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NRSG 327 Exam 2 Questions: Effective Healthcare Teams and Communication, Exams of Nursing

Montana State University Nursing

A series of multiple-choice questions and answers related to the topic of effective healthcare teams and communication. It covers key concepts such as team characteristics, communication techniques, culture of safety, and the importance of structured communication in healthcare settings. The questions are designed to assess understanding of these concepts and their application in real-world healthcare scenarios.

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2024/2025

Available from 03/18/2025

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NRSG 327 EXAM 2 QUESTIONS WITH 100% ACCURATE

ANSWERS

1) Effective health care teams have several important characteristics, including:

(A) The ability to rehearse procedures together, like a choir or a sports team.

(B) Stable membership; that is, they have the same people on the team from

day-to-day.

(D) The ability to achieve good results without strong communication. --

Correct Answer ✔✔ C

2) Which of the following is likely to be the most immediate result of building an

effective health care team?

(A) Less costly health care

(B) Safer care

(D) Elimination of waste in the system -- Correct Answer ✔✔ B

3) As a nurse practitioner in a small, rural urgent care clinic, you believe that your

clinic team works well together. Which of the following facts would best support

your belief?

(A) Not a single complaint about unprofessional behavior has been filed by

clinic members over the past year.

(B) The providers work in rotating shifts and rarely need to transmit

information from one shift to the next.

concerns before doing a procedure.

Partial preview of the text

Download NRSG 327 Exam 2 Questions: Effective Healthcare Teams and Communication and more Exams Nursing in PDF only on Docsity!

NRSG 327 EXAM 2 QUESTIONS WITH 100% ACCURATE

ANSWERS

Effective health care teams have several important characteristics, including: (A) The ability to rehearse procedures together, like a choir or a sports team. (B) Stable membership; that is, they have the same people on the team from day-to-day. (C) Effective communication techniques. (D) The ability to achieve good results without strong communication. -- Correct Answer ✔✔ C
Which of the following is likely to be the most immediate result of building an effective health care team? (A) Less costly health care (B) Safer care (C) Fewer delays in care (D) Elimination of waste in the system -- Correct Answer ✔✔ B
As a nurse practitioner in a small, rural urgent care clinic, you believe that your clinic team works well together. Which of the following facts would best support your belief? (A) Not a single complaint about unprofessional behavior has been filed by clinic members over the past year. (B) The providers work in rotating shifts and rarely need to transmit information from one shift to the next. (C) The team routinely takes a moment to discuss the plan and voice concerns before doing a procedure.

(D) All of the above. -- Correct Answer ✔✔ C

One reason it's critical for caregivers to improve their teams' effectiveness is: (A) Effective teams reduce the risk of errors by providing a "safety net" for individual caregivers. (B) Effective teams limit the number of caregivers patients have to speak with, reducing confusion among patients and families. (C) Teams rely less on technology and more on human capabilities, thus leading to better care. (D) All of the above -- Correct Answer ✔✔ A
When considering your role within a health care team, it is important to keep in mind that: (A) No matter what profession you belong to, you will be a member of the team and must work intentionally toward making that team effective. (B) You may be part of a team, but will likely be able to work autonomously without much input or help from others. (C) Teamwork skills will come naturally to you, because we all learn them in other settings. (D) You will need to be a good team member until you become an expert in your field, at which point you probably won't need teamwork skills. -- Correct Answer ✔✔ A
Approximately what percentage of serious adverse events in health care can be linked to miscommunication between caregivers when patients are transferred or "handed-over"? (A) 5 percent (B) 20 percent (C) 50 percent (D) 80 percent -- Correct Answer ✔✔ D

Linda, a pharmacist at an outpatient pharmacy for a medium-sized medical group, receives a call from John, a nurse practitioner in the cardiology clinic. John tells Linda he needs to call in a new prescription for hydrochlorothiazide at 50 mg once a day for Ms. Krane. At the end of the conversation Linda says to John, "Okay, so you want Ms. Joanne Krane to have a new prescription for hydrochlorothiazide at 50 mg by mouth once a day. Thirty pills and six refills." What has Linda just done? (A) Increased the likelihood of error by repeating an order (B) Provided a read back (C) Used SBAR in communication (D) B and C -- Correct Answer ✔✔ B
You are a member of an intensive care unit team in a regional hospital. This morning, a patient had an unexpected severe allergic reaction (anaphylaxis) after being given a penicillin derivative. There was a significant delay in getting the physician involved and beginning treatment for this life-threatening condition. Fortunately, the patient is now stable and does not seem to be experiencing any lasting effects. At this point, what would an effective team leader do? (A) Report this adverse event in the anonymous reporting system so that it can be investigated (B) Ask administrators to launch an investigation immediately to find out who was responsible for this adverse event (C) Add this medication to the patient's allergy list (D) Conduct a debriefing -- Correct Answer ✔✔ D
You are a member of an intensive care unit team in a regional hospital. This morning, a patient had an unexpected severe allergic reaction (anaphylaxis) after being given a penicillin derivative. There was a significant delay in getting the physician involved and beginning treatment for this life-threatening condition.

