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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Admission assessments require comprehensive evaluation and clinical judgment, which are within the RN’s scope of practice. LPNs do not perform initial assessments or admissions for complex conditions such as renal failure.
Choice B reason: Chest tube insertion is an invasive procedure requiring advanced clinical skills and sterile technique. Assisting with this procedure is typically reserved for RNs or specially trained personnel.
Choice C reason: Monitoring a client with chest pain and pending cardiac enzyme results involves critical thinking and interpretation of lab data, which is outside the LPN’s scope. This task should be handled by an RN.
Choice D reason: LPNs are trained to perform routine wound care and dressing changes for stable postoperative clients. A client who is 2 days post-op from a total hip arthroplasty is typically stable, making this task appropriate for an LPN.
Correct Answer is D
Explanation
Choice A reason: While medication administration is important, the routine from the MAR is not typically included in a shift report unless there are specific concerns such as missed doses, adverse reactions, or changes in medication orders. The focus should be on current and relevant information.
Choice B reason: Scheduled procedures like a bone scan may be mentioned if they are critical to the client’s care plan or require preparation, but they are not the primary focus of a shift report unless they impact immediate nursing care.
Choice C reason: Vital signs from the previous day are outdated for a shift report. The report should include the most recent and relevant data to guide the incoming nurse’s care decisions.
Choice D reason: Input and output for the shift are essential components of the shift report. They provide insight into the client’s fluid balance, renal function, and potential complications such as dehydration or fluid overload, which are critical for ongoing assessment and care planning.
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