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

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

Regarding patient outcome, communication during acute medical crises

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

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

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

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

E. all of the above

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

The following is true about basic medical communication:

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

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

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

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

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

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

Which of the following is true?

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

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

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

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

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

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