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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.
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You enter your patient's room and find him sitting in a chair with his eyes closed. He has a grimace on his face and is holding his body rigidly. You ask him if he is feeling okay, and he says, 'Yes, I'm fine. Really.' Which of the following best explains this situation in terms of communication?
- A. He is communicating to you that he's fine.
- B. His verbal and nonverbal messages are congruent.
- C. His verbal and nonverbal messages are incongruent.
- D. He is sarcastic, but it is understandable.
Correct Answer: C
Rationale: The patient's verbal message ('I'm fine') contradicts his nonverbal cues (grimace, rigid posture), indicating incongruence between verbal and nonverbal communication.
What is the reason for positioning the screen in this manner?
- A. To protect patient privacy and comply with HIPAA.
- B. To make it easier for the nurse to type.
- C. To allow the patient to verify the information.
- D. To reduce distractions during the conversation.
Correct Answer: A
Rationale: Positioning the screen away from the patient ensures confidentiality of sensitive health information, aligning with HIPAA requirements.
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.
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.
Active listening is
- A. hearing what the patient has to say and then providing direction or advice.
- B. hearing what the patient has to say and then expressing your feelings about the content.
- C. hearing what the patient has to say, being attentive to nonverbal messages, and providing feedback.
- D. hearing what the patient has to say, being attentive to nonverbal messages, and providing an interpretation to the patient.
Correct Answer: C
Rationale: Active listening involves fully hearing the patient, observing nonverbal cues, and providing feedback to ensure understanding, rather than directing, expressing personal feelings, or interpreting.