ACHPN Interdisciplinary Team Collaboration and Care Coordination 2

Question 1

A palliative care team is caring for a patient from a cultural background that discourages direct disclosure of terminal prognosis. How should the IDT approach this situation?

Accepted Answer

Explore with the family and patient what level of information they wish to receive and honor their preferences within legal and ethical boundaries

Answer

Culturally sensitive care requires exploring patient and family information preferences and tailoring communication to honor those preferences within ethical constraints.

Question 2

Which of the following documentation practices BEST supports continuity of care across the palliative care IDT?

Accepted Answer

A shared, integrated care plan updated after each IDT meeting and accessible to all team members

Answer

A shared, integrated care plan accessible to all disciplines ensures consistent care delivery and prevents miscommunication across the team.

Question 3

A family member requests that the hospice team not tell the patient they are dying. The patient has capacity. What is the most appropriate IDT response?

Accepted Answer

Discuss the family's concerns while affirming the patient's right to information, and explore a communication approach that addresses both

Answer

The IDT must balance family concerns with the autonomous patient's right to information, using collaborative communication to find a respectful approach.

Question 4

Which element is MOST essential when coordinating care transitions from inpatient palliative care to home hospice?

Accepted Answer

A structured handoff that includes goals of care, symptom management plan, family support needs, and 24-hour contact information

Answer

Effective transitions require comprehensive handoff communication covering clinical, psychosocial, and logistical needs with clear family instructions and emergency contacts.

Question 5

In palliative care, SBAR (Situation, Background, Assessment, Recommendation) is most useful for:

Accepted Answer

Standardizing clinical communication during urgent handoffs or escalations between IDT members

Answer

SBAR provides a structured format for concise, complete communication during clinical escalations and handoffs, reducing errors in high-stakes situations.

ACHPN - Advanced Certified Hospice and Palliative Nurse Examination Practice Test

ACHPN - Advanced Certified Hospice and Palliative Nurse Examination Practice Test

ACHPN Interdisciplinary Team Collaboration and Care Coordination 2