Block 1 Part 2

A nurse is talking with a client about the current health care system and scheduling a wellness checkup. The client asks the nurse why people who now have insurance do not take advantage of preventative health measures. What is the nurse's best response to the client?

"Some people may not have transportation or easy access to a health care provider."

A community health nurse is partnering with several community members to resolve an identified problem of homelessness. One of the community members questions why there are so many people experiencing homelessness when the unemployment rate is below 3% in the community and surrounding area. What would be the nurse's best response to this question?

"There are several interrelating systems that lead to homelessness, including social, environmental, and personal biology."

In the SBAR model, what should be conveyed when explaining the situation? (Select all that apply.)

- Events currently happening - Objective statement of the problem - Assessment data collected - Recommendations for treatment changes

Samantha delegated the administration of her 8:00 a.m. medications to Betty so that she could assess Mary promptly. What criteria must be met for this example of delegation to be safe and appropriate? (Select all that apply.)

- Samantha must be familiar with Betty's scope of practice with regard to medications - Samantha must be able to confirm that Betty has given the medications - Betty must have sufficient time to give each patient his or her medications

Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? Select all that apply.

-Past medical history - Admitting diagnosis - Patient's name and room number - Current medications

In the SBAR model, when giving recommendations, what kinds of things should be communicated? (Select all that apply.)

Any new treatments or changes ordered, Opinions for further action

Which of the following is a form of communication that allows people to express themselves in direct, honest, and appropriate ways reducing tension in the workplace?

Assertive communication

Betty was willing to administer Samantha's 8:00 a.m. medications. If Betty were unwilling to accept this delegated task, what would be Samantha's best action?

Assess the reasons why Betty is unable or unwilling to give the medications.

When you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating?

Assessment

How much of what we communicate is conveyed through body posture, facial expression and tone of voice.

Between 80 and 95 percent

Which of the health care models have only one system for all people? (Select all that apply.)

Beveridge , National health insurance , Bismarck , Out-of-pocket

Which model is an insurance system financed jointly by employers and employees through payroll deductions?

Bismarck

A public health nurse is providing education to pregnant teenagers on pregnancy nutrition. As part of the education, the nurse also encourages the clients to finish high school and go on to college when possible. What is the rationale for both the nutrition education and encouragement for continued education related to the determinants of health? (Select all that apply.)

Education on health determinants can facilitate positive action Low education levels are associated with poorer health and greater stress.

Social determinants of health are not related to the health status of a client.

F

The SBAR tool was first used in the hospital to facilitate safe patient handoffs. T/F

F

The most important measure of a country's health is the amount of money spent on health care.

F

The nurse on a busy hospital unit is anticipating the arrival of an acutely ill patient. What task should the nurse delegate to unlicensed assistive personnel (UAP)?

Feeding a patient who is recovering from a stroke

Which nations provide coverage for all of their citizens? (Select all that apply.)

Germany, Canada, France, UK

Which of these accurately describes the Beveridge model of health care used by the United Kingdom, Spain, New Zealand, and Hong Kong? (Select all that apply.)

Health care is financed by the government by tax payments. The government controls what providers can do and what they charge.

What would accurately describe appropriate delegation? (Select all that apply.)

Helps manage the healthcare team Increases the scope of the nurse's liability Is based on clear communication

The community health nurse has identified a high rate of obesity in school-age children within the community. The nurse completes a community assessment and finds the median income in the area is $28,000 for a family of four. In what interrelated system will the nurse document this finding?

Income and social status

A registered nurse on a busy hospital unit is responsible for several tasks that require clear and accurate communication. For which task should the nurse use the SBAR technique for communication?

Informing a health care provider about a change in a patient's health status

Which aspects of creating a successful interprofessional team are addressed by SBAR? (Select all that apply.)

Maintaining a shared vision Communicating effectively and efficiently Ensuring role clarity Offering a recommended plan of action or next steps

A nurse manager wants to increase the effectiveness of communication with a staff member since the staff member did not respond positively to the same message previously. What action by the manager would improve the communication?

Make the message clear and concise., Use common terminology., Stay positive when sending the message., Have the staff member state understanding of the message

A charge nurse informs a staff nurse that they will be admitting the next patient that arrives on the unit. The staff nurse states acceptance and then proceeds to tell the other nurses that the charge nurse is unfair. What type of communication is the staff nurse displaying?

Passive-aggressive communication

An occupational health nurse is checking employees' blood pressure at the annual benefits fair. The nurse has developed a questionnaire for employees to complete, including demographic data such as age, gender, and ethnicity, as well as tobacco use. What interrelated system in health is the nurse assessing with this questionnaire?

Personal biology

Betty, a licensed practical nurse/licensed vocational nurse (LPN/LVN), took phone report from the emergency department (ED) and accepted a patient onto the floor. Which of the five rights of delegation does this action violate?

Right person

Which factor is a part of the interrelated environment system? (Select all that apply.)

Safety Adequate fresh water Housing

Which variable is most likely to influence the health of a community?

Social determinants of health

SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members.

T

T/F -- Some facilities have included an 'Introduction step' to SBAR now called ISBAR in efforts to include an introduction for clinicians during a patient handoff.

T

T/F ----Effective leadership requires the nurse manager or leader to develop verbal communication skills in order to decrease tension in relationships, decrease anxiety, and prevent depression.

T

T/F ---Channels of communication include upward communication, downward communication, horizontal communication, diagonal communication, and grapevine.

T

Here are the health indicator measurement and outcome for three post- industrialize countries: japan, france, US

Table C

Samantha communicated with Dr. Gonzalez about Mary's health status using the SBAR technique. When applying this technique, a nurse should begin the communication by presenting what information?

The specific reason why the nurse has contacted the provider

A nurse has begun working in a new state and is unsure whether tasks involving a patient's intravenous line can be delegated to a licensed professional nurse/licensed vocational nurse (LPN/LVN). What is the best source for identifying whether this task can be delegated?

The state's Nurse Practice Act (NPA)

A client will require dialysis. If the client lived in a country like Canada where the National Health Insurance Model was used, what would dialysis cost the family?

Treatment would be covered, as the employer and employee pay for insurance.

Which nation pays the greatest amount of money and is among the worst performers for health care among the 15 nations that are members of the Organisation for Economic Co-operation and Development (OECD)?

U.S

A nurse manager is assessing the internal climate of communication with a group of staff members prior to a meeting. What would the manager consider to be a part of the internal climate of communication?

Values, Feelings, Stress

Which characteristic of a system also applies to communities and health?

What affects one part of the system affects the system as a whole.

The nurse at a long-term care facility is considering whether to delegate some tasks to nursing assistive personnel (NAP). Before doing so, the nurse must:

be familiar with the NAP's knowledge, skills and experience

What goal of SBARS recommendation phase

communicate what you think should be done right now

What goal of SBARS assessment phase

communication what you think is the problem

What goal of SBARS background phase

convey the current data relevant to the reason of communicating

A nurse manager is relaying information about staffing changes to the staff on the night shift. What form of communication is the nurse manager using to deliver the changes?

downward

Which factor does The Joint Commission (an organization that accredits and certifies health care organizations) consider to be the biggest challenge to successful interprofessional teams?

inefficient communcication

What goal of SBARS situation phase

providing a concise description of what is happing

A nurse leader is introducing a new glucometer protocol to members of the staff. What method of communication would best be used to make all staff aware of this change?

written