A nurse is planning care for a group of clients. The nurse should delegate obtaining vital signs to an assistive personnel for which of the following clients? (Select all that apply.)

Rationale:
A. "I should encourage clients to receive an annual flu immunization" is correct because preventive measures, such as immunizations, reduce the incidence of illness and subsequent hospitalizations or complications. Encouraging clients to take preventive steps lowers overall healthcare costs by decreasing the need for acute care, emergency visits, and extended treatment.

B. "I should wait to empty my client's drainable colostomy until it is three-fourths full" is incorrect because delaying emptying can increase the risk of skin breakdown, leakage, or infection. Poor management of ostomy care can lead to complications, which increases, rather than decreases, healthcare costs.

C. "I should recommend that my clients who have an established tracheostomy use sterile technique at home to provide ostomy care" is incorrect because at-home care for an established tracheostomy or ostomy typically involves clean, not sterile, technique unless otherwise indicated. Using sterile technique unnecessarily increases supply costs without improving outcomes, which is not cost-effective.

D. "I should delegate providing closed irrigation to the assistive personnel (AP)" is incorrect because closed irrigation involves a sterile procedure and assessment, which requires nursing judgment. Delegating this task to APs is unsafe and could result in complications, ultimately increasing costs due to potential adverse outcomes.

Rationale:

A. Increased staff retention is correct because interprofessional collaboration promotes a supportive and respectful work environment. When nurses and other healthcare professionals work together effectively, they feel valued, supported, and recognized for their contributions. This improves job satisfaction and reduces turnover, which is particularly important in high-stress settings like hospitals where burnout and staff shortages are common. Collaborative teams provide opportunities for mentoring, shared decision-making, and professional growth, all of which enhance retention.

B. Reduced professional autonomy is incorrect because effective collaboration does not diminish individual professional autonomy. Instead, it involves mutual respect and recognition of each team member’s expertise while integrating diverse perspectives into decision-making. Autonomy is preserved within each professional’s scope of practice, even as care is coordinated across disciplines.

C. Higher levels of burnout is incorrect because collaboration, when implemented properly, can reduce stress and prevent burnout. By distributing responsibilities, improving communication, and fostering a culture of support, collaboration mitigates the emotional and physical strain that can arise from working in isolation or under high-pressure conditions. Conversely, poor collaboration could contribute to burnout, but that is not a positive outcome.

D. Streamlined care processes is correct because collaborative practice improves coordination and efficiency. When nurses, physicians, pharmacists, therapists, and other team members communicate clearly and share responsibilities, it reduces duplication of tasks, prevents delays, and ensures interventions occur in the correct sequence. Streamlined processes enhance workflow, shorten hospital stays, and optimize resource use.

E. Enhanced problem-solving capabilities is correct because interprofessional collaboration brings together diverse knowledge, skills, and perspectives. Complex patient problems benefit from a team approach, as multiple viewpoints allow for more thorough assessments, creative solutions, and comprehensive care plans that a single professional might overlook. This collective intelligence improves clinical decision-making and patient outcomes.

F. Improved patient safety is correct because collaboration enhances communication, coordination, and adherence to best practices, which reduces medical errors, prevents adverse events, and ensures continuity of care. Teams that collaborate effectively are more likely to identify risks early, implement preventive measures, and monitor outcomes, leading to safer patient care environments.