PS 104 Questions and Answers

PS 104 Questions and Answers lesson 1 ✔✔x Effective health care teams have several important characteristics, including: ✔✔Effective communication techniques. Which of the following is likely to be the most immediate ...

PS 104 Questions and Answers lesson 1 ✔✔x Effective health care teams have several important characteristics, including: ✔✔Effective communication techniques. Which of the following is likely to be the most immediate result of building an effective health care team? ✔✔Safer care 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? ✔✔The team routinely takes a moment to discuss the plan and voice concerns before doing a procedure. One reason it's critical for caregivers to improve their teams' effectiveness is: ✔✔Effective teams reduce the risk of errors by providing a "safety net" for individual caregivers. When considering your role within a health care team, it is important to keep in mind that: ✔✔No matter what profession you belong to, you will be a member of the team and must work intentionally toward making that team effective. Approximately what percentage of serious adverse events in health care can be linked to miscommunication between caregivers when patients are transferred or "handed-over"? ✔✔80 percent Effective health care teams have several important characteristics, including: ✔✔A and B The best answer is A and B. Effective health care teams have a shared goal and effective twoway communication. The membership of the team may change frequently (Answer B), and it's quite possible for a health care team to consist of people who have never worked together before. One reason it's critical for caregivers to improve their teams' effectiveness is: ✔✔Ineffective teams can contribute to unsafe events and situations. When considering your role within a health care team, it is important to keep in mind that: ✔✔No matter what profession you belong to, you will be a member of the team and must work intentionally toward making that team effective 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? ✔✔The team routinely takes a moment to discuss the plan and voice concerns before doing a procedure. lesson 2 ✔✔x x ✔✔x Which of the following is a factor that might make it difficult for you to say something to this pharmacist? ✔✔A and B The best answer is A and B. While challenging authority figures requires courage in any field, the hierarchical nature of health care can make speaking up particularly difficult. This is especially true when senior practitioners get upset with junior staff who voice concerns about safety. Other reasons it may be hard to say something in this case include your respect for the pharmacist, concern that you are mistaken, and fear of being yelled at or mistreated. For learners, there's the additional worry that your evaluations and grades may be affected. However, it is always your place to speak up where safety is concerned, even if you're not certain you're right. Why should you tell the pharmacist about your concern? ✔✔So that the patient does not experience an adverse event You decide to speak with the pharmacist while he is filling the order. What would be the most appropriate thing to say? ✔✔"I am concerned there is a safety issue here." After you speak up, which of the following responses by the pharmacist would best indicate that this pharmacy has a culture of safety? ✔✔"Thanks! I'll tell your supervisor that you helped me today." What is a culture of safety? ✔✔A place where all staff can talk freely about safety problems without fear Which of the following is the primary factor that might make it difficult for you to say something to this pharmacist? ✔✔The pharmacist got annoyed when someone corrected him earlier. Why should you tell the pharmacist about your concern? ✔✔None of the above Speaking up about safety concerns should be a patient-centered act. Your goal in voicing your concern is simply to ensure the patient receives safe and effective care — in this case, the correct medication. Voicing your concern should not be about displaying your knowledge, currying favor, or getting someone in trouble. You decide to speak with the pharmacist while he is filling the order. What would be the most appropriate thing to say? ✔✔"I am concerned there is a safety issue here." Which of the following responses by the pharmacist would best indicate that this pharmacy has a culture of safety? ✔✔Talking about the near miss with other staff. What are some of the characteristics of a culture of safety? ✔✔Fairness, transparency, and psychological safety lesson 3 ✔✔x x ✔✔x What is "SBAR"? ✔✔A system for delivering information What has Linda just done? ✔✔Provided a read back At this point, what would an effective team leader do? ✔✔Conduct a debriefing 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? ✔✔Implement the use of critical language in the ICU. Effective team leaders: ✔✔Seek input from all members of the team. In health care, briefings: ✔✔Are a type of structured communication. SBAR stands for: ✔✔Situation, Background, Assessment, Recommendation How might the transition between providers ("hand-over") have contributed to this situation? ✔✔The handoff was too brief and failed to include important information. Which of the following actions is essential for closed-loop communication? ✔✔The receiver repeats to the sender what he has heard. Effective structured communication: ✔✔Includes SBAR, briefings, and debriefings.