Question 1

In considering the overall task of the team,what issues should be considered in the care of the patient?

Accepted Answer

Nurses as individuals and as team members are advocates of the patient with a focus on the best and safest delivery of quality health care.

Question 2

A member of a nursing committee frequently disregards the rules of the group and feels that the rules do not apply to the member personally.The president of the committee recognizes the term that best describe this person

Accepted Answer

Self-servers are not willing to serve as a functioning part of the group,although they may appear to be group members when they perceive a personal benefit by the interaction.The critical conservatives typically have criticism for any suggestion other than their own.Motor mouths often interrupt others to get their points across.The mouse is known as a silent observer.

Question 3

Which action shows the cyclical phase of forming?

Accepted Answer

Forming is the beginning development of a group with well-defined reasons and common directions.In the storming phase,the nurse begins to act out the roles they normally portrays in the presence of peers.Norming occurs during the development of mutual goals and guidelines that help to redefine the nurse's behavioral roles in the group.During the performing phase,everyone knows one another,is able to work together,and trusts one another.

Question 4

Which action by the nurse shows a major characteristic of aggressive behavior?

Accepted Answer

All of us have a style of communication that reflects our own personality and self-concept.Achievement of the nurse's goals at the expense of others shows an aggressive behavior.Indirect expression of one's feelings describes passive behavior.Being able to communicate one's own needs describes an assertive behavior.Restricting one's own rights does not describe an assertive style of communication.Aggression is not an indirect expression of one's feelings but a very direct expression.Aggressive communication is angry and dominating where the person attempts to humiliate or "put down" other people.

Question 5

A nurse is meeting with the nurse supervisor to discuss an issue with a coworker.Which of the following statements would help the nurse effectively communicate with the supervisor?

Accepted Answer

When communicating with a nurse supervisor,the nurse should avoid blaming others and exaggeration.The nurse should instead focus on using "I" statements to express themself.

Question 6

Your team leader reminds you that you have forgotten to complete an assigned task.What is an assertive response?

Accepted Answer

When using assertive communication,a person would respond to criticism by acknowledging the issue and taking direct action to correct the problem.An apologetic response is not assertively taking responsibility for the forgotten task.Telling the person "you should have reminded you sooner" is placing the responsibility of the forgotten task onto another person.Telling the person you are busy is denying the issue.

Question 7

A nurse manager is educating staff on how to give effective presentations.Which statement indicates an understanding of this?

Accepted Answer

To give an effective presentation the nurse should always maintain a positive attitude,plan the presentation ahead of time,spice up the presentation and make changes according to the audience,and make eye contact.

Question 8

The nurse is using assertive communication skills to express self rights,when stating:

Accepted Answer

When you use an assertive communication style,you send the message that you will take responsibility for the consequences of both your words and your actions.Assertive individuals often compromise and may confront people directly about issues.Assertive individuals express anger appropriately rather than shielding others or repressing the feeling.The other statements do not express an assertive communication style.

Question 9

Dr.Jones asks you to give a medication to one of the patients,and you know the patient is allergic to it.When you point this out,Dr.Jones says,"Give the medication or I'll report this to your supervisor." What is the best assertive response?

Accepted Answer

Expressing to the physician that both of you should discuss the issue with the supervisor is an assertive response.As nurses gain experience,their judgment improves,and they are able to recognize ways to communicate needs and feelings with the goal of improving the processes and procedures used in the work setting.The patient's safety always comes first,so you would not go ahead and give the medication.When you walk away and ignore the comment,you are denying the feelings and not dealing assertively with the situation.Not giving the medication and stating that you don't care who the physician talks to about the issue is a threatening,aggressive response.

Question 10

Which of the following actions by the nurse leader is most likely to lead to an effective meeting?

Accepted Answer

It is the leader's responsibility to send out an agenda ahead of time and to indicate any preparations members need to make or materials they need to bring.It is important to have a meeting atmosphere where people feel as though they can respond and ask questions in a cooperative and collaborative setting.It is not necessary to have well-designed handouts for the meeting or for the leader to complete all the tasks of the group because this would indicate a lack of participation from the group members.

