Question 1

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

Accepted Answer

A)  The frequency of which the call light was used.
B)  Patient's relationship to a staff member.
C)  New patient orders.
D)  Impending procedures.
E)  Evaluation of medication response. C,D,E

Question 2

Formal communication in health care is used to properly inform staff of (select all that apply):

Accepted Answer

A)  Changes in CPR certification dates.
B)  Christmas party celebration.
C)  Patient survey results.
D)  Girl Scout cookie order pick-up.
E)  Termination of an employee. A,C

Question 3

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?

Accepted Answer

A)  Notify the nurse manager.
B)  Confront the nurse about the problem.
C)  Ask other nurses what they think.
D)  Report the suspicion to the State Board of Nursing. A

Question 4

In the change of shift report,what should be included? Select all that apply

Accepted Answer

A)  Family contact telephone numbers
B)  Current assessment
C)  Plan of care
D)  Change in condition
E)  Discharge planF) Personal comments

Question 5

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?

Accepted Answer

A)  Confront the employee and ask him to stay away from the staff nurse.
B)  Observe future interaction to confirm the reported harassment.
C)  Contact the supervisor to decide on the next step.
D)  Review the personnel manual to decide on the next step.

Question 6

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

Accepted Answer

A)  "You can't leave until all the baths are completed."
B)  "Write down what needs to be completed."
C)  "Tell me what responsibilities still need to be completed."
D)  "Be sure to call by 5 AM if you are still sick tomorrow."

Question 7

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.

Accepted Answer

A)  Interaction
B)  Clarity
C)  Simple exact language
D)  Feedback
E)  CredibilityF) Direct communication

Question 8

Which exchange between the RN and the UAP requires intervention by the charge nurse?

Accepted Answer

A)  "Take the patient's blood pressure every 15 minutes and inform me of the results."
B)  "Check the patient's blood glucose before breakfast and lunch and inform me of the results."
C)  "Ambulate the patient in 2210 as far as he can walk."
D)  "Shave the patient in 2210.His beard is long."

Question 9

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?

Accepted Answer

A)  "Ambulate the patient the length of the hallway and get me if there are any problems."
B)  "Have you ambulated this type of post-op patient before?"
C)  "Let me know 1 hour before you are ready to ambulate the patient so I can give him his pain medication."
D)  "This patient has been ambulating with minimal assistance,but I would like you to walk with him to be sure he is stable."

Question 10

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

Accepted Answer

A)  The sender is credible.
B)  There is clarity.
C)  Simple,exact language is used.
D)  Slang is used.
E)  The receiver rolls her eyes when asked to complete a task.

Question 11

A float nurse is assigned four patients on the day shift.Which of the following reports by the float nurse would require immediate intervention by the charge nurse?

Accepted Answer

A)  "Dr.Smith,your patient,Mr.Jones is complaining of a headache."
B)  "Dr.Smith,this is nurse Sandy from xyz and your patient,Mr.Jones in 222,admitted with hypertension,is complaining of a headache."
C)  "Dr.Smith,this is nurse Sandy from xyz and your patient,Mr.Jones in 222,admitted with hypertension,is complaining of a headache but has just been started on isosorbide (Isordil) .What can I give him to relieve his headache?"
D)  "Dr.Smith,this is nurse Sandy from xyz and your patient,Mr.Jones in 222,is complaining of a headache but has just been started on isosorbide (Isordil) .What can I give him to relieve his headache?"

Question 12

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?

Accepted Answer

A)  Obtain a hospital interpreter.
B)  Ask a family member to interpret.
C)  Ask other staff for help.
D)  Incorporate sign language.

Question 13

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?

Accepted Answer

A)  "I don't need to review the new orders for accuracy."
B)  "The orders will go directly to the appropriate departments."
C)  "The risk for transcription errors is less."
D)  "I am still responsible for communicating the changes to the appropriate caregivers."

Question 14

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

Accepted Answer

A)  Change the assignment.
B)  Ask the UAP what they did to precipitate this.
C)  Explain to the patient how what they say is being interpreted.
D)  Complain to the physician.

Question 15

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

Accepted Answer

A)  Patient's ECG rhythm
B)  Patient's marital status
C)  Patient's occupation
D)  Patient's insurance status

Question 16

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?

Accepted Answer

A)  "Mr.Smith is quite afraid of the outcome of his procedure today.I had to give him an anti-anxiety medication."
B)  "Mr.Smith is quite afraid of the outcome of his procedure today.I called his wife to come in early."
C)  "Mr.Smith is quite afraid of the outcome of his procedure today.I called the chaplain to see him and his wife today."
D)  "Mr.Smith is quite afraid of the outcome of his procedure today.I was in the room most of the day."

Question 17

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

Accepted Answer

A)  Patient with a blood sugar of 240 mg/dL
B)  Patient complaining of burning on urination
C)  Patient in a Posey vest who is trying to get out of bed
D)  Patient with a temperature of 38ºC who is scheduled for surgery later that day

Question 18

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.

Accepted Answer

A)  Foley bag is not emptied on a patient on strict I&O.
B)  Patient needs assistance to bathroom.
C)  IV infusion bag is nearly dry.
D)  Patient with a PCA requests instructions to avoid increased pain.
E)  Patient's family member is caught smoking in the bathroom.F) IV line is not infusing what is currently ordered.

Question 19

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?

Accepted Answer

A)  Communication with radiology scheduling
B)  Communication with case manager
C)  Transferring patient
D)  Change of shift report
E)  Rapid response team (RRT)

Question 20

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

Accepted Answer

A)  "I should weigh myself daily since I started on Lasix (furosemide) for my heart failure."
B)  "I need to check my blood glucose after eating."
C)  "I should take my Lanoxin (digoxin) with my morning medications."
D)  "I need my blood checked frequently now that I am on Coumadin (warfarin) ."

Exam 2: Communication in the Work Environment

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

Formal communication in health care is used to properly inform staff of (select all that apply) :