Unit III Flashcards
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1
Q
Receiver
A
The person whom the message is given
2
Q
Name the three critical elements of communication process
A
Sender (encoder)
Message
Receiver (decoder)
3
Q
Intrapersonal
A
Self talk
Occurs with in the pt
4
Q
Interpersonal
A
Face to face
Goal directed nursing
5
Q
Name the levels of communication
A
Intrapersonal
Interpersonal
Public
6
Q
Communication
A
A continuous circular process by which information are transmitted between people
7
Q
In nursing, communication us a dynamic process used to?
A
Gather assessment data, teach, express comfor
8
Q
Types of feedback
A
Informational
Corrective
Reinforcing
9
Q
Informational feedback
A
Exchange of non evaluative information
10
Q
Corrective feedback
A
In response to an action or behavior
11
Q
Reinforcing feedback
A
Can be Positive or negative
12
Q
Name the modes of communication
A
Verbal
Non verbal
Written
13
Q
Congruence
A
How well verbal and non verbal levels fit together
14
Q
The majority of communication is?
A
Non verbal
15
Q
The most important communication is?
A
Verbal
16
Q
Pacing
A
Manner of speech, increase rate
17
Q
Intonation
A
Manner of speech
Increase tone
18
Q
%of communication is non verbal
A
80%
19
Q
Body language
A
Non verbal communication expressed by how we move our bodies
20
Q
Personal space
A
Distance ppl prefer in interactions with others
21
Q
Proxemics
A
Study of distance between ppl & interactions
22
Q
Intimate level of personal space
A
0-1.5 ft
Pt care
23
Q
Personal level of personal space
A
1.5-4ft
Conduct interview
24
Q
Social level of personal space
A
4-12ft
Making rounds
25
Public level of personal space
More than 12 ft
| Formal groups
26
What is the most basic and primitive form of communication
Touch
27
What is the most common type of electronic communication
E mail
28
Values
Standards that influence behavior
29
Incongruence
Verbal and non verbal don't match
30
Name factors influencing communication
```
Knowledge
Development
Gender
Values
Personal distance
Enviornment
```
31
Transference
Client transfers feelings & attitudes towards a nurse
32
Counter transference
Nurse transfers feeling & attitudes for significant others onto pt
33
Therapeutic communication
Promotes understanding between both sender and Reciever
34
Goal directed
Goals provide against for selection of communication techniques
35
Name the types of therapeutic communication
```
Active listening
Physical attending
Open ended questions
General leads
Silence
Restatement
```
36
Show you are listening by?
Eye contact
37
Non therapeutic communication
Impairs the flow of communication
38
Non therapeutic communication examples
```
Cliches
Stereotyping
Giving advice
Judgemental comments
Probing
```
39
The #1 communication problem?
Not listening
40
The helping relationship
Foundation of clinical practice essential part of caring for every pt
41
The nurse-pt relationship is
Purposeful
Planned
Goal directed
42
Phases of the helping relationship
Pre interaction phase
Orientation phase
Working phase
Termination phase
43
Pre interaction phase
Gather pt info prior to face to face
44
Orientation phase
Est rapport
| Explains plan of care
45
Working phase
Longest phase
Nursing care activities
Implement nursing interventions
46
Termination phase
Closure of relationship occurs when work of client & nurse coming to a close
47
Contract
Used in psychiatric nursing
48
Advocate
One who expresses and defends the cause of another
49
Empathy
Ability to respond receptively, remain objective
50
Empathetic behaviors
Focus on feelings
| Non Judgemental attitude
51
Cognitive impairments
Any disorder that impairs cognitive functioning
| Ex. Aphasia
52
Expressive aphasia
Knows what to say but unable to express
53
Receptive aphasia
Unable to understand words
54
Planning for effective communication
Nurse & client determined outcomes
55
End of shift report includes:
```
Room #
Pt name
Age
Sex
Physician name
Medical diagnosis
Lab tests/procedures/surgeries
```
56
Medical records are a legal document ?
