NSG 3180 EXAM COMMUNICATION
AND TEAM WORK GALEN
COLLEGE OF NURSING
QUESTIONS
Match the following famous nurses on the left with the important actions on the right.
Harriet Tubman Known as "the Moses of her people"
Dorothea Dix Became the Union Army's Superintendent of female nurses
Florence Nightingale Performed research necessary to prove that good hygiene
positively impacted patient health
Mary Mahoney First African American Professional Nurse
1. The history of nursing and nursing education is rich. Nursing was quick to allow people
of all races, however was slow to allow men into the fold. The first man to be accepted
into the military nursing services was
a. Luther Christman
b. Joe Hogan
c. Edward T. Lyon
d. Steve Miller
2. The nurse performs the “Rights” of medication administration prior to administering the
client’s medication.
a. Non-maleficience
b. Beneficence
c. Autonomy
d. Confidentiality
3. Immediately after making a medication error, the nurse seeks out the nurse manager and
self-reports the error.
a. Non-maleficience
b. Veracity
c. Accountability
d. Autonomy
4. The nurse supports the client’s decision to refuse chemotherapy for treatment of cancer.
a. Non-maleficience
b. Beneficence
c. Justice
d. Autonomy
5. The nurse performs hand hygiene before providing client care
a. Beneficence
b. Autonomy
c. Confidentiality
d. Justice
6. Nursing’s metaparadigm, or worldview, distinguishes the nursing profession from other
disciplines and emphasizes its unique functional characteristics. The four key concepts
that form the foundation for all nursing theories are
a. nursing, teaching, caring, and health promotion.
b. caring, compassion, health promotion, and education.
, c. respect, integrity, honesty, and advocacy.
d. person, environment, health, and nursing.
Individual nursing theories represent different interpretations of the phenomenon of
nursing, but central constructs—person, environment, health, and nursing—are found in
all theories and models. They are referred to as nursing’s metaparadigm.
7. Which of the following statements best represents therapeutic communication when a
student discovers a patient crying in bed?
a. “Will you listen to me so I can help you get better?”
b. “I am the nurse who will be doing your treatments today.”
c. “Can we talk about what seems to be bothering you?”
d. “This is what is going to happen during surgery.”
Asking about what is bothering the patient is goal directed. Its purpose is to promote
patient well-being. “I am the nurse who will be doing your treatments today” is a
statement of fact, and it ignores the patient’s emotional needs. “Will you listen to me so I
can help you get better?” is not goal directed and does not involve mutuality. “This is
what is going to happen during surgery” is simply one way. It does not engage the patient
in a therapeutic manner.
8. A young mother tells the nurse, “I’m worried because my son needs a blood transfusion. I
don’t know what to do, because blood transfusions cause AIDS.” Which central nursing
construct is represented in this situation?
a. Health
b. Person
c. Environment
d. Caring
The concept of environment includes all cultural, developmental, and social determinants
that influence a patient’s health perceptions and behavior. Caring is not one of the four
central nursing constructs. The word health derives from the word whole. Health is a
multidimensional concept, having physical, psychological, sociocultural, developmental,
and spiritual characteristics. The World Health Organization (WHO, 1946)
defines health as “a state of complete physical, mental, social well-being, not merely the
absence of disease or infirmity.” Nursing includes the promotion of health, prevention of
illness, and the care of ill, disabled, and dying people. Person is defined as the recipient
of nursing care, having unique bio-psycho-social and spiritual dimensions.
9. When admitting a patient to the medical-surgical unit, the nurse asks the patient
about cultural issues. The nurse is demonstrating use of the concept of
a. person.
b. environment
c. health.
d. nursing.
The concept of environment includes all cultural, developmental, and social determinants
that influence a patient’s health perceptions and behavior. A person is defined as the
recipient of nursing care, having unique bio-psycho-social and spiritual dimensions. The
word health derives from the word whole. Health is a multidimensional concept, having
physical, psychological, sociocultural, developmental, and spiritual characteristics. The
World Health Organization (WHO, 1946) defines health as “a state of complete physical,
mental, social well-being, not merely the absence of disease or
, infirmity.” Nursing includes the promotion of health, prevention of illness, and the care
of ill, disabled, and dying people.
