NSG 3180 UNIT 1 EXAMINATION: COMMUNICATION, PATIENT SAFETY, AND STANDARDIZED CLINICAL TOOLS COMPLETE QUESTIONS WITH 100% VERIFIED ANSWERS

NSG 3180 UNIT 1 EXAMINATION: COMMUNICATION, PATIENT SAFETY, AND STANDARDIZED CLINICAL TOOLS COMPLETE QUESTIONS WITH 100% VERIFIED ANSWERS 1. The nurse is teaching a patient who is alert and oriented about the medication warfarin. When teaching about this drug, the nurse emphasizes the need to be consistent with Vitamin K intake, which is found primarily in green leafy vegetables. When the patient's spouse comes to visit, the patient states "I can no longer consume green leafy veggies." This is an example of what type of failure by a communication problem? A. System failure B. Transmission failure C. Global aphasia D. Reception failure Correct Answer: D. Reception failure Explanation: Reception failure occurs when the patient receives the message but misinterprets or misunderstands it. The patient understood that Vitamin K intake should be consistent but incorrectly interpreted this as needing to eliminate green leafy vegetables entirely rather than maintaining a consistent intake. ________________________________________ 2. What does the "S" stand for in SBAR? A. Summary B. Situation C. Symptoms D. Safety Correct Answer: B. Situation Explanation: In SBAR, S stands for Situation. This is the first component where you identify yourself, identify the patient and the problem, and in 10 seconds state what is going on. ________________________________________ 3. What does the "B" stand for in SBAR? A. Background B. Behavior C. Baseline D. Breathing Correct Answer: A. Background Explanation: In SBAR, B stands for Background. This component involves stating relevant context and brief history, including the patient's diagnosis, problem list, allergies, relevant vital signs, medications administered, and lab results. ________________________________________ 4. What does the "A" stand for in SBAR? A. Action B. Assessment C. Analysis D. Administration Correct Answer: B. Assessment Explanation: In SBAR, A stands for Assessment. This is where you state your conclusion about what you think is wrong, including your opinion about the patient's current status such as pain level, medical complications, level of consciousness, or estimate of blood loss. ________________________________________ 5. What does the "R" stand for in SBAR? A. Response B. Recommendation C. Report D. Referral Correct Answer: B. Recommendation Explanation: In SBAR, R stands for Recommendation. This involves stating your informed suggestion for continued care, proposing an action, specifying what you need and in what time frame, and always including an opportunity for questions. ________________________________________ 6. Evidence-based reports show that patient adverse events have decreased through the use of ______, including decreases in unexpected deaths. A. Checklists B. SBAR C. TeamSTEPPS D. I PASS the BATON Correct Answer: B. SBAR Explanation: Evidence-based reports demonstrate that patient adverse events have decreased through the use of SBAR, including decreases in unexpected deaths. SBAR provides a standardized communication framework that reduces errors and improves patient safety. ________________________________________ 7. Dr. Preston, this is Wendy Obi, evening nurse on 4G at St. Simeon Hospital, calling about Mr. Lakewood, who's having trouble breathing. This is an example of what part of SBAR? A. Background B. Assessment C. Situation D. Recommendation Correct Answer: C. Situation Explanation: This statement is an example of the Situation component of SBAR because it identifies who is calling, identifies the patient, and briefly states the problem (trouble breathing) in a concise manner. ________________________________________ 8. Kyle Lakewood, DOB 7/1/60, a 53 year old man with chronic lung disease, admitted 12/25, who has been sliding downhill x2 hours. Now he's acutely worse: his vital signs are heart rate 92 bpm, respiratory rate 40 breaths per minute with gasping, blood pressure 138/94 mmHg, Ox down to 72%. This is an example of what part of SBAR? A. Situation B. Background C. Assessment D. Recommendation Correct Answer: B. Background Explanation: This statement provides relevant context including the patient's demographics, diagnosis, admission date, clinical decline over time, and current vital signs. This is the Background component of SBAR. ________________________________________ 9. "I don't think I hear any breath sounds in his right chest. I think he has pneumothorax." This is what part of SBAR? A. Situation B. Background C. Assessment D. Recommendation Correct Answer: C. Assessment