N150A Week 7: Communication & Collaboration

Which aspects of communication are exemplified when the patient telephones the nurse to ask about the next appointment? Select all that apply. a) Verbal communication is present. b) Nonverbal communication is present. c) Patient is sender. d) Nurse is sender. e) Public communication occurred. f) Interpersonal communication occurred.

a) Verbal communication is present. c) Patient is sender. f) Interpersonal communication occurred.

Which scenario complies with professional role boundaries? a) Visiting a patient to provide home health care b) Accepting a $10 tip from the patient's family for excellent care c) Going to the movies with the patient and paying for the patient's way d) Borrowing a patient's car because the nurse's car needs repairs

a) Visiting a patient to provide home health care

Which tasks would the nurse assign to unlicensed assistive personnel (UAP)? Select all that apply. a) Vital signs b) Assessment of dressing c) Pain management d) Hygienic care e) Ambulation with a walker

a) Vital signs d) Hygienic care e) Ambulation with a walker

Which examples are associated with verbal communication? Select all that apply. a) Writing b) Emailing c) Blogging d) Texting e) Gesturing

a) Writing b) Emailing c) Blogging d) Texting

Which response from the nurse indicates effective collaboration and communication with the health care provider? a) "Something is wrong with this patient." b) "I believe the patient might be dehydrated and recommend fluids." c) "The patient is 76 years old with abnormal laboratory test values, so you should do something." d) "The patient is having chest pain."

b) "I believe the patient might be dehydrated and recommend fluids."

Which organizations use collaboration in their code of ethics? Select all that apply. a) Institute of Medicine (IOM) b) American Nurses Association (ANA) c) International Council of Nurses (ICN) d) National Academy of Medicine (NAM) e) Quality and Safety Education for Nurses (QSEN)

b) American Nurses Association (ANA) c) International Council of Nurses (ICN)

Which key concepts of professional communication are represented when the circulating nurse in the operating room says, "The patient's arm is not straight; it needs to be repositioned"? Select all that apply. a) Respect b) Assertiveness c) Advocacy d) Empathy e) Confidentiality

b) Assertiveness c) Advocacy

Which techniques promote therapeutic communication? Select all that apply. a) Asking "yes" or "no" questions b) Conveying acceptance c) Using focused comments d) Using humor e) Offering generalized responses

b) Conveying acceptance c) Using focused comments d) Using humor

Which techniques would the nurse use for a male patient who identifies as a female? Select all that apply. a) Say, "Sweetie, it is time for you to eat lunch." b) Establish trust. c) Complete care quickly. d) Touch the patient's shoulder for comfort. e) Use "he" when with the health care team.

b) Establish trust. d) Touch the patient's shoulder for comfort.

Which impairments may impede communication? Select all that apply. a) Gustatory b) Hearing c) Visual d) Cognitive e) Olfactory f) Physical

b) Hearing c) Visual d) Cognitive f) Physical

Which nursing action facilitates team building directly with the patient? a) Notifying the health care provider about the patient's limited resources b) Keeping the patient aware about the status of the health care team collaboration c) Contacting the occupational and physical therapists about the patient's rehabilitation potential d) Collaborating with the health care provider and family members about the patient's rehabilitation

b) Keeping the patient aware about the status of the health care team collaboration

Which behaviors would the nurse implement when using active listening? Select all that apply. a) Lightly touching the patient's arm b) Maintaining eye level with the patient c) Keeping arms uncrossed d) Facing the patient e) Leaning toward the patient f) Allowing time for the patient to answer

b) Maintaining eye level with the patient c) Keeping arms uncrossed d) Facing the patient e) Leaning toward the patient

Which actions would strengthen the nurse-patient helping relationship? Select all that apply. a) Using a family member to help interpret for a patient who does not speak the same language as the nurse b) Not leaving a severely anxious patient alone c) Postponing teaching if the patient is in severe pain d) Giving detailed explanations to patients with moderate pain e) Observing family dynamics when interacting with patients and families

b) Not leaving a severely anxious patient alone c) Postponing teaching if the patient is in severe pain e) Observing family dynamics when interacting with patients and families

