Deck 4: Clarity and Safety in Communication

Question 1

When educating staff about how to reduce errors and increase safety,the nurse manager emphasizes the importance of communication that is

A) clear.
B) vague.
C) timely.
D) accurate.
E) unambiguous.

Answer 1

clear.
timely.
accurate.
unambiguous.

Question 2

When conducting an in-service on serious medical errors,the nurse teaches that nearly 70% of sentinel events are related to

A) lack of education.
B) inadequate resources.
C) minimal rest periods.
D) miscommunication.

Answer 2

miscommunication.

Question 3

A nurse recognizes that strategies for clear,accurate communication to promote client safety include which of the following?

A) Establishing a safe environment
B) Maintaining a climate of closed communication
C) Using unique interdisciplinary communication tools
D) Using communication tools that promote vague communication

Answer 3

Establishing a safe environment

Question 4

The nurse manager sets a goal to establish a new safety culture on a hospital unit.The nurse manager recognizes that basic components in establishing a new safety culture include

A) support of effective health care teamwork.
B) encouragement of individualism.
C) discouragement of new concepts.
D) promotion of a hierarchical system.

Question 5

The nurse manager is educating the unit staff about ways to promote safer clinical practice.The nurse manager emphasizes that this can be done through the incorporation of which of the following?

A) Correlation
B) Cooperation
C) Collaboration
D) Cultural sensitivity
E) Communication clarity

Question 6

The nurse is caring for a client who is becoming increasingly short of breath.The nurse decides to call the physician.Which of the following should the nurse initially do when speaking with the physician?

A) State the problem
B) Tell what is needed
C) State the client's allergies
D) Relate the client's background

Question 7

A student nurse is learning about how to reduce errors and increase safety.The nursing instructor recognizes that further teaching is warranted when the student nurse states which of the following?

A) "When communicating with clients, I will be clear."
B) "I will be timely in my communication with clients."
C) "I will promote communication with clients that is ambiguous."
D) "When communicating with clients, I will ensure the client understood."

Question 8

The nurse is teaching the student nurse about how to use SBAR when calling a physician.The student nurse verbalizes understanding of SBAR when stating that SBAR is

A) used as a situational briefing.
B) utilized strictly within the hospital setting.
C) not used in e-mails due to HIPAA rules.
D) never recorded within the client's chart.

Question 9

When calling a physician,the nurse tells the physician her name,what unit and what hospital she is calling from,the client's name,and that the client is having trouble breathing.The nurse is demonstrating which step in the SBAR format for communicating with a client's physician?

A) Situation
B) Assessment
C) Background
D) Recommendation

Question 10

When using the acronym "I PASS the BATON," the nurse demonstrates understanding by beginning with an introduction; then stating the client's name,identifiers,age,sex,and location; then discussing the assessment of the client; and then talking about

A) safety concerns related to the client.
B) the situation, including current status.
C) a summary of the client's medications.
D) a synopsis of the client's psychosocial needs.

Question 11

A nurse manager encourages staff to improve error and near miss event reporting.The nurse manager recognizes that as error reporting improves,

A) the severity of errors increases.
B) better, safer systems can be developed.
C) the likelihood of other errors increases.
D) error detection rates and severity remain unchanged.

Question 12

When working on a nursing unit,the nurse recognizes that incomplete communication errors most often occur during

A) staff meetings.
B) the night shift.
C) a handoff procedure.
D) medication administration.

Question 13

When educating a newly diagnosed client about management of diabetes mellitus,the nurse recognizes that health care-related communication

A) does not lead to errors within the hospital.
B) is generally well understood by most clients.
C) is not an important component of client care.
D) can cause clients to misunderstand information.

Question 14

When educating a student nurse about safety communication improvement solutions,the nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a safety communication improvement solution?

A) Adopting technology-oriented tools
B) Using standardized verbal and electronic communication tools
C) Disempowering clients to be partners in safer care
D) Participating in team training communication seminars

Question 15

A nurse manager is teaching a group of nurses about client safety.The nurse manager teaches the nurses that safety is defined as "avoidance,prevention,and amelioration of adverse outcomes or injuries stemming from the process of health care itself." What is the source of this definition?

A) Hippocratic oath
B) National Patient Safety Foundation
C) American Association of Colleges of Nursing
D) American Nurses Association's Code of Ethics

Question 16

When communicating with a client's physician,the nurse suggests ordering a STAT chest x-ray for a client who is experiencing dyspnea.This is an example of which component of the SBAR format for communicating with the client's physician?

A) Situation
B) Assessment
C) Background
D) Recommendation

Question 17

When a night shift nurse completes a shift,she gives a report about her clients to the oncoming day shift nurse.When beginning the report,the night shift nurse introduces herself and states her role,states the client's name,identifiers,age,sex,and location.Which of the following should the nurse do next?

A) State critical lab reports, allergies, and alerts
B) List current medications and client's family history
C) Talk about any anticipated changes in the plan of care
D) Relate client's chief complaint, vital signs, symptoms, and diagnosis

Question 18

A nurse attends an in-service aimed to educate staff about reporting hospital errors.The nurse demonstrates understanding when listing which of the following as consistent with error reporting within the United States?

A) Error reporting is transparent
B) Errors are overreported
C) Errors are underreported
D) Providers are not concerned about consequences of reporting errors