Question 1

Inadequate hands-off communication is a contributing factor to adverse events that include which of the following?

Accepted Answer

A)  Wrong site surgery 
B)  Patient satisfaction 
C)  Medication errors 
D)  Patient satisfaction and medication errors 
E)  Wrong site surgery and medication errors E

Question 2

Which of the following is the most frequently identified root cause of reported sentinel events?

Accepted Answer

A)  Communication failure 
B)  Inadequate staffing 
C)  Incompetent staff 
D)  All of these are correct. A

Question 3

The nurse has an obligation to communicate a concern about a change in patient status to the physician again if the concern is not addressed after the first communication. Which option reflects this obligation?

Accepted Answer

A)  The recommunication imperative 
B)  The repeat duty 
C)  The two-challenge rule 
D)  The narrative command 
E)  None of these is correct. C

Question 4

A nurse and other members of the healthcare team function in the role of co-managers in the care of patients on the unit. Which option best represents the concept of co-management?

Accepted Answer

A)  Highest level of communication 
B)  Highest level of collaboration 
C)  Highest level of coordination 
D)  Highest level of consultation 
E)  None of these is correct.

Question 5

Which factor makes it important for nurses to work in environments where they are empowered to express concerns and have standardized tools to communicate?

Accepted Answer

A)  Focus on cost savings in health care 
B)  Complexity of the healthcare environment 
C)  Limitations of human performance 
D)  Focus on cost savings in health care and complexity of the healthcare environment 
E)  Complexity of the healthcare environment and limitations of human performance

Question 6

One of the most difficult challenges in promoting collaboration among professionals is giving and receiving feedback. What is your experience in giving and receiving timely and helpful feedback with a team? Think of an example of receiving both negative and positive feedback. Compare the effect of the negative and positive feedback. Compare the experiences.

Accepted Answer

The answer of One of the most difficult challenges in...

Question 7

Minimal information to include during a handoff includes which of the following?

Accepted Answer

A)  Dietary preferences 
B)  Allergy list 
C)  Code status 
D)  Dietary preferences and allergy list 
E)  Allergy list and code status

Question 8

Which of the following are possible barriers to the process of interprofessional communication and collaboration?

Accepted Answer

A)  Differing values and expectations 
B)  Varying qualifications and status 
C)  Similar schedules and routines 
D)  Varying qualifications and status and similar schedules and routines 
E)  Varying qualifications and status and differing values and expectations

Question 9

A nurse is a member of an effective interprofessional healthcare team on a busy nephrology unit. Which of the following is a characteristic of an effective interprofessional healthcare team?

Accepted Answer

A)  Shared decision making 
B)  Hierarchal relationships 
C)  Professional rivalry 
D)  Hierarchical relationships and shared decision making 
E)  Hierarchical relationships and professional rivalry

Question 10

Thinking about your experiences as a student nurse, have you observed effective communication improve patient care outcomes? Have you observed the impact of poor communication on patient outcomes?

Accepted Answer

The answer of Thinking about your experiences as a student...

Question 11

The Joint Commission's Targeted Solutions Tool (TST) for Hand-off Communications includes which of the following?

Accepted Answer

A)  Standardize tools and methods used to communicate to receivers. 
B)  Allow time and opportunity to ask questions. 
C)  Rely only on patients or family members to communicate vital information. 
D)  Standardize tools and methods used to communicate to receivers and rely only on patients or family members to communicate vital information. 
E)  Standardize tools and methods used to communicate to receivers and allow time and opportunity to ask questions.

Question 12

The nurse should use tools to assist in communication with other healthcare providers. Which communication framework should the nurse use to contribute to patient safety?

Accepted Answer

A)  Situation, background, assessment, recommendation (SBAR) 
B)  Concerned, uncomfortable, safety (CUS) 
C)  Call out and check back 
D)  All of these are correct. 
E)  None of these is correct.

Exam 13: Teamwork, Collaboration, and Communication in Professional Nursing Practice