Nokea
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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You are helping bathe a 27-year-old female patient who has had back surgery. Of the following, which is the best way to communicate your respect for the fact that you are 'invading' her personal space?
- A. Pull the curtains so no one can see you or the patient while you help with her bath.
- B. Pull the curtains, give her a dry towel, and tell her she can use it to 'cover up.'
- C. Pull the curtains and ask her how you can help her.
- D. Pull the curtains and tell her to wash her face and hands, then you will wash her back, and then she can 'finish.'
Correct Answer: B,C
Rationale: Pulling the curtains ensures privacy, and offering a towel to cover up respects her dignity. Asking how you can help involves her in the process, further showing respect.
Communication is the process of informing.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Communication involves more than just informing; it includes exchanging and interpreting information, ideas, and emotions.
You work the day shift. A nurse on the evening shift, one whom you frequently report off to, is often 20 minutes late. She says it isn't her fault because she leaves in time for work but the parking lot is so full when she arrives that she has to wait for a space to open up. Which of the following statements on your part reflects a good approach to resolving this conflict?
- A. I have to be home on time for my kids. If you're late, I get nervous and worried.'
- B. You have to allow more time for parking. You make me late getting home for my kids and that is really wrong.'
- C. Think about how you would feel if the night shift was late most of the time.'
- D. I've put up with this for a long time now. I'm going to speak with the nurse manager about this.'
Correct Answer: A
Rationale: This statement uses 'I' language to express the impact of the lateness without blaming, promoting a collaborative approach to resolving the conflict.
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.
Acceptable, polite communication styles between professionals and their patients vary greatly among different cultures. Acceptable styles also vary within cultures. When approaching a patient from a cultural background other than your own, you should
- A. maintain distance and avoid direct eye contact to be on the safe side.
- B. observe how the family interacts and take your cues from that.
- C. ask another professional from that cultural background for advice, if possible.
- D. find out information about that culture from a different source, such as a pertinent Web site or text.
Correct Answer: B,C,D
Rationale: Observing family interactions, consulting a professional from the same cultural background, and researching the culture provide insights into appropriate communication styles, ensuring culturally sensitive care.