Unit 1 nsg3180 Exam Questions With Complete Solutions
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 patients 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. reception failure
c. transmission failure
d. global aphasia
b. reception failure
What does SBAR stand for?
- Situation
- Background
- Assessment
- Recommendation
A specific, structured list of actions to be performed in a specific
clinical setting whose contents are based on evidence. Following
this ensures that key steps will not be omitted or important
information missed due to fatigue, pressure, distraction, or other
factors
Checklists
,Checklists are needed prior to:
- administration of anesthesia
- prior to skin incision
- prior to patient leaving the OR or procedural area
3 Barriers to safe, effective, communication
- fragmentation (handoffs)
- underreporting of errors
- fatigue
Identify yourself; identify the patient and the problem. In 10
seconds state what is going on, may include patient's date of
birth, hospital ID number, verification that consent forms are
present, etc.
Situation
State relevant context and brief history. Review the chart if
possible before speaking or telephoning the physician. Relate
the patients background, including patient's diagnosis, problem
list, allergies, relevant vital signs, medications that have been
administered and lab results
Background
State your conclusion, what you think is wrong. List your
opinion about the patient's current status. Examples would be
patient's level of pain, medical complications, level of
consciousness, problem with intake and output, or your estimate
of blood loss, etc.
Assessment
,State your informed suggestion for the continued care of this
patient. Propose an action. What do you need? In what time
frame does it need to be completed? Always include an
opportunity for questions. Some sources recommend that any
new verbal orders now be repeated for feedback clarity. If no
decision is forthcoming, reassert your request.
Recommendation
Evidence-based reports show that patient adverse events have
decreased through the use of ________, including decreases in
unexpected deaths
SBAR
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
- Situation
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
- Background
I dont think I hear any breath sounds in his right chest. I think he
has pneumothorax. - This is what part of SBAR
Assessment
, I need you to see him right now, I think he needs a chest tube. -
This is what part of SBAR
- Recommendation
What does TeamSTEPPS stand for?
Team Strategies and Tools to Enhance Performance and Patient
Safety
I PASS the BATON stands for:
Introduction, Patient, Assessment, Situation, Safety,
Background, Actions, Timely, Ownership, Next
How is social media transforming traditional nurse-patient
interactions?
a. by transforming the way people interact
b. by communicating health care information and support with
many at once
c. governmental agency privacy regulations make decision
making related to confidentiality easier
d. nursing students are expected to engage clients in a more
social manner
b. by communicating health care information and support with
many at once
A student nurse working in an ER takes a picture of a visiting
friend in the middle of the crowded waiting room while posing
with 8 patients. Everyone in the photo is smiling and waving at
the camera. The student nurse posts the photo on facebook later
to show how much fun working in an ER can be. Which
statement best applies to this described scenario?
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 patients 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. reception failure
c. transmission failure
d. global aphasia
b. reception failure
What does SBAR stand for?
- Situation
- Background
- Assessment
- Recommendation
A specific, structured list of actions to be performed in a specific
clinical setting whose contents are based on evidence. Following
this ensures that key steps will not be omitted or important
information missed due to fatigue, pressure, distraction, or other
factors
Checklists
,Checklists are needed prior to:
- administration of anesthesia
- prior to skin incision
- prior to patient leaving the OR or procedural area
3 Barriers to safe, effective, communication
- fragmentation (handoffs)
- underreporting of errors
- fatigue
Identify yourself; identify the patient and the problem. In 10
seconds state what is going on, may include patient's date of
birth, hospital ID number, verification that consent forms are
present, etc.
Situation
State relevant context and brief history. Review the chart if
possible before speaking or telephoning the physician. Relate
the patients background, including patient's diagnosis, problem
list, allergies, relevant vital signs, medications that have been
administered and lab results
Background
State your conclusion, what you think is wrong. List your
opinion about the patient's current status. Examples would be
patient's level of pain, medical complications, level of
consciousness, problem with intake and output, or your estimate
of blood loss, etc.
Assessment
,State your informed suggestion for the continued care of this
patient. Propose an action. What do you need? In what time
frame does it need to be completed? Always include an
opportunity for questions. Some sources recommend that any
new verbal orders now be repeated for feedback clarity. If no
decision is forthcoming, reassert your request.
Recommendation
Evidence-based reports show that patient adverse events have
decreased through the use of ________, including decreases in
unexpected deaths
SBAR
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
- Situation
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
- Background
I dont think I hear any breath sounds in his right chest. I think he
has pneumothorax. - This is what part of SBAR
Assessment
, I need you to see him right now, I think he needs a chest tube. -
This is what part of SBAR
- Recommendation
What does TeamSTEPPS stand for?
Team Strategies and Tools to Enhance Performance and Patient
Safety
I PASS the BATON stands for:
Introduction, Patient, Assessment, Situation, Safety,
Background, Actions, Timely, Ownership, Next
How is social media transforming traditional nurse-patient
interactions?
a. by transforming the way people interact
b. by communicating health care information and support with
many at once
c. governmental agency privacy regulations make decision
making related to confidentiality easier
d. nursing students are expected to engage clients in a more
social manner
b. by communicating health care information and support with
many at once
A student nurse working in an ER takes a picture of a visiting
friend in the middle of the crowded waiting room while posing
with 8 patients. Everyone in the photo is smiling and waving at
the camera. The student nurse posts the photo on facebook later
to show how much fun working in an ER can be. Which
statement best applies to this described scenario?
