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Difficulty: MediumCollaboration with Interdisciplinary Team

A pediatric nurse is coordinating the discharge plan for an 8-year-old client newly diagnosed with type 1 diabetes mellitus. The client's parents have limited English proficiency and express high levels of anxiety regarding home management. Which of the following actions indicate appropriate interdisciplinary collaboration and delegation? Select all that apply.

  1. Consult a registered dietitian to incorporate the family's cultural food preferences into a carbohydrate counting education plan.Answer
  2. Refer the family to a medical social worker to assess their financial capacity to obtain necessary medications and home supplies.Answer
  3. Include a professional medical interpreter in all teaching sessions to ensure accurate bidirectional communication.Answer
  4. D
    Ask a licensed practical nurse (LPN) to conduct the initial assessment of the parents' competence in drawing up and administering insulin.
  5. E
    Direct a nursing assistant to provide the parents with translated educational materials and answer any remaining questions.
  6. F
    Alleviate the parents' anxiety by stating that they have nothing to worry about as the clinic staff will manage the disease.

Answer

The correct actions involve consulting a registered dietitian, referring to a medical social worker, and arranging for a professional medical interpreter.
The correct actions properly utilize the interdisciplinary team's expertise to provide safe, comprehensive care. Consulting a registered dietitian provides specialized nutritional teaching; referring the family to a medical social worker addresses potential financial and resource barriers; and utilizing a professional medical interpreter ensures accurate communication for a family with limited English proficiency.

Step-by-Step Solution

1
Identify the client's complex discharge needs based on the scenario.
The client requires education on a new chronic illness, cultural dietary planning, financial assessment, and dedicated language support.
A comprehensive assessment determines which interdisciplinary team members are necessary for a safe discharge.
2
Determine the appropriate roles of interdisciplinary team members.
A dietitian handles specialized meal planning, a social worker addresses financial resources, and a professional interpreter bridges the language gap.
Collaborating with the right professionals ensures safe and effective care that addresses all psychosocial and physiological needs.
3
Evaluate the appropriateness of delegated tasks and communication strategies.
Initial assessments and teaching must remain with the registered nurse, and therapeutic communication must be maintained without using false reassurance.
Improper delegation and non-therapeutic communication compromise patient safety and fail to address the core problem.

Key Concept

Interdisciplinary collaboration involves utilizing the specialized skills of various healthcare team members (e.g., dietitians, social workers, interpreters) to provide comprehensive care while strictly adhering to the RN scope of practice for delegation and teaching.
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Collaboration with Interdisciplinary Team

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