The nursing student prepares for team work by completing the ...

[HCHenry]

The nursing student prepares for team work by completing the self-assessment Are you ready to be a team member? The student scored zero on the areas of finding it difficult to ask others for help, and the student wants to work alone.
 
  Which action should the student take next?
  A) Delegate unwanted tasks to the nursing assistant on the team, so there is more time to teach the client about health prevention and promotion activities
  B) Observe grand rounds and how the health care teams from various disciplines works together to better understand team work
  C) Plan before the next clinical areas that team approach would benefit the client instead of trying to do the care alone and ask the team members to help
  D) Ask the health care team to ask for help so the student can get involved in team work and learn how to go about working in a group

Question 2

A licensed practical/vocational nurse is preparing for an annual employee evaluation. Which example supports the hospital's pay for performance initiatives?
 
  A) The nurse makes a thorough assessment of the client's wounds before gathering supplies and the nurse makes sure that all supplies are properly charged to the client's account.
  B) The nurse participates in her care team consisting of the registered nurse and nursing assistant and completes the care maps for her clients following hospital standards of care.
  C) The nurse asked the client if he smokes and he sated he smoked 2 packs per day for 30 years but has decided to quit so the nurse charted the client is a nonsmoker.
  D) The nurse provided care she was taught in nursing school 2 years ago, which does not always go along with the critical pathway.

[ecabral0]

Answer to Question 1

Ans: C
Feedback:
The health care team consists of members from different professions and different educational backgrounds and with skill sets that complement each other and together can provide the most efficient highest quality of care. The purpose of team work is not to delegate unwanted tasks to nursing assistants. The nursing student identified having problems with asking others for help and wants to work alone, so observing how a team works together does not help the student take the needed step of asking the team for help. Asking the team to assign tasks for the student to complete does not provide the practice the student needs in asking team members to help. By planning ahead for the next clinical experience areas that the client may benefit from a team approach and asking team members for help provides the needed practice to help the student become a solid team member.

Answer to Question 2

Ans: B
Feedback:
Pay for performance involves reimbursement by Medicare and insurance for health care provided. A flat rate is provided for various diagnostic-related procedures and services, and if the health care facility can deliver the care for less than the provided fee, then the facility gains additional profit. The nurse during the performance review provides an example of being fiscally responsible for the pay for performance reimbursement by following the facility's standards of care and completing critical pathways and care maps to help manage client's care by providing quality, cost-effective evidence-based care that a critical pathway or care map outlines. Involving the entire team in the process is wise to ensure that the best care is provided and duplicate services that can be costly are not provided. Example A is conservation of materials and making sure that the client is properly billed, but it does not guarantee the best care was provided. Example C is incorrect because part of pay for performance is following standards set by accreditation and regulatory bodies, such as the Joint Commission, so the nurse is expected to chart for each client upon admission if he/she smokes, and if a smoker plans to quit, and if the client received educational materials about smoking cessation. In this case, the nurse did not accurately chart, which goes against the expectations for a nurse. Example D is incorrect because the nurse needs to follow the hospital's policies, procedures, and standards of care, which should be current and evidence based. The nurse needs to recognize that information learned in nursing school may become outdated, so it is important to stay up to date with practice.