Nokea
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.
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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.
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.
People will let you know how well you are communicating by giving you feedback.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Feedback is a critical part of communication, as it indicates how well the message is received and understood.
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.
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.