Downward communication is communication with people you supervise.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Downward communication refers to communication from a higher level to those supervised, such as a manager to staff.
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Using the DESC communication method as a guide, explain why describing the behavior is important as the first step.
- A. Describing the behavior sets a clear, objective foundation for the conversation, avoiding assumptions.
- B. Describing the behavior ensures the other party feels blamed, prompting a defensive response.
- C. Describing the behavior allows the speaker to vent frustrations immediately.
- D. Describing the behavior is a formality and not critical to the conversation.
Correct Answer: A
Rationale: Describing the behavior objectively establishes a factual basis for discussion, promoting clarity and reducing defensiveness.
In the DESC method, the E stands for 'Explain.' What needs to be explained and why?
- A. Explain the impact of the behavior on the situation or others to clarify its significance.
- B. Explain the desired outcome to set expectations.
- C. Explain personal feelings to build empathy.
- D. Explain the solution to resolve the issue immediately.
Correct Answer: A
Rationale: Explaining the impact of the behavior helps the other party understand why the issue matters, fostering constructive dialogue.
Shared meaning refers to two people deciding what another person meant.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Shared meaning occurs when both parties in a communication understand the message in the same way, not deciding what another person meant.
A patient on your unit is very angry and hard to care for. She frequently belittles her caretakers. You have taken care of her for 2 days and ask the nurse manager to assign the patient to someone else. The nurse manager does as you ask, but the nurse she chooses comes to you and says, 'This isn't fair at all! She is your patient, and you are dumping her on me!' Which of the following alternatives is the best way to begin to resolve this conflict?
- A. Go back to the nurse manager and ask her to smooth things out.
- B. Tell the nurse privately that you needed an emotional break from the patient.
- C. Apologize to the nurse, take the patient back, and give the nurse one of the patients that had been assigned to you.
- D. Suggest that the nurse has not had the patient in a while and that it is her turn.
Correct Answer: B
Rationale: Explaining the need for an emotional break fosters understanding and opens a constructive dialogue to resolve the conflict.
I want to talk with you about Mrs. G's dressing change. It was supposed to have been changed 2 hours ago.'
- A. Assertive
- B. Avoidant
- C. Aggressive
- D. None of the above
Correct Answer: A
Rationale: This statement is assertive, directly addressing the issue in a clear, respectful manner without blame.
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