Which situations are examples of public communication? Select all that apply. a) Nurse facilitating group therapy for depressed patients b) Nurse teaching about high blood pressure at a health fair c) Nurse comforting the patient's partner after a vehicle accident d) Nurse offering advice to a large classroom of nursing students e) Nurse suggesting ways to decrease the risk for infection on television

b) Nurse teaching about high blood pressure at a health fair d) Nurse offering advice to a large classroom of nursing students e) Nurse suggesting ways to decrease the risk for infection on television

Match the element of communication to its description. Description: - Method of communication involving the five senses - Person who decodes the message - Person who encodes the message - Event that starts communication Element of Communication: - Channel - Receiver - Referent - Sender

Method of communication involving the five senses --> Channel Person who decodes the message --> Receiver Person who encodes the message --> Sender Event that starts communication --> Referent

Match the components of SBAR to its example. Example: - Need to find source of infection and contamination - Review all equipment used and match infection to source - Infection rate up 14% in cardiac rehabilitation unit - Never used to have infections in the cardiac rehabilitation unit Components of SBAR: - Assessment - Background - Recommendation - Situation

Need to find source of infection and contamination --> Assessment Review all equipment used and match infection to source --> Recommendation Infection rate up 14% in cardiac rehabilitation unit --> Situation Never used to have infections in the cardiac rehabilitation unit --> Background

Match the key concept of professional communication to its example. Example: - Nurse asks the patient's name preference during initial contact - Nurse defends the rights of others, especially vulnerable patients - Nurse has confidence and commands respect - Nurse keeps the nurse-patient relationship therapeutic, not social Key Concept of Professional Communication: - Advocacy - Assertiveness - Professional boundaries - Respect

Nurse asks the patient's name preference during initial contact --> Respect Nurse defends the rights of others, especially vulnerable patients --> Advocacy Nurse has confidence and commands respect --> Assertiveness Nurse keeps the nurse-patient relationship therapeutic, not social --> Professional boundaries

Match the type of communication with the appropriate scenario. Scenario: - Nurse is obtaining health history from a patient. - Nurse is serving as an expert for a facility's social media platform. - Nurse is facilitating a quality task force. - Nurse feels confident by using meditation. Type of Communication: - Interpersonal - Intrapersonal - Public - Small group

Nurse is obtaining health history from a patient --> Interpersonal Nurse is serving as an expert for a facility's social media platform --> Public Nurse is facilitating a quality task force --> Small group Nurse feels confident by using meditation --> Intrapersonal

Which action would the male nurse take when a female patient from another culture does not want him to perform an assessment? a) Gently let the patient know the assessment will be performed by the nurse. b) Request a female nurse to perform the assessment. c) Distract the patient and then reintroduce the assessment at a later time. d) Obtain an interpreter to explain the benefits of letting the male nurse perform the assessment.

b) Request a female nurse to perform the assessment.

Which example is one of the five rights of delegation? a) Right time b) Right direction or communication c) Right drug or prescription d) Right documentation

b) Right direction or communication --> involves giving clear, concise instructions

Which nursing behavior would enhance health care team communication when directly caring for patients? a) Conversing with the hospital board members b) Rounding with health care providers c) Validating an acquaintance's feelings d) Reviewing an education pamphlet

b) Rounding with health care providers

Which actions would the nurse take for a patient who is comatose? Select all that apply. a) Not allowing friends in the room b) Speaking before touching the patient c) Observing for grimacing d) Monitoring for restlessness e) Maintaining quietness when providing care

b) Speaking before touching the patient c) Observing for grimacing d) Monitoring for restlessness

Under which heading is collaboration listed as a standard in the book, Nursing: Scope and Standards of Practice? a) Standards of Practice b) Standards of Professional Performance c) Core Proficiency and Competency d) Core Scope of Practice Competency

b) Standards of Professional Performance

Which strategy would the nurse use to facilitate communication with a visually impaired patient? a) Allow the patient to explore the room independently. b) Use analog clock descriptors to specify location. c) Place bright colors in various areas of the room. d) Provide a writing board for the patient to write messages.

b) Use analog clock descriptors to specify location.

