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Stack #4725427
2462 Exam 1
| Question | Answer |
|---|---|
| | A nurse reports a concern to the charge nurse. What communication channel? | | **Upward** — subordinate → superior. | |
| | A charge nurse gives instructions to a staff nurse. Communication channel? | * | *Downward** — superior → subordinate. | |
| | Two staff nurses discuss patient assignments. Communication channel? | | **Horizontal** — peer → peer. | |
| | A nurse's stress and emotions affect a conversation. What climate? | | **Internal climate** — feelings, values, temperament, stress. | |
| | Authority and organizational culture affect communication. What climate? | | **External climate** — power, status, authority, environment. | |
| | A manager gathers information before choosing an action. What process? | | **Decision-making/problem-solving** — analyze data before selecting action. | |
| | What are the 7 traditional problem-solving steps? | | **Identify → gather → explore → evaluate → select → implement → evaluate.** | |
| | Leader motivates staff toward change and a shared vision. Leadership style? | * | *Transformational leadership.** | |
| | Leader uses rewards for meeting expectations. Leadership style? | | **Transactional leadership.** | |
| | Leader puts followers' needs and development first. Leadership style? | | **Servant leadership.** | |
| | Two nurses each give up something to resolve disagreement. Strategy? | | **Compromising.** | |
| | One nurse gives up her preference so the other gets what they want. Strategy? | | **Accommodating/cooperating.** | |
| | Both nurses develop a solution meeting a common goal. Strategy? | | **Collaborating.** | |
| | Nurse recognizes conflict but refuses to address it. Strategy? | * | | *Avoiding.** |
| | Nurse tries to reduce the emotional part of a conflict. Strategy? | * | | **Smoothing.* |
| | What are the 5 stages of conflict? | | **Latent → perceived → felt → manifest → aftermath.** | |
| | Staff members gang up against one coworker. What is this? | * | *Mobbing.** | |
| | Threatening, humiliating, intimidating abusive conduct is called? | | **Bullying.** | |
| | Eye-rolling, sarcasm and discourtesy are examples of? | * | *Incivility.** | |
| | Nurse describes behavior instead of attacking character. Communication type? || | **Effective/assertive communication.** |
| | What does DESC stand for? | | **Describe → Express → Specify → Consequences.** | |
| | UAP is assigned bathing and ambulation for a stable patient. Appropriate? | * | *Yes.** Routine, predictable ADLs can be delegated appropriately. | |
| | Can the RN delegate initial nursing assessment to UAP? | | **No.** Assessment requiring nursing judgment remains the nurse's responsibility. | |
| | Stable patient needs reinforcement of previously taught information. LPN? | * | *Generally appropriate**, within scope/facility policy. | |
| | What are the 5 rights of delegation? | * | *Right task, circumstance, person, direction/communication, supervision/evaluation.** | |
| | Manager compares performance with predetermined standards. What process? | * | *Quality control.** | |
| | Medication error involves human action + faulty equipment. What should be examined? | | **Both individual behavior and system factors.** | |
| | What is the purpose of RCA? | | **Find underlying/system causes and prevent recurrence.** | |
| | RCA asks “What happened? Why? What normally happens?” Why? | | **To identify contributing factors/root causes.** | |
| | What is Just Culture? | | **Shared accountability for individual choices and organizational systems.** | |
| | Why encourage error and hazard reporting? | | **Promotes learning, improvement and patient safety.** | |