Improving Patient Safety in Long-Term Care Facilities

Pre/Post-Test Questions

1. The best way to communicate information about your resident to other members of the care team is:
   1. Talking directly to the staff on the next shift.
   2. Writing it on a loose piece of paper at the nurses' station.
   3. Writing it next to the resident's name on a white board at the nurses station.
   4. Telling the resident to tell the doctor.
   5. All of the above.
2. Steps in good communication include:
   1. Setting the stage, finding out what the coworker understands, giving the information, understanding the coworkers' perspective, and ending the communication with a plan for next steps.
   2. Ensuring that the coworker receives the information in a phone message.
   3. Making sure a supervisor communicates with the coworker.
   4. Ensuring that the coworker knows it is his or her responsibility to understand relevant matters.
3. Which of the following should you communicate to the licensed nurse on duty in addition to the next shift nursing assistant?
   1. Your resident drank only one glass of fluid all day today.
   2. For the first time, your resident was not able to support her/his weight while transferring to a chair.
   3. Your normally cooperative resident cursed at you this morning.
   4. All of above.
4. In giving information about a resident, it is often helpful to use the SBAR. In SBAR, there are four parts of the message you want to give; each one goes with one of the letters in SBAR. SBAR stands for:
   1. Situation, Background, Assessment, Recommendation.
   2. Sites and Sounds, Before the change, Ask me, Rate me.
   3. Silent? Big? Aloud? Right?
   4. See. Bring. Allow. Read.
5. CUS is another communication tool. All of the following are correct except:
   1. CUS stands for I am Concerned, I am Uncomfortable, the Safety of the resident at risk.
   2. CUS should be used in all situations.
   3. CUS should be used if you need to get the attention of your supervisor fast or if the first try at communicating did not work.
   4. CUS can be used by nursing assistants.

Pre/Post-Test Questions with Answers

1. The best way to communicate information about your resident to other members of the care team is:
   1. Talking directly to the staff on the next shift.
   2. Writing it on a loose piece of paper at the nurses station.
   3. Writing it next to the resident's name on a white board at the nurses station.
   4. Telling the resident to tell the doctor.
   5. All of the above.

   Answer: a

2. Steps in good communication include:
   1. Setting the stage, finding out what the coworker understands, giving the information, understanding the coworkers' perspective, and ending the communication with a plan for next steps.
   2. Ensuring that the coworker receives the information in a phone message.
   3. Making sure a supervisor communicates with the coworker.
   4. Ensuring that the coworker knows it is his or her responsibility to understand relevant matters.

   Answer: a

3. Which of the following should you communicate to the licensed nurse on duty in addition to the next shift nursing assistant?
   1. Your resident drank only one glass of fluid all day today.
   2. For the first time, your resident was not able to support her/his weight while transferring to a chair.
   3. Your normally cooperative resident cursed at you this morning.
   4. All of above.

   Answer: d

4. In giving information about a resident, it is often helpful to use the SBAR. In SBAR, there are four parts of the message you want to give; each one goes with one of the letters in SBAR. SBAR stands for:
   1. Situation, Background, Assessment, Recommendation.
   2. Sites and Sounds, Before the change, Ask me, Rate me.
   3. Silent? Big? Aloud? Right?
   4. See. Bring. Allow. Read.

   Answer: a

5. CUS is another communication tool. All of the following are correct except:
   1. CUS stands for I am Concerned, I am Uncomfortable, the Safety of the resident is at risk.
   2. CUS should be used in all situations.
   3. CUS should be used if you need to get the attention of your supervisor fast or if the first try at communicating did not work.
   4. CUS can be used by nursing assistants.

   Answer: b