BSNC 2055 FINAL REVIEW COMPLETE QUESTIONS AND ANSWERS |GET IT CORRECT|GUARANTEED PASS!!

BSNC 2055 FINAL REVIEW COMPLETE QUESTIONS AND ANSWERS |GET IT CORRECT|GUARANTEED PASS!! “Psychological safety is the foundation for: a. Compliance to guidelines and policies b. Avoiding lawsuits c. Effective collaboration and patient safety d. Accountability and responsibility - CORRECT ANSWER c. Effective collaboration and patient safety" "Which of the following phrases make allowance for the uniqueness of your colleague? a. "I really think you should go with option B" b. "I've seen others with a problem similar to yours. Would you like to hear what worked for them?" c. "Do you think this idea will help in your situation?" d. "I former client told me a good way to get around a situation like yours. Would you like to hear that suggestion?" - CORRECT ANSWER c. "Do you think this idea will help in your situation?"" "Which of the following phrases represents including rationale with your opinions to clients? a. "Do you think this idea will help in your situation?" b. "In my opinion, options A and C would be the most likely to get the results you are looking for. Which options do you prefer?" c. "I've read an article that had ideas on how to solve your problem. Do you want to hear what it had to say?" d. "I've thought about this, and I have some opinions I'd like to express to the team if you'd like to hear them" - CORRECT ANSWER b. "In my opinion, options A and C would be the most likely to get the results you are looking for. Which options do you prefer?"" "Which statement best exemplifies the concept of safety in the health care setting: a. The health care setting is safe only when staff actively enact the policies and protocols of the organization b. The health care environment should be safe for all patients, in all of its processes, all of the time c. Psychological safety is the responsibility of the employee d. Safety only occurs when safety checks are completed - CORRECT ANSWER b. The health care environment should be safe for all patients, in all of its processes, all of the time" "The PSLS is a management tool that is used to report safe practice? a. True b. False - CORRECT ANSWER b. False--PSLS used to report unsafe practice" "The student nurse notices that their client is slurring their words and cannot recall their name or why they are in the hospital, which is new for this client. Which statement would be the best way to communicate the student's concerns to their RN: a. "My patient in room 404, admitted with pneumonia, is slurring his words and is confused. His BP is 174/60, HR 82, T 36.6. I did not notice this speech issue yesterday and need you to come assess him". b. "Mr. J., 84 years old male admitted for pneumonia is slurring his words and confused. He has a history of TIA and his BP is elevated, 174/60. I am concerned he is having a stroke, and need you to come assess him right now". c. "Mr. J., 84 years old male admitted for pneumonia is slurring his words and confused. He has a history of TIA, osteoporosis, COPD and diabetes. I am concerned he is having a stroke, and need you to come assess him right now". d. Mr. - CORRECT ANSWER b. "Mr. J., 84 years old male admitted for pneumonia is slurring his words and confused. He has a history of TIA and his BP is elevated, 174/60. I am concerned he is having a stroke, and need you to come assess him right now"." "A nurse posts negative comments about a colleague on twitter. According to the BCCNP practice standards, which professional misconduct is displayed by this nurse? a. Patient privacy breech b. Breech of professional boundaries c. Lack of accountability d. Lack of professionalism - CORRECT ANSWER d. Lack of professionalism" "A nurse is preparing to communicate a patient's deteriorating condition to the healthcare provider using the SBAR (Situation, Background, Assessment, Recommendation) framework. Which component of SBAR includes information about the patient's relevant medical history and current circumstances? a. Situation b. Background c. Assessment d. Recommendation - CORRECT ANSWER b. Background" "During a shift change, a nurse is using SBAR to report a change in a patient's condition to the oncoming nurse. Which aspect of SBAR should the nurse use to communicate the patient's vital signs, symptoms, and current status? a. Situation b. Background c. Assessment d. Recommendation - CORRECT ANSWER a. Situation" "A healthcare provider is receiving a report from a nurse about a patient's postoperative recovery using SBAR. What is the purpose of the "Assessment" component of the SBAR framework in this context? a. Presenting a summary of the patient's medical history. b. Communicating the current situation and reason for the call. c. Offering a recommendation for the next steps in patient care. d. Providing the nurse's analysis of the patient's current condition. - CORRECT ANSWER d. Providing the nurse's analysis of the patient's current condition." "The best definition of civility is which of the following? a. A sincere intention to seek common ground b. An agreement to take on the perspective of the other c. A negotiation for a division of resources d. The context in which behaviours occur - CORRECT ANSWER a. A sincere intention to seek common ground" "During interdisciplinary rounds, the social worker expresses frustration with the length of time it is taking to discharge a patient who already has community supports in place. The social worker's behaviour is an example of: a. Mild disruptive behaviour b. Serious disruptive behaviour c. Intimidation of a colleague d. An expressed difference of opinion - CORRECT ANSWER d. An expressed difference of opinion" "A nurse has been 10-15 minutes late for work 6 times. The manager tells the nurse that they will need to establish a performance management plan to deal with the recent pattern of showing up late. Which