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Communication > Communication > Flashcards

Communication Flashcards

0
Q

Communication is:

A

In change of info., elicit response, connecting people, expected outcomes, transmitting knowledge

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1
Q

Define communication

A

Continuous circular process in which information is transmitted between people and their environment

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2
Q

Nursing communication is a dynamic process used to:

A

Gather assessment data, teach, persuade, express care, and comfort

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3
Q

Levels of communication

A

Intrapersonal
Interpersonal
Public

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4
Q

Intrapersonal

A

“Self-talk” occurs w/in the individual, automatic, constant w/out being aware ( aids us to sort and organize our thoughts)

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5
Q

Interpersonal

A

Face to face interaction w/ two people or small group, skills are learned, goal directed in nursing

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6
Q

Public

A

Used w/ large groups, techniques, and skills differ from interpersonal skills

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7
Q

Elements of communication process

A

Sender, message, receiver, feedback channel

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8
Q

Sender

A

Encoder, person who initiates the message

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9
Q

Message

A

Said or written content the sender wishes another person to receive in the process of communication

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10
Q

Receiver

A

Person to whom a msg is aimed, receiver must receive, analyze, and interpret the msg

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11
Q

Feedback

A

(Response) process by which effective communication is determined, can be verbal or non-verbal

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12
Q

Types of feedback

A

Informational
Corrective
Reinforcing

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13
Q

Modes of communication

A

Verbal

Nonverbal* occurs the most

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14
Q

Congruence

A

When verbal and non-verbal match

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15
Q

Types of communication

A

Verbal-right words, in right tone
Written- concise, understandable
Non-verbal- expression, posture

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16
Q

Verbal communication

A

Spoken or written, words to convey msgs

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17
Q

Components for verbal communication

A

Vocabulary, clarity and brevity, pacing and intonation, timing and relevance, adaptability, credibility, an humor

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18
Q

Non-verbal communication

A

Behaviors that convey messages without words, “ body language”
80% of communication is non-verbal

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19
Q

Components of non-verbal communication

A 
Body language
Facial expressions
Eye contact
Body posture
Gestures
Personal distance
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20
Q

Levels of personal space

A

Intimate (0-1.5ft)
Personal (1.5-4ft)
Social (4-12ft)
Public (>12ft)

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21
Q

Factors that influence communication

A

Development, language, gender, values, personal space, territoriality, rules and relationship, environment, congruence, incongruence, interpersonal attitudes, emotions, sociocultural, knowledge, transference, and counter transference.

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22
Q

Transference

A

Patient transfers feelings and attitudes held toward significant others onto the nurse

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23
Q

Counter transference

A

Nurse transfers feelings and attitudes for significant others onto the patient

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24
Q

Therapeutic communication

A

Promotes understanding between both sender and receiver

*planned, deliberate, and purposeful

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25
Q

Non- therapeutic communication

A

Impairs flow of communication

* number one communication problem is not listening

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26
Q

Blocks in communication

A

Cliches’, stereotyping, giving “bad” advice, judgmental comments, changing the subject, rejecting, and probing

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27
Q

Nurse-patient relationship is:

A

Therapeutic, facilitates positive change, specific time frame, purposeful, planned, and goal directed.

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28
Q

Characteristics of a helping relationship

A

Trust, maintains confidentiality, betrayal ( intentional and unintentional), and communication

29
Q

Pre-interaction phase

A

Nurse gathers information about the patient before face to face meeting

30
Q

Introductory (orientation) phase

A

Three parts: opening the relationship, clarifying the problem, and formulating the contract
* explain purpose of interview, phase that develops trust

31
Q

Working (coaching) phase

A

longest phase examine and explore data, implement/complete nursing interventions, two major stages: understanding thoughts/feelings and intensity of interaction increases

32
Q

Termination phase

A

Purpose evaluate and terminate relationship

33
Q

End of shift report includes:

A

Room#, patient name, age, sex, physicians name, diagnosis, patient condition, lab tests, procedures, surgeries, new orders, diet, medications, responses to all of the above, teaching, family, and nursing diagnosis

34
Q

Effective documentation reflects:

A

Quality of care and healthcare teams accountability of care

35
Q

How to correct error in a medical document:

A

SLIDE. Single line initial date error

36
Q

Four common problems with documentation:

A

Incorrect time, failing to chart in correct verbal order or having them signed, charting in advance, and incorrect data charted

37
Q

All nursing documentation should contain:

A

Assessment, intervention, client response/changes, accurate account of events, objective descriptions, and in timely manor

38
Q

Types of documentation formats:

A

Source oriented, POR- problem oriented clinical record, SOAP notes, PIE notes, focus charting, charting by exception, and computerized charting

39
Q

Source oriented record

A

Chart organized into separate specific sections
Adv. easy to locate
Dis. Info fragmented

40
Q

POR- problem oriented record

A

Organized to focus on the patient problem
Adv. emphasis on client
Dis. Constant need to update

41
Q

SOAP notes-progress notes

A

Subjective, objective, assessment, and plan

42
Q

PIE notes

A

Problem, intervention, and evaluation

43
Q

Focus charting

A

Patient concerns focus on care

44
Q

Charting by exception

A

Only abnormal or exceptions recorded* in complete charting

45
Q

Computerized charting

A

Improve integration and accessibility of information to HCT

46
Q

Phases of nurse-patient relationship:

A

Pre interaction, orientation/introduction, working, and termination

47
Q

Nurse patient helping relationship

A

Goal directed, ongoing, interactive
Respectful and based on trust
70% of nurses day is communication

48
Q

Communication barriers

A

Language, culture, sensory, cognitive

49
Q

Patient communication

A

Look for cues, themes in verbal and non-verbal, assure confidentiality

50
Q

Charting

A

Accurate, concise, thorough, objective

51
Q

Patient records

A

Legal documents, sign name and title to each page, accurate and timely, never use white out, use military time

52
Q

Admission process

A

Admission, discharge, transfer

53
Q

Admission

A

Administrative, time patient enters door until settled in

54
Q

Discharge

A

Must have md order, helping patients to leave healthcare institution

55
Q

Transfer

A

From one room, unit, facility to another

56
Q

Challenge to nursing

A

Meets needs of the patient and family, comprehensively and holistically, admission increases stress

57
Q

Nurses are primary resource in…

A

Adm process, spend the most time with patient, continuity of care, coordinate care, quality of care

58
Q

Continuity of care

A

Important issue for reimbursement DRGs

59
Q

Patient bill of rights

A

AHA observance contributes to more effective patient care, includes responsibilities of the patient,

60
Q

Advance directives

A

Written instructions concerning medical treatment

61
Q

Living will

A

Specifies end of life decisions when patient no longer able, varies state to state

62
Q

Health care power of attorney

A

An agent to make medical decisions if patient is unable to

63
Q

Patient ID

A

ID #, wrist band applied with correct name, dob, id#, ask patient to verify name and dob

64
Q

Informed concent

A

General consent signed prior to admission for tx, procedure, therapies. Implies patient has been informed and understands. RN sig. Only to witness

65
Q

Three groups cannot consent

A

Minors, unconscious persons, incompetent persons

66
Q

Minors consent

A

Some states may give consent for blood, rehab, mental commidal, reproduction concerns, married, pregnant, parents of child, military, emancipated

67
Q

Admission to nursing unit

A

Room prep, admission, objectives, responsibilities, documentation

68
Q

Discharge process

A

Multidisciplinary, indications, planning, referrals, education, patient needs, must have md order

69
Q

Types of discharges

A

From hospital, death, AMA

Communication (1 decks)

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