Nokea
How can you communicate in an urgent situation?
- A. Use the SBAR communication format, which, if followed, will cover all aspects of communicating in a crisis.
- B. Use the SBAR format, allow your voice to reflect the urgency of the situation, and make sure your movements are purposeful and focused.
- C. Allow your voice to reflect the urgency of the situation, make sure your movements are purposeful and focused, and inform others of what you think is wrong.
- D. Allow your voice to reflect the urgency of the situation, make sure your movements are purposeful and focused, and let the most senior person in the room do the communicating.
Correct Answer: B,C
Rationale: Using the SBAR format ensures clear, structured communication, while purposeful movements and an urgent tone convey the situation's seriousness without deferring to seniority.
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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.
It is not important for the shift report to be standardized in a facility, but it is important that the nurses coming on duty have plenty of time to ask questions.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Standardized shift reports ensure consistency and completeness, while still allowing time for questions.
You ask an LPN on your team to interview a patient being admitted for surgery. You walk by the room and observe that the nurse is seated on the chair while the patient is seated on the bed. She is leaning forward slightly. By her body position you would conclude that
- A. she is conducting the interview in an appropriate manner.
- B. she is too casual and should not be sitting.
- C. Both of the above
- D. None of the above
Correct Answer: A
Rationale: Leaning forward and being seated at the patient's level demonstrates engagement and attentiveness, which are appropriate for conducting an interview.
Select a sequence to present each patient's report so you will be less likely to forget something.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Using a consistent sequence for shift reports helps ensure all relevant information is communicated and reduces the risk of omissions.
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.