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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.
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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.
The shift-to-shift report is so important that The Joint Commission has made it a patient safety goal.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: The Joint Commission recognizes shift-to-shift reports, particularly bedside reports, as critical for patient safety.
A patient expresses fears about her upcoming surgery. The nurse responds, 'You really don't have to worry. You have a great doctor and everything will turn out fine.' Why is this statement a barrier to communication?
- A. It diminishes the patient's concerns.
- B. It is not a complete answer, the nurse should provide more information.
- C. It is equivalent to telling the patient to not talk about her fears.
- D. Providing reassurance is not therapeutic.
Correct Answer: A,C
Rationale: This response dismisses the patient's fears and discourages further discussion, blocking therapeutic communication.
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.
The language used during communication has a significant impact on how that communication is received. Which of the following statements can be used as a guide for communicating a plan of care to your teenage patient and her family?
- A. Speak to all of them as mature adults.
- B. Speak to the teenager in common, widely acceptable slang terms to put her at ease.
- C. Use the correct medical terminology when describing the plan to all of them.
- D. Use common, everyday language to describe the plan.
Correct Answer: D
Rationale: Using common, everyday language ensures clarity and understanding for both the teenager and her family, avoiding confusion from medical jargon or inappropriate slang.