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Using the DESC communication method as a guide, explain why describing the behavior is important as the first step.
- A. Describing the behavior sets a clear, objective foundation for the conversation, avoiding assumptions.
- B. Describing the behavior ensures the other party feels blamed, prompting a defensive response.
- C. Describing the behavior allows the speaker to vent frustrations immediately.
- D. Describing the behavior is a formality and not critical to the conversation.
Correct Answer: A
Rationale: Describing the behavior objectively establishes a factual basis for discussion, promoting clarity and reducing defensiveness.
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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.
When you communicate effectively and professionally, you are role modeling, too.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Effective and professional communication sets a positive example for others, serving as a role model.
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.
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.
Communication between two people is called one-sided communication because one side gives communication and the other side receives the communication.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Communication is a two-way process involving the exchange of information, not one-sided. The statement inaccurately describes communication.