SimPRENA

1 . What is a primary benefit of using a calm tone during de-escalation?

It minimizes the need for non-verbal cues

It helps to lower the patient’s arousal level

It demonstrates the nurse’s authority

It distracts the patient from their pain

2 . Which statement best demonstrates effective empathetic communication?

“You need to calm down right now.”

“It sounds like you are really uncomfortable and in pain; I understand how hard this must be.”

“There’s nothing we can do until you settle down.”

“You’re overreacting; everyone here is busy.”

3 . What is the appropriate distance a nurse should maintain when engaging with an agitated patient?

0.5–1 meter

1.5–2 meters

3–4 meters

Directly next to the patient

4 . In a team-based approach to de-escalation, what is the key responsibility of the junior nurse?

To lead the verbal de-escalation by speaking directly to the patient

To monitor the environment and provide non-verbal support

To physically restrain the patient immediately

To act as the primary decision-maker for treatment

5 . How does senior mentorship benefit junior staff in managing agitated patients?

It reduces the need for the junior nurse to be present during interactions

It provides a model of effective communication and de-escalation techniques

It shifts all responsibility for patient care to the senior nurse

It ensures that the junior nurse can avoid direct contact with agitated patients

6 . Which strategy best helps to manage the stress of a busy environment during de-escalation?

Ignoring the surrounding noise to focus solely on the patient

Using clear, deliberate communication to guide both the patient and team

Engaging other patients in the conversation to create distractions

Relying solely on non-verbal cues to communicate with the patient

7 . What is the benefit of offering choices to an agitated patient during communication?

It speeds up the assessment process

It increases the patient’s sense of control and cooperation

It allows the nurse to avoid confrontation

It encourages the patient to take responsibility for other patients

8 . Which of the following is considered a non-verbal de-escalation technique?

Giving multiple instructions rapidly

Pointing toward the exit

Maintaining a relaxed and open posture

Turning your back on the patient to reduce confrontation

9 . What does "closed-loop communication" within a healthcare team ensure during crisis management?

That instructions are repeated exactly as spoken

That everyone in the team is aware of their duties and confirms actions

That only senior staff make decisions

That communication is kept confidential from the patient

10 . Why is reflective listening important in de-escalating a patient?

It helps the nurse avoid making clinical errors

It allows the patient to express dissatisfaction freely

It builds rapport by showing the patient they are truly heard

It gives the nurse time to plan their next task