Confidence in Communication
Question 4 of 6 Recorded vital signs q15 minute x 4hr, and then q30 minutes x 2hr, then 1q hour x 8 hours 2L O2 nasal cannula Lactated Ringers 100 ml/hr 4 mg morphine IV q 2hr PRN pain 8u regular insline STAT A nurse has just received a client from the PACU and is reviewing the post-operative orders seen in the image. The nurse takes the vital signs and finds all vitals within normal limits. The client is awake and alert and reports a pain score of 2/10. After taking the blood glucose level (425 mg/dL), what should the nurse do next? Contact the provider for clarification of orders Place the client on 2L O2 Administer 4 mg Morphine IV Administer 8 units Regular Insulin
Answer A Contact the provider for clarification of orders The written orders for Lactated Ringers and Regular Insulin are not complete or written appropriately. Insulin is on the list of error prone medications. The nurse should contact the provider to clarify and rewrite the order in the appropriate manner prior to giving any insulin. After contacting the provider regarding the rewrite of the orders the nurse would administer the insulin and proceed with the subsequent orders. Administer 8 units Regular Insulin Although it is a STAT order, it is not a complete order - it is missing a route. The nurse could not safely administer this medication using the 5 rights without first clarifying the order with the provider. Place the client on 2L O2 The client's vital signs are within normal limits. There is no indication that the client requires oxygen at this time. In addition, this could also fall into the realm of asking for clarification of orders - what is the goal for SpO2? Administer 4 mg Morphine IV The client's pain score is low and vitals are within normal limits. This PRN medication does not take precedence over the STAT order - which needs to be clarified.
Question 5 of 6 For a nurse who does not speak English as their first language, what can they do to feel confident in communication with clients or providers? Select all that apply. Speak slowly Practice key phrases Repeat everything the client says Enunciate Speak loudly
Answer A, B, D, E Speak slowly Speaking slowly will help the message receiver to understand what is being said better and not ask you to repeat. Enunciate Enunciating will help the message receiver to understand and not ask you to repeat. Practice key phrases Practicing phrases that will be spoken a lot will help increase confidence. Speak loudly Speaking loudly will not help the message receiver to understand any better. Repeat everything the client says Repeating everything they say will not help you feel confident in communication and could be frustrating for the client. A better way is to try to summarize what you believe the patient is conveying to clarify and ensure there is a mutual understanding.
Question 3 of 6 What is the best way to feel confident in communication? A. Practice B. Speak loudly and clearly C. Write down what the client is conveying Say everything you need to say before letting the client speak
Answer: A Practice Practicing allows you to feel comfortable and will make you confident. Write down what the client is conveying It is important to write down what you want to say to the client and practice this. You should listen to what the client is saying and repeat to clarify what they are conveying - writing down the client's words does not improve confidence. Speak loudly and clearly Speaking slowly and enunciating can help with confidence. Loudly doesn't help with confidence. Say everything you need to say before letting the client speak This is not being an active listener and will not improve confidence in communication.
Question 2 of 6 For a brand new nurse that needs advice on how to be confident in communication, what advice should be given? Select all that apply A. Avoid answering client questions and refer them to someone more experienced B.Observe others in communication to see what works C.Be an active listener D. Ask other staff questions E. Summarize what the client conveys for verification
Answer: B, C , D, E Be an active listener Being an active listener will help with confidence because you will be informed on what the client is saying. Observe others in communication to see what works Observing and finding what works for you is helpful. Ask other staff questions Asking questions to other more experienced staff will help improve confidence because you will have answers instead of remaining unsure. Avoid answering client questions and refer them to someone more experienced You should never avoid answering questions. If you are unsure, you can tell the client you will find out for them so that way you will understand the answer for future conversations. Summarize what the client conveys for verification Repeating and clarifying will help improve confidence for you and the client.
Question 6 of 6 A nurse is explaining the plan of care to the client and there are a lot of different tests that will be done for the client. What is the best way to be confident in communicating with the client about the plan of care? Have the doctor come in to speak with the client Give the client a handout that explains each test Write important points down prior to speaking to the client Have an experienced nurse come with you
Answer: C Have the doctor come in to speak with the client The doctor does not need to come in for this. You can write everything down prior to talking to the client to help you feel confident in communication. Give the client a handout that explains each test This does not help give the client an opportunity to ask questions and will not help with communication. Have an experienced nurse come with you Utilizing an experienced nurse to answer questions you have is okay, but bringing the experienced nurse with you could interfere with your role in communicating with the client. Write important points down prior to speaking to the client Writing everything down will help keep thoughts gathered and you can practice and feel more confident in what needs to be communicated.
Confident communication involves which of the following? Select all that apply. A. Enunciating speech B. Being prepared C. Practicing D. Active listening E.Speaking slowly
Answer: D,B,E A,C Active listening Active listening is part of being confident in communication because you will know what needs to be communicated. Being prepared Being prepared for the conversation increases confidence. Speaking slowly Speaking slowly will help the other person understand you and you will be more confident and not have to repeat. Enunciating speech Enunciating will help the patient understand you and you will be more confident and not have to repeat. Practicing Practicing what you have to say will increase confidence in your communication because you will be more prepared.
