PEARS Resuscitation Team Dynamics 3 — Questions and Answers
Question 1: A team leader delegates chest compressions to a new team member who appears fatigued after 2 minutes. What action best reflects good team dynamics?
- Wait until the member requests a break
- Rotate the compressor to maintain effective compression quality (Correct answer)
- Ask the recorder to take over without stopping compressions
- Continue with the same compressor to maintain consistency
Correct answer: Rotate the compressor to maintain effective compression quality
Compressor fatigue degrades CPR quality; rotating every 2 minutes maintains effective compressions.
Question 2: Which statement best describes the role of 'mutual performance monitoring' in a resuscitation team?
- The team leader grades each member after the event
- Team members watch each other's performance and provide real-time corrections (Correct answer)
- A supervisor observes the team without participating
- The recorder tracks how long each task takes
Correct answer: Team members watch each other's performance and provide real-time corrections
Mutual performance monitoring means team members actively watch for errors and support each other in real time.
Question 3: The team leader in a pediatric resuscitation is also performing chest compressions. What problem does this create?
- It sets a good example for the team
- The leader cannot effectively direct the team while performing a task (Correct answer)
- It speeds up the resuscitation
- It violates hospital protocol
Correct answer: The leader cannot effectively direct the team while performing a task
Team leaders must remain free from hands-on tasks to direct the team, assess the patient, and make decisions.
Question 4: A pediatric patient is in PEA arrest. The team leader asks, 'Does anyone have any ideas on reversible causes?' This is an example of which leadership behavior?
- Distributing workload
- Encouraging knowledge sharing and team input (Correct answer)
- Assigning blame for missed diagnoses
- Delegating the diagnostic role
Correct answer: Encouraging knowledge sharing and team input
Inviting team input promotes collective intelligence and increases the chance of identifying reversible H's and T's.
Question 5: A team member completes a task the team leader assigned and says, 'Epinephrine given — time 14:32.' This communication style is an example of:
- Active listening
- Closed-loop communication (Correct answer)
- Read-back error checking
- Parallel tasking
Correct answer: Closed-loop communication
Reporting task completion with specifics closes the communication loop, confirming the action was performed correctly.
Question 6: During debriefing after a pediatric resuscitation, which topic should be addressed first?
- The patient outcome and family notification
- Team members' emotional responses and wellbeing (Correct answer)
- Documentation accuracy and billing codes
- Equipment that needs restocking
Correct answer: Team members' emotional responses and wellbeing
Addressing the emotional impact first creates a supportive environment before moving to clinical and systems review.
Question 7: What is the main advantage of a 'huddle' before a high-risk pediatric procedure?
- It allows time to restock supplies
- It aligns the team on roles, goals, and anticipated challenges (Correct answer)
- It gives the team leader time to review the chart
- It satisfies a regulatory requirement
Correct answer: It aligns the team on roles, goals, and anticipated challenges
A pre-event huddle ensures shared mental models so the team can respond in a coordinated way when the situation escalates.
PEARS Resuscitation Team Dynamics 3
A team leader delegates chest compressions to a new team member who appears fatigued after 2 minutes.
What action best reflects good team dynamics?