Exam 8: Communication in the Work Environment

Walking rounds are currently being implemented to avoid errors or omissions in shift reports.Which observations made during walking rounds would be seen as an advantage to the shift report? (Select all that apply.)

A patient is inappropriate when speaking to a UAP.What is the most appropriate action by the nurse?

A staff nurse complains to the nurse manager about an employee of another department constantly asking her out on a date even though she has told him she is not interested.Which action by the nurse manager is most appropriate?

Which of the following is an essential part of the shift report?

The nurse is admitting a patient who speaks very little English.What is the most appropriate method to use to ensure the patient understands the instructions?

A surgeon approaches the charge nurse in an angry manner after his patient fell out of bed, requiring further surgery.Which of the following approaches is most appropriate for the charge nurse to use?

Informal ("grapevine") communication in health care is used to properly inform staff of (Select all that apply.)

Patients are complaining that they are not receiving pain medications on the night shift.The night nurse has charted that they were given.What is the most appropriate action by the charge nurse?

To avoid transcription errors, the current trend in hospitals is to use the Computerized Physician Order Entry (CPOE).Further instructions should be given to the nurses when which statement is made?

The end of shift report is the appropriate time to communicate (Select all that apply.)

Which patient should the charge nurse direct the RN to see immediately after the shift report?

A nurse takes a telephone order from a physician.Which procedure is best for the nurse to use to avoid errors?

A staff nurse must leave work for an emergency.The nurse tells the charge nurse that her patients are fine and received all their AM medications.As the day progresses, it becomes apparent to the responsible RN that some things were not completed, especially some necessary AM medications.Which communication principle was not followed in this situation? (Select all that apply.)

The end of shift report is vital for the coordination of patient care.Which of these statements would require an intervention if overheard by the charge nurse during report?

Which response by the patient following discharge teaching would require further teaching?

A UAP becomes sick at work and asks to leave.Which response by the charge nurse is most appropriate?

It is vital to communicate changes in patient condition to the physician.When using the SBAR process, the nurse knows that what should be included when communicating patient condition? (Select all that apply.)

SBAR is a convenient tool to use when notifying physicians of a change in patient condition.In which of the following situations could it also be appropriately used?

Which of the following are true when communication is effective? (Select all that apply.)

The UAP is given ambulation instructions by a staff nurse for a patient 2 days postoperatively.Which of the following ambulation instructions would require further communication to the UAP to ensure the safety of the patient?