3 - Questions with Correct Answers
100 questions
1. Psychological safety in a team, as described by Amy Edmondson, is:
A. A locked unit
B. A shared belief that it is safe to speak up, ask questions and admit mistakes without fear of
punishment
C. An absence of all conflict
D. Strict hierarchy
Correct Answer: B. A shared belief that it is safe to speak up, ask questions and admit
mistakes without fear of punishment
Rationale: Teams with psychological safety learn and report errors more. Leaders shape it.
2. A CRICO Strategies analysis of malpractice claims found that communication failures
contributed to:
A. Fewer than 1% of claims
B. All claims
C. Only billing disputes
D. About 30% of claims, with many involving miscommunication between providers
Correct Answer: D. About 30% of claims, with many involving miscommunication between
providers
Rationale: Provider-to-provider communication failures are common. Many are preventable.
3. Speaking up for patient safety is supported by:
A. Organizational policies, leadership modeling and training in assertive communication
B. Punishment of speakers
C. Strict hierarchy
D. Silence
Correct Answer: A. Organizational policies, leadership modeling and training in assertive
communication
Rationale: Supportive environments increase speaking up. Leaders' responses matter.
,4. Differences in professional communication styles, such as nurses being narrative and
physicians being concise, can:
A. Never cause problems
B. Cause misunderstandings that structured tools like SBAR help bridge
C. Be ignored
D. Improve communication automatically
Correct Answer: B. Cause misunderstandings that structured tools like SBAR help bridge
Rationale: Training traditions shape styles. Standard formats create shared expectations.
5. Clear role assignment during a team activity prevents:
A. Gaps and duplication of tasks
B. Teamwork
C. Communication
D. Patient care
Correct Answer: A. Gaps and duplication of tasks
Rationale: Unclear roles cause delays. Leaders assign roles explicitly.
6. Patient safety culture includes:
A. Blame and punishment
B. Hiding errors
C. Open communication, reporting of errors and learning from events
D. Silence about concerns
Correct Answer: C. Open communication, reporting of errors and learning from events
Rationale: Safety culture supports speaking up. Surveys measure it.
,7. Trust among team members develops through:
A. Reliability, competence, honesty and respectful interactions
B. Hierarchy alone
C. Avoiding contact
D. Competition
Correct Answer: A. Reliability, competence, honesty and respectful interactions
Rationale: Trust allows efficient communication. It is built over repeated interactions.
8. The 1999 Institute of Medicine report To Err Is Human estimated that medical errors caused:
A. Fewer than 100 deaths per year
B. Over 1 million deaths per day
C. No deaths
D. Between 44,000 and 98,000 deaths per year in US hospitals
Correct Answer: D. Between 44,000 and 98,000 deaths per year in US hospitals
Rationale: The report sparked the patient safety movement. It emphasized system failures
rather than individual blame.
9. When the provider asks a question the nurse cannot answer, the nurse should:
A. Guess
B. Hang up
C. Say so, offer to find the information quickly and call back
D. Make up data
Correct Answer: C. Say so, offer to find the information quickly and call back
Rationale: Honesty preserves trust. Preparation reduces such gaps.
, 10. ISBAR adds which element to SBAR?
A. Interpret
B. Investigate
C. Identify (introduce yourself and the patient)
D. Inform family
Correct Answer: C. Identify (introduce yourself and the patient)
Rationale: Identification reduces confusion. ISBAR is widely used in Australia and elsewhere.
11. When giving SBAR, the nurse should keep the Situation statement to about:
A. Five minutes
B. A full page
C. A few seconds or one to two sentences
D. No statement
Correct Answer: C. A few seconds or one to two sentences
Rationale: Brevity gets attention. Details follow in Background.
12. SBAR may be adapted for mental health settings by:
A. Avoiding assessment
B. Excluding behavior
C. Including risk assessment findings such as suicidal ideation in Assessment
D. Using only physical data
Correct Answer: C. Including risk assessment findings such as suicidal ideation in Assessment
Rationale: Risk details are crucial in mental health communication. Structure remains the same.