A nurse is teaching a newly licensed nurse about palliative care.
Which of the following information should the nurse include?

Choice A rationale:

Collective bargaining is not a competency related to interprofessional collaboration. It pertains more to labor relations and negotiations with employee unions.

Choice B rationale:

Confrontation is generally not a positive competency in the context of interprofessional collaboration. It can lead to conflicts and hinder teamwork.

Choice D rationale:

Coercive power over other team members is not a competency that promotes collaboration. Collaboration should be based on mutual respect and communication rather than coercion. Interprofessional collaboration involves effective communication, teamwork, and a shared understanding of patient care goals. Therefore, choice C, which emphasizes the importance of communication in promoting openness in client care, is the most appropriate answer.

The correct answers are a. Client's hearing deficit, b. Volume of the client's television, c. Numerous visitors in the client's room, e. Adverse effects of opioid analgesic, and f. Using earphones while listening to music.

Choice A rationale: A client with hearing loss who does not wear a hearing aid may experience difficulty understanding spoken communication, especially in noisy environments, leading to potential miscommunication or misunderstanding.

Choice B rationale: Loud television volume can make it difficult for both the nurse and the client to hear each other, causing interference in their communication and potentially leading to errors in information exchange.

Choice C rationale: The presence of numerous visitors in the room can cause distractions, background noise, and overall interference with the nurse-client communication process, potentially affecting the quality and accuracy of the information exchanged.

Choice E rationale: Opioid analgesics can cause adverse effects such as drowsiness, confusion, or cognitive impairment, hindering effective communication between the nurse and the client, as the client's ability to comprehend, retain, and convey information may be impaired.

Choice F rationale: The use of earphones while listening to music can impair the client's ability to hear the nurse, creating a barrier to effective communication. This could potentially lead to missed or misunderstood information and, consequently, affect the quality of care.

Choice D rationale (Incorrect choice): While an increase in pain after ambulation could affect the client's mood, cooperation, and ability to engage in effective communication, it does not directly create a barrier to the nurse's ability to communicate with the client. Pain management is an essential aspect of postoperative care, and effective communication can actually facilitate pain assessment, management, and overall client well-being.