Practice Question
Which situations demonstrate a breakdown in professional communication? (Select all that apply)
Answer Choices:
Correct Answer:
A nurse avoids giving feedback during a debrief to maintain harmony
Rationale:
A nurse avoids giving feedback during a debrief to maintain harmony
🔷 Withholding feedback is conflict avoidance, which undercuts learning and safety culture.
🔷Debriefs are designed for closed-loop learning, identification of system gaps, and team resilience; silence blocks that process.
🔷Failure to voice concerns violates assertive communication standards (e.g., CUS, Two-Challenge Rule) that protect patients.
🔷Over time, avoidance sustains latent hazards and normalizes workarounds that can precipitate harm.
🔷Nursing leaders should model psychological safety, inviting respectful, specific feedback tied to observable behaviors.
A preceptor yells at a student in front of a patient
🔷Public criticism is unprofessional and constitutes disruptive behavior, which degrades team function and patient trust.
🔷It undermines the student’s situational awareness and learning, increasing risk for errors.
🔷Professional standards require respectful coaching and just-culture principles, separating blame from learning.
🔷Patients witnessing disrespect may lose confidence and withhold vital information, harming care quality.
🔷The proper approach is private, constructive feedback with clear expectations and supportive remediation.
Two nurses exchange sarcastic remarks about a third team member
🔷Incivility/lateral violence corrodes team climate, impairs communication clarity, and can delay escalation of safety concerns.
🔷Sarcasm signals low psychological safety, reducing the likelihood that staff will speak up using standardized tools (e.g., SBAR, Check-Back).
🔷Research links incivility to diagnostic and medication errors by disrupting attention and working memory.
🔷It violates Codes of Ethics and organizational policies on respectful conduct.
🔷Teams need reinforced norms for respectful dialogue, neutral tone, and focus on processes, not personalities.
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This question is from Examplify NR 215 ABSN Final Exam FA 2025 A1 which contains 38 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Fundamentals
- Answer Choices: 5