Exam 1 Study Guide - Chapter 10

Question 1

what is the communication process?

Answer 1

1. message
2. sender
3. receiver
4. encoding
5. channel
6. decoding
7. feedback loop

Question 2

T/F The sender decodes information sent in a message.

Answer 2

false

Question 3

What is therapeutic communication, and what are examples?

Answer 3

• “occurs when the nurse demonstrates empath, uses effective communication skills, and responds to the client’s thoughts, needs and concerns” (Mohr, 2013)

examples:
- paraphrasing
- testing discrepancies
- reflecting feeligns
- voicing doubt
- focusing

Question 4

What are examples of non-therapeutic communication techniques?

Answer 4

• social responding
• closed ended questions
• belittling
• interpreting
• advising
• challenging
• defending

Question 5

What are some common barriers to effective communication?

Answer 5

• selective perception
• filtering information
• language barriers
• emotional influence
• language of nursing

Question 6

What are some benefits to EHRs?

Answer 6

• Digitalized computer charts. May include progress notes, physician orders, lab results, test results, nurses’ notes, intake and output, etc.
• The Health Information Technology for Economic and Clinical Health Act (HITECH) encouraged providers to use EHRs through financial incentives. Penalties for failure to adapt began in 2015.
• Used for “Meaningful Use Data” – technology could be used to exchange health information for quality improvement

Question 7

What are some barriers to EHRs?

Answer 7

• limited funding
• limited tech literacy
• everyone has access to it at any given time

Question 8

What are some benefits of Telehealth?

Answer 8

• reach rural areas
• less time taken off work
• easier than traveling to the doctor

Question 9

What are some barriers to Telehealth?

Answer 9

• spotty insurance reimbursement
• issues with ethics and legalities
• questions on if the care is as good as face-to-face
• no true connection to your healthcare provider

Question 10

Issues with computers:

Answer 10

A digital divide exists between those who have easy access to computers, broadband Internet, and smartphones/tablets and those who do not.

Technology applications are used for computers, tablets, and smartphones, and more health-related apps are available every year. C/PHNs must be aware of reliable applications to assist in health promotion.

Question 11

informatics:

Answer 11

incorporates processes, procedures, theories, and concepts from information and computer science, health sciences, and social sciences. Nurses use the tools of information technology to support delivery of care and improve the health status of all. Health data, information, wisdom, and knowledge can be collected, stored, processed, and communicated. Nurses and other health professionals, administrators, policy and decision makers, consumers, and clients or patients can use information technology, hardware, and software (Veazie et al., 2018).

Question 12

What is mobile health?

Answer 12

• The use of wireless technologies: smartphones, tablets, and notebooks to improve healthcare.
• May include text messages (Table 10-3 pg. 376), tracking, mobile monitoring
• Multimedia – games and quizzes to motivate change
• Chronic Disease management

Question 13

Telehealth etiquette

Answer 13

• Prepare by reviewing the patient’s chart in advance. Doing this will minimize the need to have to look up information during the encounter, which can break the perceived connection.
• Minimize background noise

Question 14

Who utilizes healthcare technology?
A Physicians
B Nurses
C Patients
D All of the above

Answer 14

D