of the following actions should the nurse take? a. Collaborate with a manager to establish the performance management plan b. Seek support from a union representative to protect her rights c. Review the Occupational Health and Safety policy on bullying and harassment d. Request a third party investigation into the manager's plan to establish a plan - CORRECT ANSWER a. Collaborate with a manager to establish the performance management plan" "Simply stated, resilience can be described using which of the following phrases? a. It is a personal characteristic b. It is a process of adaptation c. Is it achieved after a challenging experience d. It refers to the enduring of hardships in life - CORRECT ANSWER b. It is a process of adaptation" "One of the strategies necessary to resilience in teams is: a. Individual resilience of each team member b. Having strict and constant deadlines to achieve c. Anticipating and planning for challenges d. Preserving resources by delaying responses to challenges - CORRECT ANSWER c. Anticipating and planning for challenges" "Which of the following examples is a marker of team resilience in a team that has received a very large project to complete with a tight deadline and no new team members to help with the project? a. A plan to schedule time off that meets the needs of each team member without compromising the deadline b. The development of standard operating procedures (SOP) after experience a challenging situation Allowing all team members to work through job related cognitive/emotional/physical stress individually Putting standard or basic procedures on hold in the event of a crisis and until it is resolved - CORRECT ANSWER a. A plan to schedule time off that meets the needs of each team member without compromising the deadline" "There has been a critical incident concerning a patient on the medical unit. After the incident has passed, what behavior indicates the team is in the process of 'mending'? a. The team leader encourages each of the health care providers involved to seek individual counselling b. The next team meeting is cancelled to allow individuals to take time off c. The manager reminds the team that emergency procedures take priority over existing standards of practice d. The team leader calls the team together to conduct a debrief before the end of shift - CORRECT ANSWER d. The team leader calls the team together to conduct a debrief before the end of shift" "A nurse is discussing resilience with their colleagues during a team huddle. Which statement best describes resilience? a. Resilience is pushing past any obstacles in your way b. Resilience is the process of adapting well in the face of adversity or significant sources of stress c. Resilience is the process of developing strategies to push through life's struggles d. Resilience is an essential component of psychological safety to help endure difficult events - CORRECT ANSWER b. Resilience is the process of adapting well in the face of adversity or significant sources of stress" "What factors influence resilience? (Select all that apply.) a. Caring and supportive relationships b. Realistic plans c. Positive views of yourself d. Inability to manage strong feelings - CORRECT ANSWER a. Caring and supportive relationships b. Realistic plans c. Positive views of yourself" "What are some examples to foster personal resilience? (Select all that apply.) a. Making connections (relationships) b. Maintain a hopeful outcome c. Not maintain fitness to practice d. Keeps things in perspective - CORRECT ANSWER a. Making connections (relationships) b. Maintain a hopeful outcome d. Keeps things in perspective" "What are some examples to foster personal resilience? (Select all that apply.) a. Take decisive actions b. Look for opportunity of self-discovery c. Accept change as a part of living d. Inability to develop realistic goals - CORRECT ANSWER a. Take decisive actions b. Look for opportunity of self-discovery c. Accept change as a part of living" "The following represents resilience strategies except for: a. Minimize b. Manage c. Mend d. Meddle - CORRECT ANSWER d. Meddle" "A nurse is able to describe the various types of electronic health records used across the continuum of care. She is meeting which CASN competency? A) Professional and regulatory accountability B) Information and Communication Technologies C) Information and knowledge management D) A & B - CORRECT ANSWER B) Information and Communication Technologies" "The CASN "Information and Knowledge-management" competency requires that entry level nurses be able to - CORRECT ANSWER Use relevant information and knowledge to support the delivery of evidence-informed patient care." "Nurses who meet the professional and regulatory accountability competency set forth by CASN can - CORRECT ANSWER Use ICTs in accordance with professional and regulatory standards and workplace policies." "Nurses who meet the CASN Information and Communication Technologies competency can - CORRECT ANSWER Use information and communication technologies in the delivery of patient/ client care." "What is the difference between an electronic health and medical record? - CORRECT ANSWER A health record is specific to a patient, whereas a medical record is specific to a clinician or service-provider/organization" "True or False: Although it's beneficial for public trust and the individual's professional image, conduct outside of the workplace is not legislated for nurses in BC. - CORRECT ANSWER FALSE The HPA includes unprofessional conduct outside of work hours/work site if it has the potential to impact the individual's professional image or public trust in the profession" "What are the 5 major social media pitfalls to avoid as nurses? - CORRECT ANSWER 1. Breach of confidentiality and invasion of privacy 2. Tarnishing reputations(coworker/institution) 3. Negative comments 4. Putting your reputation on