CHSE practice question · Domain I · Professional Values, Capabilities, and Leadership

In an interprofessional scenario, a junior nurse notices a dosing error by a senior physician but says nothing. In the debrief, what is the best approach?

  1. Tell the nurse to speak up next time and move on
  2. Focus on the physician's error only
  3. Explore barriers to speaking up and introduce a structured tool such as CUS words
  4. Skip the topic to avoid embarrassment

Choose the one best answer, then open the explanation.

Show answer and explanation

Best answer: C. Explore barriers to speaking up and introduce a structured tool such as CUS words

Hierarchy suppresses speaking up. Curious exploration of the frame behind silence plus a structured tool builds skill. CUS stands for I am Concerned, I am Uncomfortable, this is a Safety issue.

Reference: AHRQ TeamSTEPPS; SSH CHSE Blueprint I.B

Practice the full CHSE bank, free

This is one of the original questions in the SimCert CHSE bank, written to the 2024 SSH blueprint. It is not an actual exam question.

Create a free accountRead the CHSE exam guide

More CHSE practice questions

  1. An instructor coaches learners during practice with no grade attached. Which type of feedback is this?Domain II: Healthcare and Simulation Knowledge and Practices
  2. During the debrief of a deteriorating patient scenario, nursing students first describe how they felt when the blood pressure dropped. Th...Domain III: Educational Principles Applied to Simulation
  3. Learners in the debrief room hear the next scenario through the wall. What should you recommend?Domain IV: Simulation Resources and Environments