NR-446 – Collaborative Healthcare Explores
interdisciplinary teamwork, communication strategies,
care coordination, leadership principles, and
collaborative healthcare delivery systems.
1. The nurse is participating in an interdisciplinary team meeting. Which
behavior best demonstrates effective collaboration?
A. The nurse remains silent and defers all decisions to the physician.
B. Each team member independently develops a plan without consulting others.
C. Team members openly share perspectives, actively listen, and jointly develop a
care plan.
D. The team leader assigns tasks without input from other disciplines.
Correct Answer: C
Rationale: Effective collaboration requires mutual respect, shared decision-
making, and open communication. Hierarchical silos and lack of input reduce team
effectiveness.
2. A patient with complex needs is being discharged. The nurse coordinates
with physical therapy, social work, and home health. This is an example of:
A. Fragmented care
B. Care coordination
C. Independent practice
D. Task shifting
Correct Answer: B
Rationale: Care coordination involves organizing care activities across disciplines
to facilitate appropriate delivery of services and improve outcomes.
3. Which of the following is a core competency of interprofessional
collaborative practice as identified by the Interprofessional Education
Collaborative (IPEC)?
A. Working in isolation
B. Values/ethics, roles/responsibilities, interprofessional communication,
teams/teamwork
C. Prescribing medications
D. Independent decision-making
,Correct Answer: B
Rationale: IPEC identifies four competencies: Values/Ethics,
Roles/Responsibilities, Interprofessional Communication, and Teams/Teamwork.
4. A nurse disagrees with a physical therapist’s recommendation to ambulate
a patient with unstable vital signs. The nurse’s best response is:
A. “You are wrong; the patient cannot walk.”
B. “I’m concerned because the patient’s BP is 80/50. Can we review the vitals
together before proceeding?”
C. “I will do what you say but document my disagreement.”
D. “I refuse to follow your order.”
Correct Answer: B
Rationale: Assertive, respectful communication using “I” statements and shared
data promotes patient safety and collaboration. Blaming or refusing without
dialogue is not collaborative.
5. A hospital implements bedside interdisciplinary rounds. What is the
primary benefit of this practice?
A. Increased documentation time
B. Enhanced communication, reduced errors, and improved patient/family
engagement
C. Elimination of nursing roles
D. Decreased patient satisfaction
Correct Answer: B
Rationale: Bedside rounds improve real-time information sharing, reduce silos,
involve patients, and decrease adverse events.
6. The nurse is leading a team huddle before shift change. The purpose of a
huddle is to:
A. Replace formal meetings
B. Provide a brief, focused communication to enhance situational awareness and
safety
C. Assign blame for previous errors
D. Discuss personal issues
Correct Answer: B
Rationale: Huddles are short, structured team meetings to plan, problem-solve,
and share critical information. They improve team cohesion and safety.
, 7. A patient with heart failure is readmitted within 30 days. The
interdisciplinary team conducts a root cause analysis. The primary goal is to:
A. Assign blame to a specific provider
B. Identify system and process failures to prevent recurrence
C. Reduce hospital revenue
D. Discharge the patient immediately
Correct Answer: B
Rationale: Root cause analysis focuses on systems, not individuals, to identify
contributing factors and implement sustainable improvements.
8. Which of the following describes a “teamstepps” strategy for improving
communication?
A. SBAR (Situation, Background, Assessment, Recommendation)
B. Independent decision-making
C. Avoiding all checklists
D. Ignoring handoffs
Correct Answer: A
Rationale: TeamSTEPPS (Team Strategies and Tools to Enhance Performance
and Patient Safety) includes SBAR, call-outs, check-backs, and huddles.
9. A nurse receives a handoff report using the I-PASS format. The “I” stands
for:
A. Information
B. Illness severity
C. Introduction
D. Indication
Correct Answer: B (I-PASS: Illness severity, Patient summary, Action list,
Situation awareness, Synthesis by receiver)
Rationale: I-PASS is a handoff mnemonic: Illness severity, Patient summary,
Action list, Situation awareness, Synthesis by receiver.
10. An interdisciplinary team is planning care for a patient with multiple
chronic conditions. Which approach best supports collaborative goal-setting?
