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Exam 19: Effective Communication and Conflict Resolution

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Question 1

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A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin before injecting into a continuous infusion of D₅W leading to occlusion of the line.Which statement by the nurse demonstrates a red herring?

A) The nurse is upset and states,"I am sure I have injected this before without a problem" and the supervisor interprets this to mean the nurse often take shortcuts.
B) The nurse states,"You are just upset because I am certified in chemotherapy administration and you are not."
C) "The nurse who started the IV didn't get a blood return but determined the IV was the patient's-that is the problem."
D) "This drug always occludes the line because it is so viscous."

E) C) and D)
F) All of the above

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Question 2

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The nurse caring for a patient states,"Your blood pressure is dangerously high.Are you taking antihypertensive medicine?" The patient states,"I can't afford my medicine.I have no insurance." The nurse states "I feel really sorry for that patient.I wish it wasn't against policy to give her money." The nurse wants to help and places a note on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications.The nurse posts that "She was so sick last evening when she came to the ED.I can't believe they don't provide insurance.I can't give her money but you all can help." This nurse's action has what possible outcome?

A) Showing empathy and if she lets the patient know the money is not from her,she is not violating any social media guidelines.
B) Increasing the risk for HIPAA violations
C) No legal risk since she has properly followed policy and protected the patient by not using her name.
D) The nurse is demonstrating the logical fallacy of slippery slope.

E) None of the above
F) All of the above

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Question 3

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The healthiest form of communication is the ________ style.

A male nurse hired to work in the emergency department is observed throwing a contaminated needle into the trash can.The team leader reprimands the nurse for not appropriately disposing of sharps.The nurse states,"You don't care that I threw the needle in the trash.You just want an all-female staff," putting the team leader in a defensive position.This communication technique is referred to by what term?

Which nurse is demonstrating a common,productive conflict resolution style?

A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music.The nurse assesses the amount of urine output in the Foley catheter and leaves the room.What communication technique is demonstrated in both situations?

During a health history interview,the nurse listens to a patient relating the precipitating events that led to the onset of chest pain.She focuses her attention on the patient,makes eye contact,and acknowledges what the patient has to say.The nurse is exhibiting what communication technique?

When considering online communication etiquette,which nurse demonstrates a primary rule that should be adhered to by all?

Which component of an e-mail shown below would be both effective and concise?

A new mother is experiencing pain after delivering an infant with Down syndrome.The staff nurse states,"I don't think she is really hurting.Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom.The staff nurse admits having a stillborn infant with Down syndrome.This is an example of which component of communication?

A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use.The spouse states,"I am so mad.How can you get cancer without smoking?" Which statement by the nurse represents empathy?

Which statement accurately describes communication?

A nurse is overhead saying,"I don't mind working during the election and holiday.My parents are divorced,money is tight,and honestly,I don't trust any politicians anyway.I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas.She recommends,"Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?

A nurse wants to apply open communication to obtain a thorough history and to determine cognitive function.Which question represents the use of open communication?

An RN is consistently late to work,causing reassignment of patient care and the need for repeated shift reports.The nurse,who receives a warning for repeated tardiness,states,"My husband left me,I have no car,no family close by,and the bus is always late,which makes me late.The nurse manager doesn't care how hard I try to get here,and I am raising a child by myself." The nurse is using which type of logical fallacy?

In today's world of fast,effective communication,what is the most commonly used means of societal communication?

What situation demonstrates a nurse engaging in active listening?

A nurse gives phenytoin intravenously with lactated Ringer's solution containing multivitamins.The drug precipitates and obstructs the only existing line.When the team leader informs the nurse that these drugs cannot be mixed,the nurse states,"You've disliked me since I refused to switch my vacation time last month." Which type of logical fallacy has influenced the nurse?

A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired.Before the RN arrives on the unit,the LPN is heard saying,"She'll try to tell everyone what to do because she makes more money.She'll sit at the desk and let us do all the work." This is an example of what communication associated process?

An older adult is unable to reach the telephone and is found dead at home several hours later.The son of the deceased person arrives at the hospital and asks,"Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?