# A registered nurse is working with an interdisciplinary team to develop a comprehensive care plan for a patient with multiple chronic conditions. Which action by the nurse best demonstrates effective interdisciplinary team collaboration? > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=543649 > language: ko > subject: Next Gen NCLEX ## 문제 A registered nurse is working with an interdisciplinary team to develop a comprehensive care plan for a patient with multiple chronic conditions. Which action by the nurse best demonstrates effective interdisciplinary team collaboration? ## 보기 1. Documents all patient care activities independently without consulting other team members about their input or perspectives. 2. Facilitates regular team meetings to discuss patient progress, shares nursing assessments, and coordinates care with the team. **✔ 정답** 3. Follows physician orders exactly as written without providing input about nursing observations or patient concerns. 4. Completes nursing tasks efficiently while allowing other disciplines to work independently in their own domains without collaboration. **정답: 2** ## 해설 Effective interdisciplinary collaboration involves active communication and shared decision-making. Option 2 demonstrates this by facilitating meetings, sharing assessments, and coordinating care. Other options show independent work, lack of input, or poor coordination, which hinder teamwork. ## 심화 해설 Understanding Interdisciplinary Collaboration in Chronic Care The correct answer demonstrates the core principle of effective interdisciplinary team collaboration: structured, ongoing communication that integrates the unique knowledge of each team member to achieve coordinated, patient-centered care. For a patient with multiple chronic conditions, no single discipline can fully address the complex interplay of physical, functional, and psychosocial needs. Why Option 2 is Correct Facilitating regular team meetings to discuss patient progress, share nursing assessments, and coordinate care is the action that best exemplifies collaboration. This is not merely a meeting; it is a structured process of care pathway coordination. The provided evidence highlights that a critical role in complex patient care involves "clinical assessments, prevention, care pathway coordination, and team support" [1]. By sharing nursing assessments, the nurse contributes vital, real-time data on the patient's response to treatment, functional status, and emerging concerns—information that is essential for the team to adjust the care plan dynamically. This process directly addresses the risk of fragmented care, where somatic needs can go unrecognized [1], by creating a formal space for integrating the "neurodevelopmental profile" or, in a broader sense, the holistic patient picture with medical and therapeutic interventions [1]. This coordinated approach is fundamental to programs like reablement, where the goal is to empower patients by aligning all disciplines toward patient-important activities [2]. Why the Other Options are Incorrect - Option 1: Documenting independently without consulting others represents a siloed approach to care. This directly contradicts the concept of an interdisciplinary team, where the integration of diverse perspectives—such as a pharmacist’s insight into medication management or a physical therapist’s functional assessment—is crucial. Research into interprofessional collaboration explicitly seeks to "identify opportunities for improved collaboration and work processes," a need that arises precisely because independent, non-communicative workflows create gaps in care [4]. - Option 3: Following physician orders without providing nursing input undermines the nurse's professional responsibility and the team's collective intelligence. An interdisciplinary model values the unique assessment skills of each member. For instance, a nurse’s observation of a subtle change in a patient’s baseline could be the key to the "early detection of a serious complication," a critical function highlighted in the literature [1]. A team that does not actively solicit and integrate such input loses a vital safety net. - Option 4: Allowing disciplines to work entirely in their own domains without collaboration is the definition of multidisciplinary, not interdisciplinary, care. In a multidisciplinary model, professionals work parallel to each other but do not necessarily integrate their plans. This lack of coordination is a known problem that leads to "misallocation and capacity issues" in acute settings and fails to address the interconnected needs of a chronic care patient . True interdisciplinary care requires a shared care plan, which can only be developed through deliberate, collaborative communication. The implementation of any new collaborative role, such as a pharmacy technician on a ward, requires a deep exploration of "interprofessional perspectives" to build integrated workflows, not independent ones [4].References (research sources) - [1][The advanced practice mental health nurse at the heart of the "complex ASD cases" program].Research articleSmith W. (2026) · DOI: 10.1016/j.spsy.2026.04.011 - [2]Positive changes after a reablement program for older people in the Netherlands: a mixed-methods feasibility study.Research articleBranderhorst-Pruijssers E, Metzelthin S, Mouchaers I, Satink T, Graff M. (2026) · DOI: 10.1186/s12877-026-07460-4 - [4]Pharmaceutical technical assistants on hospital wards: Qualitative interdisciplinary perspectives.Research articleDe Graef M, Serraes B, Heirman J, Heerdink ER, Dilles T, Dijkstra NE. (2026) · DOI: 10.1016/j.rcsop.2026.100787 ## 임상 시나리오 Interdisciplinary Team CollaborationStructured Communication for Coordinated Care Effective collaboration requires regular, structured team meetings to integrate assessments from all disciplines. This is distinct from multidisciplinary work, where members operate independently. The nurse's role is to share real-time clinical assessments of the patient's functional status and response to treatment, which are vital for dynamic care plan adjustments and preventing fragmented care. CautionAvoid working in silos or simply following orders without providing nursing input. The absence of integrated communication risks overlooking critical somatic or psychosocial needs, especially in patients with multiple chronic conditions. ## 핵심 개념 - **Interdisciplinary Collaboration** — A process where team members from different disciplines work together to integrate their unique knowledge and skills, creating a unified, patient-centered care plan. - **Multidisciplinary Team** — A group of professionals from different disciplines who work independently within their own scope, often communicating formally, without necessarily integrating their care plans. - **Care Pathway Coordination** — The deliberate organization of patient care activities across disciplines and settings to ensure seamless, efficient, and integrated service delivery. - **Fragmented Care** — A breakdown in care delivery where services are disjointed, leading to gaps, duplication, or conflicting plans, often due to poor communication among providers. - **Patient-Centered Care** — An approach that respects and responds to individual patient preferences, needs, and values, ensuring that patient values guide all clinical decisions. ## 같은 주제 문제 - [A nurse is working with an interdisciplinary team to develop a care plan for a patient wit…](https://mymerci.kr/pages/nclex_q.php?qn_id=543648) - [A charge nurse is working with a team that includes two registered nurses (RNs), one licen…](https://mymerci.kr/pages/nclex_q.php?qn_id=543650) - [A nurse educator is teaching a group of new graduate nurses about delegation principles in…](https://mymerci.kr/pages/nclex_q.php?qn_id=543651) - [The charge nurse is making assignments for the upcoming shift. 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