NUR 300 EXAM QUESTION AND ANSWERS
Communication failure - answer -what is one of the top 3 causes in 60
% of unexpected death or permanent loss of function?
Communication failiure - answer -what at fault for 80% of serious preventable adverse
events?
Medial errors
Delays in treatment
Surgical complications - answer -what are the outcomes of communication failures?
Threats to patient safety and legal issues - answer -in addition to medical errors, delays
in treatment, and surgical complications, what could happen as a result of
communication errors?
Clinical effectiveness and job satisfaction - answer -what does positive communication
and teamwork improve?
Physician and nurses - answer -who are the biggest offenders in the problem of
communication
Interpretation is not guaranteed; every message is subject to interpretation - answer -
why is communication not a mere transfer of information from one person to another
Language
Pace
Tone
Delivery - answer -what are examples of verbal communication
Appearance
Body positioning
Facial expression - answer -what are examples of non-verbal communication
Concerned, uncomfortable, safety issue - answer -what are the cus words
They are used to get a persons attention - answer -what are the cus words used for
•it's a tool for coordination of efforts and achieving team objectives / goals.
•
•provides a vehicle for information exchange.
•
•facilitates relationships among team members.
•
, •cooperation within a team often produces stable patterns of team communication. -
answer -why is communication important for teams?
-open communication
-non-punitive environments
-clear direction
-clear and known roles and tasks for team members
-consideration of all ideas - answer -•components of successful teams include:
1. Get the persons attention
2. Express concern
3. State the problem
4. Propose action
5. Reach decision - answer -how do you manage difficult conversations. What are the 5
steps
This technique provides a framework for communication between members of
healthcare teams about a patients condition - answer -what is sbar communication
When the physician/nurse lets the other physician/nurse know what medications a
patient needs to continue taking or stop taking once transferred. - answer -patient
handoff-medication reconciliation
S: situation
B: background
A: assessment
R: recommendation - answer -break down sbar
•state what is happening at the present time that has warranted the sbar
communication. (state your name & unit, what patient aare calling about, & what the
problem is) - answer -s in sbar. What does it mean and describe.
•explain circumstances leading up to this situation. (state admission diagnosis, date of
admission, brief pertinent medical history, and treatment to date) - answer -b in sbar.
What does it mean and describe.
•indicate what you think the problem is (provide last vital signs, oxygen if being used, &
any changes from prior assessment: vital signs, heart rhythm, pain, wound drainage,
neuro changes, etc. - answer -a in sbar. What does it mean and describe.
•express what you believe the patient needs or what order specifically you want i.e.
Give fluids, order labs, x-ray, have the physician come see the patient, transfer the
patient to icu, ask for a consulting physician to see the patient, etc. - answer -r in sbar.
What does it mean and describe.
Communication failure - answer -what is one of the top 3 causes in 60
% of unexpected death or permanent loss of function?
Communication failiure - answer -what at fault for 80% of serious preventable adverse
events?
Medial errors
Delays in treatment
Surgical complications - answer -what are the outcomes of communication failures?
Threats to patient safety and legal issues - answer -in addition to medical errors, delays
in treatment, and surgical complications, what could happen as a result of
communication errors?
Clinical effectiveness and job satisfaction - answer -what does positive communication
and teamwork improve?
Physician and nurses - answer -who are the biggest offenders in the problem of
communication
Interpretation is not guaranteed; every message is subject to interpretation - answer -
why is communication not a mere transfer of information from one person to another
Language
Pace
Tone
Delivery - answer -what are examples of verbal communication
Appearance
Body positioning
Facial expression - answer -what are examples of non-verbal communication
Concerned, uncomfortable, safety issue - answer -what are the cus words
They are used to get a persons attention - answer -what are the cus words used for
•it's a tool for coordination of efforts and achieving team objectives / goals.
•
•provides a vehicle for information exchange.
•
•facilitates relationships among team members.
•
, •cooperation within a team often produces stable patterns of team communication. -
answer -why is communication important for teams?
-open communication
-non-punitive environments
-clear direction
-clear and known roles and tasks for team members
-consideration of all ideas - answer -•components of successful teams include:
1. Get the persons attention
2. Express concern
3. State the problem
4. Propose action
5. Reach decision - answer -how do you manage difficult conversations. What are the 5
steps
This technique provides a framework for communication between members of
healthcare teams about a patients condition - answer -what is sbar communication
When the physician/nurse lets the other physician/nurse know what medications a
patient needs to continue taking or stop taking once transferred. - answer -patient
handoff-medication reconciliation
S: situation
B: background
A: assessment
R: recommendation - answer -break down sbar
•state what is happening at the present time that has warranted the sbar
communication. (state your name & unit, what patient aare calling about, & what the
problem is) - answer -s in sbar. What does it mean and describe.
•explain circumstances leading up to this situation. (state admission diagnosis, date of
admission, brief pertinent medical history, and treatment to date) - answer -b in sbar.
What does it mean and describe.
•indicate what you think the problem is (provide last vital signs, oxygen if being used, &
any changes from prior assessment: vital signs, heart rhythm, pain, wound drainage,
neuro changes, etc. - answer -a in sbar. What does it mean and describe.
•express what you believe the patient needs or what order specifically you want i.e.
Give fluids, order labs, x-ray, have the physician come see the patient, transfer the
patient to icu, ask for a consulting physician to see the patient, etc. - answer -r in sbar.
What does it mean and describe.
