A registered nurse (RN) is caring for a patient who has refused chemotherapy. As the health-
care team discusses the reasons why the patient should receive chemotherapy, the RN
forcefully restates the patient's wishes. Which type of communication does this scenario
best demonstrate?
A. Assertive communication
B. Aggressivecommunication
C. Interpersonalcommunication
D. Transactional communication - ANSWER A. Assertive communication
This is correct. Assertive communication involves standing up for oneself and one's patients
and their rights without violating the rights of others.
A nurse checks her work e-mail for policy updates and spends about 5 minutes deleting
spam messages. Spam messages are described in transactional models as which of the
following?
A. Senders of communication
B. Noise
C. Timewasters
D. Receivers of communication - ANSWER B. Noise
This is correct. Noise is anything that interrupts communication, which includes spam and
instant messaging in the electronic environment.
1
,An RN is conducting discharge teaching for a patient when he realizes the patient does not
have the skills needed to access and use health information. Which of the following most
likely describes the barrier this patient is facing to effective communication in health care?
A. Cultural diversity
B. Cultural competency of health-care providers
C. Low health literacy
D. Communication skills of health-care providers - ANSWER C. Low health literacy
This is correct. Low health literacy results in a lack of skills needed to access and use health
information.
4. During shift change, the day shift nurse reports to the night shift nurse that the patient
has no known drug allergies and the last potassium came back low. Which of the following
best describes the part of the I PASS the BATON tool used in this scenario?
A. Patient
B. Situation
C. Actions
D. Safety concerns - ANSWER D. Safety concerns
Safety communication includes critical laboratory values, allergies, socioeconomic factors,
and risk assessment.
The use of electronic health records (EHRs) was mandated by the year 2013. Which of the
following is the main purpose of computerized record keeping in health care?
A. Ease of finding and correcting errors
B. Reduction of paper and conservation of resources
C. Safe,qualitypatientcare
D. Ease of searching records - ANSWER C. Safe,qualitypatientcare
2
,This is correct. Providing safe, quality patient care is the main purpose of EHRs. EHRs reduce
errors, increase safety, and improve quality of care.
There are several benefits to using EHRs. Which of the following is most specifically designed
to reduce medication errors?
A. Barcode scanning of laboratory labels
B. Connection to monitoring equipment, such as telemetry and blood pressure cuffs
C. Datatracking
D. Barcode scanning of patient identification bracelets - ANSWER D. Barcode scanning
of patient identification bracelets
This is correct. Barcode scanning of patient identification bracelets and medications are
examples of improved safety measures that are directly related to reducing medication
errors.
Although there are many advantages to the use of electronic medical records (EMRs),
disadvantages do exist. Which of the following is a disadvantage to the use of EMRs?
A. Patient confidentiality
B. Portability
C. Identification of patients in need of screenings
D. Quality of care evaluation - ANSWER B. Portability
This is correct. Moving data from an EMR to a location other than the provider's practice or
the health-care facility can be difficult and may require physical printing of the information.
Which of the following is the most important reason why the computer on wheels (COW) or
workstation on wheels (WOW) gained popularity in health care?
3
, A. Cost savings
B. Convenience
C. Patientsafety
D. Decreased use of workstations in the nurses station - ANSWER C. Patientsafety
This is correct. Computers located only in the nurses station, away from patients, meant
documentation was not completed in a timely manner. Additionally, the time spent away
from the patients was an increased risk to patient safety.
An RN is using a WOW for charting at the patient's bedside. Which of the following is an
important reminder for the RN to keep in mind?
A. Ensure the WOW has an extension cord.
B. Position the WOW between the RN and the patient to facilitate communication while
charting.
C. Turn the WOW off when not using it.
D. Log off when not using the WOW. - ANSWER D. Log off when not using the WOW.
This is correct. To protect patient confidentiality, the RN should log completely out of the
WOW when not using it.
10. Which of the following is a rule of netiquette to follow when sending professional e-mails
to others in the organization?
A. Proofread e-mails before sending them.
B. Send the information to anyone who might find it helpful.
C. Online behavior requires different rules from in-person behavior.
D. Capitalize important words to reinforce points. - ANSWER A. Proofread e-mails
before sending them.