Which nursing behaviors demonstrate safe delegation? Select all that apply. a) Taking over the delegated task b) Validating that instructions are understood c) Permitting unlicensed assistive personnel to administer intravenous medications d) Assessing the patient before assigning a task e) Allowing unlicensed assistive personnel to delegate vital signs to other unlicensed assistive personnel

b) Validating that instructions are understood d) Assessing the patient before assigning a task

Which nonverbal behavior would help a nurse who is speaking in public? a) Cross arms when questions are asked. b) Walk to the podium with confidence and intention. c) Touch every participant while walking to the stage. d) Say "That is a good point" to a participant who disagrees.

b) Walk to the podium with confidence and intention.

Which question or comment is an effective verbal technique for obtaining more information? a) "Do you exercise regularly?" b) "You look like a smoker." c) "Tell me more about your diet." d) "Have you traveled recently?"

c) "Tell me more about your diet."

Which response would the nurse make to a female patient who is crying and asks the nurse if she should get chemotherapy treatments? a) "So what would you like to order for dinner?" b) "There's no reason to cry; you are going to be alright." c) "What are your concerns about the chemotherapy?" d) "My mother's chemotherapy didn't work, but it might for you."

c) "What are your concerns about the chemotherapy?"

Which nursing scenario represents delegation? a) Talking to a health care provider about home health care for a patient b) Discussing with the patient when a shower can be taken c) Asking an unlicensed assistive personnel to feed a patient d) Notifying a social worker about community resources for a patient

c) Asking an unlicensed assistive personnel to feed a patient

Which example demonstrates verbal communication used by a nurse? a) Furrowing eyebrows b) Changing voice inflection c) Charting a patient's vital signs d) Standing with arms uncrossed

c) Charting a patient's vital signs

Which area is affected when the health care provider tells the patient, "The MRI, the PET scan, and the CBC with differential were inconclusive"? a) Setting b) Context c) Content d) Charting

c) Content --> describes the actual words of the exchange --> because the nurse uses medical jargon and abbreviations, the patient may not understand

A patient asks, "Can I eat after the test?" The nurse responds, "Yes, after you are fully awake." Which communication element is correctly correlated to its example? a) Referent: The patient b) Channel: Nurse saying "Yes, after you are fully awake." c) Message: Patient asking "Can I eat after the test?" d) Sender: The nurse

c) Message: Patient asking "Can I eat after the test?"

Which situation represents effective delegation? a) Nurse assigns the pharmacist to administer medications. b) Nurse assigns the unlicensed assistive personnel to assess a patient. c) Nurse assigns another registered nurse (RN) to care for an unstable patient. d) Nurse assigns a licensed practical nurse (LPN) to suture a small wound.

c) Nurse assigns another registered nurse (RN) to care for an unstable patient.

Which example illustrates interprofessional communication? a) Nurse obtaining information from a patient b) Nurse talking to a family member c) Nurse discussing options with a dietitian d) Nurse answering the call light

c) Nurse discussing options with a dietitian

Which example is a representation of the auditory channel in the communication process? a) Assessing urine for noxious odors b) Cleaning a patient c) Paying attention to the patient's breath sounds d) Observing the ears for bleeding

c) Paying attention to the patient's breath sounds

Which important patient insight may be gained by communicating with family members? a) Identifying cognitive impairment in a family member b) Providing data from primary sources c) Recognizing the existence of support systems d) Determining assistive devices to use for interpreting gestures

c) Recognizing the existence of support systems

Which aspect of voice inflection is reflected when the patient says, "I just can't . . . seem to . . . deal with . . . this"? a) Tone b) Volume c) Rhythm or rate d) Symbolic expression

c) Rhythm or rate

Which examples are types of intrapersonal communication? Select all that apply. a) Formal b) Informal c) Self-talk d) Meditation e) Conversational

c) Self-talk d) Meditation

Which result is associated with competency in teamwork and collaboration? a) Full nursing proficiency b) Effective time management c) Shared decision-making d) Improved research protocols

c) Shared decision-making

Which action would the nurse take for an older adult female patient who left her glasses at home but is wearing her hearing aid and wants information about her newly prescribed medications? a) Disregard the question because she is probably confused. b) Write down the medications so she can read about them. c) Sit down with the patient to verbally answer questions. d) Talk very loudly, staying within 3 feet of the patient.

c) Sit down with the patient to verbally answer questions.

