Ch. 8

Question 1

What does ADOPIE stand for?

Answer 1

Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation

Question 2

What do the Nurse Practice Acts cover?

Answer 2

-Regulates the practice of nursing
-creates a state board of nursing to make and enforce rules and regulations
-includes education and licensure

Question 3

What is the ANA and what does it cover?

Answer 3

-American Nurses Association Standards of Nursing Practice
-Protects and allows nurses to carry out professional roles

Question 4

What is the NLN and what does it cover?

Answer 4

The National League of Nursing fosters the development and improvement of nursing services.

Question 5

The Nursing Process includes what?

Answer 5

-Guideline for nursing practice.
Enables nurses to implement roles
Allows nurses to use critical thinking and clinical reasoning
Defines areas of care within the domain of nursing

Question 6

What are the 5 parts of the communication process?

Answer 6

-stimulus or referent
-sender or source of message (encoder)
-message itself
-medium or channel of communication
-receiver (decoder)

Question 7

What are the 4 levels of communication?

Answer 7

-intrapersonal
-interpersonal
-group (small group or organizational)

Question 8

What are the characteristics of effective and ineffective groups?

Answer 8

-group identity
-cohesiveness
-patterns of interaction
-decision making
-responsibility
-leadership
-power

Question 9

What are the factors influencing communication?

Answer 9

-developmental level
-gender
-sociocultural differences
-roles & responsibilities
-space & territoriality
-physical, mental, and emotional state
-values
-environment

Question 10

What are examples of nonverbal communication?

Answer 10

-facial expressions, touch, eye contact
-posture, gait, gestures
-general physical appearance
-mode of dress and grooming
-sounds, silence
-electronic communication

Question 11

What organizations have social media guidelines for RNs?

Answer 11

ANA & NCBSN (National Counsel of State Boards of Nursing)

Question 12

What are the characteristics of the helping relationship?

Answer 12

-does not occur spontaneously
-unequal sharing of info
-built on pt needs
-communication=means to establishing rapport + helping-trust relationships.
-dynamic
-purposeful & time limited
-helper is professionally accountable for outcomes & means to attain them

Question 13

What are the phases of a helping relationship?

Answer 13

-orientation phase
-working phase
-termination phase

Question 14

What are the orientation goals?

Answer 14

-pt will call nurse by name
-pt will accurately describe roles of participants in relationship
-the pt+nurse will establish an agreement about:
goals of relationship
location, frequency, and length of contacts
duration of relationship

Question 15

What are the goals of the working phase?

Answer 15

-pt will actively participate in the relationship
-pt will cooperate in activities that work toward achieving mutual goals
-pt will express feelings and concerns

Question 16

What are the goals of the termination phase?

Answer 16

-pt will participate in identifying goals accomplished or progress made
-pt will verbalize feelings about termination of relationship

Question 17

What are the factors that promote effective communication?

Answer 17

-dispositional traits
-rapport builders

Question 18

What are dispositional traits?

Answer 18

-warmth & friendliness
-openness and respect
-empathy
-honesty, authenticity, trust
-caring
-competence

Question 19

What are rapport builders?

Answer 19

-specific objectives
-comfortable environment
-privacy
-confidentiality
-patient vs task focus
-utilization of nursing observations
-optimal pacing

Question 20

What are good conversation skills?

Answer 20

-control tone of voice
-be knowledgeable about conversation topic
-be flexible
-be clear and concise
-avoid words that might have different interpretations
-be truthful
-keep open mind
-take advantage of available opportunities

Question 21

What are good listening skills?

Answer 21

-sit with pt
-be alert and relaxed and take your time
-keep conversation as natural as possible
-maintain eye contact as appropriate
-use appropriate facial expressions and body gestures
-think before replying to pt
-do not pretend to listen
-listen for themes in patient’s comments
-use silence, therapuetic touch, and humor appropriately

Question 22

What are the interviewing techniques?

Answer 22

-open-ended questions or comments
-closed questions or comments
-validating questions or comments
-clarifying questions or comments
-reflective questions or comments
-sequencing questions or comments
-directing questions or comments

Question 23

What are the characteristics of the assertive nurse’s self-presentation?

Answer 23

-confident, open body posture
-use of clear, concise, “i” statements
-ability to share effectively one’s thoughts, feelings, and emotions
-working to capacity with or w/o supervision
-asking for help when necessary
-giving and accepting compliments
-admitting mistakes and taking responsibility for them

Question 24

What is the CJMM model?

Answer 24

Recognize cues (vital signs, demeanor, labs)
analyze cues
prioritize hypothesis (what needs to be done first)
generate solution
take action
evaluate (was it effective)

RAPGTE

Question 25

What does SBAR stand for?

Answer 25

situation
background
assessment
recommendations