the line (professionalism) 5. Mixing professional and personal life" "Quality (in patient care context) - CORRECT ANSWER the assessment and provision of safe, respectful, appropriate, accessible, effective, equitable and efficient care" "safety (in patient care context) - CORRECT ANSWER reduction and mitigation of unsafe acts within the health care system, as well as through the use of best practices shown to lead to optimal patient safety" "A positive safety culture requires - CORRECT ANSWER -trust -recognition of the importance of safety -an agreement that error-preventing strategies are effective in improving safety" "What is a "just culture"? - CORRECT ANSWER an explicit value of reporting errors without fear of punishment. A just culture encourages sharing and disclosure among healthcare professionals and people are not punished for flawed systems i.e. blame-free workplace" "Psychological safety - CORRECT ANSWER the extent to which people feel safe to express their ideas and beliefs without fear of negative consequences" "Which of the following is true about team norms? (select all that apply) A) help members guide interactions with each other B) assess the quality of team interactions C) set of rules established by the team D) typical group behavior E) allows members to manage conflict - CORRECT ANSWER A, B, C, E" "Which zone is ideal for psychological safety? A) Comfort zone B) Learning zone C) Anxiety zone D) Apathy zone - CORRECT ANSWER B) Learning zone" "Civility - CORRECT ANSWER an authentic respect for others that requires time, presence, willingness to engage in genuine discourse and intention to seek common ground" "Which of the following are examples of indirect incivility? A) Silent treatment B) Not being interested in clarifying errors C) Propagating lies and rumors D) Sending cold, non-verbal messages E) Convincing colleagues not to cooperate with another colleague - CORRECT ANSWER Correct: B, C, E A & D are examples of direct incivility" "True or False: Bullying often involves power-over relationships - CORRECT ANSWER TRUE" "Compared to bullying, incivility often: (select all that apply) A) does not involve an intent to cause harm B) results from power-imbalances C) can be a one-off or a multi-occurrence D) is repetitive E) is less actionable F) can be addressed one-to-one - CORRECT ANSWER Correct: A, C, E, F B, D are true more so of bullying" "True or False: Incivility can range from mild, annoying behaviors like eye-rolling to serious threatening behaviors. - CORRECT ANSWER TRUE" "Which of the following is a tool for addressing incivility? (choose the best response) A) CUS B) DESC C) SBAR D) assertive communication - CORRECT ANSWER B) DESC" "Civility is an important ethical issue for nursing mostly because? a. Nurses are expected to be ethical b. Nurses get assaulted c. Nurses are accountable for client's safety d. Civility enhances nurses' job satisfaction - CORRECT ANSWER c. Nurses are accountable for client's safety" "Bullying is not a: A. Repeated behavior B. Power-over situation C. Targeted behavior D. Random act of intimidation - CORRECT ANSWER D. Random act of intimidation" "Resilience - CORRECT ANSWER Resilience is the process of adapting well in the face of adversity, trauma, threats or significant sources of stress" "What are the 3M's of resilience building? - CORRECT ANSWER Minimize Manage Mend" "True or False: A team of resilient individuals will produce a resilient team - CORRECT ANSWER FALSE" "A team receives a new shipment of insulin vials that appear very similar to some other injectable meds. They decide to add additional warning labels on the exterior of the packaging and alert the rest of the unit of the concern. This is an example of which team resilience strategy? A) Mend B) Minimize C) advanced-planning D) Manage - CORRECT ANSWER B) Minimize Minimizing involves planning ahead to prevent or reduce harm. It can include safety drills or noticing and responding to advanced warning signs of a problem." "Which of the following actions represent the managing quality of a resilient team? A) Seeking guidance B) Helping one another C) addressing chronic stressors D) Communicate and switch from normal to "emergency" mode E) Debriefing - CORRECT ANSWER A, B, C, D Incorrect: E is an example of mending" "Which of the following are mend behaviors? A) saying "thank you" for support B) regaining situational awareness C) re-establish strained relationships D) assign follow-up actions E) identify lessons for the future - CORRECT ANSWER All are correct" "What are the 4 domains of emotional intelligence? - CORRECT ANSWER 1. self-awareness 2. self-management 3. social awareness 4. relationship management" "What are some benefits to emotional intelligence for clinicians? A) clinical skill development B) helps foster healthy interpersonal relationships C) fosters empathy D) fosters self-awareness - CORRECT ANSWER All are correct" "What are the 3 phases of "pushing through"? - CORRECT ANSWER 1) stepping into 2) staying the course 3) acknowledging" "Disengaging occurs when staying the course is unsuccessful. What behaviors are typical if this happens? - CORRECT ANSWER defocusing disconnecting (e.g. pushing friends away) immobilizing (e.g. staying in bed all day)" "What stimulates the first phase of pushing through? - CORRECT ANSWER A challenging situation" "What is involved in "staying the course"? - CORRECT ANSWER broadening perspectives (e.g. it's only a few more weeks until the term is over) prioritizing (e.g. my exam has to be the priority today) collaborating (e.g. asking partner to cook dinner during a busy week) releasing (e.g. party time)" "The last phase of pushing through is "acknowledging". It involves: - CORRECT ANSWER recognizing (e.g. I'm a lot more confident now) contributing (e.g. now I'm making my bf dinner because his exams are this week) re-immersing (e.g. I'm ready to go