Code	Item		Instructional Objective	Level of complexity		Expectation of response
C02A	Based on the case description, what are the professions of the team members who interacted with patient Roseana and failed to perform bronchoaspiration?		- To identify the socio-affective interactions generated between members of the multiprofessional team in everyday work.	Knowledge		To list specifically the 3 professions mentioned in the case: Physiotherapist, Nurse and Nursing Technician.
C02B	Describe three behaviours exhibited by the team professionals that may have contributed to the delay in aspirating the airways of patient Roseana.		- To distinguish tasks, responsibilities, and roles of each member of the multiprofessional healthcare team. - To support collaborative work in a multiprofessional team as a resource for improving patient care and safety.	Comprehension Acknowledgement		1) Misunderstanding of the roles and responsibilities of physiotherapists, nurses and nursing technicians. 2) Lack of communication among team members. 3) Individualized decision-making in patient care.
C02C	Explain how the team professionals could have acted to avoid situations like that of patient Roseana.		- To discuss failures in socio-affective interactions at work and their impacts on patient care.	Organization and Synthesis		The nurse should have aspirated the patient even in the absence of the physiotherapist. After aspirating the patient, the nurse should then have discussed with the team to reinforce agreements and/or reach a multiprofessional agreement.
C02D	Considering the proposed solutions, how would you communicate with the team members to prevent new cases similar to that of patient Roseana from happening?		- Propose solutions based on discussions with members of the multi-professional team, according to technical recommendations. - Decide on the care provided to the patient, in collaboration with the members of the multi-professional health team.	Organization and Assessment		- Establish an appropriate time and location to meet with the entire team to address the issue. - Emphasize the prioritization of patient care and avoid pointing fingers at specific individuals. The patient is the responsibility of to the entire team! - Emphasize the need for collaborative work by the multi-professional team. - Collaborate with the team to establish new agreements and propose improvements for patient care.
Note. C02A: Question A, Case 2 (T1), C02B: Question B, Case 2 (T1), C02C: Question C, Case 2 (T1).
C04A	According to the case description, what are the professions of the team members who interacted with patient Kelly Regina?		- Identify the socio-affective interactions generated among the members of the multiprofessional team in the daily work routine.	Knowledge		Listing precisely the 4 professions mentioned in the case: Occupational Therapy, Nursing, Physiotherapy, and Medicine.
C04B	Describe three behaviours exhibited by the team members that may have led to Kelly Regina being discharged without the guidance of Occupational Therapy.		- Distinguish tasks and responsibilities and roles of each member of the multi-professional team. - Support collaborative multi-professional teamwork as a resource for improving patient care and safety.	Understanding and Appreciation		1) Lack of understanding of the role of the occupational therapist in the discharge process 2) Lack of debate between team members. 3) Individualized decision-making in patient care.
C04C	Explain how the professionals on the team could have acted to avoid situations similar to that of Kelly Regina.	- Discussing failures in socio-affective interactions at work and their impacts on patient care.		Organization and Synthesis	Holding frequent meetings between team members to share information about the care provided to the patient. Informing the team when participation is impossible and possible referrals in these cases.
C04D	In view of the solutions presented, how would you talk to the professionals to prevent new cases like that of patient Kelly Regina from occurring?	- Propose solutions based on discussions with members of the multi-professional team, in accordance with technical recommendations. - Decide on the care provided to the patient, in collaboration with the members of the multi-professional health team.		Organization and Evaluation	- Define an appropriate time and place to meet with the entire team to address the issue. - Emphasize the prioritization of patient care and avoid pointing fingers at specific individuals. - Highlight the necessity of collaborative work within the multiprofessional team. - Collaborate with the team to establish new agreements and suggest improvements for patient care.
Note. C04B: Question B, Case 4 (T1), C04C: Question C, Case 4 (T2), C04D: Question D, Case 4 (T2).
C06A	According to the case description, what are the professions of the team members who interacted with patient Luana?	- Identify the socio-affective interactions generated among the members of the multiprofessional team in the daily work routine.		Knowledge	To list exactly the 4 professions mentioned in the case: Nutrition, Psychology, Nursing and Medicine.
C06B	Describe three behaviours exhibited by the team members that may have led to the change in patient Luana’s diet.	- Distinguish tasks and responsibilities and roles of each member of the multi-professional team. - Support collaborative multi-professional teamwork as a resource for improving patient care and safety.		Understanding and Appreciation	1) Misunderstanding of the role of the nutritionist. The new nurse also seemed not to know the team members and their potential internal work agreements. 2) Lack of debate between team members. 3) Individualized decision-making in patient care.
C06C	Explain how the professionals on the team could have acted to avoid situations like that of patient Luana.	- Discussing failures in socio-affective interactions at work and their impacts on patient care.		Organization and Synthesis	Internally aligning multiprofessional communication from the patient’s sister’s report about the nutritional values of the diet before the decision to change the diet. Socializing the new nurse with the adopted procedures and internal agreements of the multiprofessional team.
C06D	Considering the solutions presented, how would you communicate with the professionals to prevent new cases like that of patient Luana from happening?	- To propose solutions through discussions with members of the multiprofessional team, following technical recommendations. - To decide on the patient care collaboratively with members of the multiprofessional health team.		Organization and Assessment	- Define the appropriate time and place to meet with the entire team to address the issue. - Emphasize prioritizing patient care and avoid accusing specific individuals. The patient belongs to the whole team! - Emphasize the need for collaborative teamwork. - Make new agreements and suggestions for improving care together with the team.
Note. C06A: Question A from Case 6 (T3), C06B: Question C from Case 6 (T3), C06C: Question C from Case 6 (T3) C06D: Question D from Case 6 (T3).