The Institute for Medicine (IOM) includes communication in the ...

[ss2343]

The Institute for Medicine (IOM) includes communication in the core competency of providing patient-centered care. Which option reflects the IOM's position on communication?
 
  1. Disclosure of patient information should be done only if the patient has a need to know.
  2. Information should always be provided in a written format.
  3. Communication should be done in a language the patient understands.
  4. Using medical terminology is the most accurate method of providing patient information.

Question 2

The nurse manager has repeatedly tried to convince a staff nurse that changing to a new scheduling format is necessary. The staff nurse continues to be negative and argumentative about the need to change.
 
  How should the nurse manager interpret this response? Select all that apply. 1. Some staff will never be ready to change.
  2. The change cannot go forward until this nurse is convinced.
  3. The nurse is being negative for the sake of negativity.
  4. The nurse will have to be terminated in order for the change to occur.
  5. The nurse may be concerned about loss of routine in personal scheduling.

[coyin]

Answer to Question 1

3
Explanation: 1. The IOM states that communication with patients should be done in a shared and fully open manner.
2. The IOM states that communication should be offered in the patient's preferred channel.
3. The IOM states that healthcare providers should communicate accurately in a language that patients can understand.
4. Many patients have difficulty understanding medical terminology, which violates the IOM's message that communication should be in a language the patient understands.

Answer to Question 2

1, 5
Explanation: 1. Some people are very threatened by the idea of change. This fear may make them respond negatively.
2. The change may go forward with or without this staff nurse's approval.
3. Generally, this is not the case if the nurse manager is genuinely trying to establish rapport with the staff nurse and explain why the change in necessary.
4. The change can go forward without terminating the nurse. If the nurse is indeed fearful of change, the nurse will probably not resign, as that is also a change.
5. Resisters to change are often fearful of losing something they value. Scheduling changes are a particular issue when nurses have established their personal schedules based upon a routine work schedule.