Question 1

The patient needs an immediate referral to a cardiologist. Continuity of care and patient safety are enhanced by all of the following EXCEPT:
A)Sharing detailed information with the cardiologist
B)Withholding the reason for referral from the patient to decrease fear
C)Using a structured handoff procedure
D)Reconciliation of medications

Accepted Answer

Withholding the reason for referral from the patient can actually decrease transparency and trust, potentially compromising patient safety and continuity of care. Open communication is essential for ensuring that the patient understands their health condition and the reasons for referral, which supports better outcomes.

Question 2

System inputs within the nursing work system include all EXCEPT:
A) Organizational management
B)Human abilities
C)Work environment
D)External environment

Accepted Answer

B

Question 3

In Reason's accident causation theory, the unsafe acts committed by health-care providers are termed:
A)Latent conditions
B)Personal failures
C)Active failures
D)Error-provoking conditions

Accepted Answer

In Reason's accident causation theory, the term "active failures" refers to unsafe acts committed by people who are in direct contact with the patient or system, such as health-care providers. These acts are directly linked to an accident or incident.

Question 4

Unsafe acts include all EXCEPT:
A)Attention failures
B)Memory failures
C)Violations
D)Latent conditions

Accepted Answer

Latent conditions refer to hidden issues within systems or organizations that can contribute to unsafe situations, rather than direct actions or behaviors by individuals, which are typically considered unsafe acts.

Question 5

More acutely ill patients; shorter hospital stays; frequent patient turnover; extended hours and overtime; stressful, interruption-driven environment; and large nursing workloads are considered _________ in Reason's accident causation theory.
A)Active failures
B)Latent conditions
C)System perspectives
D)Situational awareness

Accepted Answer

These are considered latent conditions in Reason's accident causation theory because they are underlying factors in the system that can contribute to errors or accidents, rather than immediate causes of an incident.

Question 6

A nurse is called to the telephone to receive an order from a physician for a patient who needs pain medication. After clearly establishing the identity of the patient and physician, the nurse should:
A) Write the drug on the order sheet, fax the order sheet to the pharmacy, obtain the drug, and promptly bring the drug to the bedside.
B)Ask the charge nurse to spell the drug's name if unsure how to spell it, and record the drug name, dose, method of administration, and frequency on the order sheet.
C)Repeat what the physician says, then write it down on the order sheet.
D)Write the order on the order sheet, read the order back to the physician, and verify the order is accurate.

Accepted Answer

Repeating the order back to the physician and verifying its accuracy is a critical step in ensuring patient safety and avoiding medication errors. This practice helps to confirm that the nurse has correctly understood the physician's instructions.

Question 7

A night nurse is concerned about a newly admitted surgical patient and needs to call to awaken the surgeon. The nurse uses the SBAR to get the information together. He plans to introduce himself to the surgeon, identify the patient, and describe:
A)The Situation, Background, Assessment , Recommendations
B)The Systems, Background, Assessment, Requirements
C)The Social Background, Aliments, Rx
D)The Solutions, Background, Activities, Respiratory

Accepted Answer

SBAR stands for Situation, Background, Assessment, and Recommendations. It is a communication technique used in healthcare to provide concise and structured information during handoffs or critical communications.

Question 8

Communication and patient safety are connected in health care because:
A)Clinical decisions are made based on shared information
B)One person dies every 5 minutes due to medical errors
C)Sentinel events occur in hospitals
D)There is a lack of quality care and services provided to patients by health-care organizations

Accepted Answer

Clinical decisions are often based on shared information among healthcare professionals. Effective communication ensures that all team members have the necessary information to make informed decisions, directly impacting patient safety and care quality.

Question 9

Nurses use communication in each of the following role functions EXCEPT:
A)Transferring responsibility of care
B)Actively involving the patient in the plan of care
C)Ensuring accuracy in interpreting information
D)Prescribing medications to treat illness

Accepted Answer

Nurses play a crucial role in patient care, including transferring responsibility, involving patients in care plans, and ensuring accurate information interpretation. However, prescribing medications is typically outside their scope of practice, a task reserved for physicians, nurse practitioners, or other licensed prescribers.

Question 10

The transformational model of communication emphasizes:
A)Shared message creation
B)Creating effects and outcomes
C)Message transmission
D)Message exchange

Accepted Answer

The transformational model of communication emphasizes creating effects and outcomes.

Question 11

The elements of the transformational model of communication include all EXCEPT:
A)Patient-safe strategies
B)Risk factors
C)Linear message transmission
D)Context factors

Accepted Answer

The transformational model of communication focuses on interactive, dynamic, and reciprocal communication rather than linear message transmission, which is characteristic of the transactional model.

Question 12

Communication occurs for the purpose of the expression of thoughts and feelings to:
A)Meet physical, social, practical, and identity needs
B)Clarify and verify the meaning of messages
C)Describe risk factors in a situation
D)Understand a situational context

Accepted Answer

Communication serves to meet various needs, including physical, social, practical, and identity needs, by allowing individuals to express their thoughts and feelings.

