CMC Communication & Stakeholder Relations 5

Question 1

A patient in the cardiac ICU is intubated and cannot communicate. Their healthcare proxy is unavailable. Who should make urgent treatment decisions?

Accepted Answer

The attending physician acting in the patient's best interest until the proxy is reached

Answer

When a proxy is unavailable for urgent decisions, the physician acts in the patient's best interest using substituted judgment and documents the reasoning.

Question 2

A patient asks to see their cardiac catheterization report. Under HIPAA, the appropriate response is to:

Accepted Answer

Provide access to the record within the required timeframe and offer to review findings with the patient

Answer

HIPAA grants patients the right to access their medical records, and clinicians should facilitate this while offering to explain findings.

Question 3

A cardiac rehabilitation nurse notices a patient is consistently disengaged during group sessions. The best communication approach is to:

Accepted Answer

Have a private conversation to explore barriers and tailor the rehabilitation approach

Answer

Exploring individual barriers through private conversation supports patient-centered care and improves rehabilitation engagement.

Question 4

A patient's family from a different cultural background declines autopsy for religious reasons. The clinical team should:

Accepted Answer

Respect the family's wishes and document that an autopsy was offered and declined

Answer

Culturally competent care requires respecting religious and cultural beliefs around autopsy when there is no legal mandate.

Question 5

Which behavior best demonstrates closed-loop communication during a medication administration in the cardiac ICU?

Accepted Answer

The nurse reads back the order and the prescriber confirms accuracy before administration

Answer

Closed-loop communication requires the receiver to read back the message and the sender to confirm accuracy, reducing verbal order errors.

CMC - Cardiac Medicine Certification Practice Test

CMC - Cardiac Medicine Certification Practice Test

CMC Communication & Stakeholder Relations 5