Unit 3 Part One - Communication

Question 1

Communication

Answer 1

Continuous circular process by which info.is transmitted btwn ppl & their environment

Goal directed interchange of information

Ongoing, interactive, dynamic, irreversible, built on trust

Question 2

Types Of Communication

Answer 2

Intrapersonal *
Interpersonal *
Public

Question 2

Critical Components of Communication

Answer 2

Sender (encoder)
Message - verbal or nonverbal 
Sensory Channel (medium)
Receiver
Feedback ( positive or negative response)

Question 3

Intrapersonal Communication

Answer 3

• SELF-TALK
• automatic (w/o being aware)
• sorting & organizing of thoughts

Question 4

Sender

Answer 4

Initiates transaction to exchange information, convey thoughts

Question 5

Referent

Answer 5

Incentive/ motivation for communication to occur

Question 6

Types of Feedback

Answer 6

Informational-exchange ( … # of procedures)
Corrective
Reinforcing (positive or negative)

Question 7

Majority of communication is ….

Answer 7

Nonverbal

Question 8

Set of words that has meaning

Answer 8

Language

Question 9

Congruence

Answer 9

verbal & nonverbal fit together;

Question 10

Intimate space

Answer 10

• 0-1.5

- confidence & gentleness

Question 11

Nonverbal

Answer 11

-80% of communication; does not replace verbal

Question 12

Personal Space

Answer 12

1.5-4 ft
Conduct interviews
Allows accurate visualization & INTERPRETATION OF NONVERBALS

Question 13

Social Space

Answer 13

4-12 ft
Vocalizations can be overheard
Formal
Expedient communication with several people

Question 14

Public

Answer 14

• > 12 ft

- individuality lost

Question 15

Admission

Answer 15

Administrative process from time pt enters door until settled in

Increases stress

Question 16

Transfer

Answer 16

Transfer from one room, unit, or facility to another

Question 17

Discharge

Answer 17

Official procedure helping pt to leave healthcare institution
Requires physicians order
Planning Starts at admission

Question 18

JCAHO

Answer 18

assures public agencies accredited to provide quality of care

Question 19

Advanced directives

Answer 19

Written instructions concerning medical treatment… “And end of life care”

Question 20

Living-will

Answer 20

Specifies end of life decision when pt NO LONGER ABLE, varies w/ state

Question 21

Power of attorney

Answer 21

Agent to make medical decision if pt is not able

Question 22

Referral

Answer 22

Request for service outside scope of REFERRING profession

I.e. social worker, hospice, home health aide, housekeeper

Question 23

AMA

Answer 23

Against Medical Device
Documented in nurses notes
MD & Supervisor Called
Pt Right

Question 24

Language

Answer 24

Set of words that has meaning Tool of verbal communication Largely concise

Question 25

Transference

Answer 25

Pt transfers feelings and attitudes held towards significant other to the nurse

Question 26

Phases of the Nurse-patient relationship

Answer 26

Preinteraction Orientation/ introduction Working Termination

Question 27

Source Charting

Answer 27

Separate sections for each discipline Easy to locate, but information is fragmented -includes narrative

Question 28

Problem Oriented Charting

Answer 28

Emphasis on Client | *constantly needs to be updated

Question 29

PIE | charting

Answer 29

Problem Intervention Evaluation

Question 30

Computerized (Charting) Advantages

Answer 30

**Saves Time --> more time for the client Request & Results sent quickly Standard of care improved (legibility, sharing of knowledge) Able to keep statistics

Question 31

If you write it....

Answer 31

It can and will be used against you!

Question 32

If you don't write it, ....

Answer 32

It can and will be used against you

Question 33

If you document everything,....

Answer 33

You will NOT be able to do ANYTHING *nursing should be centered around pt care, not around documentation*

Question 34

Charting requirements

Answer 34

All should contain assessment, intervention, responses/ changes, accurate accounts of events, objective descriptions, recorded in a TIMELY manner

Question 35

NEVER CHART

Answer 35

``` Labels to describe behavior (I.e do not call combative, etc.) Staffing issues Incident reports Explain a mistake using accidentally Chart informed when only mentioned NEVER refer to another pt by name ```

Question 37

SOAP notes | Progress notes

Answer 37

Subjective data- what pt says Objective data Assessment Plan Difficult in fast pace environment; specific problem focus