Question 1

Nurses can increase their ability to perceive themselves accurately by:

Accepted Answer

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 
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 D

Question 2

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.

Accepted Answer

A) Active failures 
B) Latent conditions 
C) System perspectives 
D) Situational awareness 
A) Active failures 
B) Latent conditions 
C) System perspectives 
D) Situational awareness B

Question 3

Match the description to the terms given.
Universal responses to stress-matching (may be used more than once)
-Ignores people who speak to them

Accepted Answer

A)  Blamer 
B)  Placater 
C)  Computer 
D)  Distractor 
A)  Blamer 
B)  Placater 
C)  Computer 
D)  Distractor A

Question 4

Unsafe acts include all EXCEPT:

Accepted Answer

A) Attention failures 
B) Memory failures 
C) Violations 
D) Latent conditions 
A) Attention failures 
B) Memory failures 
C) Violations 
D) Latent conditions

Question 5

Communication and patient safety are connected in health care because:

Accepted Answer

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 
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

Question 6

You teach a patient to think of a relaxing situation every time stress increases. This is called:

Accepted Answer

A) Progressive relaxation 
B) Visual imagery 
C) Assertiveness 
D) Restorative care 
A) Progressive relaxation 
B) Visual imagery 
C) Assertiveness 
D) Restorative care

Question 7

The nurse's knowledge about culture begins by:

Accepted Answer

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 
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

Question 8

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

Accepted Answer

A) Latent conditions 
B) Personal failures 
C) Active failures 
D) Error-provoking conditions 
A) Latent conditions 
B) Personal failures 
C) Active failures 
D) Error-provoking conditions

Question 9

Which of the following are examples of protective touch?

Accepted Answer

A) Hold patient's hand before surgery 
B) Apply vest restraint 
C) Give an a-frame hug 
D) Shaking hands with patient 
E)  Give injection
F) Message patient's hands
G) Hold the patient's arm down while the lab technician draws blood 
A) Hold patient's hand before surgery 
B) Apply vest restraint 
C) Give an a-frame hug 
D) Shaking hands with patient 
E)  Give injection
F) Message patient's hands
G) Hold the patient's arm down while the lab technician draws blood

Question 10

Health literacy programs encourage patients to ask three questions with every health-care interaction. These questions include all of the following EXCEPT:

Accepted Answer

A) How much will this cost? 
B) What is my main problem? 
C) What do I need to do? 
D) Why is it important for me to do this? 
A) How much will this cost? 
B) What is my main problem? 
C) What do I need to do? 
D) Why is it important for me to do this?

Question 11

Match the description to the terms given.
Universal responses to stress-matching (may be used more than once)
-Hangs up the telephone on a person

Accepted Answer

A)  Blamer 
B)  Placater 
C)  Computer 
D)  Distractor 
A)  Blamer 
B)  Placater 
C)  Computer 
D)  Distractor

Question 12

The transformational model of communication emphasizes:

Accepted Answer

A) Shared message creation 
B) Creating effects and outcomes 
C) Message transmission 
D) Message exchange 
A) Shared message creation 
B) Creating effects and outcomes 
C) Message transmission 
D) Message exchange

Question 13

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

Accepted Answer

A) Anxiety 
B) Blindness 
C) Hand-off 
D) Tall-man lettering 
E)  CUS 
A) Anxiety 
B) Blindness 
C) Hand-off 
D) Tall-man lettering 
E)  CUS

Question 14

In which of the following situations could the nurse use humor appropriately as a patient-safe strategy?

Accepted Answer

A) When a patient is in severe pain 
B) When providing patient education 
C) When maintaining a helping relationship 
D) When a patient is very distraught and the nurse is providing care 
E)  When a patient is vomiting and the nurse is holding the emesis basin
F) When the nurse is inserting a urinary catheter into the patient 
A) When a patient is in severe pain 
B) When providing patient education 
C) When maintaining a helping relationship 
D) When a patient is very distraught and the nurse is providing care 
E)  When a patient is vomiting and the nurse is holding the emesis basin
F) When the nurse is inserting a urinary catheter into the patient

Question 15

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

Accepted Answer

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" 
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"

Question 16

The elderly patient who is dying starts to cry and says, "I was always concerned about myself first, and I hurt many people during my life." What is the underlying feeling being expressed by the patient?

Accepted Answer

A) Ambivalence 
B) Sadness 
C) Anger 
D) Guilt 
A) Ambivalence 
B) Sadness 
C) Anger 
D) Guilt

Question 17

Humor can be used to facilitate communication in which situation?

Accepted Answer

A) During patient education 
B) During painful procedures 
C) When the patient has high anxiety 
D) When the patient is cognitively impaired 
A) During patient education 
B) During painful procedures 
C) When the patient has high anxiety 
D) When the patient is cognitively impaired

Question 18

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:

Accepted Answer

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. 
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.

Question 19

Communication with patients with dementia or Alzheimer's disease is difficult because they have:

Accepted Answer

A) Difficulty understanding what is said 
B) Difficulty hearing what is said 
C) Visual impairments 
D) Olfactory impairments 
A) Difficulty understanding what is said 
B) Difficulty hearing what is said 
C) Visual impairments 
D) Olfactory impairments

Question 20

Match the description to the terms given.
Universal responses to stress-matching (may be used more than once)
-Speaks in monotones

Accepted Answer