INTERPERSONAL RELATIONSHIPS 8TH EDITION BY ARNOLD/ INTERPERSONAL RELATIONSHIPS 8TH EDITION BY ARNOLD
DIF: Cognitive Level: Analyzing
TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
7. When educating a newly diagnosed patient about management of diabetes mellitus, the nurse
recognizes that health care–related communication
a.
does not lead to errors within the hospital.
b.
is generally well understood by most patients.
c.
is not an important component of patient care.
d.
can cause patients to misunderstand information.
ANS: D
It is important to make verbal and written information as simple as possible. Nurses need to
assess the health literacy level of each patient. Nurses should provide privacy to avoid
embarrassment and obtain feedback or “teach-backs” to determine the patient’s
understanding of teaching: Simplify, Clarify, Verify!
DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
8. A nurse manager reminds staff that if an adverse event occurs, everyone’s focus needs to be
on
a.
how the aviation industry would handle things.
b.
correcting system flaws to avoid future events.
c.
the fact that only a tiny fraction of unsafe care incidents are reported.
d.
determining what staff member(s) made the error.
ANS: B
Create a new climate of safety in which agencies, policies, and employees maintain a vigilant,
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proactive attitude toward adverse events. Recognizing that human error occurs,
everyone’s focus needs to be on correcting system flaws to avoid future adverse events,
rather than finding the one to blame.
DIF: Cognitive Level: Application
TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care
9. When educating a student nurse about safety communication improvement solutions, the
nursing instructor recognizes that additional teaching is warranted when the student nurse lists which
of the following as a safety communication improvement solution?
a.
Adopting technology-oriented tools
b.
Using standardized verbal and electronic communication tools
c.
Disempowering patients to be partners in safer care
d.
Participating in team training communication seminars
ANS: C
While a nurse’s clinical judgment remains a valid, essential aspect of communication, other
safety communication improvement solutions include using standardized verbal and
electronic communications tools, participating in team-training communication seminars,
adopting technology-oriented tools, and empowering patients to be partners in safer care.
Communication that promotes patient safety needs to include both communication of concise
critical information and active listening.
DIF: Cognitive Level: Application
TOP: Step of the Nursing Process: All Phases