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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.
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You ask an LPN on your team to interview a patient being admitted for surgery. You walk by the room and observe that the nurse is seated on the chair while the patient is seated on the bed. She is leaning forward slightly. By her body position you would conclude that
- A. she is conducting the interview in an appropriate manner.
- B. she is too casual and should not be sitting.
- C. Both of the above
- D. None of the above
Correct Answer: A
Rationale: Leaning forward and being seated at the patient's level demonstrates engagement and attentiveness, which are appropriate for conducting an interview.
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.
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.
The C step of the DESC method is optional, depending on the circumstances. Explain what the C step is and why it may be needed.
- A. The C step involves stating consequences to emphasize accountability if the behavior continues.
- B. The C step involves apologizing to maintain rapport.
- C. The C step involves clarifying the behavior again.
- D. The C step involves suggesting alternative behaviors.
Correct Answer: A
Rationale: The C step (consequences) may be needed to underscore the importance of changing the behavior, particularly in serious or repeated issues.
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.