10. When calling a healthcare provider, the nurse provides name, what unit and what hospital
the call is being made from, the patient’s name, and that the patient is having trouble
breathing. The nurse is demonstrating which step in the SBAR format for communicating
with a patient’s physician?
a. Background
b. Assessment
c. Recommendation
d. Situation
An example of the situation component of SBAR reporting is: “Dr. Preston, this is
Wendy Obi, evening nurse on 4G at St. Simeon Hospital, calling about Mr. Lakewood,
who’s having trouble breathing.” An example of the assessment component of SBAR
reporting is: “I don’t hear any breath sounds in his right chest. I think he has a
pneumothorax.” An example of the background component of SBAR reporting is: “Kyle
Lakewood, DOB 7/1/60, a 53-year-old man with chronic lung disease, admitted 12/25,
who has been sliding downhill × 2 hours. Now he’s acutely worse: VS heart rate 92,
respiratory rate 40 with gasping, B/P 138/94, oxygenation down to 72%.” An example of
the recommendation component of SBAR reporting is: “I need you to see him right now.
I think he needs a chest tube.”
11. When conducting an in-service on serious medical errors, the nurse teaches that nearly
70% of sentinel events are related to
a. lack of education.
b. miscommunication.
c. minimal rest periods.
d. inadequate resources.
Multiple studies have pinpointed miscommunication as a major causative agent in
sentinel events, that is, errors resulting in unnecessary death and serious injury.
Miscommunication is the root cause in nearly 70% of sentinel events.
12. What tool for safer care is designed to increase cognitive decision-making skills, increase
technical proficiency, and enhance teamwork, including communication skills?
a. Team training models
b. SBAR
c. Clinical situation simulations
d. Checklists
The development and refinement of communication and practice skills are provided with
clinical situation simulations. Students learn in a safe low stakes simulation lab. The
simulations can be low fidelity with model patients or high fidelity with computerized
human patient simulators. The students can practice their communication, critical
thinking and clinical judgment skills. Since the instructor is present with several students
in the lab, there is a more dynamic experience than the one-on-one in clinical settings.
Students should feel free to attempt assessments, get feedback and improve over time.
13. The nurse is caring for a patient who is becoming increasingly short of breath. The nurse
decides to call the physician. Which of the following should the nurse initially do when
speaking with the physician?
a. Relate the patient’s background
, b. Tell what is needed
c. State the problem
d. State the patient’s allergies
During the situation component of SBAR, the nurse identifies herself, the patient, and the
problem. During the recommendation component of SBAR, the nurse tells what is
needed. During the background component of SBAR, the nurse relates the patient’s
background.
14. Reporting what information is a violation of patient confidentiality?
a. Patient data in a nonprofessional setting.
b. Child abuse.
c. Gunshot wounds.
d. Certain communicable diseases.
Releasing information to people not directly involved in the patient’s care is a breach of
confidentiality. Certain communicable or sexually transmitted diseases, child and elder
abuse, and the potential for serious harm to another individual are considered exceptions
to sharing of confidential information.
15. The nurse is teaching a patient who is alert and oriented about the medication, warfarin.
When teaching the patient about this drug, the nurse emphasizes the need to be consistent
with Vitamin K intake, which is found primarily in green leafy vegetables. When the
patient’s spouse comes to visit, the patient states, “I can no longer consume green leafy
vegetables.” This is an example of what type of failure caused by a communication
problem?
a. Transmission failure
b. Reception failure
c. Global aphasia
d. System failure
Communication problems occur when there are failures in one or more categories: the
system, the transmission, or in the reception. Reception failures occur when channels
exist and necessary information is sent, but the recipient misinterprets the message.
System failures occur when the necessary channels of communication are absent or not
functioning. Transmission failures occur when the channels exist but the message is
never sent or is not clearly sent.
16. Which of these statements is NOT true regarding nurses’ use of social media?
a. Privacy laws apply to photos, but not to videos if you avoid showing a face.
b. Confidentiality and privacy laws, such as HIPAA, apply to online postings.
c. A state board may act on complaints of privacy violations.
d. Clicking “restricted access” does not quality as a private site.
Posts are bound by confidentiality and privacy laws, such as HIPAA. Clicking on
“restricted access” does not qualify as a private site. Regulatory agencies, such as state
boards, act on complaints. Posting identifiable patient information absolutely applies to
photos or videos—even if you do not show faces.
17. What can be defined as “a patient safety issue", but primarily a legal right protected by
common law and “case law” and “giving care acquiescence knowing the purpose, the
extents of the risks and benefits, and possible alternatives of treatment”?
a. Privacy cautions
b. Informed consent
AND TEAM WORK GALEN
COLLEGE OF NURSING
QUESTIONS
Match the following famous nurses on the left with the important actions on the right.