back and take on more challenges)" "Pushing through is progressive but ______________ - CORRECT ANSWER Pushing through is progressive but non-linear" "Critical lens - CORRECT ANSWER way of understanding how power influences healthcare situations" "Critical feminist lens - CORRECT ANSWER How do gender, race, class, age, ability, size and other forms of social positioning effect a person, their relationships, and their situation?" "Critical post-colonial lens - CORRECT ANSWER How do history, colonial relations and racism shape understanding, relationships, and person/situation?" "Critical post-structural lens - CORRECT ANSWER How does language effect understanding, relationships, and a person/situation" "In the In Sight Report, what % of respondents described personal experiences of racism/discrimination? A) 90% B) 62% C) 84% D) 50% - CORRECT ANSWER C) 84%" "relational inquiry - CORRECT ANSWER an approach to nursing practice whereby the experiences of people are considered from varied philosophical vantage points. It is a highly reasoned, skilled action that involves conscious participation with people using relational skills of listening, questioning, empathy, mutuality, reciprocity, self observation, reflection, and a sensitivity to emotional contexts. Relational inquiry goes beyond individualistic approaches to practice and considers the broad and complex contextual factors that often limit care provision including exploration of these factors from intrapersonal, interpersonal and contextual viewpoints" "What are the 5Cs for relational practice? - CORRECT ANSWER Compassionate Curious Committed Competent Corresponding" "List the 4 modes of inquiry - CORRECT ANSWER Empirical Ethical Aesthetic Socio-political" "Empirical inquiry is concerned with? - CORRECT ANSWER evidence" "Sociopolitical inquiry is concerned with? - CORRECT ANSWER power dynamics" "Ethical inquiry is concerned with? - CORRECT ANSWER values" "Aesthetic inquiry is concerned with - CORRECT ANSWER beauty in human existence" "An elderly Muslim woman is admitted to the hospital for a UTI. She refuses the care from male nurses. Which of the modes of inquiry should the team use? Choose the most appropriate answer: A. EMPIRICAL B. ETHICAL C. AESTHETIC D. SOCIOPOLITICAL - CORRECT ANSWER B. ETHICAL (from slides)" "A middle-aged male is considering taking a B12 supplement as he has been reading, lately, that this is often lacking in men his age and could benefit his health in various ways. The man asks his health practitioner how he knows if this is the right health decision for him. This is a sample of which mode of inquiry? A. EMPIRICAL B. ETHICAL C. AESTHETIC D. SOCIOPOLITICAL - CORRECT ANSWER A. EMPIRICAL (from slides)" "A person who is diagnosed with schizophrenia is expected to attend a visit with his case manager two times per month in order to receive an injection of antipsychotic medication. He lives in a community where community mental health resources are limited and often uses illicit substances when he is not taking his antipsychotic medication. Which mode of inquiry is most appropriate to understand this person's situation? A. EMPIRICAL B. ETHICAL C. AESTHETIC D. SOCIOPOLITICAL - CORRECT ANSWER D. SOCIOPOLITICAL (from slides)" "A care aide in a long-term living facility is in the room while her client's daughter is visiting. They discuss how much the client, who has dementia, enjoyed listening to classical music in the evenings (she used to play the piano everyday).The care aid discusses this with the team and she is able to set up a playlist with the daughter so that the client can listen to her favorite pieces. The care aide used which of the following modes of inquiry to engage in relational practice? A. EMPIRICAL B. ETHICAL C. AESTHETIC D. SOCIOPOLITICAL - CORRECT ANSWER C. AESTHETIC (from slides)" "What are the 5 attributes of professional identity? - CORRECT ANSWER Doing Being Acting ethically Flourishing Changing identity" "Standpoint theory - CORRECT ANSWER those with more power shape the actions of those below them; those with less power make the actions of those in the dominant role possible (e.g. nurses acting in ways that facilitate the priorities of physicians, rather than their own professional goals/competencies; nurses may take the "dominant" role with housekeeping, care aides, etc.)" "Nursing standpoint - CORRECT ANSWER helps to gain clarity on the unique role you have as a nurse and the confidence to articulate your role and obligations as you work collaboratively with others ->starts with knowledge that nursing and nursing knowledge make a difference" "What are the 5 attributes of professional identity? - CORRECT ANSWER Doing (role/skills/social expectations of job) Being (personal view of role) Acting ethically Flourishing (ongoing commitment, learning, growth) Changing identities (recognition of change in self to take on new professional identity)" "Handover consists of - CORRECT ANSWER transfer of responsibility and accountability, clarity of information, acknowledgement by receiver, and an opportunity to review information" "What should you do if an assertive statement is ignored? - CORRECT ANSWER It is your responsibility to assertively voice concern at least two times to ensure that it has been heard." "What are Tuckman's stages of group development? - CORRECT ANSWER 1. Forming (introductions) 2. Storming (stating expectations) 3. Norming (team charter) 4. Performing (actions that support team mandate) 5. Adjourning or Reforming" "List the 6 leadership styles: - CORRECT ANSWER 1. COERCIVE: immediate compliance, tight control, emphasizes negative "Do what I tell you NOW" 2. AUTHORITATIVE: mobilizing toward a vision, long-term strategy, influence to gain employee buy-in to decisions: "This is where we're going and why" 3. AFFILIATIVE: promoting harmony, cooperation, good feelings ABOVE goals, task, etc.; downside: poor