NUR 337 MSU Exam 1 Review Questions
With Complete Solutions With Correct
Answers
Communication |- |CORRECT |ANSWER✔✔-The |process |by |which |information |is |exchanged |
between |individuals, |departments, |or |organizations. |
The |lifeline |of |the |Core |Team. |
Effective |when |it |permeates |every |aspect |of |an |organization.
SBAR |- |CORRECT |ANSWER✔✔-Situation |- |What |is |going |on |with |the |patient? |(patient's |story) |
Background |- |What |is |the |clinical |background |or |context? |(patient's |medical |history) |
Assessment |- |What |do |I |think |the |problem |is? |(physical |assessment) |
Recommendation |- |What |would |I |recommend? |(plans |of |the |patient)
Handoffs |- |CORRECT |ANSWER✔✔-The |transfer |of |information |during |transitions |in |care |across |
the |continuum. |
Includes |an |opportunity |to |ask |questions, |clarify, |and |confirm.
Handoffs |consists |of: |- |CORRECT |ANSWER✔✔-Transfer |of |responsibility |and |accountability. |
Clarity |of |information. |
Verbal |communication |of |information. |
Acknowledge |by |receiver. |
Opportunity |to |review.
,Effective |Team |Leaders |- |CORRECT |ANSWER✔✔-Define, |assign, |share, |monitor, |and |modify |a |
plan. |
Review |the |team's |performance. |
Establish |"rules |of |engagement". |
Manage |and |allocate |resources |effectively. |
Provide |feedback |regarding |assigned |responsibilities |and |progress |toward |the |goal. |
Facilitate |information |sharing. |
Encourage |team |members |to |assist |one |another. |
Facilitate |conflict |resolution. |
Model |effective |teamwork.
Briefs |- |CORRECT |ANSWER✔✔-Sharing |the |plan. |
Briefs |should |help: |form |a |team, |designate |team |roles |and |responsibilities, |establish |climate |
and |goals, |and |engage |team |in |short- |and |long-term |planning.
Huddle |- |CORRECT |ANSWER✔✔-Monitoring |and |modifying |the |plan. |
Problem |solving. |
"Touch |base" |meetings |to |regain |situation |awareness. |
Discuss |critical |issues |and |emerging |events. |
Anticipate |outcomes |and |likely |contingencies. |
Assign |resources |and |express |concerns.
Debrief |- |CORRECT |ANSWER✔✔-Reviewing |the |team's |performance. |
Process |improvement. |
Brief |informal |information |exchange |and |feedback |sessions. |
Occur |after |an |event |or |shift. |
Designed |to |improve |teamwork |skills. |
,Designed |to |improve |outcomes. |
An |accurate |recounting |of |key |events.
Analysis |of |why |the |event |occurred. |
Discussion |of |lessons |learned |and |reinforcement |of |successes. |
Revised |plan |to |incorporate |lessons |learned.
Facilitating |Conflict |Resolution |- |CORRECT |ANSWER✔✔-Avoid |compromising |patient |safety |and
|quality |of |care. |
Do |not |allow |interpersonal |or |irrelevant |issues |to |negatively |affect |the |team. |
Help |team |members |master |conflict |resolution |techniques.
Standard |Precautions |- |CORRECT |ANSWER✔✔-Hand |hygiene, |gloves, |additional |PPE |(as |
needed)
Transmission-Based |Precautions |- |CORRECT |ANSWER✔✔-Contact |(gown, |gloves) |- |ex: |C-Diff |
Droplet |(mask) |- |ex: |Meningitis, |influenza, |Covid-19
Airborne |(N95) |- |ex: |TB
Environmental |Awareness |- |CORRECT |ANSWER✔✔-Bed |in |lowest |position |and |locked.
Nonskid |footwear.
Room |free |of |clutter.
Top |2 |siderails |up.
Appropriate |lighting.
Call |light |and |tray |table |in |reach.
Bed/chair |alarm |on |(if |necessary). |
O2 |and |suction |available |and |working. |
Infection |control |risks. |
, Any |safety |precautions? |
Identify |if |the |patient |is |NPO.
Any |limb |restrictions?
What |is |the |patient |at |risk |for? |- |CORRECT |ANSWER✔✔-Aspiration, |falls, |injuries, |seizures, |
suicide/self-harm, |pressure |injury
An |inpatient |unit |RN's |responsibilities |and |priorities |when |receiving |a |patient |from |the |ED: |- |
CORRECT |ANSWER✔✔-Understand |pathophysiology |behind |admitting |diagnosis |and |evaluate |
accordingly. |
Review |assessment |for |appropriate |admission |to |the |unit. |
Clarify |issues |that |are |unclear. |
Welcome |and |communicate |with |the |patient. |
Begin |admission |procedures: |assessment, |history, |safety |screening, |orientation |to |the |room |
and |unity, |assessment |of |IV |and |meds |running.
Assessment |of |risk |for |injurious |falls: |- |CORRECT |ANSWER✔✔-ABCS |
A |= |age |> |85 |yo |
B |= |bone |health |
C |= |coagulation |(anticoagulant |meds |or |coagulopathy) |
S |= |surgery |(within |14 |days)
Identify |the |importance |of |good |communication |and |ways |to |minimize |risk |of |injury |related |to
|falls: |- |CORRECT |ANSWER✔✔-Communicate |changes |in |assessments/interventions. |
Implement |and |document |prevention |interventions. |
Clear/complete |handoffs. |
Sufficient |and |clear |safety |instructions. |
Reduced |patient |or |family |confusion |related |to |nurse's |teaching. |
With Complete Solutions With Correct
Answers
Communication |- |CORRECT |ANSWER✔✔-The |process |by |which |information |is |exchanged |
between |individuals, |departments, |or |organizations. |
The |lifeline |of |the |Core |Team. |
Effective |when |it |permeates |every |aspect |of |an |organization.
