Nurse X has a newly admitted 67-year-old male patient (Mr.Z)who has a diagnosis to rule out MI.She telephones Mr.Z's physician and tells him,"Mr.Z has a pulse of 160." Which step of Crew Resource Management did she use?

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Todd Bishop,a crew resource management expert,designed a five-step process for building assertive statements that includes advocacy and inquiry steps.These five steps are: 1)opening or attention getter,2)state your concern,3)state the problem as you see it,4)state a solution,and 5)obtain agreement (or buy-in).When Nurse X tells Mr.Z's physician that "Mr.Z has a pulse of 160," she has implemented the second step (state your concern).

Nurse X Has a Newly Admitted 67-Year-Old Male Patient (Mr