performance may go undetected 4. DEMOCRATIC: build group consensus & commitment; downside: too much talk, not enough action 5. PACESETTING: independent work, leads by example; setting high performance standards; quick results; highly motivated team; "Do as I Do," "This is how it must be done! Watch me!" downside: high pressure, low value for other knowledge/ideas 6. COACHING: developing ppl for future; manage growth of employees, strength/weaknesses, action plan, career goals; "How can I support you." downside: requires time and expertise from leader" "Which zone is ideal for psychological safety? a. The Comfort Zone b. The Learning Zone c. The Anxiety Zone d. The Apathy Zone - CORRECT ANSWER b. The Learning Zone" "A nursing unit is implementing a new policy that encourages reporting of safety incidents. However, several nurses are still reluctant to report near-misses or errors. Which barrier to psychological safety is most likely responsible for this reluctance? a. Fear of losing their job b. A sense of camaraderie among the staff. c. Effective incident reporting procedures. d. Clear communication channels. - CORRECT ANSWER a. Fear of losing their job" "A nurse is assessing a patient's mental and emotional well-being during a routine checkup. The patient appears withdrawn and hesitant to share their concerns with the nurse. What is the primary barrier to psychological safety in this situation? a. Lack of trust in the healthcare provider. b. Patient's unwillingness to cooperate. c. Nurse's lack of empathy. d. Lack of medical equipment. - CORRECT ANSWER a. Lack of trust in the healthcare provider." "A nurse is working in a healthcare environment where staff members frequently gossip about one another, creating a culture of distrust and fear. What is the primary barrier to psychological safety in this workplace? a. Effective teamwork and collaboration. b. Fear of retaliation. c. Open and honest communication. d. A culture of gossip and negativity. - CORRECT ANSWER d. A culture of gossip and negativity." "A patient who has experienced a medication error expresses a desire to discuss the incident with the healthcare team. However, the healthcare providers avoid addressing the issue and change the topic. What is the primary barrier to psychological safety in this scenario? a. Patient's emotional distress. b. Fear of litigation. c. Effective communication skills. d. Fear of retaliation. - CORRECT ANSWER b. Fear of litigation." "In a healthcare team, a senior nurse constantly criticizes and student nurses when they make mistakes. This behavior has created a hostile working environment where student nurses are afraid to speak up. What is the primary barrier to psychological safety in this situation? a. Effective leadership and mentorship. b. Constructive feedback. c. Fear of retaliation. d. Team collaboration. - CORRECT ANSWER c. Fear of retaliation." "Which of the following phrases represents getting consent before expressing your opinion? a. "I have faced difficulties similar to yours. By trial and error, I worked things out. Would you be interested in hearing what worked for me?" b. "Do you think this idea will help in your situation?" c. "If I were feeling as desperate as you seem to be, I think I would go for the quick-start option rather than the slower one for now. How does that plan sound to you?" d. "In my opinion, options 2 and 4 would be the most likely to get the results you are looking for. Which options do you favor?" - CORRECT ANSWER a. "I have faced difficulties similar to yours. By trial and error, I worked things out. Would you be interested in hearing what worked for me?"" "Safety is not: a. Reduction and mitigation of unsafe acts within the health care system b. Use of best practices shown to load optimal patient cafe c. Involves processes and environments that ensure actual and perceived cultural, psychological, and physical safety, and that avoid harm and foster security d. Assessment and provision of safe, respectful, appropriate, accessible, effective, equitable and efficient care - CORRECT ANSWER d. Assessment and provision of safe, respectful, appropriate, accessible, effective, equitable and efficient care" "A nurse manager is implementing strategies to enhance psychological safety in the healthcare workplace. Which action most effectively promotes a culture of openness and trust among the healthcare team? a. Conducting surprise inspections to ensure compliance with policies. b. Encouraging anonymous reporting of concerns or errors. c. Punishing employees who make mistakes to set an example. d. Limiting communication channels to maintain control. - CORRECT ANSWER b. Encouraging anonymous reporting of concerns or errors." "A nurse is caring for a patient who expresses concerns about a medication error made by another team member. What is the nurse's most appropriate action to address the psychological safety of the patient and the healthcare team? a. Ignore the patient's concerns to avoid unnecessary conflict. b. Reassure the patient that the healthcare team is infallible. c. Document the patient's concerns and report them to the nurse manager. d. Confront the team member about the error in front of the patient. - CORRECT ANSWER c. Document the patient's concerns and report them to the nurse manager." "A nurse is participating in a debriefing session following a challenging patient care situation. Which statement by the nurse indicates an understanding of the importance of psychological safety in healthcare? a. "We should blame individuals for mistakes to prevent future errors." b. "It's crucial to focus on learning from the situation rather than assigning blame." c. "Discussing errors openly may lead to increased stress among team members." d. "Let's avoid sharing our experiences to maintain a professional image." - CORRECT ANSWER b. "It's crucial to focus on learning from the situation