Which situation indicates the highest level in the communication process?
1. The night shift nurse receives report about patients from a taped recording after the day nurse left for the day.
2. Two nurses discuss patient care in the hallway while walking towards the
cafeteria.
3. The day nurse and the night nurse finish discussing patient care just after a care provider starts asking them questions.
4. The night nurse and the day nurse go to a quiet room to discuss their mutual
patients.
Answer: 4
Rationale: The fourth and highest level of communication is competent and unconscious discussion, which is represented by the two nurses discussing patient care in a quiet, undisturbed place. Two nurses discussing patient care while going to the cafeteria is most likely a level one communication, as neither see it as ineffective. The night shift nurse hearing the patient information via recording without the day nurse remaining for questions is an example of level one communication, as there is no regard for the listener's reaction. The day and night nurse talking with the care provider interruption is at best level two communication, as they both probably realize the interruption can cause a disturbance in the meaning on the messages.
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