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Chapter 34. Management of a Patient with a Respiratory Arrest in the Intermediate Care Unit

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Regarding patient outcome, communication during acute medical crises

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A. is certainly important but not as important as factual recall or manual skill

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B. is very important outside on the wards, but far less important in the operating theater

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C. appears to be the most important nontechnical skill and likely the greatest determinant of teamwork and crisis management

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D. cannot be taught, so we need to hire innate communicators

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E. all of the above

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(C) In crisis management, communication is the most important nontechnical skill and the greatest determinant of teamwork.

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The following is true about basic medical communication:

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A. Verbal communication is more important than paraverbal or nonverbal communication.

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B. Incongruent communication occurs when verbal, paraverbal, and nonverbal communication appear to be out-of-sync.

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C. Communication can be understood using a three-voices and three-ears model: words; interpretation; and meaning.

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D. Shannon and Weaver, two physicians, developed a communication model initially intended for doctors, but now relevant to all health care workers.

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E. “Silence is golden”: if you do not know what to say then just be quiet.

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(B) In crisis management, incongruent communication occurs when verbal, paraverbal, and nonverbal communication appear to be out-of-sync.

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Which of the following is true?

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A. Assertiveness can be taught using models that initially came from aviation and include three, four, five, or six steps.

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B. The three Cs of communication stand for: Cite the priorities; Calm the team; Close the loop.

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C. Mitigating language is helpful in a crisis so that people do not feel intimidated.

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D. The “call out” and “repeat-back methods” should be avoided in a medical crisis because they create too much noise.

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E. Aviation's Sterile Cockpit Rule means everybody has to be quiet in case the captain needs to speak.

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(A) Assertiveness during crisis management can be taught using models developed from aviation and include three, four, five, or six steps.

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