Nokea
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.
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Stating the desired outcome is the third step in the DESC communication method. Explain why you think this is important.
- A. It clarifies expectations and guides the conversation toward a solution.
- B. It ensures the other party feels pressured to comply.
- C. It allows the speaker to assert dominance.
- D. It is a formality and not essential.
Correct Answer: A
Rationale: Stating the desired outcome provides a clear goal for the conversation, promoting resolution and mutual understanding.
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.
Giving reports to the oncoming shift is considered confidential.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Shift reports contain sensitive patient information and must be treated as confidential to comply with HIPAA.
Interpreting information is not a part of communication but is a part of listening.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Interpreting information is a key component of communication, not limited to listening. It involves understanding both verbal and nonverbal messages.
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.