Nokea
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.
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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.
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.
The Joint Commission recommends which type of shift-to-shift reporting?
- A. A recorded report so the on-coming staff can listen to specific information again if needed.
- B. A group report where all on-coming staff are in a room with all of the off-going staff.
- C. A bedside report where on-coming and off-going staff go to each patient's room together.
- D. No shift report because it is a violation of HIPAA.
Correct Answer: C
Rationale: The Joint Commission recommends bedside shift reports to enhance patient safety and communication by involving both staff and patients directly.
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 need to understand that your work reflects on me.'
- A. Assertive
- B. Avoidant
- C. Aggressive
- D. None of the above
Correct Answer: C
Rationale: This statement is aggressive as it implies blame and focuses on personal impact rather than addressing the issue constructively.