A charge nurse is reinforcing teaching with a nursing team member about the competencies required for interprofessional collaboration. Which of the following statements by the nursing team member indicates an understanding?
"Collective bargaining is a competency that facilitates participation with other team members."
"Communication with other team members is a competency that promotes openness in client care."
"Confrontation is a competency that encourages interactions with other team members."
"Coercive power over other team members is a competency that improves client outcomes."
The Correct Answer is B
Choice A reason: Collective bargaining is a labor negotiation process between employees and employers, typically involving unions. While it may influence workplace conditions and policies, it is not considered a core competency for interprofessional collaboration. Collaboration focuses on shared decision-making, mutual respect, and communication—not labor relations.
Choice B reason: Communication is a foundational competency in interprofessional collaboration. Effective communication fosters transparency, mutual understanding, and coordinated care among team members. It ensures that client needs are addressed holistically and that care plans are clearly understood and implemented across disciplines.
Choice C reason: Confrontation is not a recognized competency in collaborative practice. While addressing conflict is important, confrontation implies aggression or adversarial behavior, which undermines teamwork. Constructive conflict resolution and respectful dialogue are preferred approaches in interprofessional settings.
Choice D reason: Coercive power refers to forcing others to comply through threats or pressure, which is counterproductive in healthcare teams. It erodes trust, damages morale, and compromises client safety. Interprofessional collaboration relies on shared leadership, respect, and voluntary cooperation—not coercion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A speech-language pathologist specializes in evaluating and treating swallowing disorders (dysphagia). After a cerebrovascular accident, impaired swallowing can lead to aspiration, malnutrition, and pneumonia. The SLP conducts assessments and develops individualized therapy plans to improve swallowing safety and function.
Choice B reason: While social workers support psychosocial needs and discharge planning, they do not assess or treat dysphagia. Their role is not clinical in this context and would not address the swallowing impairment directly.
Choice C reason: Physical therapists focus on mobility, strength, and rehabilitation of motor function. Although they are vital in stroke recovery, they do not manage swallowing disorders.
Choice D reason: Certified nursing assistants provide basic care such as feeding and hygiene but are not qualified to assess or treat dysphagia. They may assist with implementing safe feeding techniques under guidance but are not the appropriate referral source.
Correct Answer is A
Explanation
Choice A reason: The Affordable Care Act mandates that all individual and small employer insurance plans, including those available through the Marketplace, must cover maternity and newborn care. This includes prenatal visits, screenings, delivery, and postpartum care. These services are considered essential health benefits and must be provided without additional out-of-pocket costs such as co-pays or deductibles. Therefore, the nurse’s statement is accurate and reassuring to the client.
Choice B reason: Advising the client to switch plans is premature and potentially misleading. The client may already be covered under their current plan due to ACA provisions. Encouraging a switch without verifying coverage could lead to unnecessary stress or financial burden.
Choice C reason: The Americans with Disabilities Act (ADA) protects individuals from discrimination based on disability but does not mandate insurance coverage for pregnancy. Pregnancy is not classified as a disability under the ADA, so this statement is incorrect in the context of insurance coverage.
Choice D reason: While finding a provider within the insurance network is important for minimizing out-of-pocket costs, it does not directly address the client’s concern about whether pregnancy itself is covered. This response lacks the clarity and reassurance provided by Choice A.
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