Question 13

Identify all communication risk factors from the transformational model of communication:
A)Anxiety
B)Blindness
C)Hand-off
D)Tall-man lettering
E) CUS

Accepted Answer

The answer of Identify all communication risk factors from the...

Question 14

In the patient-safe strategy of perception checking, which response is most appropriate to promoting a positive transformational outcome?
A)"Why didn't you eat your lunch? What's the matter?"
B)"I noticed that you didn't eat lunch. Is the food not good, or are you not feeling well? Is something wrong?"
C)"Since you didn't eat, I will ask the dietitian to come and talk to you."
D)"We can't continue talking about your eating problem right now. It's time for your bath."

Accepted Answer

B) is the most appropriate response as it demonstrates perception checking by acknowledging the observed behavior (not eating lunch) and asking open-ended questions to understand the patient's feelings or situation without making assumptions. This approach promotes a positive transformational outcome by showing empathy and willingness to understand the patient's perspective.

Question 15

Nurses can increase their ability to perceive themselves accurately by:
A)Self-disclosure within the nurse-patient relationship
B)Using the self-fulfilling prophecy
C)Getting in touch with the unknown self
D)Eliciting feedback from others

Accepted Answer

Eliciting feedback from others helps nurses gain insights into how they are perceived, allowing them to adjust and improve their self-awareness and perception.

Question 16

Order the importance of characteristics of the person delivering a message that influences the meaning given to the message: 
______The words spoken by the nurse
______The appearance and nonverbal behavior of the nurse
______The tone of voice of the nurse

Accepted Answer

The answer of Order the importance of characteristics of the...

Question 17

Select the statements that promote a positive communication climate between communicators:
A)Restating the problem
B)Giving a pep talk about the problem
C)Defending your position
D)Giving advice about the problem
E) Asking challenging "why" questions
F) Giving general leads such as "Please go on" and "Yes"

Accepted Answer

Restating the problem shows understanding and ensures clarity, while giving general leads encourages the speaker to continue sharing, both of which promote a positive communication climate.

Question 18

The nurse confirms listening has occurred through all the following EXCEPT:
A)Giving advice
B)Paraphrasing
C)Questioning
D)Silence

Accepted Answer

Giving advice is not a method of confirming that listening has occurred; it is more about providing a solution or opinion. Paraphrasing, questioning, and silence are techniques used to demonstrate active listening and ensure understanding.

Question 19

The nurse's knowledge about culture begins by:
A)Researching popular cultural groups
B)Understanding the nurse's own cultural values and beliefs
C)Sharing personal values and beliefs with patients
D)Integrating spirituality into nursing care of patients

Accepted Answer

Understanding one's own cultural values and beliefs is the first step in developing cultural competence. This self-awareness helps nurses recognize potential biases and better understand how their cultural background influences their interactions with patients from diverse backgrounds.

Question 20

Patterns of speech in men are focused on all EXCEPT:
A)Hierarchy
B)Status
C)Intimacy
D)Independence

Accepted Answer

Patterns of speech in men are typically focused on hierarchy, status, and independence, rather than on intimacy. Intimacy is more often associated with patterns of speech in women.

Quiz 1: Communication for Nurses How to Prevent Harmful Events and Promote Patient Safety

The patient needs an immediate referral to a cardiologist. Continuity of care and patient safety are enhanced by all of the following EXCEPT:

System inputs within the nursing work system include all EXCEPT:

In Reason's accident causation theory, the unsafe acts committed by health-care providers are termed:

Unsafe acts include all EXCEPT:

More acutely ill patients; shorter hospital stays; frequent patient turnover; extended hours and overtime; stressful, interruption-driven environment; and large nursing workloads are considered _________ in Reason's accident causation theory.

A nurse is called to the telephone to receive an order from a physician for a patient who needs pain medication. After clearly establishing the identity of the patient and physician, the nurse should:

A night nurse is concerned about a newly admitted surgical patient and needs to call to awaken the surgeon. The nurse uses the SBAR to get the information together. He plans to introduce himself to the surgeon, identify the patient, and describe:

Communication and patient safety are connected in health care because:

Nurses use communication in each of the following role functions EXCEPT:

The transformational model of communication emphasizes:

The elements of the transformational model of communication include all EXCEPT:

Communication occurs for the purpose of the expression of thoughts and feelings to:

Identify all communication risk factors from the transformational model of communication:

In the patient-safe strategy of perception checking, which response is most appropriate to promoting a positive transformational outcome?

Nurses can increase their ability to perceive themselves accurately by:

Order the importance of characteristics of the person delivering a message that influences the meaning given to the message: The words spoken by the nurse The appearance and nonverbal behavior of the nurse __The tone of voice of the nurse

Select the statements that promote a positive communication climate between communicators:

The nurse confirms listening has occurred through all the following EXCEPT:

The nurse's knowledge about culture begins by:

Patterns of speech in men are focused on all EXCEPT: