AN3 Exam 3 Communication and Healthy Work Environment: Book Questions

An effective way to help a diverse staff work together is to? A. Provide equal opportunities for advancement B. Pretend there are no cultural differences C. Promotes uniformity in communication styles D. Establish an english only policy institution-wide

A

Burnout at work can be identified best by? A. Expressions of frustration and powerlessness B. Fatigue and refusal to work double shifts C. Allergic reactions D. A preference for efficiency

A

Which of the following events should be reported? SATA A. A patient is placed in a broken wheelchair that tips over B. A staff member tells a neighbor about the famous athlete who is a patient C. An employee reports to work under the influence of alcohol D. A patient spills her supplemental protein drink on the floor; the CNA mops it up

A, B, C

Actions to address violence in the health-care workplace include? SATA A. Identifying the factors that contribute to violence and controlling as many as possible. B. Allowing the violence to escalate C. Assessing staff attitudes and knowledge regarding responses to violence D. Providing weapon training to those identified as having a potential for physical violence

A, C

A federal agency that partners with other agencies throughout the nation to investigate health problems, conduct research implement prevention strategies and promote safety and healthy environments is known as the: A. FDA B. IOM D. ANA D. CDC

D

New graduates usually experience a "honeymoon" period at their first job, which is characterized by? A. Extreme criticism from colleagues B. Long hours and low pay C. Feeling undervalued D. Excitement about the new position

D

OSHA, a federal government agency, is responsible for: A. Providing training to handle difficult clients and their families B. Providing research and education training C. Upholding the standards of nursing practice D. Developing and enforcing workplace safety and health regulations

D

Social media is commonly used to update friends and groups on things we have going on in our lives. Health care organizations routinely use social media to promote medical facts, services and recognitions. What is important for nurses to remember when deciding to post something work related on a social media source? A. Nurses should never post protected health information on a social media site B. Stories with good outcome can be posted to your media page C. Stories and photos can always be shared if the patients name or face is not visible D. Posting stories on personal time is OK because the nurse is not working

A

Which of the following are considered reasonable accommodations for an employee with a disability?SATA A. Modification of the work schedule B. Adjustment of work procedures C. Salary reduction to reflect lower output D. Additional days off and extended vacations

A, B

A suburban hospital recently announced that staff nurses should no longer choose their shift. Instead, they would be assigned to either a 12 hour day shift or a 12 hour night shift on an as needed basis. An informal group of staff nurses met to discuss this new policy. They came up with several arguments against it. Which of the following suggestions would help to alleviate the deleterious effects of the new policy? A. Allow self scheduling by staff nurses in each unit B. Provide free dinner for nursing staff at the end of the night shift C. End visiting hours before the day shift ends so that the night shift nurses do not have to deal with visitors D. Allow staff members to request consistent days off

A, D

An incident of sexual harassment as identified by the EEOC is? SATA A. Separate restrooms B. Providing coffee and doughnuts for the staff C. Demanding a daily kiss for writing a favorable evaluation D. Telling jokes about sexual identity issues

C, D

A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do? A. Ignore it because it is not physical violence and will not hurt anyone B. Model this bullying behavior so that staff can see how it affects people C. Keep a log of observed bullying behaviors to discuss during the employees' annual evaluation D. Confront the bullying behavior and discuss strategies for responding to it

D

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? A. The charge nurse is unavailable to help the nurses when they have questions about the policies B. Some staff are afraid to ask particular charge nurses for help for fear or retribution C. The use of acronyms is confusing to staff members who are new to the unit D. All of the above

D

Implicit bias affects our understanding in an unconscious manner. A person's ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? A. Implicit bias forms during a lifetime B. Implicit bias can influence clinical decision making and treatment C. Implicit bias contributes to an individual's social behavior D. All of the above

D

Stephanie Beals was a little nervous during her first week of work as a licensed nurse. Distracted by a lead nurse behind her, her hand slipped and she was struck by the needles she had just used. What is most important for Stephanie to do? A. Disinfect the site of the needle stick B. Apologize to the patient, clean the site, and properly dispose the needle C. Update her hep B immunization D. Report the incident and obtain post exposure prophylaxis (PEP) within 2 hours

D

You are working on the trauma unit today and your new patient with a femur fracture complains of leg pain and seems a little diaphoretic and short of breath. You assess the patient and prepare to contact the surgeon. In preparation for contacting the physician: A. Immediately page the MD, it could be a PE and time is of the essence, you will give him the particulars when the MD arrives B. Wait for the MD to round on his patients because it should be within the next hour of so C. Medicate the patient for pain and plan to contact the MD when he rounds D. Jot down notes about the situation as it is presented to you, review the patient's history, focus on your assessment and determine what you need for the patient

D

Who is responsible for accepting, transcribing and implementing physician orders? A. Unit clerk B. Medical intern or resident C. Professional nurse D. Medical assistant

C

Bedside shift report is one of the things that Janes reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the least important to share with the oncoming nurse? A. Telling the oncoming nurse what happened on the unit during the shift B. Introducing the client and his/her diagnosis to oncoming nurse C. Sharing the nurse's personal opinion of the client D. Reviewing new medications orders and the medication administration record

B

TJC attributes 80% of all medical errors to: A. Poor hygiene and hand washing B. Poor hand off communication C. Poor work environment D. Lack of care

B

The EMR has many advantages compared to paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practice. Jane is the office nurse in a local practice. She is meeting with a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up the patient's EMR and sees no information regarding his recent hospital stay. How could this have happened? A. The patients discharge was so recent that it is not available yet B. EMRs are usually practice or hospital specific, so the patient's information would not be accessible to Jane C. The patient was hospitalized out of state D. The patient has not signed the necessary consents to give Jane access

B

Factors that are found to increase nurses' joy at work include?SATA A. Consistently high workload B. Ability to provide quality care C. A pattern of continuous conflict and disagreement D. Civility and respect

B, D

A surprisingly dangerous job in the united states is working: A. In a coal mine B. As a window cleaner in NYC C. In a health-care facility D. As a police officer

C

The occurrence of sexual harassment may be reported to? A. IHI B. ANA C. EEOC D. CDC

C

A colleague tells you "I'm so burned out, I think it's time for me to resign." What can you tell your colleague? A. "You probably need a break from work. Why don't you ask for a 6-month leave of absence?" B. "Why don't you apply for a position at our rival hospital?" C. "Tell me how you take care of yourself and what you like about your work?" D. "We're all burned out. Welcome to the club"

C

ISBARR provides framework for communicating critical client information. ISBARR is an acronym for: A. Identify, study, background, assess, recognize, readback B. Issue, situation, better, advise, refer with recommendations C. Introduce, situation, background, assess, recommend, readback D. None of the above

C

Jane is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? A. Talking to the staff B. Laughing with them C. Listening D. Crying

C