Leadership CH 7 - communicating with others and working in the interprofessional team

8. 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, you:

jot down notes about the situation presented to you, review the patient's history, focus your assessment, and determine what you need for the patient

1. 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?

listening

4. TJC attributes 80% of all medial errors to:

poor hand-off communication

6. The EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up patient's EMR and sees no info regarding his recent hospital stay. How could this have happened?

EMRs are usually practice or hospital specific, so the patient's info will not be accessible to Jane

10. Who is responsible for accepting, transcribing, and implementing physician orders?

Professional nurse

9. ISBARR provides framework for communicating critical client information. ISBARR is an acronym for:

Introduce, situation, background, assess, recommend, readback

7. Social media issue. 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 social media?

Nurses should never post protected health information on a social media site

5. Implicit bias affects our understandings 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 the above

D

3. Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the MOST important to share with the oncoming nurse?

Introducing the client and his or her diagnosis to the oncoming nurse

2. 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 policies b. Some staff are afraid to ask particular charge nurses for help for fear of retribution c. The use of acronyms is confusing to staff members who are new to the unit d. All the above

D