234 Module 3 Collaboration, Teamwork, and Documentation

A nurse is engaging in self-talk to prepare for a stressful procedure. What level of communication is this?

Intrapersonal communication.

A nurse uses SBAR to communicate with a provider. What is the primary purpose of SBAR?

To provide a structured framework for effective communication among team members.

Which of the following is an example of a nontherapeutic communication technique?

A. Offering self
B. Giving advice
C. Active listening
D. Restating

B. Giving advice.

A nurse documents: “Client states, ‘I feel short of breath.’” This is an example of which part of SOAP charting?

Subjective data.

What is the priority nursing action when completing an incident report?

Objectively document the facts of the incident and do not include in the client’s medical record that a report was filed.

A nurse delegates a task to a UAP but later checks to ensure it was completed correctly. This demonstrates which TeamSTEPPS principle?

Accountability and responsibility.

Which barrier to communication is a physiological barrier?

A client who has impaired hearing.

Which documentation method focuses on patient problems and uses the DAR format?

Focus charting.

During team communication, a nurse says, “I’m concerned about the client’s low blood pressure.” This reflects which TeamSTEPPS tool?

CUS (Concerned, Uncomfortable, Safety issue).

A nurse observes a coworker making a medication error. What should the nurse do first?

Ensure the client’s safety, then complete an incident report.

A nurse is charting by exception. Which of the following would be documented?

Abnormal findings outside of established norms.

A client states, “I don’t want to take my medication.” The nurse responds, “You don’t want to take it?” This is an example of which therapeutic communication technique?

Restating.

Which of the following situations requires completion of an incident report?
A. Client develops a fever
B. Nurse changes IV tubing
C. Visitor slips in the hallway
D. Client requests pain medication

C. Visitor slips in the hallway.

Which of the following is an environmental barrier to communication?

Excessive noise in the client’s room.

A nurse assesses Mr. Harris after a fall. He reports left knee pain 4/10, mild redness, and dizziness before falling. Which is the correct action?

Complete an incident report and document objective assessment findings in the medical record (not that the report was filed).