Chapter 7

Social media is commonly used to update friends and groups on things we have going onin 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 site? 1. Nurses should never post protected health information on a social media site. 2. Stories with good outcomes can be posted to your media page. 3. Stories and photos can always be shared if the patient's name or face is not visible. 4. Posting stories on personal time is OK because the nurse is not working.

1

TJC attributes 80% of all medical errors to: 1. Poor hygiene and hand washing 2. Poor hand-off communication 3. Poor work environment 4. Lack of care

2

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 the patient's EMR and sees no information regarding his recent hospital stay. How could this have happened? 1. The patient's discharge was so recent that it is not available yet. 2. EMRs are usually practice or hospital specific, so the patient's information would not be accessible to Jane. 3. The patient was hospitalized out of state. 4. The patient has not signed the necessary consents to give Jane access.

2

Who is responsible for accepting, transcribing, and implementing physician orders? 1. Unit clerk 2. Medical intern or resident 3. Professional nurse 4. Medical assistant

3

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: 1. Immediately page the MD; it could be a pulmonary embolism, and time is of the essence, You will give him the particulars when the MD arrives. 2. Wait for the MD to round on his patient because it should be within the next hour or so. 3. Medicate the patient for pain and plan to contact the MD when he rounds. 4. Jot down notes about the situation as it is presented to you, review the patient's history, focus your assessment, and determine what you need for the patient.

4

Which of the following best indicates that an interprofessional health-care team can work together effectively? A. The team has a process in place for sharing information. B. Each team member understands his or her role. C. Team members create goals for the patients according to their specialty and then share with the team. D. Members provide care to a diverse group of patients.

A

Which of the following is a rule of netiquette to follow when sending professional e-mails to others in the organization? A. Proofread e-mails before sending them. B. Send the information to anyone who might find it helpful. C. Online behavior requires different rules from in-person behavior. D. Capitalize important words to reinforce points.

A

An RN calls the health-care provider to report a change in patient condition. During the conversation the RN describes what has already been done for the patient. Which section of the ISBARR communication does this best describe? A. Situation B. Assessment C. Background D. Recommendation

C

An RN is conducting discharge teaching for a patient when he realizes the patient does not have the skills needed to access and use health information. Which of the following most likely describes the barrier this patient is facing to effective communication in health care? A. Cultural diversity B. Cultural competency of health-care providers C. Low health literacy D. Communication skills of health-care providers

C

A new RN on an interdisciplinary team is working at becoming a good team player. Which of the following qualities is best for an effective team player? A. Communicate positively. B. Share information that is needed by the others. C. Participate when there is something to be added. D. Actively work to solve problems.

D

An RN is using a WOW for charting at the patient's bedside. Which of the following is an important reminder for the RN to keep in mind? A. Ensure the WOW has an extension cord. B. Position the WOW between the RN and the patient to facilitate communication while charting. C. Turn the WOW off when not using it. D. Log off when not using the WOW.

D

During shift change, the day shift nurse reports to the night shift nurse that the patient has no known drug allergies and the last potassium came back low. Which of the following best describes the part of the I PASS the BATON tool used in this scenario? A. Patient B. Situation C. Actions D. Safety concerns

D

There are several benefits to using EHRs. Which of the following is most specifically designed to reduce medication errors? A. Barcode scanning of laboratory labels B. Connection to monitoring equipment, such as telemetry and blood pressure cuffs C. Datatracking D. Barcode scanning of patient identification bracelets

D

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 least important to share with the oncoming nurse? 1. Telling the oncoming nurse what happened on the unit during the shift 2. Introducing the client and his or her diagnosis to the oncoming nurse 3. Sharing the nurse's personal opinion of the client 4. Reviewing new medication orders and the medication administration record (MAR)

2

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? 1. Talking to the staff 2. Laughing with them 3. Listening 4. Crying

3

A registered nurse (RN) is caring for a patient who has refused chemotherapy. As the health- care team discusses the reasons why the patient should receive chemotherapy, the RN forcefully restates the patient's wishes. Which type of communication does this scenario best demonstrate? A. Assertive communication B. Aggressive communication C. Interpersonal communication D. Transactional communication

A

The use of electronic health records (EHRs) was mandated by the year 2013. Which of the following is the main purpose of computerized record keeping in health care? A. Ease of finding and correcting errors B. Reduction of paper and conservation of resources C. Safe, quality patient care D. Ease of searching records

C

ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for: 1. Identify, Study, Background, Assess, Recognize, Readback 2. Issue, Situation, Better, Advise, Refer with Recommendations 3. Introduce, Situation, Background, Assess, Recommend, Readback 4. None of the above

3

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? 1. The charge nurse is unavailable to help the nurses when they have questions about policies. 2. Some staff are afraid to ask particular charge nurses for help for fear of retribution. 3. The use of acronyms is confusing to staff members who are new to the unit. 4. All of the above

4

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? 1. Implicit bias forms during a lifetime. 2. Implicit bias can influence clinical decision making and treatment. 3. Implicit bias contributes to an individual's social behavior. 4. All of the above

4

A new nurse is reviewing social media use. Which of the following tips should be followed? A. Social media is a personal choice with a different set of standards. B. Do not make remarks about patients, even if they are not identified. C. Ask permission from patients before taking pictures or videos at work. D. Connecting with patients on social media for follow-up can be beneficial.

B

A nurse checks her work e-mail for policy updates and spends about 5 minutes deleting spam messages. Spam messages are described in transactional models as which of the following? A. Senders of communication B. Noise C. Time wasters D. Receivers of communication

B

Although there are many advantages to the use of electronic medical records (EMRs), disadvantages do exist. Which of the following is a disadvantage to the use of EMRs? A. Patient confidentiality B. Portability C. Identification of patients in need of screenings D. Quality of care evaluation

B

Which of the following is a good recommendation for effective communication between shifts? A. Always end with identifying the patient and health-care provider. B. Consistently use the same process for hand-off communication. C. Use a worksheet to keep track of data provided during hand-off communication. D. Use walking rounds to facilitate communication during hand-offs.

C

Which of the following is the most important reason why the computer on wheels (COW) or workstation on wheels (WOW) gained popularity in health care? A. Cost savings B. Convenience C. Patient safety D. Decreased use of workstations in the nurses station

C