rather than assigning blame."" "A nurse is caring for a patient in a healthcare facility that has implemented a quality improvement initiative. What action by the nurse best demonstrates a commitment to the principles of quality and safety in healthcare? a. Adhering strictly to routine practices without questioning their effectiveness. b. Documenting patient care only when convenient to save time. c. Participating in regular team meetings to discuss and improve patient care outcomes. d. Administering medication without verifying the patient's identity. - CORRECT ANSWER c. Participating in regular team meetings to discuss and improve patient care outcomes." "A nurse is conducting a root cause analysis after a patient safety incident. Which action by the nurse best reflects the principles of quality improvement? a. Assigning blame to the individual directly involved in the incident. b. Identifying and addressing underlying system issues contributing to the incident. c. Concealing information about the incident to prevent legal consequences. d. Implementing punitive measures against all staff members on the unit. - CORRECT ANSWER b. Identifying and addressing underlying system issues contributing to the incident." "A healthcare facility is implementing a patient safety initiative. What is the nurse's primary responsibility in promoting a culture of safety? a. Reporting only major incidents that directly affect patient outcomes. b. Documenting errors in a way that minimizes their significance. c. Encouraging open communication about near misses and adverse events. d. Avoiding discussions about errors to prevent staff anxiety. - CORRECT ANSWER c. Encouraging open communication about near misses and adverse events." "A nurse is leading a team on a busy medical-surgical unit. Which factor is a potential barrier to psychological safety in this healthcare setting? a. Regular team meetings to discuss patient care strategies. b. Open communication channels for reporting concerns. c. A culture that values blame and punishment for errors. d. Encouragement of peer support and collaboration. - CORRECT ANSWER c. A culture that values blame and punishment for errors." "A nurse manager consistently makes decisions without soliciting input from the nursing staff, creating a sense of powerlessness among the team. What barrier to psychological safety is most likely contributing to this situation? a. Collaborative decision-making. b. Autocratic leadership. c. Team empowerment. d. Effective communication. - CORRECT ANSWER b. Autocratic leadership." "A nursing student witnesses a medication error made by a senior nurse but decides not to report it because they believe their concerns won't be taken seriously. Which aspect of power imbalance is a significant barrier to psychological safety in this situation? a. Hierarchical intimidation. b. Transparent communication. c. Team accountability. d. Mutual respect. - CORRECT ANSWER a. Hierarchical intimidation." "A nurse is caring for a patient with limited English proficiency. Which communication strategy is most effective in promoting optimal patient outcomes? a. Using complex medical terminology to ensure accuracy. b. Utilizing family members as interpreters to enhance understanding. c. Providing written instructions in the nurse's primary language. d. Engaging an interpreter to facilitate communication with the patient. - CORRECT ANSWER d. Engaging an interpreter to facilitate communication with the patient." "A healthcare team is discussing a patient's plan of care during rounds. Which communication technique is essential for promoting collaboration and coordination among team members? a. Withholding information to avoid overwhelming team members. b. Using jargon to streamline communication within the team. c. Providing concise and clear updates on the patient's status. d. Assigning tasks without considering individual team members' expertise. - CORRECT ANSWER c. Providing concise and clear updates on the patient's status." "A nurse is conducting patient education about a new medication. Which communication principle is most important to ensure the patient's understanding and adherence to the prescribed regimen? a. Using technical medical language to convey accurate information. b. Providing written materials without verbal explanation. c. Asking open-ended questions to assess the patient's understanding. d. Rushing through the information to accommodate time constraints. - CORRECT ANSWER c. Asking open-ended questions to assess the patient's understanding." "A nurse is providing feedback to a colleague regarding a communication issue observed during patient care. Which approach most effectively promotes positive change in the colleague's communication skills? a. Criticizing the colleague's communication style in front of the team. b. Avoiding direct communication and discussing the issue with other colleagues. c. Providing specific examples of effective communication and offering constructive suggestions. d. Ignoring the issue and hoping the colleague will improve on their own. - CORRECT ANSWER c. Providing specific examples of effective communication and offering constructive suggestions." "A healthcare team is implementing a handoff communication protocol to enhance the transfer of patient information during shift changes. What is the primary purpose of using a standardized handoff communication tool? a. Reducing the need for verbal communication. b. Ensuring consistency and completeness of information transfer. c. Minimizing the importance of effective communication. d. Assigning blame for errors during the handoff process. - CORRECT ANSWER b. Ensuring consistency and completeness of information transfer." "During a multidisciplinary team meeting, the nurse observes a lack of effective communication among healthcare providers. Which action by the nurse is most appropriate for improving