Sarah explains to Lucy that unsatisfactory resolution of the
conflict is typically destructive and will result in:
a. Decreased frustration between the maintenance worker and her.
,b. A good relationship with the maintenance department.
c. Eventual resolution of the problem without further intervention.
d. Decreased productivity on her part. Correct Answer-ANS: D
Research by Saltman et al. (2006) determined that productivity
decreases with destructive conflict, whereas constructive conflict
strengthens relationships.
The nurse is presenting an in-service on the importance of collaborative
communication. The nurse includes which critical event identified by the
Joint Commission as an outcome of poor communication among health
care team members?
a.
The occurrence of a patient event resulting in death or serious injury
b.
Decreased ability to document expenses of care provided
c.
Longer time to begin surgical cases
d.
Increased time to discharge patients to outpatient care Correct Answer-
ANS: A
The Joint Commission has identified that poor communication is the
primary factor in the occurrence of sentinel events, or events resulting in
unintended death or serious injury to patients. Lack of documentation,
longer time to begin surgery, and increased delays in discharge all
,contribute to the management of health care, but do not result in critical
patient outcomes.
Staff at Valley Hospital are concerned that recent staffing cuts will affect
their ability to provide quality patient care, and they express their
concerns to senior management. The CEO of Valley Hospital makes the
following statement: "We need to contain costs because our funding has
been decreased." This is a good example of which of the following
conditions that propel a situation toward conflict?
a. Incompatible goals
b. Role conflicts
c. Structural conflict
d. Competition for resources Correct Answer-ANS: A
Conflicts arise in four areas: goals, facts, approaches, and values.
Conflicts among goals arise from competing priorities such as the
provision of quality patient care and containment of costs.
Which patient scenario describes the best example of professional
collaboration?
a.
The nurse, physician, and physical therapist have all visited separately
with the patient.
b.
The nurse, physical therapist, and physician have all developed separate
care plans for the patient.
, c.
The nurse mentions to the physical therapist that the patient may benefit
from a muscle strengthening evaluation.
d.
The nurse and physician discuss the patient's muscle weakness and
initiate a referral for physical therapy. Correct Answer-ANS: D
Professional collaboration includes team management and referral to
needed providers to meet patient needs. Each discipline retains
responsibility for their own scope of practice but recognizes the
expertise of other providers. Working separately does not develop a
comprehensive plan of care. Casual mentioning of patient needs does not
follow professional communication channels and frequently delays
needed interventions.
Kala, a unit manager, in discussing a role the CEO would like her to
perform, makes the following statement, "I will sit on the hospital
taskforce on improving morale if you send me to the hospital's
leadership training classes next week, so I can further develop my skills
and thus be more effective." Which of the following conflict
management styles is Kala using?
a. Collaborating
b. Avoiding
c. Negotiating
d. Accommodating Correct Answer-ANS: C
Negotiation involves an exchange of concessions (membership on a
committee in return for attendance at a workshop) or trading. This
strategy supports a balance of power.
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