Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Conflict that is never addressed in a team often leads to:
A. Better teamwork
B. Resentment, poor communication and safety risks
C. Improved outcomes
D. Higher trust
Correct Answer: B. Resentment, poor communication and safety risks
Rationale: Unresolved conflict grows. Timely, constructive resolution is better.
2. Workplace violence from patients or visitors requires:
A. Prevention programs, reporting systems and support for staff
B. Acceptance as part of the job
C. No response
D. Blaming staff
Correct Answer: A. Prevention programs, reporting systems and support for staff
Rationale: Nurses face high rates of violence. Regulations increasingly require prevention plans.
3. The "Silence Kills" study found that:
A. All clinicians speak up
B. Many clinicians observed concerning behaviors but few spoke up
C. Silence improves safety
D. Communication problems are rare
Correct Answer: B. Many clinicians observed concerning behaviors but few spoke up
Rationale: It highlighted the cost of silence. It led to training programs.
,4. The Joint Commission's leadership standards address disruptive behavior because:
A. They improve morale
B. Intimidating behaviors undermine a culture of safety and contribute to errors
C. They are rare
D. They have no effect
Correct Answer: B. Intimidating behaviors undermine a culture of safety and contribute to
errors
Rationale: Sentinel Event Alert 40 (2008) highlighted these behaviors. Organizations must have
codes of conduct.
5. When interprofessional disagreement involves an ethical dilemma, the team can:
A. Ignore the disagreement
B. Request an ethics consultation
C. Let the loudest person decide
D. Avoid documentation
Correct Answer: B. Request an ethics consultation
Rationale: Ethics consultants facilitate discussion. They help clarify values and options.
6. Collaborating as a conflict mode is best when:
A. Time is extremely short
B. The issue is trivial
C. One party has no interest
D. Both parties' concerns are important and a creative, integrative solution is possible
Correct Answer: D. Both parties' concerns are important and a creative, integrative solution is
possible
Rationale: It takes time but builds commitment. It is high in assertiveness and cooperativeness.
,7. Assertive communication is:
A. Aggressive demanding
B. Passive silence
C. Expressing one's needs and concerns clearly and respectfully while respecting others
D. Sarcasm
Correct Answer: C. Expressing one's needs and concerns clearly and respectfully while
respecting others
Rationale: Assertiveness balances honesty and respect. It supports patient advocacy.
8. The phrase "Help me understand" is useful in conflict because it:
A. Assigns blame
B. Ends discussion
C. Shows sarcasm
D. Invites the other person to explain their reasoning without defensiveness
Correct Answer: D. Invites the other person to explain their reasoning without defensiveness
Rationale: Curiosity reduces tension. Understanding leads to solutions.
9. Mediation in health care conflicts involves:
A. A judge imposing a decision
B. One party winning
C. Avoiding the issue
D. A neutral third party helping parties reach agreement
Correct Answer: D. A neutral third party helping parties reach agreement
Rationale: Mediation preserves relationships. Ethics or HR may provide it.
, 10. De-escalation techniques with an angry colleague include:
A. Matching their anger
B. Staying calm, listening, acknowledging feelings and moving to a private place
C. Walking away permanently
D. Threatening
Correct Answer: B. Staying calm, listening, acknowledging feelings and moving to a private
place
Rationale: Calm responses reduce tension. Privacy protects dignity.
11. Saying no assertively to an unsafe assignment involves:
A. Refusing without explanation
B. Accepting silently
C. Walking out
D. Explaining the safety concern, proposing alternatives and following organizational processes
Correct Answer: D. Explaining the safety concern, proposing alternatives and following
organizational processes
Rationale: Safe Harbor processes exist in some states. Documentation supports the concern.
12. A crucial conversation is one in which:
A. Nothing is at stake
B. Everyone agrees
C. Stakes are high, opinions vary and emotions run strong
D. No emotions are involved
Correct Answer: C. Stakes are high, opinions vary and emotions run strong
Rationale: Crucial Conversations training helps clinicians speak up. Safety and respect are
maintained.