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WorksheetsCollaboration, Case Management & Interdisciplinary Teams
Total questions: 13
Worksheet time: 24mins
Collaborative practice models attempt to achieve which of the following? Select all that apply.
Provide client-centered care using a multidisciplinary, integrated, participative framework
To make healthcare decisions for patients with no input from patients
Improve client and family satisfaction with care
Provide mutual respect, communication, and understanding between the client and members of the healthcare team
Communication is key to competent nursing care. What are some barriers that can impede care? Select all that apply.
Understanding each team members communication style
Not giving or receiving timely, relevant, and helpful feedback
Becoming defensive with patient feedback or recommendations
Ineffectively managing cultural language barriers
You admit a patient with congestive heart failure, chronic renal failure, and end stage chronic obstruction pulmonary disease. Which collaborative team members will be involved with this patients care? Select all that apply.
pulmonologist
endocrinologist
cardiologist
dermatologist
nephrologist
Responsibilities of case managers include what? Select all that apply.
Assessing clients and their homes and communities
Diverting clients opioids prescriptions for thier use
Coordinating and planning client care
Monitoring client's progress
Evaluating client outcomes
Nursing case management organizes client care by diagnosis-related groups (DRGs). What is the purpose of DRGs?
Delegate the responsibility of DRGs on the physician
Allow nurses to work toward a predetermined client outcomes within specific time frames and resources
Prevent insurance companies from being paid a flat rate
Only assign children with DRGs
The five elements that are essential to the successful implementation of case management are?
1. Support by key members within the organization
2. Assigning a qualified nurse case manager
3. Collaborative practice teams
4. A quality management system
5. Established critical pathways
True
False
What are the purpose of critical pathways?
Replace diagnosing a client with Rheumatoid arthritis
Infringe on the clients plan of care, preventing a positive outcome
Quickly orients the nurse to the client goals that should be achieved for the day
Provides the custodial services with treatment options for the client
What are examples of the interdisciplinary team members? Select all that apply.
Nurse manager
Unlicensed assistive personnel (UAP)
Consulting provider
Case manager
Social worker
After developing a plan of care, which team member approaches care in a multidisciplinary team process?
Case manager
O.B. Nurse
Dietician
Healthcare Provider
How does interdisciplinary teams improve the nurse's ability to manage care?
Nurse's provide all the care with no help
Interdisciplinary teams collaborate to contribute to the joint planning and accomplishment of client goals.
Intradisciplinary teams manage care for clients
Research proves that interdisciplinary teams are ineffective
A client has been diagnosed with chronic pain and depression. The patient reports chronic low back pain and states, "None of these doctors have done anything to help." Which client statement is a cause for great concern?
" I twisted by back last night, and now the pain is a lot worse."
"I'm afraid there is nothing else to relieve this pain. I think I'm going to find a way to end it."
"Occassionally, I buy pain killers from a guy in m y neighborhood."
"I'm going to sue you and the doctor; you aren't doing anything else for me."
The client has a fentanyl patch on the upper left chest wall area for severe arthritic pain. Which client behavior most urgently requires correction?
Frequently likes to submerge in hot tubs to reduce joint stiffness
Prefers to place the patch only on the upper anterior chest wall
Never reuses old fentanyl patches
Changes the fentanyl patch every 72 hours
A nurse is reviewing the medication administration record (MAR) for a client who has a patient-controlled analgesia (PCA) pump for pain management. The new nurse compares the MAR and the health care provider's (HCP's) order, and both indicate that larger doses are prescribed at night time, compared with doses throughout the day. Which member of the health care team should the new nurse express their concerns with?
Ask the client if they typically need extra medication in the evening.
Verify the dose of pain medication with the health care provider.
Ask the pharmacist to confirm the dosage on the original order.
Ask the charge nurse if this is the typical dosage for nighttime PCA medication administration.
