Chapter 18 (Communication and Team Building)

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A nurse manager is experiencing conflicts between herself and staff members. She had tried to develop a team by using a shared leadership model to empower the staff. Staff members are functioning:
As a group
The nurse manager used a mediator to help resolve conflicts on the unit. During the mediation process, the nurse manager saw signs of potential team-building. One key concept of an effective team is:
A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:
If there are no agreements, each member will make up his or her own procedures without consensus
By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:
Actively listen to each other
The chief nursing officer decided that the nurse managers need a series of staff development programs on team-building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to confidence is:
Fear that one can’t handle the consequences
The mediator noticed that tension was still evident between the nurse manager and staff members. He informed the chief nursing officer that to begin team-building, it would be important that everyone:
Work together in a respectful, civil manner
The state of being emotionally impelled, demonstrated by a sense of passion and dedication to a project or event, describes:
The mediator suggested to the unit staff that a group agreement needed to be made so meetings could become productive. For example, the group agreement, “We will speak supportively,” prevents:
Gossip and backbiting
The mediator asked each staff member to reflect on his or her communication style. Which of the following best describes communication? Communication
Consists of thoughts, ideas, opinions, emotions, and feelings
The staff development educator developed strategies to help nurse managers actively listen. Guidelines for active listening include which of the following?
Cultivate a desire to learn about the other person
The nurse manager was upset with the staff nurse and said, “You did not understand what I said.” Which element in the communication process was she referring to?
A set of barriers that may occur between sender and receiver
The nurse educator was giving a workshop on team building. She noted that effective communication is essential for team building. One of the key questions in the workshop was, “What is the best way to check to see if what you have communicated to a team member is understood the way you meant it to be understood?” The correct response is which of the following options?
Active listening and feedback
Sally (RN) and Melissa (RN) have shared an ongoing conflict since the first day that Melissa worked on the unit. Sally has confided to another colleague that she doesn’t even know why the conflict started or what it was about. This is an example of:
The enduring nature of first impressions
After staff meetings lately, Sharon, the head nurse, observes her staff in small groups, having animated discussions that end abruptly when she approaches. Sharon reflects on this observation and realizes that:
Staff members are very committed to the team and have strong opinions
You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace. To address deficits that may already be present in nursing curricula related to the workplace, you include more content and skills development related to:
Effective communication in the workplace
The SBAR system of communications is one of the most used communication systems in health care because:
It focuses on a system in which information is provided and gleaned in an honorable way.
Marcy, a new staff nurse, is very concerned about “fitting in” on the rehabilitation unit. She addresses her concerns and speaks with the head nurse. The head nurse speaks with the rest of the staff and reminds them how important it is for a staff member to feel that he or she is part of the group. Which of the following statements would she not include in her talk? “Staff members who feel included:
Are part of the 50% who feel their strengths are used.”
From the information presented in this chapter, which of the following statements best defines an accomplished team? Effective teams:
Can create a form of synergism in which the outcome is greater than the sum of the individual performances
“I really wish that my supervisor would realize and acknowledge all the things I do well…” In nursing, this has been identified as a problem. Which statement is part of the solution? Focus on:
The strengths of the individual rather than the weaknesses
Trust is an important aspect of helping relationships, therapeutic communications, and the positive communications model. Which statement does not involve or operationally define trust? Trust:
Can be described as a belief that although the nurse is capable of helping in times of distress, the nurse is unlikely do so
Healthcare agencies and hospitals expect their practitioners to be effective team members. Two key players in the healthcare team are nurses and physicians. Which of the following statements accurately defines the roles and responsibilities of nurses and physicians?
Physicians are the first point of contact. They focus on the disease process, whereas nurses focus on the holistic needs of patients
The unit manager was addressing nursing students in the lounge area and was discussing team leadership and team effectiveness. She stated, “One can agree to disagree with another team member’s perspective even when one doesn’t necessarily see that perspective as being the correct one.” In being creative, which of the following basic rules was she talking about?
Committing to resolution
Which of the following would not be a characteristic of an effective team nurse leader?
An autocratic perspective
Which of the following is not a necessary requirement for formation of a team? In forming a team, the leader should keep in mind that the team:
Should include only members with similar personalities
What is not a key concept in a well-functioning team?
Absence of disagreement or conflict
Bennis, a researcher and writer, posits that effective leaders share three fundamental qualities. Which of the following is not a fundamental quality?
Categories: Team Building