Which information is correct about delegating care? a) The nurse can delegate evaluation. b) The nurse relies on the national nurse practice act for delegation. c) The nurse retains accountability for tasks delegated. d) The nurse avoids the scope of practice when delegating.

c) The nurse retains accountability for tasks delegated.

Which example is a type of nonverbal communication? a) Written word b) Spoken words c) Voice inflection d) Electronic communication

c) Voice inflection --> cannot be documented

Which response would the nurse make to a patient who is about to undergo a stressful procedure in 1 hour and yells at the nurse who is 5 minutes late with the medications? a) "Stop yelling at me." b) "You're mad because your partner isn't here to help you through this procedure." c) "Why are you acting this way? I haven't done anything to you." d) "I understand that you are probably nervous; tell me about how you are feeling."

d) "I understand that you are probably nervous; tell me about how you are feeling."

Which behavior occurs in the storming phase of small-group communication? a) Permitting ground rules to be set b) Encouraging all members to be involved c) Solving problems d) Addressing conflicts

d) Addressing conflicts

Which technique would the nurse use to facilitate communication with a hearing-impaired patient? a) Learn sign language. b) Provide background music to block out extraneous sounds. c) Stand at a distance greater than 8 feet while talking. d) Make sure the area is well lit.

d) Make sure the area is well lit. --> allows the patient to read lips accurately

Which situation represents collaboration? a) Nurse and dietitian working on different quality improvement teams b) Nurse preparing a community presentation about support groups c) Nurse improving self to become a better team member d) Nurse and physical therapist discussing options for patient care

d) Nurse and physical therapist discussing options for patient care

Which phase is the group experiencing when trying to resolve treatment for a patient's nonhealing wound? a) Norming b) Forming c) Storming d) Performing

d) Performing --> involves increased motivation and problem-solving to help a patient's wound heal

Which phase of small-group communication is described when the group is very committed to a positive outcome? a) Forming b) Storming c) Norming d) Performing

d) Performing --> involves problem-solving --> group members are highly committed to outcomes

Which patient scenario fits within Background for SBAR? a) Health care provider notified b) Needs pain medication c) Currently reporting moderate pain d) Recent past medical history of an arm fracture

d) Recent past medical history of an arm fracture

Which scenario complies with regulations of confidentiality? a) Whispering in a crowded elevator to another nurse about a patient's diagnosis b) Providing laboratory test results to the adult patient's mother c) Posting a picture of the patient and nurse with the patient's status on social media d) Refusing to tell the patient's partner about the diagnosis without patient authorization

d) Refusing to tell the patient's partner about the diagnosis without patient authorization

For which reason would the nurse avoid nontherapeutic communication in a nurse-patient helping (therapeutic) relationship? a) Focuses on patient's options b) Exhibits empathy to the patient c) Shifts the emphasis to the patient d) Requires justification of actions from the patient

d) Requires justification of actions from the patient --> can be perceived as criticism or judgment

Which phase of the nurse-patient helping relationship is represented when the nurse is summarizing care? a) Preorientation b) Orientation c) Working d) Termination

d) Termination

Which situation is an example of nonverbal communication? a) The patient states, "My left leg hurts." b) The patient writes a note to the nurse and family. c) The nurse asks if the patient has ever smoked cigarettes. d) The patient is grimacing and holding the abdomen.

d) The patient is grimacing and holding the abdomen. --> body language

Which situation describes collaboration? a) Three individuals listening to a lecture on respect for team members b) Two individuals working on different patient teams c) One individual preparing an online seminar for working in teams d) Two or more individuals working toward a common goal

d) Two or more individuals working toward a common goal

Which question represents one of the areas of the acronym SBAR? a) What is happening in the future? b) Which assignments should be delegated? c) Has the nurse contacted the health care provider? d) What action(s) should be initiated for this problem?