4
care team discusses the reasons why the patient should receive chemotherapy, the RN
forcefully restates the patient's wishes. Which type of communication does this scenario
best demonstrate?
A. Assertive communication
B. Aggressivecommunication
C. Interpersonalcommunication
D. Transactional communication - ANSWER A. Assertive communication
This is correct. Assertive communication involves standing up for oneself and one's patients
and their rights without violating the rights of others.
A nurse checks her work e-mail for policy updates and spends about 5 minutes deleting
spam messages. Spam messages are described in transactional models as which of the
following?
A. Senders of communication
B. Noise
C. Timewasters
D. Receivers of communication - ANSWER B. Noise
This is correct. Noise is anything that interrupts communication, which includes spam and
instant messaging in the electronic environment.
1
,An RN is conducting discharge teaching for a patient when he realizes the patient does not
have the skills needed to access and use health information. Which of the following most
likely describes the barrier this patient is facing to effective communication in health care?
A. Cultural diversity
B. Cultural competency of health-care providers
C. Low health literacy
D. Communication skills of health-care providers - ANSWER C. Low health literacy
This is correct. Low health literacy results in a lack of skills needed to access and use health
information.
4. During shift change, the day shift nurse reports to the night shift nurse that the patient
has no known drug allergies and the last potassium came back low. Which of the following
best describes the part of the I PASS the BATON tool used in this scenario?
A. Patient
B. Situation
C. Actions
D. Safety concerns - ANSWER D. Safety concerns
Safety communication includes critical laboratory values, allergies, socioeconomic factors,
and risk assessment.
The use of electronic health records (EHRs) was mandated by the year 2013. Which of the
following is the main purpose of computerized record keeping in health care?
A. Ease of finding and correcting errors
B. Reduction of paper and conservation of resources
C. Safe,qualitypatientcare
D. Ease of searching records - ANSWER C. Safe,qualitypatientcare
2
,This is correct. Providing safe, quality patient care is the main purpose of EHRs. EHRs reduce
errors, increase safety, and improve quality of care.
There are several benefits to using EHRs. Which of the following is most specifically designed
to reduce medication errors?
A. Barcode scanning of laboratory labels
B. Connection to monitoring equipment, such as telemetry and blood pressure cuffs
C. Datatracking
D. Barcode scanning of patient identification bracelets - ANSWER D. Barcode scanning
of patient identification bracelets
This is correct. Barcode scanning of patient identification bracelets and medications are
examples of improved safety measures that are directly related to reducing medication
errors.
Although there are many advantages to the use of electronic medical records (EMRs),
disadvantages do exist. Which of the following is a disadvantage to the use of EMRs?
A. Patient confidentiality
B. Portability
C. Identification of patients in need of screenings
D. Quality of care evaluation - ANSWER B. Portability
This is correct. Moving data from an EMR to a location other than the provider's practice or
the health-care facility can be difficult and may require physical printing of the information.
Which of the following is the most important reason why the computer on wheels (COW) or
workstation on wheels (WOW) gained popularity in health care?
3
, A. Cost savings
B. Convenience
C. Patientsafety
D. Decreased use of workstations in the nurses station - ANSWER C. Patientsafety
This is correct. Computers located only in the nurses station, away from patients, meant
documentation was not completed in a timely manner. Additionally, the time spent away
from the patients was an increased risk to patient safety.
An RN is using a WOW for charting at the patient's bedside. Which of the following is an
important reminder for the RN to keep in mind?
A. Ensure the WOW has an extension cord.
B. Position the WOW between the RN and the patient to facilitate communication while
charting.
C. Turn the WOW off when not using it.
D. Log off when not using the WOW. - ANSWER D. Log off when not using the WOW.
This is correct. To protect patient confidentiality, the RN should log completely out of the
WOW when not using it.
10. Which of the following is a rule of netiquette to follow when sending professional e-mails
to others in the organization?
A. Proofread e-mails before sending them.
B. Send the information to anyone who might find it helpful.
C. Online behavior requires different rules from in-person behavior.
D. Capitalize important words to reinforce points. - ANSWER A. Proofread e-mails
before sending them.
4
