Question 1

Which of the following is a primary goal of care coordination in interprofessional collaborative practice?

Accepted Answer

To link patients with community resources to enhance well-being

Question 2

A nurse is preparing a patient for discharge from the hospital. According to best practices, when should discharge planning begin?

Accepted Answer

At the time of admission

Question 3

Which of the following is NOT considered a direct health need in a community health needs assessment?

Accepted Answer

Food environment

Question 4

A patient is being transferred from an acute care hospital to a rehabilitation facility. Which communication method is recommended to ensure continuity of care?

Accepted Answer

SBAR or ISBARQ

Question 5

Which step in the ISBARQ method involves providing an opportunity for questions and answers?

Accepted Answer

Question and answer

Question 6

A nurse is acting as a patient navigator. Which of the following best describes this role?

Accepted Answer

A lay person or social worker focusing on support aspects of care

Question 7

Which population is considered vulnerable according to community health principles?

Accepted Answer

People experiencing poverty in rural and urban areas

Question 8

A patient is admitted to a same-day surgery clinic. When should screening tests and teaching occur?

Accepted Answer

Prior to admission to the clinic

Question 9

Which of the following is an essential component of discharge planning?

Accepted Answer

Assess strengths and limitations of the patient and support persons

Question 10

A patient decides to leave the hospital against medical advice (AMA). What must occur before the patient leaves?

Accepted Answer

The patient must sign a release form, and the signature must be witnessed

Question 11

Which of the following is a core competency for interprofessional collaborative practice?

Accepted Answer

Effective team structure

Question 12

A nurse is coordinating care for a patient with multiple chronic conditions. Which aspect of care coordination is most important?

Accepted Answer

Reducing fragmentation and duplication of services

Question 13

Which of the following is NOT a criterion for a formal discharge plan and referral?

Accepted Answer

Stable financial situation

Question 14

Telehealth is best described as:

Accepted Answer

Providing care remotely using electronic information and telecommunication technologies

Question 15

Which of the following is a quality required of a community-based nurse?

Accepted Answer

Accountability

Question 16

A nurse is using the ISBARQ method for patient handoff. Which step involves discussing pending lab results and what needs to be done over the next few hours?

Accepted Answer

Recommendation

Question 17

Which of the following is an example of a home health care service?

Accepted Answer

Hospice services

Question 18

A nurse is assessing a patient for discharge planning. Which factor should be considered to ensure effective discharge?

Accepted Answer

Individual, family, and community resources

Question 19

Which of the following best describes the role of a nurse navigator?

Accepted Answer

A clinically trained nurse who identifies and removes barriers to treatment

Question 20

A patient is admitted to an ambulatory care setting. Which of the following is typically completed during admission?

Accepted Answer

A short health history

Interprofessional Collaborative Practice and Care Coordination: Community and Home Health

Study Guide - Practice Questions

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