Harriet Tubman Known as "the Moses of her people"
Dorothea Dix Became the Union Army's Superintendent of female nurses
Florence Nightingale Performed research necessary to prove that good hygiene
positively impacted patient health
Mary Mahoney First African American Professional Nurse
1. The history of nursing and nursing education is rich. Nursing was quick to allow people
of all races, however was slow to allow men into the fold. The first man to be accepted
into the military nursing services was
a. Luther Christman
b. Joe Hogan
c. Edward T. Lyon
d. Steve Miller
2. The nurse performs the “Rights” of medication administration prior to administering the
client’s medication.
a. Non-maleficience
b. Beneficence
c. Autonomy
d. Confidentiality
3. Immediately after making a medication error, the nurse seeks out the nurse manager and
self-reports the error.
a. Non-maleficience
b. Veracity
c. Accountability
d. Autonomy
4. The nurse supports the client’s decision to refuse chemotherapy for treatment of cancer.
a. Non-maleficience
b. Beneficence
c. Justice
d. Autonomy
5. The nurse performs hand hygiene before providing client care
a. Beneficence
b. Autonomy
c. Confidentiality
d. Justice
6. Nursing’s metaparadigm, or worldview, distinguishes the nursing profession from other
disciplines and emphasizes its unique functional characteristics. The four key concepts
that form the foundation for all nursing theories are
a. nursing, teaching, caring, and health promotion.
b. caring, compassion, health promotion, and education.
, c. respect, integrity, honesty, and advocacy.
d. person, environment, health, and nursing.
Individual nursing theories represent different interpretations of the phenomenon of
nursing, but central constructs—person, environment, health, and nursing—are found in
all theories and models. They are referred to as nursing’s metaparadigm.
7. Which of the following statements best represents therapeutic communication when a
student discovers a patient crying in bed?
a. “Will you listen to me so I can help you get better?”
b. “I am the nurse who will be doing your treatments today.”
c. “Can we talk about what seems to be bothering you?”
d. “This is what is going to happen during surgery.”
Asking about what is bothering the patient is goal directed. Its purpose is to promote
patient well-being. “I am the nurse who will be doing your treatments today” is a
statement of fact, and it ignores the patient’s emotional needs. “Will you listen to me so I
can help you get better?” is not goal directed and does not involve mutuality. “This is
what is going to happen during surgery” is simply one way. It does not engage the patient
in a therapeutic manner.
8. A young mother tells the nurse, “I’m worried because my son needs a blood transfusion. I
don’t know what to do, because blood transfusions cause AIDS.” Which central nursing
construct is represented in this situation?
a. Health
b. Person
c. Environment
d. Caring
The concept of environment includes all cultural, developmental, and social determinants
that influence a patient’s health perceptions and behavior. Caring is not one of the four
central nursing constructs. The word health derives from the word whole. Health is a
multidimensional concept, having physical, psychological, sociocultural, developmental,
and spiritual characteristics. The World Health Organization (WHO, 1946)
defines health as “a state of complete physical, mental, social well-being, not merely the
absence of disease or infirmity.” Nursing includes the promotion of health, prevention of
illness, and the care of ill, disabled, and dying people. Person is defined as the recipient
of nursing care, having unique bio-psycho-social and spiritual dimensions.
9. When admitting a patient to the medical-surgical unit, the nurse asks the patient
about cultural issues. The nurse is demonstrating use of the concept of
a. person.
b. environment
c. health.
d. nursing.
The concept of environment includes all cultural, developmental, and social determinants
that influence a patient’s health perceptions and behavior. A person is defined as the
recipient of nursing care, having unique bio-psycho-social and spiritual dimensions. The
word health derives from the word whole. Health is a multidimensional concept, having
physical, psychological, sociocultural, developmental, and spiritual characteristics. The
World Health Organization (WHO, 1946) defines health as “a state of complete physical,
mental, social well-being, not merely the absence of disease or
, infirmity.” Nursing includes the promotion of health, prevention of illness, and the care
of ill, disabled, and dying people.