Fortunately, the patient is now stable and does not seem to be experiencing any lasting effects. The unit leaders are trying to figure out what changes they should make to prevent this treatment delay from happening again. Given what you know about the incident, what change would you recommend? (A) Implement mandatory debriefings after the team works together on a patient. (B) Fire the physician who failed to respond in a timely way. (C) Stop using nursing assistants in the ICU. (D) Implement the use of critical language in the ICU. -- Correct Answer ✔✔ D

Effective team leaders: (A) Have multiple degrees. (B) Are usually physicians. (C) Seek input from all members of the team. (D) Know the correct answer in any given situation. -- Correct Answer ✔✔ C
In health care, briefings: (A) Are of limited effectiveness. (B) Are a type of structured communication. (C) Involve only doctors and nurses. (D) Need to take place as soon after an event as possible, to maximize learning for the entire group. -- Correct Answer ✔✔ B
When you arrived at the unit today and listened to the change of shift report, you heard about a patient named Jane W. According to the tape-recorded sign out, Jane "is a 57-year-old woman with abdominal pain and vomiting. She has pain medications ordered p.r.n. [as needed]." During your shift, Jane does not request pain medications. Near the end of your shift, however, you get a call from Jane's

(D) >75% -- Correct Answer ✔✔ B

Since the publication of To Err Is Human in 1999, the health care industry overall has seen which of the following improvements? (A) A 75 percent reduction in preventable medical errors (B) Stronger repercussions for providers who commit preventable medical errors (C) Wider awareness that preventable errors are a problem (D) Wider recognition that medical errors are most often attributable to individual performance (E) All of the above -- Correct Answer ✔✔ C
Safety has been called a "dynamic non-event" because when humans are in a potentially hazardous environment: (A) It is natural to establish and follow safe practices (B) It requires the same kind of thinking that causes problems to set them right (C) It takes significant work to ensure nothing bad happens (D) There is generally a high prevalence of "near misses" -- Correct Answer ✔✔ C
James is a first-year surgery resident on his first pediatric rotation. His attending (consultant) asks him to start intravenous (IV) replacement fluids on a two-year- old boy who is having vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid replacement rates for very small children, James asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too high, putting the child into fluid overload.

To prevent this type of error from recurring in this unit, which of the following is MOST important? (A) Clear medical guidelines for fluid replacement in patients of all ages (B) An improved culture of safety and teamwork (C) Closer supervision of residents, especially in the first year (D) More severe, well-publicized consequences for providers who are reckless -- Correct Answer ✔✔ B

James is a first-year surgery resident on his first pediatric rotation. His attending (consultant) asks him to start intravenous (IV) replacement fluids on a two-year- old boy who is having vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid replacement rates for very small children, James asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too high, putting the child into fluid overload. Who is likely to be negatively affected by this medical error? (A) The patient and his family (B) James (the first-year surgery resident) (C) Maria (the nurse on the unit) (D) All of the above -- Correct Answer ✔✔ D
Approximately what percentage of US adults have experienced a medical error in their own or a family member's care at some point in their life? (A) 1 percent (B) 5 percent (C) 33 percent (D) 66 percent -- Correct Answer ✔✔ C

(D) None of the above -- Correct Answer ✔✔ D

James is a first-year surgery resident on his first pediatric rotation. His attending (consultant) asks him to immediately start intravenous (IV) replacement fluids on a two-year-old boy who is experiencing vomiting and diarrhea. James has recently learned the guidelines for calculating fluid replacement rates for very small children; however, he confuses them and picks a rate that is too high. To prevent this type of error from recurring in this unit, which of the following is MOST important? (A) Clearer medical guidelines for fluid replacement in patients of all ages (B) An improved culture of safety (C) A change to the system, so that it does not rely as heavily on human memory (D) More severe, well-publicized consequences for providers who are reckless -- Correct Answer ✔✔ C
What is most likely to happen if a health system punishes an individual for an unintended error that was the result of a systems problem? (A) Staff may be less likely to talk openly about and learn from errors. (B) Staff will be more careful and errors will decrease. (C) The response will weaken the safety culture. (D) A and C -- Correct Answer ✔✔ D
Which of the following statements is true about blame and punishment of individuals for making errors? (A) They can undo the error. (B) They can prevent the error from happening again.