communication within the team? a. Ignoring the communication issues as they are common in healthcare settings. b. Taking the lead in facilitating open discussion and collaboration. c. Assigning blame to specific team members to address the root cause. d. Submitting an anonymous complaint to the hospital administration. - CORRECT ANSWER b. Taking the lead in facilitating open discussion and collaboration." "A nurse is implementing a handover tool during the shift change report. What is the primary purpose of using a standardized handover tool in healthcare? a. Minimizing communication between healthcare providers. b. Reducing the importance of accurate and thorough information transfer. c. Ensuring consistency and completeness of patient information during transitions of care. d. Assigning blame for errors during the handover process. - CORRECT ANSWER c. Ensuring consistency and completeness of patient information during transitions of care." "During a handover between nursing shifts, a nurse notices that a critical piece of information is missing from the handover tool. What is the nurse's most appropriate action? a. Assume the information is not important and continue the handover. b. Document the missing information after the handover and inform the next shift verbally. c. Ask the off-going nurse to provide the missing information before completing the handover. d. Disregard the missing information as long as the patient's vital signs are stable. - CORRECT ANSWER c. Ask the off-going nurse to provide the missing information before completing the handover." "A nurse is conducting a handover to the oncoming shift using a standardized tool. What information should be prioritized during the handover process? a. Personal opinions about the patient's condition. b. Historical information about the patient's medical history. c. Recent changes in the patient's condition and current care priorities. d. Anticipated interventions that may be needed in the future. - CORRECT ANSWER c. Recent changes in the patient's condition and current care priorities." "A nurse has recently taken several sick days at work due to health problems. Her co-worker Tom has told several of the staff that she is off work due to early days of a pregnancy. The nurse has not confided this information in Tom. Tom's actions are an example of which of the following? a. Making a personal attack b. Making an aggressive gesture c. Sabotagin the nurse's work d. Spreading a rumor - CORRECT ANSWER d. Spreading a rumor" "Quality safe client care is heavily reliant on which factors? a. Efficient team performance b. Effective respectful communication c. Constructive conflict management d. All of the above - CORRECT ANSWER d. All of the above" "Uncivil encounters between health care providers may: (Select all that apply.) a. Lead to uncertainty and self-doubt b. Diminish capacity to advocate for clients c. Impair critical thinking and clinical judgement d. Lower nurses self-confidence - CORRECT ANSWER a. Lead to uncertainty and self-doubt b. Diminish capacity to advocate for clients c. Impair critical thinking and clinical judgement d. Lower nurses self-confidence" "What tool is used to decrease defensiveness in an assertive manner? a. ISBAR b. CUS c. DESC d. STICC - CORRECT ANSWER c. DESC" "Civility is an important ethical issue for nursing mostly because? a. Nurses are expected to be ethical b. Nurses get assaulted c. Nurses are accountable for client's safety d. Civility enhances nurse's job satisfaction - CORRECT ANSWER c. Nurses are accountable for client's safety" "Bulling is not a: a. Repeated behaviour b. Power-over situation c. Target behaviour d. Random act of intimidation - CORRECT ANSWER d. Random act of intimidation" "A nursing unit is struggling with low morale due to incivility. Nurses want to create a poster with examples of individual responsibilities that would promote a respectful workplace for everyone. Which of the following statements would illustrate these individual responsibilities? (Select all that apply.): a. Provide follow up and supports for staff after any violent incidents b. Speak out and advocate against violence and bullying in the workplace c. Create prevention programs, policies and legislation that address workplace violence and bullying in healthcare organizations d. Model professional behaviour e. Be aware of personal behaviour and circumstances that might contribute to violence and bullying - CORRECT ANSWER b. Speak out and advocate against violence and bullying in the workplace d. Model professional behaviour e. Be aware of personal behaviour and circumstances that might contribute to violence and bullying" "A nurse manager is addressing a conflict between two nurses on the unit. One nurse consistently belittles and humiliates the other in front of colleagues. What term best describes this behaviour? a. Incivility b. Constructive feedback c. Bullying d. Team collaboration - CORRECT ANSWER c. Bullying" "A nursing student witnesses a registered nurse making condescending remarks to another student during clinical rounds. What aspect of communication does this behaviour represent? a. Constructive criticism b. Incivility c. Assertiveness d. Professional disagreement - CORRECT ANSWER b. Incivility" "A nurse notices a colleague consistently ignoring them during shift handovers and excluding them from important communications. What term best describes this behaviour? a. Team collaboration b. Incivility c. Professional disagreement d. Constructive feedback - CORRECT ANSWER b. Incivility" "During a team meeting, a nurse consistently interrupts and talks over a colleague while discussing patient care strategies. What type of incivility is evident in this scenario? a. Direct incivility b. Indirect incivility c. Team collaboration d. Constructive feedback - CORRECT ANSWER a. Direct incivility" "A nurse overhears colleagues