d) What action(s) should be initiated for this problem? --> Recommendation (R)

Which nursing responses are considered nontherapeutic? Select all that apply. a) Asking "why" questions b) Using open-ended questions c) Offering advice d) Agreeing with the patient e) Providing general leads

*a) Asking "why" questions* --> blocks the flow of communication and requires the patient to justify their actions *c) Offering advice* --> blocks the flow of communication and removes the decision-making authority from the patient *d) Agreeing with the patient* --> blocks the flow of communication and places the focus on the nurse's perspective, not the patient's

Which phases are components of small-group communication? Select all that apply. a) Storming b) Norming c) Assessing d) Converging e) Arbitrating f) Performing

*a) Storming* --> 2nd phase in which conflicts arise *b) Norming* --> 3rd phase in which efficiency is increased *f) Performing* --> 4th phase in which problem-solving occurs

Which components are basic elements of the communication process? Select all that apply. a) Stance b) Referent c) Channel d) Feedback e) Posture

*b) Referent* --> the event or thought that begins the conversation *c) Channel* --> the method of communication from the 5 senses *d) Feedback* --> the receiver's reaction or response to the message

Which communication strategies would the nurse use for a patient with dementia? Select all that apply. a) Avoiding eye contact b) Using computer-enabled communication c) Reminiscing with the patient d) Accepting the patient's erroneous line of thinking e) Continually reorienting the patient to the present

*c) Reminiscing with the patient* *d) Accepting the patient's erroneous line of thinking* --> avoid increasing agitation in patients with dementia

Which situation is an example of public communication? a) Educating a class of older adults about vaccinations b) Speaking to the patient's family members in the hallway c) Writing a reflective journal to share with the therapist d) Teaching several family members wound care in the home

a) Educating a class of older adults about vaccinations

Which characteristics are associated with voice inflection? Select all that apply. a) Tone b) Volume c) Facial changes d) Rate or rhythm e) Symbolic expression

a) Tone b) Volume d) Rate or rhythm

Which approach would the nurse use to communicate with a patient who is on a ventilator and is paralyzed in all extremities? a) Use eye movements to indicate "yes" or "no." b) Avoid teaching the patient at this time. c) Avoid correcting an erroneous line of thinking in this patient. d) Allow the patient to squeeze the nurse's hand to indicate affirmation of a question.

a) Use eye movements to indicate "yes" or "no."

Which behaviors would the nurse implement for collaboration? Select all that apply. a) Using humor b) Maintaining clinical competence c) Using strategies for taking charge d) Using Situation, Background, Assessment, and Recommendation (SBAR) e) Reading progress notes

a) Using humor b) Maintaining clinical competence d) Using Situation, Background, Assessment, and Recommendation (SBAR) e) Reading progress notes

Match the right of delegation to its description. Description: - Appropriate patient care situation - Appropriate task assigned to the right individual - Appropriate (clear, concise) instructions - Appropriate follow-up and feedback by the nurse Right of Delegation: - Right circumstance - Right direction - Right person - Right supervision

Appropriate patient care situation --> Right circumstance Appropriate task assigned to the right individual --> Right person Appropriate (clear, concise) instructions --> Right direction Appropriate follow-up and feedback by the nurse --> Right supervision

Match the phase of the nurse-patient helping relationship with its activity. Activity: - Collaborating among the nurse, patient, and others - Transitioning to another caregiver - Predetermining topics of interaction - Observing, interviewing, and assessing patients Phase of the Nurse-Patient Helping Relationship: - Orientation - Preorientation - Termination - Working

Collaborating among the nurse, patient, and others --> Working Transitioning to another caregiver --> Termination Predetermining topics of interaction --> Preorientation Observing, interviewing, and assessing patients --> Orientation

Match the type of communication to its characteristic. Characteristic: - Has fluid ethical and legal boundaries - Has sharing but in a limited capacity from the nurse - Has the focus on the nurse Type of Communication: - Nontherapeutic - Social - Therapeutic