SBAR |- |CORRECT |ANSWER✔✔-Situation |- |What |is |going |on |with |the |patient? |(patient's |story) |
Background |- |What |is |the |clinical |background |or |context? |(patient's |medical |history) |
Assessment |- |What |do |I |think |the |problem |is? |(physical |assessment) |
Recommendation |- |What |would |I |recommend? |(plans |of |the |patient)
Handoffs |- |CORRECT |ANSWER✔✔-The |transfer |of |information |during |transitions |in |care |across |
the |continuum. |
Includes |an |opportunity |to |ask |questions, |clarify, |and |confirm.
Handoffs |consists |of: |- |CORRECT |ANSWER✔✔-Transfer |of |responsibility |and |accountability. |
Clarity |of |information. |
Verbal |communication |of |information. |
Acknowledge |by |receiver. |
Opportunity |to |review.
,Effective |Team |Leaders |- |CORRECT |ANSWER✔✔-Define, |assign, |share, |monitor, |and |modify |a |
plan. |
Review |the |team's |performance. |
Establish |"rules |of |engagement". |
Manage |and |allocate |resources |effectively. |
Provide |feedback |regarding |assigned |responsibilities |and |progress |toward |the |goal. |
Facilitate |information |sharing. |
Encourage |team |members |to |assist |one |another. |
Facilitate |conflict |resolution. |
Model |effective |teamwork.
Briefs |- |CORRECT |ANSWER✔✔-Sharing |the |plan. |
Briefs |should |help: |form |a |team, |designate |team |roles |and |responsibilities, |establish |climate |
and |goals, |and |engage |team |in |short- |and |long-term |planning.
Huddle |- |CORRECT |ANSWER✔✔-Monitoring |and |modifying |the |plan. |
Problem |solving. |
"Touch |base" |meetings |to |regain |situation |awareness. |
Discuss |critical |issues |and |emerging |events. |
Anticipate |outcomes |and |likely |contingencies. |
Assign |resources |and |express |concerns.
Debrief |- |CORRECT |ANSWER✔✔-Reviewing |the |team's |performance. |
Process |improvement. |
Brief |informal |information |exchange |and |feedback |sessions. |
Occur |after |an |event |or |shift. |
Designed |to |improve |teamwork |skills. |
,Designed |to |improve |outcomes. |
An |accurate |recounting |of |key |events.
Analysis |of |why |the |event |occurred. |
Discussion |of |lessons |learned |and |reinforcement |of |successes. |
Revised |plan |to |incorporate |lessons |learned.
Facilitating |Conflict |Resolution |- |CORRECT |ANSWER✔✔-Avoid |compromising |patient |safety |and
|quality |of |care. |
Do |not |allow |interpersonal |or |irrelevant |issues |to |negatively |affect |the |team. |
Help |team |members |master |conflict |resolution |techniques.
Standard |Precautions |- |CORRECT |ANSWER✔✔-Hand |hygiene, |gloves, |additional |PPE |(as |
needed)
Transmission-Based |Precautions |- |CORRECT |ANSWER✔✔-Contact |(gown, |gloves) |- |ex: |C-Diff |
Droplet |(mask) |- |ex: |Meningitis, |influenza, |Covid-19
Airborne |(N95) |- |ex: |TB
Environmental |Awareness |- |CORRECT |ANSWER✔✔-Bed |in |lowest |position |and |locked.
Nonskid |footwear.
Room |free |of |clutter.
Top |2 |siderails |up.
Appropriate |lighting.
Call |light |and |tray |table |in |reach.
Bed/chair |alarm |on |(if |necessary). |
O2 |and |suction |available |and |working. |
Infection |control |risks. |
, Any |safety |precautions? |
Identify |if |the |patient |is |NPO.
Any |limb |restrictions?
What |is |the |patient |at |risk |for? |- |CORRECT |ANSWER✔✔-Aspiration, |falls, |injuries, |seizures, |
suicide/self-harm, |pressure |injury
An |inpatient |unit |RN's |responsibilities |and |priorities |when |receiving |a |patient |from |the |ED: |- |
CORRECT |ANSWER✔✔-Understand |pathophysiology |behind |admitting |diagnosis |and |evaluate |
accordingly. |
Review |assessment |for |appropriate |admission |to |the |unit. |
Clarify |issues |that |are |unclear. |
Welcome |and |communicate |with |the |patient. |
Begin |admission |procedures: |assessment, |history, |safety |screening, |orientation |to |the |room |
and |unity, |assessment |of |IV |and |meds |running.
Assessment |of |risk |for |injurious |falls: |- |CORRECT |ANSWER✔✔-ABCS |
A |= |age |> |85 |yo |
B |= |bone |health |
C |= |coagulation |(anticoagulant |meds |or |coagulopathy) |
S |= |surgery |(within |14 |days)
Identify |the |importance |of |good |communication |and |ways |to |minimize |risk |of |injury |related |to
|falls: |- |CORRECT |ANSWER✔✔-Communicate |changes |in |assessments/interventions. |
Implement |and |document |prevention |interventions. |
Clear/complete |handoffs. |
Sufficient |and |clear |safety |instructions. |
Reduced |patient |or |family |confusion |related |to |nurse's |teaching. |