True
57
Legal guidelines for charting
Permanent black ink
58
Telephone orders
Written then read back
59
4 common problems with charting
Incorrect time
Failing to chart verbal orders/having verbal orders signed
Charting in advance
Incorrect data charted
60
Charting must be
```
Factual
Accurate
Complete
Current
Organized
```
61
Charting requirements
Assessment
Intervention
Client response or changes
62
POR
| Problem Oriented Clinical Record
Organized to focus on pt problems
63
SOAP
S- subjective data
O- objective data
A- assessment
P- plan
64
PIE
P- problem
I- intervention
E- evaluation
65
Advantages of computerized charting
Availability
Quality
Access
Sharing knowledge
66
Disadvantages of computerized charting
Expensive
| Potential Hippa violation
67
Referent
The incentive or motivation for communication to occur between one person & another
68
Message
Verbal or non verbal information expressed by the sender & intended for the Reciever
69
Channel
The method of transmitting & receiving a message (sight, hearing, touch)
70
Feedback
May be verbal or non verbal positive or negative
71
Nursing communication is utilized to
Gather data
Teach & persuade
Express caring and comfort
72
The feedback channel for communication is
Visual & kinesthetic
73
Non Verbal communication
Confirms & reinforces what is said
| Includes gestures, body language, eye contact, facial expressions, posture
74
Factors that influence communication
```
Development
Language
Gender
Values
Personal space
Culture
Environment
```
75
Congruent communication
Verbal & non verbal aspects match
76
Incongruent communication
Verbal and non verbal do not match
77
Interpersonal attitudes
Attitudes convey beliefs, thoughts & feelings
78
Emotions are
Subjective feelings about events
| Strong emotions
79
Socialcultural
Influence attitudes, languages, values and gender roles
80
Transference
Client transfers feelings & attitudes towards nurse
81
Counter transference
Nurse transfers feelings & attitudes onto pt
82
Therapeutic communication
Promotes understanding between both sender and receiver
83
Goals provide a guide for selection of communication techniques
Name examples of therapeutic communication
84
Name techniques to promote therapeutic communication
```
Active listening
Physical attending
Open ended questions
Focusing
Clarification
Using touch
Silence
Restatement
Reflection
```
85
What can block therapeutic communication
Cliches
Stereotypes
Giving advice
86
% of the nurses day is communication
70%
87
Silence
Allows pt to collect thoughts
88
Show you are listening by
Eye contact
89
Name some behaviors of active listening
Maintaining an open posture
Est. and maintain eye contact
Responding positively when giving feedback
90
What impairs the flow of communication
Non therapeutic communication
91
The nurse-patient relationship is?
Goal directed
Ongoing
Interactive
Based on trust
92
.
Preinteraction
93
Phases of the nurse-pt relationship
Pre interaction
Orientation
Working
Termination
94
Orientation phase
Explain purpose of interview
| Phase developed trust
95
Working phase
Teaching
Exploring
Longest phase
96
Termination phase
Closure
Evaluation
No new business
97
Barriers to communication
Language
Culture
Sensory
Cognitive (ex.aphasia)
98
End of shift report
Nurse to nurse to promote continuity of care
99
Records
Legal document
Sign name & title each page
Accurate & timely info about the client
Use military time
100
Telephone communication
Write down
| Read back
101
SLIDE
```
Single
Line
Initial
Date
Error
```
102
Source charting
Separate sections for each discipline
Easy to locate
Disadvantage- info is fragmented
103
Problem oriented charting
Advantage- emphasis on client
| Disadvantage- constant need to update
104
SOAP
Subjective
Objective
Assessment
Plan
105
PIE
Problem
Intervention
Evaluation
106
Computerized charting
Advantages- saves time, more time for client, standard of care improved
Disadvantages- privacy, expense
107
Name the four phased of thereputic communication
Pre orientation-plan for initial meeting
Orientation- developed trust
Working- implement plan of care
Termination- closure of relationship occurs & evaluation
108
Empathy
Putting yourself in the pt's shoes
109
Expressive aphasia
Knows what to say but unable to express
110
Receptive aphasia
Unable to understand words
111
Four common problems in documentation
Incorrect time
Failing to chart verbal orders or getting them signed
Charting in advanced
Incorrect data charted
112
POR problem oriented clinical record
Organized to focus on pt problems
113
Admission
Administrative process that covers the period from time pt enters door until the time settled in
114
Discharge
Official procedure helping pt's to learn to leave health care institution
*physician has to order a discharge
115
Transfer
Transfer from one room, unit, or facility to another
| Regulated by federal government
116
Discharge process starts when?
At admission
117
Registration
Admission office obtains basic demographic information
118
Pt ID
Name
DOB
ID #
Used for all procedures & interactions
119
Informed consent
General consent signed prior to admission for treatments, procedures, therapies
Implies pt has been given info & understands the info
RN signs ONLY to witness signature of pt
120
Name the exceptions to consent
| who can't sign
Minors
Persons unconscious
Mentally ill persons judged incompetent
121
Most important aspect of nursing admission to the unit
Orient to call bell
122
2.2lbs =
1 kg
123
Who is the best source for client data during the admission process?
The client
124
After gathering data & performing the review of systems what is the priority action for the nurse?
Orient the pt to the room
125
Pt and family education
Includes procedures, diets, meds, referrals, extended care facilities
126
Referral
Request for service outside scope of referring professional
Social worker
Hospice
Home health aide
Housekeeper
127
Complex referral
Case manager is the one who is needed
128
Types of discharges from the hospital
```
Discharge to home (need MD order on chart)
Discharge home with referral
Discharge to another facility
Death
AMA
```
129
When transferring a pt with a fracture from the ED to the ortho unit what is the most important to report?
Info regarding last dose of pain medication recently given
130
Simple referral
Referral to community resource
131
Home health care
Use of professional, para-professional & equipment to pt's in their homes
132
% of communication that is non verbal
80%
133
2 modes of communication
Verbal & non verbal
134
Open ended questions facilitate?
Communication
135
Example of non verbal communication
Gestures
Expressions
Touch
136
Most of our communication is ________, but the most important communication is _________.
Non verbal
Verbal
137
#1 problem with communication
Not listening
138
Sender
The person who initiates the message