Has fluid ethical and legal boundaries --> Social Has sharing but in a limited capacity from the nurse --> Therapeutic Has the focus on the nurse --> Nontherapeutic

Which statements by the nurse indicate a correct understanding of nonverbal communication? Select all that apply. a) "Holding patients' hands when they are scared or worried is a technique for nonverbal communication." b) "Gestures are good to use when the patient is confused." c) "My professional appearance can communicate a message of caring." d) "I should keep my arms uncrossed to convey openness to the patient." e) "A patient's spouse interrupting and not allowing me to discuss health issues with the patient is a strong nonverbal signal."

a) "Holding patients' hands when they are scared or worried is a technique for nonverbal communication." c) "My professional appearance can communicate a message of caring." d) "I should keep my arms uncrossed to convey openness to the patient."

Which response would the nurse use when the patient avoids eye contact when discussing a sensitive subject? a) "You seem uncomfortable." b) "Is there a reason why you are ignoring me?" c) "I think you should look at me when talking." d) "Why do you avoid eye contact with me?"

a) "You seem uncomfortable."

Which information is accurate about communication? Select all that apply. a) A receiver is essential for communication to occur. b) A sender decodes the message. c) Detecting body odor is using the olfactory channel. d) Verbal communication includes electronic interactions. e) Nonverbal communication can be exhibited by a person's clothes.

a) A receiver is essential for communication to occur. c) Detecting body odor is using the olfactory channel. d) Verbal communication includes electronic interactions. e) Nonverbal communication can be exhibited by a person's clothes.

Which nursing behaviors are therapeutic? Select all that apply. a) Allowing the older adult more time to answer questions b) Not touching the top of a patient's head who is from another country c) Using personal space to give a bed bath to a patient d) Asking family members to leave when talking about personal issues e) Using detailed explanations for a young child

a) Allowing the older adult more time to answer questions b) Not touching the top of a patient's head who is from another country d) Asking family members to leave when talking about personal issues

Which organization states that collaboration can enhance health diplomacy and lower health disparities? a) American Nurses Association (ANA) b) International Council of Nurses (ICN) c) National League for Nursing (NLN) d) Institute of Medicine (IOM)

a) American Nurses Association (ANA)

Which patient situation describes projection? a) An adult patient feels ugly but calls the nurse ugly. b) An adult patient admits to drinking alcohol because work is stressful. c) A school-age patient starts to wet the bed after treatments. d) A school-age patient who wants to fight starts taking boxing lessons.

a) An adult patient feels ugly but calls the nurse ugly.

Which action by the nurse is an important aspect of collaboration? a) Communicating to the team b) Assuming all care of the patient c) Being task oriented d) Achieving personal outcomes

a) Communicating to the team

Match the verbal therapeutic technique to its example. Example: - "I'll sit with you for a while." - "You seem frustrated." - "Tell me about some of your concerns." - "It is time for physical therapy." Verbal Therapeutic Technique: - Giving information - Offering self - Sharing observations - Using open-ended comments

"I'll sit with you for a while." --> Offering self "You seem frustrated." --> Sharing observations "Tell me about some of your concerns." --> Using open-ended comments "It is time for physical therapy." --> Giving information

Match the communication technique to its example. Example: - "You have no reason to be crying." - "You won't get better care anywhere else." - "And then?" - "It will work out." Communication Technique: - Approval/disapproval - Defensiveness - Generalized responses - General leads

"You have no reason to be crying." --> Approval/disapproval "You won't get better care anywhere else." --> Defensiveness "And then?" --> General leads "It will work out." --> Generalized responses

Place the information in the correct order for Situation, Background, Assessment, and Recommendation (SBAR) communication. - Patient's problems include lungs filling with fluid and having too much fluid (fluid overload) - Patient is short of breath with swelling in ankles and feet - Patient was admitted with heart failure and diabetes 2 days ago - Patient's health care provider notified to obtain medication to help the patient breathe easier and rid the body of fluid

1. Patient is short of breath with swelling in ankles and feet 2. Patient was admitted with heart failure and diabetes 2 days ago 3. Patient's problems include lungs filling with fluid and having too much fluid (fluid overload) 4. Patient's health care provider notified to obtain medication to help the patient breathe easier and rid the body of fluid

Which distance range (in feet) is considered social space in proxemics? Record your answer as whole numbers separated by a hyphen.

