NURS 255 Exam 10 Flashcards
(52 cards)
1
Q
What are the 5 steps of communication?
A
- sender
- Encoding
- Messaging
- Decoding
- Feedback
2
Q
What are the characteristics of verbal communication?
A
- Vocabulary (Word choice)
- Denotative and connotative meaning (Word meaning)
- Pacing (how fast you speak)
- Intonation (Tone of voice)
- Clarity and brevity (being clear and concise)
- Relevance (to conversation)
- Timing (Choosing the right time to speak)
- Credibility (Believability)
- Humour (making light of situations)
2
Q
What is important to remember about uncomfortable situations?
A
It is better to admit the discomfort than risk the loss of credibility
3
Q
What does nonverbal communication include?
A
- Facial expression
- Posture and gait
- Personal appearance (Clothes you wear)
- Gestures
- Touch (Always ask before)
4
Q
What 7 factors affect communication?
A
- Environment
- Lifespan variations
- Gender
- Personal space
- Territoriality (things that an individual identifies as their own)
- Sociocultural factors
- Roles and relationships
5
Q
What are the different distances of communication?
A
- Intimate distance (less than 18 inches)
- Personal distance (18 inches to 4 feet)
- Social distance (4-12 feet)
- Public distance (12 feet)
6
Q
What factors make up professional communication (Communication styles)
A
- Passive
- Agressive
- Passive agressive (manipulation)
- Assertive (Telling it how it is)
7
Q
What makes for good assertive communication?
A
- Maintain professional composure
- Use I statements
- Focus on the issue not the participant
- Use effective nonverbal language
- Invite positive responses
- Learn to accept criticism without becoming defensive
- Strive for a workable compromise
- Assertiveness is a learned skill (practise)
8
Q
How should someone communicate safely?
A
- Question openly and honestly
- Use CUS language (concerned, uncomfortable, safety)
- Practice closed loop communication (confirm information is heard)
- Use checklists
- Add debriefs at the end of shift
9
Q
What factors make up professional communication (Using standardized communication tools)
A
- Use the SBARQ
- Use the patient rounds approach (gathering at a patient place of care to discuss the plan for the patient)
10
Q
What are the 4 phases of communication?
A
- Pre-interaction phase (gathering information)
- Orientation phase (First contact)
- Working phase
- Termination phase
11
Q
What are the 5 key characteristics of therapeutic relationships?
A
- Empathy
- Respect
- Genuineness
- Concreteness
- Confrontation
12
Q
What type of accidents are infants and toddlers most prone to?
A
- Drowning (LEADING CAUSE), MVA (SECOND CAUSE)
- Falls, choking, SIDS, ingesting poison
13
Q
What are the three leading causes of death over all age groups?
A
- Poisoning
- Falls
- Motor vehicle accidents
- Accidental hanging
- Drowning
14
Q
What type of accidents are preschoolers most prone to?
A
- MVA, Drowning, Fires, Poisoning.
15
Q
What type of accidents are school aged children most prone to?
A
- MVA, Falls
16
Q
What type of accidents are adolescents most prone to?
A
- MVA, Suicide, Sports and recreational injuries
17
Q
What type of accidents are adults most prone to?
A
- Unintentional poisoning, self harm.
18
Q
What type of injury are older adults most prone to?
A
- Falls
19
Q
What are 8 common hazards in the home?
A
- Poisoning
- Carbon monoxide poisoning
- Scalds and burns
- Fires
- Falls
- Firearm injuries
- Suffocation/asphyxiation
- Take-home toxins
20
Q
What should be done if a patient is suspected to have ingested poison?
A
- Give charcoal orally or through a tube but remember it is not effective against ethanol, alkali, iron, boric acid, lithium, methanol or cyanide.
21
Q
What is the choking maneuver?
A
- The Heimlich maneuver and it is okay to use when you have identified that a person is actually choking
22
Q
How many deaths each year occur in hospitals that are avoidable?
