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Exam (elaborations)

Communication and Teamwork NSG 3180 Exam 1

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Communication and Teamwork Course Number NSG 3180

Exam 1

1. The nurse educator is teaching a group of nursing students about the characteristics of
nursing . Which statements from the box below should the nurse educator include in the
teaching ?

A. Nursing is historically as old as mankind
B. Nursing has always been identifiable as a distinct occupation
C. Nursing was originally informally practiced by female family caregivers
D. Nursing originally had a religious theme to caring for individuals styles

Answer:

A. Nursing is historically as old as mankind
C. Nursing was originally informally practiced by female family caregivers
D. Nursing originally had a religious theme to caring for individuals .



2. The nurse educator is reviewing the Quality and Safety Education for Nurses QSEN )
prelicensure competencies with a group of nursing students . Which of the following
clinical examples should the nurse use when discussing patient - centered care ?

a . Participating in the unit council focused on evidence based practice ( EBP)
b . Reviewing negative client comments that were overheard by a nurse .
c . Asking client for input on the goals of treatment .
d . Reviewing different communication styles with a fellow nurse

Answer:

c . Asking a client for input on the goals of treatment



3. The nurse is caring for a client who is becoming increasingly short of breath . The nurse
decides to call the primary health care provider ( PHCP ) . Which of the following should the
nurse do after introducing themselves to the PHCP and stating the problem ?
a . Propose an action regarding the client's condition .
b . State the desired orders for the client c. State the client's allergies .
d . Provide a brief history of the client's condition .

Answer:

,D. Provide a brief history of the client's condition .



4. The nurse is calling the primary health care provider about a 70 year old client who was
admitted with a fractured femur, and is now confused. Using the situation, background,
assessment, recommendation (SBAR) format, which information from the box below
should the nurse include in the background aspect?

1. Dr. Smith, this is Susie Walters on tele 3E calling you about S. Johnson, who is starting to
get confused.
2. I think S. Johnson needs a stat CBC, chemistry, panel, and urine culture to rule out
infection.
3. Dr. Smith, I need you to come and assess S. Johnson right away due to a change in
condition.
4. S. Johnson was alert and oriented on admission.
5. S. Johnson in room 288 on tele 2E is a 70 year old female.

Answer:

D. 4,5



5. The nurse is caring for a client whose health has suddenly worsened . The nurse calls the
primary health . care provider ( PHCP ) . Which of the following statements should the
nurse use in the situation part of the situation , background , assessment ,
recommendation ( SBAR ) communication ?

a. " The client has developed dyspnea with audible crackles in the lungs bilaterally ; oxygen
saturation is 86 % on room air
B . " The client has chronic obstructive pulmonary disease ( COPD ) due to a long - term
history of smoking . "
C. " I am concerned that the client is exhibiting signs of a pulmonary embolus due to a
sudden drop in oxygenation
D. "I would like for you to order a stat chest X-ray because the client has suddenly
developed shortness of air with hypoxia

Answer:

a. " The client has developed dyspnea with audible crackles in the lungs bilaterally ; oxygen
saturation is 86 % on room air

, 6. The nurse educator is teaching a group of staff nurses about clinical judgment and
decision - making . Which of the following statements or questions should the nurse use
during the first step of clinical decision - making ?
a . " I will implement the interventions outlined in the client's plan of care . "
b . " Does this intervention align with my moral values ? "
c . " What additional information do I need to come conclusion ? "
d . " I will update the client's goals and nursing interventions . "

Answer:

c . " What additional information do I need to come conclusion ? "



7. The nurse observes a client pacing the floor . Which of the following statements by the
nurse validates an inference when speaking to the client ?
a . " You are anxious , so let's talk about it"
b . " Let's try some deep breathing to help you relax ."
C. " You seem anxious . Will you tell me what is going on ? "
d . " Clients who pace usually need to talk to a primary health care provider ( PHCP ) .
Should I call yours ? "

Answer:

C. " You seem anxious . Will you tell me what is going on ? "



8. The nurse manager is teaching nursing staff about how a nonpunitive work culture
encourages reporting of errors . Which of the following statements by a staff nurse
indicates the teaching was effective ?

a . " I know that my error will be analyzed to find methods of preventing this error again . "
b . " Primary health care providers ( PHCPs ) freely report when an error occurs , and
nursing should do the same"
c . " Errors occurring in health care facilities are not required to report to the state board of
nursing . "
d . " Reporting of errors only occurs if the client has suffered a serious injury caused by me."

Answer:

a . " I know that my error will be analyzed to find methods of preventing this error again . "
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