4-12 feet

Match the element of the communication process with its example. Example: - Nurse tells patient that the procedure is tomorrow. - Patient asks nurse when procedure will be performed. - Patient reviews planner but does not see date for procedure. - The patient Element of the Communication Process: - Feedback - Message - Referent - Sender

Nurse tells patient that the procedure is tomorrow --> Feedback Patient asks nurse when procedure will be performed --> Message Patient reviews planner but does not see date for procedure --> Referent The patient --> Sender

Match the health care team member to the patient's needs. Patient's Needs: - Patient needs help with activities of daily living - Patient needs help with joint and muscle movement - Patient needs help determining interactions of medications - Patient needs help obtaining supplies for a new treatment Health Care Team Member: - Occupational therapist - Pharmacist - Physical therapist

Patient needs help with activities of daily living --> Occupational therapist Patient needs help with joint and muscle movement --> Physical therapist Patient needs help determining interactions of medications --> Pharmacist Patient needs help obtaining supplies for a new treatment --> Social worker

Which concepts are associated with collaboration? Select all that apply. a) Competency b) Standard c) Skill d) Rights of delegation e) Level of quality

a) Competency b) Standard c) Skill e) Level of quality

Which feature of the nurse-patient helping relationship is legally upheld by the Health Insurance Portability and Accountability Act (HIPAA)? a) Confidentiality b) Respect c) Caring d) Empathy

a) Confidentiality

Match the defense mechanism to its definition. Definition: - Refusing to admit the reality of a situation - Using personal strengths to overcome feelings of inadequacy - Choosing not to think consciously about unpleasant feelings - Taking on certain characteristics of another Defense mechanism: - Compensation - Denial - Introjection - Suppression

Refusing to admit the reality of a situation --> Denial Using personal strengths to overcome feelings of inadequacy --> Compensation Choosing not to think consciously about unpleasant feelings --> Suppression Taking on certain characteristics of another --> Introjection

Match the communication aspect to its example. Example: - Saying "I can get through this" - Internally saying "I can get through this" - Nurse purposefully talking to patient - Nurse using a quiet, soft voice Communication Aspect: - - Formal interpersonal communication - Positive self-talk - Verbal communication

Saying "I can get through this" --> Verbal communication Internally saying "I can get through this" --> Positive self-talk Nurse purposefully talking to patient --> Formal interpersonal communication Nurse using a quiet, soft voice --> Nonverbal communication

Which statements are accurate about the communication process? Select all that apply. a) Feedback is important to ensure the correct interpretation of the message. b) A referent is what the receiver formulates when getting the message. c) Channels of communication can be delivered through all five senses. d) The message can be spoken, written, and/or nonverbal. e) The sender interprets the message.

a) Feedback is important to ensure the correct interpretation of the message. c) Channels of communication can be delivered through all five senses. d) The message can be spoken, written, and/or nonverbal.

Which organization determined that collaboration, or working as part of the interdisciplinary team, is one of five core proficiencies for both students and professionals? a) Institute of Medicine (IOM) b) American Nurses Association (ANA) c) National League for Nursing (NLN) d) International Council of Nurses (ICN)

a) Institute of Medicine (IOM)

Which standard communication strategies would the nurse use to positively influence the nurse-patient helping relationship? Select all that apply. a) Leaning toward the patient as the patient speaks b) Completing the patient interview standing at the patient's bedside c) Holding the patient's hand while the health care provider provides the results of a biopsy d) Remaining silent while being present in the room e) Standing in the doorway while asking if there is anything the patient needs

a) Leaning toward the patient as the patient speaks c) Holding the patient's hand while the health care provider provides the results of a biopsy d) Remaining silent while being present in the room

