Answer to Question 1
Answer: C
The nurse would ask the dietary worker to come back later rather than risk making an error picking a meal or insulting the client. The nurse could use deductive reasoning and pick a meal that most children like, but the client could be allergic to certain foods or just not like them. Waking the client is not an option because the body heals during sleep. If the parents are present, the nurse might ask them if they are comfortable making choices for the child, but asking them to bring food in is inappropriate.
Answer to Question 2
Answer: B
A primary and historical barrier to effective nurse-physician collaboration has been nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and medical providers perceiving their role to be superior in the provision of healthcare services. Evidence does not suggest that the general population views nurses' contributions to the care of clients as less important, thus this is not considered a primary barrier to nurse-physician collaboration. Likewise, because health professional students are in fact educated about the benefits of collaborative practice and published evidence has documented the effectiveness of collaboration in improving client outcomes, these are not barriers to collaboration. In addition, the federal government, as evidenced in particular by the Healthy People initiative, has promoted collaborative efforts among clients, nurses, physicians, other healthcare providers, and the larger community to improve the health of the U.S. population.
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