10. When calling a healthcare provider, the nurse provides name, what unit and what hospital
the call is being made from, the patient’s name, and that the patient is having trouble
breathing. The nurse is demonstrating which step in the SBAR format for communicating
with a patient’s physician?
a. Background
b. Assessment
c. Recommendation
d. Situation
An example of the situation component of SBAR reporting is: “Dr. Preston, this is
Wendy Obi, evening nurse on 4G at St. Simeon Hospital, calling about Mr. Lakewood,
who’s having trouble breathing.” An example of the assessment component of SBAR
reporting is: “I don’t hear any breath sounds in his right chest. I think he has a
pneumothorax.” An example of the background component of SBAR reporting is: “Kyle
Lakewood, DOB 7/1/60, a 53-year-old man with chronic lung disease, admitted 12/25,
who has been sliding downhill × 2 hours. Now he’s acutely worse: VS heart rate 92,
respiratory rate 40 with gasping, B/P 138/94, oxygenation down to 72%.” An example of
the recommendation component of SBAR reporting is: “I need you to see him right now.
I think he needs a chest tube.”
11. When conducting an in-service on serious medical errors, the nurse teaches that nearly
70% of sentinel events are related to
a. lack of education.
b. miscommunication.
c. minimal rest periods.
d. inadequate resources.
Multiple studies have pinpointed miscommunication as a major causative agent in
sentinel events, that is, errors resulting in unnecessary death and serious injury.
Miscommunication is the root cause in nearly 70% of sentinel events.
12. What tool for safer care is designed to increase cognitive decision-making skills, increase
technical proficiency, and enhance teamwork, including communication skills?
a. Team training models
b. SBAR
c. Clinical situation simulations
d. Checklists
The development and refinement of communication and practice skills are provided with
clinical situation simulations. Students learn in a safe low stakes simulation lab. The
simulations can be low fidelity with model patients or high fidelity with computerized
human patient simulators. The students can practice their communication, critical
thinking and clinical judgment skills. Since the instructor is present with several students
in the lab, there is a more dynamic experience than the one-on-one in clinical settings.
Students should feel free to attempt assessments, get feedback and improve over time.
13. The nurse is caring for a patient who is becoming increasingly short of breath. The nurse
decides to call the physician. Which of the following should the nurse initially do when
speaking with the physician?
a. Relate the patient’s background
, b. Tell what is needed
c. State the problem
d. State the patient’s allergies
During the situation component of SBAR, the nurse identifies herself, the patient, and the
problem. During the recommendation component of SBAR, the nurse tells what is
needed. During the background component of SBAR, the nurse relates the patient’s
background.
14. Reporting what information is a violation of patient confidentiality?
a. Patient data in a nonprofessional setting.
b. Child abuse.
c. Gunshot wounds.
d. Certain communicable diseases.
Releasing information to people not directly involved in the patient’s care is a breach of
confidentiality. Certain communicable or sexually transmitted diseases, child and elder
abuse, and the potential for serious harm to another individual are considered exceptions
to sharing of confidential information.
15. The nurse is teaching a patient who is alert and oriented about the medication, warfarin.
When teaching the patient about this drug, the nurse emphasizes the need to be consistent
with Vitamin K intake, which is found primarily in green leafy vegetables. When the
patient’s spouse comes to visit, the patient states, “I can no longer consume green leafy
vegetables.” This is an example of what type of failure caused by a communication
problem?
a. Transmission failure
b. Reception failure
c. Global aphasia
d. System failure
Communication problems occur when there are failures in one or more categories: the
system, the transmission, or in the reception. Reception failures occur when channels
exist and necessary information is sent, but the recipient misinterprets the message.
System failures occur when the necessary channels of communication are absent or not
functioning. Transmission failures occur when the channels exist but the message is
never sent or is not clearly sent.
16. Which of these statements is NOT true regarding nurses’ use of social media?
a. Privacy laws apply to photos, but not to videos if you avoid showing a face.
b. Confidentiality and privacy laws, such as HIPAA, apply to online postings.
c. A state board may act on complaints of privacy violations.
d. Clicking “restricted access” does not quality as a private site.
Posts are bound by confidentiality and privacy laws, such as HIPAA. Clicking on
“restricted access” does not qualify as a private site. Regulatory agencies, such as state
boards, act on complaints. Posting identifiable patient information absolutely applies to
photos or videos—even if you do not show faces.
17. What can be defined as “a patient safety issue", but primarily a legal right protected by
common law and “case law” and “giving care acquiescence knowing the purpose, the
extents of the risks and benefits, and possible alternatives of treatment”?
a. Privacy cautions
b. Informed consent