Which facial expression by the nurse would facilitate sharing of information from the patient? a) Neutral b) Surprised c) Smiling d) Grimacing

a) Neutral

Which aspects of communication are occurring when the patient frowns and points to an area of pain while the nurse is in the room? Select all that apply. a) Nonverbal communication b) Verbal communication c) Visual channels of communication d) Auditory channels of communication e) Gestures from the patient f) Intrapersonal communication

a) Nonverbal communication c) Visual channels of communication e) Gestures from the patient

Which health care team member would the nurse consult to help a patient get dressed in the morning? a) Occupational therapist b) Physical therapist c) Health care provider d) Social worker

a) Occupational therapist --> works directly with the patient on strategies for ADLs, including dressing independently

Which competencies are associated with Quality and Safety Education for Nurses (QSEN)? Select all that apply. a) Patient-centered care b) Teamwork and collaboration c) Infection control d) Evidence-based practice e) Informatics

a) Patient-centered care b) Teamwork and collaboration d) Evidence-based practice e) Informatics

Which examples are types of professional communication? Select all that apply. a) Public b) Intimate c) Small group d) Intrapersonal e) Interpersonal

a) Public c) Small group d) Intrapersonal e) Interpersonal

Which actions would the nurse implement for a patient with visual and hearing impairments? Select all that apply. a) Raise voice slightly above normal level. b) Speak to the patient before touching. c) Verify patient understanding with a "yes" answer. d) Display active listening. e) Use audiobooks to facilitate learning.

a) Raise voice slightly above normal level. b) Speak to the patient before touching. d) Display active listening.

Which team-building skills would the nurse use to be an effective collaborator? Select all that apply. a) Recognizing resource limitations b) Starting and ending a meeting on time c) Advocating on the patient's behalf d) Aggressively challenging team members e) Avoiding conflict about safety issues

a) Recognizing resource limitations b) Starting and ending a meeting on time c) Advocating on the patient's behalf

Which element is first in the communication process? a) Referent b) Sender c) Message d) Channel

a) Referent --> it is the event, thought, or feeling that initiates communication

Which factors are components of critical thinking? Select all that apply. a) Scientific research b) Best practices c) Volunteer input d) Continual learning e) Clinical experience

a) Scientific research b) Best practices d) Continual learning e) Clinical experience

Which behaviors are skills of collaboration in the Quality and Safety Education for Nurses (QSEN) competencies? Select all that apply. a) Starts conflict resolution when necessary b) Appreciates the risks connected to handoff communication c) States own personal viewpoints in patient care conferences d) Values patients', families', and team members' styles of communication e) Describes how team functioning affects safety and the quality of patient care

a) Starts conflict resolution when necessary c) States own personal viewpoints in patient care conferences

Which techniques are being used when the nurse says, "Mrs. Sharp, we have discussed your medications, treatments, and next appointment. What else would you like to discuss?" Select all that apply. a) Summarizing b) Validating c) Verbalizing the implied d) Using open-ended questions e) Calling the patient by name f) Offering self

a) Summarizing d) Using open-ended questions e) Calling the patient by name

Which skills or components are needed to be an effective nurse collaborator? Select all that apply. a) Team building b) Critical thinking c) Communication d) Personal purpose e) Independent goal

a) Team building b) Critical thinking c) Communication

When the nurse asks how a patient slept, the patient says, "Fine." Which component is the sender in this transaction? a) The nurse b) The patient c) Saying "fine" d) Asking about sleeping

a) The nurse

Which situations indicate the nurse used critical thinking? Select all that apply. a) The nurse delegated a stable patient to a licensed practical nurse (LPN). b) The nurse identified an allergy to a medication and notified the health care provider. c) The nurse offered a review of best practices in an interdisciplinary care conference. d) The nurse offered a long, detailed summary to the health care team. e) The nurse avoided a conflict with a health care team member by ignoring the issue.

a) The nurse delegated a stable patient to a licensed practical nurse (LPN). b) The nurse identified an allergy to a medication and notified the health care provider. c) The nurse offered a review of best practices in an interdisciplinary care conference.