Nokea
Giving reports to the oncoming shift is considered confidential.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Shift reports contain sensitive patient information and must be treated as confidential to comply with HIPAA.
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I'm going to change Mrs. G's dressing; I see you didn't get to it. Did you get busy?'
- A. Assertive
- B. Avoidant
- C. Aggressive
- D. None of the above
Correct Answer: A
Rationale: This statement is assertive, addressing the issue while opening a dialogue to understand the situation without being confrontational.
As a team leader, you have a responsibility to tell the people you supervise about your facility's policies and procedures.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Team leaders are responsible for ensuring their team is aware of and follows facility policies and procedures.
When assigning tasks to a team, you should explain how one task relates to another even if two different people are doing the tasks separately. This is called 'job rationale.'
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Explaining job rationale helps team members understand the purpose and interconnectedness of tasks, enhancing teamwork.
Your patient had spine surgery 2 days ago and is scheduled for discharge tomorrow. He has been taking narcotic pain relievers every 4 hours around the clock. You note that the patient has not had a bowel movement since surgery. You know that the narcotics can be constipating and you think it would be best if the problem is handled prior to the patient leaving for home. There is no order on the chart for a laxative. From the following possible actions, choose which you think represents the most focused and necessary thing(s) for you to do as you prepare to call the doctor for a verbal order for a laxative.
- A. Gather information about the patient's usual bowel habits; ask if he feels constipated and if he has used laxatives in the past.
- B. Ask the patient what laxative has worked for him in the past.
- C. Ask the patient to try to have a bowel movement.
- D. Get the chart and have a pen ready.
Correct Answer: A,B
Rationale: Gathering information about bowel habits and past laxative use provides essential data for the doctor to make an informed decision about the verbal order.
Your patient has an infected wound with a lot of dead tissue called eschar that is preventing healing. The doctor plans to debride the wound, which means to remove the dead tissue. You go in to prepare the patient for the procedure, which is done right at the bedside. Which of the following is the best way to communicate what will happen?
- A. The doctor is going to cut away all the black, dead skin.'
- B. The doctor is going to debride the eschar.'
- C. The doctor is going to remove dead tissue so the wound can heal.'
- D. The doctor is going to clean the wound.'
Correct Answer: C
Rationale: Using clear, simple language like 'remove dead tissue so the wound can heal' ensures the patient understands the procedure without causing alarm or using complex medical terms.