A. The physician writes orders without input
B. The nurse decides all goals
C. The team meets with the patient and family to identify priorities and develop a
shared plan
D. The social worker discharges the patient
interdisciplinary teamwork, communication strategies,
care coordination, leadership principles, and
collaborative healthcare delivery systems.
1. The nurse is participating in an interdisciplinary team meeting. Which
behavior best demonstrates effective collaboration?
A. The nurse remains silent and defers all decisions to the physician.
B. Each team member independently develops a plan without consulting others.
C. Team members openly share perspectives, actively listen, and jointly develop a
care plan.
D. The team leader assigns tasks without input from other disciplines.
Correct Answer: C
Rationale: Effective collaboration requires mutual respect, shared decision-
making, and open communication. Hierarchical silos and lack of input reduce team
effectiveness.
2. A patient with complex needs is being discharged. The nurse coordinates
with physical therapy, social work, and home health. This is an example of:
A. Fragmented care
B. Care coordination
C. Independent practice
D. Task shifting
Correct Answer: B
Rationale: Care coordination involves organizing care activities across disciplines
to facilitate appropriate delivery of services and improve outcomes.
3. Which of the following is a core competency of interprofessional
collaborative practice as identified by the Interprofessional Education
Collaborative (IPEC)?
A. Working in isolation
B. Values/ethics, roles/responsibilities, interprofessional communication,
teams/teamwork
C. Prescribing medications
D. Independent decision-making
,Correct Answer: B
Rationale: IPEC identifies four competencies: Values/Ethics,
Roles/Responsibilities, Interprofessional Communication, and Teams/Teamwork.
4. A nurse disagrees with a physical therapist’s recommendation to ambulate
a patient with unstable vital signs. The nurse’s best response is:
A. “You are wrong; the patient cannot walk.”
B. “I’m concerned because the patient’s BP is 80/50. Can we review the vitals
together before proceeding?”
C. “I will do what you say but document my disagreement.”
D. “I refuse to follow your order.”
Correct Answer: B
Rationale: Assertive, respectful communication using “I” statements and shared
data promotes patient safety and collaboration. Blaming or refusing without
dialogue is not collaborative.
5. A hospital implements bedside interdisciplinary rounds. What is the
primary benefit of this practice?
A. Increased documentation time
B. Enhanced communication, reduced errors, and improved patient/family
engagement
C. Elimination of nursing roles
D. Decreased patient satisfaction
Correct Answer: B
Rationale: Bedside rounds improve real-time information sharing, reduce silos,
involve patients, and decrease adverse events.
6. The nurse is leading a team huddle before shift change. The purpose of a
huddle is to:
A. Replace formal meetings
B. Provide a brief, focused communication to enhance situational awareness and
safety
C. Assign blame for previous errors
D. Discuss personal issues
Correct Answer: B
Rationale: Huddles are short, structured team meetings to plan, problem-solve,
and share critical information. They improve team cohesion and safety.
, 7. A patient with heart failure is readmitted within 30 days. The
interdisciplinary team conducts a root cause analysis. The primary goal is to:
A. Assign blame to a specific provider
B. Identify system and process failures to prevent recurrence
C. Reduce hospital revenue
D. Discharge the patient immediately
Correct Answer: B
Rationale: Root cause analysis focuses on systems, not individuals, to identify
contributing factors and implement sustainable improvements.
8. Which of the following describes a “teamstepps” strategy for improving
communication?
A. SBAR (Situation, Background, Assessment, Recommendation)
B. Independent decision-making
C. Avoiding all checklists
D. Ignoring handoffs
Correct Answer: A
Rationale: TeamSTEPPS (Team Strategies and Tools to Enhance Performance
and Patient Safety) includes SBAR, call-outs, check-backs, and huddles.
9. A nurse receives a handoff report using the I-PASS format. The “I” stands
for:
A. Information
B. Illness severity
C. Introduction
D. Indication
Correct Answer: B (I-PASS: Illness severity, Patient summary, Action list,
Situation awareness, Synthesis by receiver)
Rationale: I-PASS is a handoff mnemonic: Illness severity, Patient summary,
Action list, Situation awareness, Synthesis by receiver.
10. An interdisciplinary team is planning care for a patient with multiple
chronic conditions. Which approach best supports collaborative goal-setting?
A. The physician writes orders without input
B. The nurse decides all goals
C. The team meets with the patient and family to identify priorities and develop a
shared plan
D. The social worker discharges the patient
