Lecture 3

Question 1

Communication

Answer 1

exchange of thoughts, ideas, or information

dynamic process that is a primary instrument through which change occurs in nursing situations

can be good or bad
all communication influences behavior

Question 2

Intrapersonal

Answer 2

occurs within a person

inner thoughts, feelings, self concept

Question 3

interpersonal

Answer 3

one to one interaction

usually occurs face to face

Question 4

transpersonal

Answer 4

occurs within a person spiritual domain

prayer, meditation

Question 5

small group

Answer 5

interaction between two or more persons meeting together

Question 6

public

Answer 6

interaction with an audience

Question 7

Why do we need to communicate?

Answer 7

patient advocacy, patient safety, optimal patient care, meet clinical standards of care, build and maintain relationships

Number one reason for medical error is miscommunication

Question 8

Verbal

form of communication

Answer 8

vocabulary, denotative and connotative meaning, pacing, intonation, clarity and brevity, timing and revelance

Question 9

Nonverbal

form of communication

Answer 9

personal appearance, posture and gait, facial expression, eye contact, gestures, sounds, personal space

Question 10

symbolic

form of communication

Answer 10

art and music
childs play
drawings
dance
verbal and nonverbal symbolism used by others to convey meaning

Question 11

Metacommunication

form of communication

Answer 11

awareness about all the factors influencing communication

arms crossed
how you communicate

Question 12

The Nurse asks the client where the pain is and the client responds by pointing to the pain. What kind of communication is this?

Answer 12

Nonverbal

specifically gestures

Question 13

Intimate Zone (0-18 inches)

Answer 13

holding an infant
performing a physical assessment
bathing, grooming, dressing, feeding, and toileting a client

Question 14

Personal Zone (18in-4 feet)

Answer 14

sitting at a client’s bedside
taking medical history
teaching an individual client
shift report

Question 15

Social Zone (4-12 feet)

Answer 15

making rounds with health care provider
teaching a class for clients with diabetes
conducting a support group

Question 16

Public Zone (12 feet or greater)

Answer 16

speaking at a community forum
testifying at a hearing
lecturing to a class of students

Question 17

A nurse wants to present information about Flu immunizations to the older adults in the community. Which type of communication should the nurse use?

Answer 17

Public

Question 18

Social Zone

zone of touch

Answer 18

permission is not needed

hands, arms, shoulders, back

Question 19

Consent Zone

Answer 19

permission needed

mouth, wrists, feet

Question 20

Vulnerable Zone

Answer 20

special care needed

face, neck, front of body

Question 21

Intimate Zone

Answer 21

great sensitivity needed
genitalia. rectum

bathing patient

Question 22

Therapeutic communication

Answer 22

Occurs within a healing relationship between a nurse and a patient

empowers others to know themselves and make their own choices

anything can have the potential to hurt or heal

initiated by nurse

Question 23

Therapeutic Communication

Answer 23

use of silence, active listening, ask open questions, offering self, reflection

restatement, empathy, giving information, focusing/exploring, seeking clarification

Question 24

Non Therapeutic Communication

Answer 24

Advising, devaluing, disapproval/judgment, focus on nurse instead of client, giving reassurance, probing

defending, accusatory, stereotype, interrupting, introducing another topic

Question 25

Elements of professional communication

Answer 25

Courtesy, use of names, privacy and confidentiality, trustworthiness, autonomy and responsibility, assertiveness

Question 26

A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

Answer 26

This must be hard news to hear.

Question 27

lateral violence

Answer 27

workplace bullying

Question 28

What to do when lateral violence happens?

