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.
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Nonverbal language can be expressive. As a nurse and a human being, you may experience negative feelings toward a patient, even though you try to overcome it, and you can strongly convey this negativity by your attitude. Which of the following is the best course of action for you should you find you have negative feelings toward a patient?
- A. Ask to be reassigned.
- B. Maintain a greater distance between you and the patient, which will provide a buffer for your feelings.
- C. Be aware of the attitude you display by exhibiting open, focused, nonverbal communication.
- D. Communicate your feelings to the patient in a nonjudgmental manner.
Correct Answer: C
Rationale: Being aware of and managing your nonverbal communication ensures professionalism and prevents negative feelings from affecting patient care.
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.
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.
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.
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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