(Download PDF) Leadership and Nursing Care Management 6th Edition Huber Test Bank Full Chapter
(Download PDF) Leadership and Nursing Care Management 6th Edition Huber Test Bank Full Chapter
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Chapter 07: Communication Leadership
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. The process in which information, perception, and understanding are transmitted from person
to person is:
a. articulation.
b. communication.
c. evaluation.
d. pronunciation.
ANS: B
Communication is the process in which information, perception, and understanding are
transmitted from person to person.
6. A nursing preceptor is giving feedback to a new nurse who currently is being oriented. Her
preceptor suggests a better method of interacting with a family member by saying, “You
might want to be cognizant of your non-verbal behaviors when talking with clients. Rather
than continuing to chart when you are talking with an American family, stop charting, move
closer to the family and client, look at them during the conversation, and take time to let them
share their concerns.” This preceptor is giving advice about:
a. interpersonal communication.
b. clarity.
c. image.
d. intention.
ANS: A
If the verbal message is clear, but the non-verbal communication is not congruent, then
listeners may misinterpret, distrust, or not even hear the intended message. In this situation,
the nurse’s non-verbal behavior may suggest that she is not interested in interacting with the
family.
9. _____ communication patterns exist between colleagues and serve to contribute to a hostile
work environment, high turnover, burnout, and job dissatisfaction.
a. Defensive
b. Disruptive
c. Negotiating
d. Humanizing
ANS: B
Documentation in literature is extensive regarding disruptive and distracting communication
interactions not only between nurses and colleagues but also between nurses and patients. The
research indicates that nursing personnel experience high turnover rates, job dissatisfaction,
and burnout; many registered nurses are leaving the profession. The work environment is
described as hostile to nurses, and patient outcomes of increased severity of illness and
mortality have been directly related to poor communication skills of the staff.
10. Over lunch in the cafeteria, student nurses are sharing educational information about the
patients for whom they are caring. This is a(n):
a. breach of beneficence.
b. example of maleficence.
c. potential assault and battery charge.
d. violation of the Health Insurance Portability and Accountability Act (HIPAA).
ANS: D
HIPAA provisions have heightened awareness about and encouraged strategies to protect a
patient’s privacy in health care transactions. This is an example of breach of confidentiality.
13. Which communication technique is most effective when handling patient complaints?
a. Persuasion
b. Bargaining
c. Negotiation
d. Non-verbal cues
ANS: C
Negotiation is a dialogical discussion between two or more parties to arrive at an agreement
about some issue.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
16. Which communication format was developed to address the communication arm of the
TeamSTEPPS model?
a. NVC (nonviolent communication)
b. SBAR (situation, background, assessment, and recommendation)
c. VERA (validation, emotion, reassurance, activity)
d. MI (motivational interviewing)
ANS: B
To address the “communication arm” of the TeamSTEPPS model strategies such as SBAR
have been created to enhance teamwork communication. One of the strategies that has been
well documented and is familiar to nurses is SBAR, which stands for situation, background,
assessment, and recommendation.
MULTIPLE RESPONSE
1. Effective communication is fostered through which of the following ingredients? (Select all
that apply.)
a. Trust
b. Humility
c. Respect
d. Empathy
e. Sympathy
ANS: A, C, D
Trust, respect, and empathy are the three ingredients needed to create and foster effective
communication.
2. NVC communication processes are grounded in: (Select all that apply.)
a. confrontation
b. empathy
c. compassion
d. honesty
e. assertiveness
ANS: B, C, D
NVC communication utilizes a four-part communication process grounded in compassion,
empathy, and honesty. The four parts include making an observation, expressing a feeling,
expressing a need, and making a request without demanding.
3. A client’s wife is concerned about her husband’s declining health. He has been admitted with
an acute myocardial infarction and has had two myocardial infarctions before this admission.
He is not a candidate for surgery. She and her husband have discussed “no breathing
machine” for long-standing care, but she is unsure of his wishes if he were to need a
“breathing machine” for a short period. The nurse discusses his current condition and care
with the client and his wife. She also organizes a team meeting consisting of the client’s
physicians, social worker, pastoral care person, and nursing staff. During this meeting, the
nurse helps the wife share her concerns and the client’s concerns with the rest of the team.
What type of communication technique is being utilized by the nurse? (Select all that apply.)
a. Bargaining
b. Negotiation
c. Persuasion
d. Spiritual assessment
e. Collective action
ANS: B, C
Persuasion is the conscious intent by one individual to modify the thoughts or behaviors of
others. Negotiation is a dialogical discussion between two or more parties to arrive at an
agreement about some issue. Persuasion and negotiation are used to ensure that all members
of the teamwork together in a co-operative manner. The nurse, the patient, and the spouse all
communicate the wishes of the patient to convince the team to abide by the autonomous
decisions of the patient and spouse.
4. Which of the following are examples of patient privacy or security breaches? (Select all that
apply.)
a. Encrypted e-mail communications
b. Fax transmission sent to incorrect physician office
c. Prescription given to patient with wrong label attached
d. Case management coordinator obtaining information about a patient’s diagnosis
e. Discharge summary given to patient’s spouse
ANS: B, C
Fax transmissions sent to the incorrect physician’s office or prescriptions given to a patient
with the wrong label attached are examples of privacy or security breaches under HIPAA.
Electronic transmissions should be end-user encrypted for data security.
5. Which of the dimensions of spirituality should nurses assess for in care delivery? (Select all
that apply.)
a. Culture
b. Beliefs
c. Values
d. Social
e. Religious
ANS: B, C, D, E
Nurses need to assess for social, spiritual, religious, and cultural values and beliefs because
they may affect individual patients’ health care decisions and preferences.
8. Group readiness levels can be assessed in four stages. Which of the following statements is
accurate regarding group readiness? (Select all that apply.)
a. Members are organized and secure about their roles in the forming stage.
b. At the forming stage, the group needs direction in defining goals.
c. During the storming period, there is more willingness to accept the group goals.
d. The group becomes self-managing during the norming period.
e. During the performing period, the members willingly perform the task.
ANS: B, C, E
At the forming readiness level, the group needs direction in defining task goals and objectives
as opposed to personal goals. The members are uncertain and insecure about their role in the
group. This initial period is chaotic. During the storming period, there is more willingness to
accept the group goals and objectives but there are still differences of opinion, competition for
recognition, and attempts to influence the group. During the norming period, there is greater
agreement on the task goals as the group develops cohesiveness and adjusts to the group and
task. Finally, during the performing period, the members are thinking as one and willingly
performing the task. There is camaraderie and team spirit as the group becomes
self-managing.
9. E-mail is a great tool for communication. When should e-mail not be used? (Select all that
apply.)
a. When you are mad.
b. When scheduling a meeting
c. When you are canceling or apologizing
d. If there is any chance your words could be misunderstood
e. When rebuking or criticizing
ANS: A, D, E
Electronic communication has assisted us to be better informed regarding our patients.
However, within the professional health care realm, there is a tendency to rely on these modes
of communication when other methods would be preferable and more appropriate. For
instance, there are definite times when a face-to-face conversation is preferred to an e-mail.
Warrell (2012) noted that there are four times you should never use e-mail: (1) when you are
mad, (2) when rebuking or criticizing, (3) if there is any chance your words could be
misunderstood, or (4) when you are canceling or apologizing. In our busy professional lives, it
is easier to send off a quick e-mail than to pick up the phone or walk down the hall; however,
e-mail distances us from others and is really only the preferred means of communication when
information is simply being conveyed.
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