(C) They can be appropriate responses if that individual intentionally caused harm. (D) All of the above -- Correct Answer ✔✔ C

A colleague accesses and delivers a medication, believing it is the correct one. Unfortunately, it isn't — it is another medication in a similar vial. Which of the following is the best way to address his error? (A) Ask him to take a couple of weeks off without pay. (B) Make sure that he is supervised more closely in the future. (C) Send an email to him as well as others who administer those medications to remind them that the vials look similar. (D) Investigate whether others find the vials confusing and consider making a change to how they are packaged or accessed. -- Correct Answer ✔✔ D
When an error occurs, which of the following is a productive response? (A) Interview all participants in the process to determine what happened. (B) Suspend the licenses of everyone involved. (C) Determine if reasonable changes can be made to prevent the same type of error in the future. (D) A and C -- Correct Answer ✔✔ D
Which of the following situations seems to warrant punitive action? (A) A colleague routinely refuses to perform a mandatory safety process. (B) A colleague is involved in the same type of error more than once. (C) A colleague makes a mistake because she is distracted. (D) All of the above -- Correct Answer ✔✔ A
Which of the following statements is true?

(B) Suspend the licenses of everyone involved. (C) Determine if reasonable changes can be made to prevent the same type of error in the future. (D) A and C -- Correct Answer ✔✔ C

Which of these is a behavior providers should adopt to improve patient safety? (A) Develop ways to work around broken systems (B) Ignore patients' individual preferences when they disagree with "best practice" (C) Follow written safety protocols, even if they slow you down (D) Obey your superiors without question (E) All of the above -- Correct Answer ✔✔ C
After a team training system is implemented in an operating room (OR), a junior circulating nurse notices that a particular anesthesiologist goes missing from the OR at odd times, often seems sluggish, and occasionally slurs her words. Concerned that the physician might be impaired due to medication abuse, the nurse ponders what to do next. What would be the MOST appropriate way for the nurse to respond? (A) Call the physician at home and warn her to stop abusing prescription medication (B) Refuse to work with that physician in the future (C) Start logging the suspicious occurrences as he sees them, so that he can bring a list to the medical director (D) Talk to the medical director now, in confidence (E) Warn colleagues about working with that physician -- Correct Answer ✔✔ D
When it comes to self-care, which of the following statements is true? (A) If you're especially stressed because of a divorce, it may adversely affect your performance

(B) Lack of sleep can be similar to being drunk (C) Spending quality time with friends can make you a safer health care provider (D) All of the above -- Correct Answer ✔✔ D

Which of the following techniques represent best practice for communicating with patients and families? (A) Listen to and honor patient and family perspectives and choices. (B) Identify a patient's and family's knowledge, values, beliefs, and cultural background. (C) Encourage patients and families to participate in care and decision-making at the level they choose. (D) All of the above -- Correct Answer ✔✔ D
In regard to health disparities around the world, which of the following statements is most true? a) Inequitable medical care is the primary driver of health disparities. b) Where a child is born significantly affects his or her life expectancy. c) The root causes of health disparities are complex. d) B and C -- Correct Answer ✔✔ D
Which of the following is a trend in modern health care across industrialized nations? a) Providers are becoming more specialized. b) The disease burden is shifting toward acute conditions. c) There is growing demand for complicated procedures. d) A and C -- Correct Answer ✔✔ D
Which of the following countries has had a relatively inexpensive universal health insurance system for more than 50 years?