Question 11

A graduate nurse is observing nurses on a busy surgical unit.The graduate nurse notices that the nurses work together as an interchangeable part of the team and have an appropriate level of skills.When questioned by the charge nurse,the graduate nurse identifies this type of team as

Accepted Answer

Each person on a real team has the skills and abilities to be goal and group oriented.Each member has the ability to work as an interchangeable part of the team and is accountable for the team's outcomes.The other options are not types of team.

Question 12

How can the "grapevine" best be controlled?

Accepted Answer

Providing factual information in anticipation of employees' questions is an effective way to reduce the "grapevine." Most employees get secondhand information,and few employees get enough of the factual information that they need.Even if information is put in writing,it is important to communicate verbally to employees by answering their questions.A strong union does not necessarily reduce the grapevine.

Question 13

Which statement would be most appropriate for the nurse to make when practicing assertive behavior?

Accepted Answer

The nurse practicing assertive behavior would state: "I feel upset when Dr.Smith yells at me in front of my patients." The statement is direct and uses "I" statements.When the nurse says,"I can't believe what a jerk Dr.Smith is; the doctor should be fired" and "I am reporting Dr.Smith to the medical director," the nurse is using aggressive behavior.Statements such as: "Dr.Smith was right in her action" indicate passive/avoidant behavior.

Question 14

The graduate nurse has an adequate understanding of effective listening when stating which of the following?

Accepted Answer

One of the most problematic reasons for ineffective listening is that people allow their emotions to dictate what they hear or do not hear.Limited vocabulary,underdeveloped attention span,and external noise distractions are not the most problematic reason for ineffective listening.

Question 15

Which statement made the by the nurse indicates understanding of how to control the grapevine?

Accepted Answer

To control the grapevine,the nurse should avoid spreading rumors.The nurse should also promote face-to-face communication,obtain information from the source,and stop the circulating of rumors by not engaging in gossip.

Question 16

A nurse is caring for a Latino patient.The nurse is aware of the importance of cultural competency and providing the patient with culturally competent care.What can be done to enhance communication with this patient?

Accepted Answer

To communicate effectively with this patient,the nurse may need to obtain an interpreter.The nurse should also avoid jargon or slang,give shorter explanations,and speak in a normal volume and tone to the patient.

Question 17

Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?

Accepted Answer

The mouse is less confident of his or her abilities and is therefore less aggressive in the group dynamics.The motor mouth often interrupts others to get his or her point across.The self-server does not serve as a functional part of the group unless there is a benefit to them.The know-it-all is not a term used to describe group members.

Question 18

The clinical instructor interprets the development of mutual goals and guidelines as

Accepted Answer

Norming begins with the development of guidelines and mutual goals.Successful task completion helps to redefine individual behavioral roles in the group.In the performing phase,everyone knows each other,and the group makes changes in a seamless way.The storming phase involves acting out roles normally portrayed in the presence of peers.Informing is not a phase in the group process.

Question 19

Staff nurse 1: "You're stomping around and glaring at me.I'm wondering what's going on." Staff nurse 2: "I'm sick of you always going to lunch first.You don't care about anyone but yourself." What assessment can best be made about this exchange?

Accepted Answer

Nurse 1 was assertive in her approach by giving direct descriptive feedback reflecting nurse 2's actions with a question seeking information to explain nurse 2's actions.Asking about what is going on allows nurse 2 to make some comment about what is bothering her.Nurse 2's comment does not promote effective problem solving as it is judgmental (You don't care about anyone but yourself.).

Question 20

The nurse interprets assertive behavior as

Accepted Answer

A person exhibiting assertive behavior would express his or her true feelings in an honest,direct manner.An assertive person's behavior respects others and is not coercive or self-denying or self-depreciating in any manner.Assertive persons accept compliments and criticism and are not excessively apologetic but have self-respect for their thoughts and actions.

Quiz 12: Effective Communication and Team Building