T EAMS
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Sall y (RN) and Melissa (RN) have shared an ongoing conflict since the
first day that Melissa worked on the unit. Sall y has confided to another
colleague that she doesn ’t even know why the conflict started or what it
was about. This is an example of:
a. how expectations and objectives need to be made clear in team
situations.
b. the need to encourage open discussion of disagreements in opinions.
c. the importance of involving all staff in discussions in group
settings.
d. the enduring nature of first impressions.
ANS: D
First impressions are lasting and, as Sall y indicates to her colleagues,
are often an unconscious response.
TOP: AONE competency: Communication and Relationship -
Building
,2. After staff meetings latel y, Sharon, the head nurse, observes her staff in
small groups, having animated discussions that end abruptl y when she
approaches. Sharon reflects on this observation and realizes that:
a. two very outspoken members tend to do minate discussions in
meetings.
b. this behavior is indicative of a high level of communication among
her staff.
c. staff members are very committed to the team and have strong
opinions.
d. ongoing discussion outside of meetings is conducive to creativit y.
ANS: C
When team communication is dominated by a few members, leaving
others uninvolved or bored, disagreement is not expressed openl y. As a
result, team members ―stuff‖ their feelings and wait until after
meetings to voice their opinions.
TOP: AONE competency: Communication and Relationship -
Building
3. You are charged with developing a new nursing curriculum and are
committed to developing a curriculum that reflects the needs of the
profession and of the workplace. To address deficits that may already be
present in nursing curricula related to the workplace, you include more
content and skills development related to:
a. therapeutic communication with patients.
b. effective communication in the workplace.
c. increased emphasis on sender -receiver dyads.
d. generational differences in communication.
, ANS: B
Nursing programs teach therapeutic communicat ions with patients and
their families. Little focus, however, is placed on effective
communication in the workplace, although communication is essential
to building and maintaining smoothl y functioning teams.
TOP: AONE competency: Communication and Relati onship-
Building
4. The SBAR system of communications is one of the most used
communication systems in health care because:
a. it deals with all aspects of communications in patient care except
communication with the physician.
b. the nurse is on the same communica tion level as administration.
c. it honors a familiar, structured transfer of information among health
professionals.
d. it honors an unstructured transfer of information.
ANS: C
The SBAR system was developed by professionals in the California
Kaiser Permanent e System and involves direct, respectful
communication skills among professionals with the aim of qualit y
patient care.
TOP: AONE competency: Communication and Relationship -
Building