d) All of the above -- Correct Answer ✔✔ B

Michael S., a 49-year-old factory worker, is brought to the hospital after developing chest pain at work. He is quickly diagnosed with an acute myocardial infarction (heart attack). However, he waits almost two hours to get to the catheterization lab and have his blocked coronary artery opened. Ultimately, he suffers permanent damage to his heart. Which of the IOM aims has this hospital FAILED to meet? a) Equitable b) Safe c) Effective d) Efficient e) Timely f) Patient-centered -- Correct Answer ✔✔ E
The hospital where Michael is recovering reviews its patient satisfaction survey results in order to improve its care and patient outcomes. Leaders poring over the data note that 90 to 100 percent of patients rate staff as "excellent" in the following categories: listening, answering questions, being friendly and courteous, and giving good advice based on specific needs and preferences. Which aim is the hospital generally achieving? a) Equitable b) Safe c) Effective d) Efficient e) Timely f) Patient-centered -- Correct Answer ✔✔ F
Which of the following improvement efforts is the best example of increasing the effectiveness of care?

a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive care unit b) Shortening wait times at a clinic by allowing patients to self- register on a computer in the waiting room c) Improving the percent of clinic patients achieving their goal blood pressure by instituting a series of reminders for providers about evidence-based processes d) Instituting quarterly focus groups of patients seen in the emergency department to better identify patient concerns -- Correct Answer ✔✔ C

Which of the following improvement efforts is the best example of increasing the equity of care? a) Decreasing adverse drug events by having a pharmacist on rounds in the intensive care unit b) Shortening wait times at a clinic by allowing patients to self- register on a computer in the waiting room c) Instituting quarterly focus groups of patients seen in the emergency department to better identify patient concerns d) Through staff development and weekly feedback, equalizing the likelihood that a patient will receive pain medication regardless of race, ethnicity, or education -- Correct Answer ✔✔ D
Which of the following is a basic principle of improvement? a) Improvement must come from the bottom up — not the top down. b) Every system is perfectly designed to get the results it gets. c) Data should always drive improvement.

Which component of Deming's System of Profound Knowledge do this nurse's actions best represent? a) Appreciation of a system b) Understanding variation c) Theory of knowledge d) Psychology (human behavior) -- Correct Answer ✔✔ D

Which of these is a question particularly associated with the "theory of knowledge" component in Deming's System of Profound Knowledge? a) What motivates people to act as they do? b) What is the variation in results trying to tell you about the system? c) What are your predictions about the system's performance? d) What is the whole system that you're trying to manage? -- Correct Answer ✔✔ C
When an error occurs, which of the following is generally the proper order of prioritization? -- Correct Answer ✔✔ care for the patient, communicate with the patient, report to all appropriate parties, check the medical record
You're a new resident (house officer). At 2:00 AM, you receive a phone call about a patient you are covering who has diabetes. The patient has an elevated blood sugar of 375. You order 12 units of novolog (rapid-acting) insulin and ask the nurse to check the sugar again in one hour and call you back. One hour later, the sugar is 280, so you order another 10 units. By 4:00 AM, the patient's sugar is dangerously low at 45. You realize that novolog insulin takes two to three hours to reach peak effect. By rechecking the patient's glucose after only one hour and giving more insulin so quickly, you set the patient up for an episode of hypoglycemia.

Why is it important to communicate with the patient about this event? (A) Open sharing of this type of information is necessary if patients are to trust their caregivers. (B) Open communication is essential according to numerous professional codes of conduct. (C) Open sharing o -- Correct Answer ✔✔ D

Which of the following is true regarding communication about adverse events with patients? (A) Information openly communicated to patients about adverse events in their care cannot be used in court. (B) Open communication with patients can assuage caregivers' feelings of guilt. (C) Due to its complexity, communication with patients following adverse events is best done by lawyers. (D) All of the above -- Correct Answer ✔✔ B
According to researchers, which of the following is a common reason why caregivers choose not to communicate when something bad happens? (A) They feel the harm is not their fault. (B) They lack empathy for patients and families. (C) They fear disapproval. (D) All of the above -- Correct Answer ✔✔ C
If you are responsible for the initial communication with the patient about the error, which of the following should you be sure to do? (A) Speak clearly and directly (B) Disguise any feelings of concern or remorse (C) Explain the exact cause of the error (D) All of the above -- Correct Answer ✔✔ A

NRSG 327 Exam 2 Questions: Effective Healthcare Teams and Communication, Exams of Nursing

Related documents

Partial preview of the text

Download NRSG 327 Exam 2 Questions: Effective Healthcare Teams and Communication and more Exams Nursing in PDF only on Docsity!

NRSG 327 EXAM 2 QUESTIONS WITH 100% ACCURATE

ANSWERS