A
- 200,000
23
Q
What are the 6 types of issues that we are at risk for in hospitals?
A
- Equipment related accidents
- Missing alarms
- Fires and electrical hazards
- Restraints
- Mercury exposure
- Biological hazards
24
What are 8 ways to reduce falls?
- exercise regularly
- Childproof the home
- Take time
- Lighten loads
- Proper footwear
- Use stairs cautiously
- Minimize bathroom hazards
- Clear the floor
25
Do restraints increase or decrease the chance of injury?
they increase the chances of injuries for patients and reduce the risk for us
26
What can be done to prevent restraint injuries?
- Document restraint use
- Educate caregivers on restraint use
- Monitor patients closely
27
What are the components of sensory experience?
- Stimulus
- Reception
- Perception
- Arousal mechanism
- Responding to sensations
28
What is sensory deprivation?
- When not enough sensory stimulation is given and as a result the nervous system becomes delayed or unresponsive to stimulus.
29
What is sensory overload?
- When too much is going on and the body becomes burnt out and unable to respond to stimuli
30
What are the risk factors that cause sensory deprivation?
- Bedbound or homebound
- Patients in critical care units
- Hospitalized patient isolation
31
What are the risk factors that cause sensory overload?
- Physical discomfort
- Medications
- Physical conditions
- Psychiatric disorders
- Alarms paging systems
- Sleep interruptions for vital signs
- Lack of privacy
32
How can altered sensory perception be assessed?
- Assess usual sensory function
- Assess risk factors
- assess mental status
- assess level of consciousness
- assess support network
- assess the environment
33
What interventions help to fix sensory deprivation?
- Visual stimulation
- Auditory stimulation
- Olfactory stimulation
- Tactile stimulation
- Communication
- Promote sleep and rest
- Promote social interaction
- Pet therapy
34
What interventions can be done to help sensory overload?
- Control visual stimuli
- Control auditory stimuli
- Manage olfactory stimli
- Promote sleep and rest
35
What interventions help those with visual deficits?
- Keep bed in low position
- Make sure glasses are clean
- Use soft diffuse lighting without glare
- Provide an uncluttered environment
- Place call devices or phones within reach
36
What interventions help with auditory deficits?
- Inspect ear canal for earwax impaction
- ensure hearing aid batteries are charged
- Use closed captioning on TV
- Provide written instructions for treatments
37
What interventions help with olfactory deficits?
- Aromatherapy
38
What interventions help with gustatory deficits?
- Check fit of dentures
- Perform oral hygiene frequently
- Assess for sores on the tongue
- Teach to eat foods at one time to enhance flavour
39
What interventions help with kinaesthetic deficits?
- rhythmic movements
- Aerobic exercise
- Strength training
- Flexibility activities
40
What interventions help with tactile deficits?
- Change position often
- Report signs of impaired circulation
- Inspect for wounds and abrasions
41
What is the RAS attached to?
- Spinal cord
- Cerebellum
- Thalamus
- Cerebral cortex
42
Which individuals should receive a sensory assessment?
- Older adults
- Homebound or bed bound patients
- Patients in intensive care units
- Those with acute or chronic brain injury, limited mobility or history of head trauma
43
What are the 5 goals of the joint commission?
1. Identify patients correctly
2. Improve staff communication
3. Use medicines safely
6. Use alarms safely
7. Prevent infection
15. Identify patient safety risks
44
What are the three characteristics of a never event?
1. clearly identifiable and measurable
2. Serious
3. Usually preventable
45
What 3 questions are RCA's designed to answer?
- What happened
- Why did it happen
- What can be done to prevent it in the future
46
What are the 4 key components of a culture of safety?
- Team empowerment
- Communication
- Transparency
- Accountability
47
What are the 4 C's of food safety?
Clean, Cook, Combat, Chill
48
Interpersonal communication (definition)
Communication between two or more people
49
Intrapersonal communication (Definition)
- Communication between yourself
50
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