Answer 28

``` request a mentor address the behavior calmly describe how the behavior affects you ask for the abuse to stop notify manager make a plan for taking action in the future document incidences do not instigate or allow others to bully ```

Question 29

Clients who cannot speak clearly

Answer 29

``` listen attentively, do not interrupt ask simple yes or no questions use visual cues let client know if you have not understood them collaborate with speech therapist ```

Question 30

Clients who are cognitively impaired

Answer 30

use simple sentences and avoid long explanations be attentive and allow time for client to respond include family and friends in conversations

Question 31

Clients who are hearing impaired

Answer 31

``` check for hearing aids reduce environmental noise get clients attention before speaking face client with mouth visible do not chew gum speak at a normal volume provide a sign language interpreter if indicated ```

Question 32

Clients who are visually impaired

Answer 32

check for glasses identify yourself when entering the room and notify when leaving speak in a normal tone voice do not rely on gestures or nonverbal communication

Question 33

Clients who are unresponsive

Answer 33

call client by name during interaction communicate both verbally and by touch speak to client as though he or she can hear explain all procedures and sensations avoid talking about client to others in his or her presence

Question 34

Clients who do not speak english

Answer 34

Speak to client in normal tone of voice establish method of patient to ask for assistance provide a professional interpreter avoid using family members as interpreters translate words from native language into english list for client to make basic request

Question 35

The staff is having a hard time getting an older-adult client to communicate. Which technique should the nurse suggest the staff to use?

Answer 35

Allow time to respond

Question 36

Self concept components

Answer 36

identity, body image, role performance

Question 37

identity

Answer 37

involves the internal sense of individuality, wholeness, and consistency of self

Question 38

Body image

Answer 38

involves the attitudes related to physical appearance, structure, or function

Question 39

Role performance

Answer 39

how individuals carry out their significant roles

Question 40

Self concept

Answer 40

perception you have of yourself self esteem is closely related A positive self concept gives a sense of meaning, wholeness, and consistency to a person.

Question 41

Which individual is most likely to need the nurse's assistance in coping with identity confusion?

Answer 41

A 35 year old recently divorced mother of twins

Question 42

How can we affect clients self concept?

Answer 42

nurses need to remain aware of their own feelings, ideas, values, expectations, and judgments use a positive and matter of fact approach build a trusting relationship be aware of facial and body expressions

Question 43

Cultural considerations

Answer 43

develop open, nonjudgmental attitude ask clients what they think is important encourage cultural identity by individualizing self care practices

Question 44

assessment of altered self concept

Answer 44

``` avoidance of eye contact self harm passive lack of interest slumped posture unkempt appearance ```

Question 45

The nurse is caring for an older adult client. Which technique will the nurse use to enhance an older adult clients self concept?

Answer 45

Reviewing old photos with cleints

Question 46

Sexual Health

Answer 46

state of physical, emotional, mental and social well being in relation to sexuality; it is not merely the absence of disease. contributes to self worth and to positive interpersonal relationships

Question 47

sexual development

Answer 47

changes with stages of development

Question 48

Sexual Orientation

Answer 48

Describes the predominant pattern of a person's sexual attraction over time heterosexual, homosexual, lesbian, gay, bisexual, transgender

Question 49

Stages of Sexual Development

Answer 49

infancy and early childhood gender identity school aged years questions puberty emotional and physical changes young adulthood emotional maturation middle adulthood concerns reattractiveness older adulthood sexual response changes, but aging does not lead to diminished sexuality

Question 50

Nonprescription Contraceptive Methods

Answer 50

abstinence, barrier methods, spermicide, rhythm

Question 51

Healthcare provider methods

Answer 51

hormonal contraception, IUD, diaphragm, cervical cap, tubes tied/vasectomy

Question 52

STI's

Answer 52

Sexually transmitted disease 19 million diagnosed every year half are 15-24 years old transmitted from infected individuals to partners during intimate sexual contact curable: syphilis, gonorrhea, chlamydia Viral STI's: HPV, HSV herpes, HIV

Question 53

Sociocultural dimension of sexuality

Answer 53

impact of pregnancy and menstruation on sexuality nurses who have trouble discussing sexual issues need to explore their discomfort and develop a plan to address it

Question 54

Alteration in sexual health

Answer 54

infertility, sexual abuse(nurses must report suspected abuse to proper authorities), personal and emotional conflicts, sexual dysfunction