The collaborative team treating a client includes the cardiologist, dietician, social services, and a nurse case manager. The team works together to establish a plan of care based on the client's goals. Which outcome is likely to result from this type of collaboration for the client?
Improved relationship between the physician and the client
Enhanced continuity of care
increased healthcare costs
Decreased adherence with the plan of care
The Correct Answer is B
Rationale:
A. While collaboration may indirectly improve communication and relationships, the primary outcome of an interdisciplinary team approach is not limited to the physician-client relationship. It focuses on overall coordinated care rather than a single provider interaction.
B. Interdisciplinary collaboration ensures that all members of the healthcare team communicate effectively and work toward shared goals based on the client’s needs. This leads to coordinated, seamless care across different services and settings, reducing gaps, duplication, and errors, and improving overall patient outcomes.
C. Although involving multiple disciplines may seem costly initially, collaborative care often reduces overall healthcare costs by preventing complications, hospital readmissions, and unnecessary duplication of services.
D. Collaboration typically improves patient adherence because care is more patient-centered, consistent, and aligned with the client’s goals. Education and support from multiple team members enhance understanding and compliance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. FAST is a rapid, bedside ultrasound examination performed during the primary survey of a trauma patient, often alongside the ABCs (airway, breathing, circulation). Its purpose is to quickly detect free fluid—most commonly blood—in key areas such as the peritoneal cavity (e.g., Morrison’s pouch between the liver and kidney), the splenorenal recess, the pelvis, and the pericardial sac. The presence of free fluid in a trauma setting is highly suggestive of internal bleeding and may prompt immediate surgical intervention. FAST is especially valuable because it is non-invasive, can be performed quickly, does not expose the patient to radiation, and can be repeated as needed. It is commonly used in unstable patients where rapid decision-making is critical. An extended version, eFAST, also assesses for pneumothorax and hemothorax.
B. Although FAST is often performed early in trauma evaluation, the acronym specifically stands for “Focused Assessment,” emphasizing its targeted and rapid nature rather than simply being the first step.
C. This option misrepresents the acronym. FAST is not a general evaluation of findings but a focused, protocol-driven assessment to detect internal bleeding in specific anatomical areas.
D. This option is inaccurate and does not reflect standard trauma terminology. FAST is part of the primary survey and is not defined by “secondary findings.”
Correct Answer is C
Explanation
Rationale:
A. This is a consequence of pulmonary contusion but not the primary mechanism of death. Pulmonary contusions cause alveolar collapse and fluid accumulation, which impair oxygen exchange and can result in hypoxemia. While decreased oxygenation contributes to morbidity and mortality, it is secondary to the underlying tissue damage.
B. This describes a pneumothorax, which occurs when air enters the pleural cavity, collapsing the lung. Pneumothorax may occur with chest trauma but is not the primary pathophysiologic mechanism of death in pulmonary contusion.
C. Pulmonary contusions involve direct trauma to lung parenchyma, causing bleeding and edema within alveoli and interstitial tissue. The alveolar-capillary membrane, also called the blood-air barrier, is disrupted, leading to fluid and blood filling the alveolar spaces. This prevents normal oxygen and carbon dioxide exchange, causing severe hypoxemia, respiratory distress, and, in severe cases, respiratory failure. The disruption of this barrier is the central mechanism by which pulmonary contusions become life-threatening.
D. Rib fractures can impair ventilation due to pain or result in flail chest, but they are not the direct cause of death from pulmonary contusion. The primary danger arises from the internal lung tissue damage and resulting impaired gas exchange.
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