making sarcastic comments about a fellow nurse's clinical decisions when they are not present. What type of incivility does this represent? a. Direct incivility b. Indirect incivility c. Constructive criticism d. Team collaboration - CORRECT ANSWER b. Indirect incivility" "How can leaders create the right "team resilience" culture? (Select all that apply.) a. Defer to rank or seniority b. Maintain composure during "emergencies" c. Thank people for helping out and discussing challenges d. Speak up, ask questions, and openly share bad news and early signs of potential problems - CORRECT ANSWER b. Maintain composure during "emergencies" c. Thank people for helping out and discussing challenges d. Speak up, ask questions, and openly share bad news and early signs of potential problems" "Which of the following is not a domain/component of emotional intelligence? a. Self-awareness b. Social management c. Social awareness d. Relationship management - CORRECT ANSWER b. Social management" "A nurse is consistently overwhelmed by the high workload and experiences emotional exhaustion. What barrier to resilience most likely affects the nurse's ability to bounce back from stressors? a. Effective time management skills b. Strong social support network c. Inadequate self-care practices d. Positive coping mechanisms - CORRECT ANSWER c. Inadequate self-care practices" "A healthcare professional consistently engages in negative self-talk and perceives every mistake as a personal failure. What barrier to resilience is evident in this situation? a. Positive coping mechanisms b. Self-compassion c. Negative self-perception d. Effective problem-solving skills - CORRECT ANSWER c. Negative self-perception" "A nurse manager consistently avoids addressing conflicts within the team to maintain a superficial sense of harmony. What barrier to resilience is the nurse manager demonstrating? a. Effective communication skills b. Conflict avoidance c. Supportive leadership d. Team collaboration - CORRECT ANSWER b. Conflict avoidance" "A nurse faces a challenging conflict with a colleague regarding patient care decisions. How does the nurse's resilience impact the ability to engage in effective conflict resolution? a. Resilience may lead to avoidance of conflicts to maintain personal well-being. b. Resilience enhances the nurse's capacity to address conflicts constructively. c. Resilience has no impact on conflict resolution in healthcare. d. Resilience increases the likelihood of blaming others during conflicts. - CORRECT ANSWER b. Resilience enhances the nurse's capacity to address conflicts constructively." "A healthcare team is experiencing interpersonal conflicts that affect collaboration and communication. How can a highly resilient leader positively influence conflict resolution within the team? a. By encouraging blame and punishment to address conflicts decisively. b. By avoiding conflicts to maintain a superficial sense of harmony. c. By modelling positive coping strategies and promoting open communication. d. By isolating team members involved in conflicts from the rest of the team. - CORRECT ANSWER c. By modelling positive coping strategies and promoting open communication." "A nurse is engaged in a conflict with a coworker regarding different approaches to patient care. How can the nurse's personal resilience impact the resolution of this conflict? a. Resilience may lead the nurse to withdraw from the conflict to avoid stress. b. Resilience guarantees a quick and forceful resolution to the conflict. c. Resilience has no bearing on conflict resolution in healthcare. d. Resilience ensures the nurse will dominate the resolution process. - CORRECT ANSWER a. Resilience may lead the nurse to withdraw from the conflict to avoid stress" Communication is a factor in what percentage of medical errors? A) 100% B) 50% C) 70% D) 30 % - CORRECT ANSWER C) 70%" "Tejero's bonding measure is based on which 2 qualities? A) Communication, empathy B) Openness, engagement C) Trust, compassion D) Mutual trust, empathy - CORRECT ANSWER B) Openness, engagement" "In what ways does being specific help improve communication? A) Makes sure both parties are on the same wavelength B) Sets a strong foundation for future communication C) Easier for communicators to understand their own thoughts and the other person's thoughts D) All of the above - CORRECT ANSWER D)" "Storycatching - CORRECT ANSWER listening to patients and trying to understand their full personal story" "CUS stands for - CORRECT ANSWER concerned, uncomfortable, safety" "DESC - CORRECT ANSWER Description, express, specify, consequences Example: D: Earlier today, I used numbers to chart the VS. Afterward, you mentioned that this was the incorrect way to chart in this unit in the hallway, where several other staff members were nearby E: I felt really embarrassed and awkward. S: I'd prefer if we had a private conversation so I could understand. C: Now, I feel uncomfortable and I might not feel safe to bring up an issue with you in the future that might affect patient safety." "What are the 3 CASN nursing informatics competencies? - CORRECT ANSWER Information and Knowledge Management Professional and Regulatory Accountability Information and Communication Technologies" "The HP lens focuses more on __________, while the critical lens focuses more on ________. - CORRECT ANSWER The HP lens focuses more on meaning, while the critical lens focuses more on power." "True or False: The HP lens tends to be more patient-centered, while the critical lens(es) tend to be more context-focused. - CORRECT ANSWER TRUE" "A nurse demonstrates relational inquiry by: A) Using the HP lens B) Asking a patient about a book they are reading C) Imagining themselves in the pt's shoes D) Understanding that Indigenous clients might have unique needs - CORRECT ANSWER A, B, C D) would be true if applied to a particular patient situation"