Chap 24: Communication Flashcards
ZONES OF PERSONAL SPACE
What distance is considered the Intimate Zone?
0-18 inches
ZONES OF PERSONAL SPACE
What distance is considered the Personal Zone?
18 in - 4 ft
ZONES OF PERSONAL SPACE
What distance is considered the Socio-Consultative Zone?
9 ft - 12 ft
ZONES OF PERSONAL SPACE
What distance is considered the Public Zone?
12 ft or more
ZONES OF PERSONAL SPACE
What is he special zones of touch where permission is not needed?
Social Zone - Hands, arms, shoulders, back
ZONES OF PERSONAL SPACE
What is he special zones of touch where permission is needed?
Consent Zone - Mouth, wrist, feet
ZONES OF PERSONAL SPACE
What is he special zones of touch where special care is needed?
Vulnerable Zone - Face, neck, front of body.
ZONES OF PERSONAL SPACE
What is the special zones of touch where permission and great sensitivity is needed?
Intimate Zone - Genetalia, rectum
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this distance: 0 in - 8 in?
Intimate Zone
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this distance: 18 in - 4 ft?
Personal Zone
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this distance: 9 ft - 12 ft?
Socio-Consultative Zone
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this distance: 12 ft or more?
Public Zone
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Holding a crying infant?
Intimate Zone
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Performing a physical assessment?
Intimate Zone(0 in - 18 in)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Bathing, grooming, dressing, feeding, and toileting a patient?
Intimate Zone 0 in - 8 in
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Changing a patient’s surgical dressing?
Intimate Zone (0 in - 8. In)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Sitting at a patient’s bedside?
Personal Zone ( 18 in - 4 ft)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Taking a patient’s nursing history?
Personal Zone (18 in - 4 ft)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Teaching an individual patient?
Personal Zone (18 in - 4 ft)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Giving directions to visitors in the hallway?
Socio-Consultive Zone (9 ft - 12 ft)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Asking if families need assistance from the patient doorway?
Socio-Consultive Zone (9 ft - 12 ft)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Giving verbal report to a group of nurses?
Socio-Consultative Zone (9 ft - 12 ft)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Speaking at a community forum?
Public Zone ( 12 ft or more)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Lecturing to a class of students?
Public Zone (12 ft or more)
ZONES OF PERSONAL SPACE
Which Zones of Personal Space is this: Testifying at a legislative hearing?
Public Zone (12 ft or more)
PHASES OF THE HELPING RELATIONSHIP
What are the 4 phases in chronological order?
- Preinteraction Phase
- Orientation Phase
- Working Phase
- Termination Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this? Before meeting a patient.
Preinteraction Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Review available data, including the medical and nursing history
Preinteraction Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Talk to other caregivers who have information about the patient
Preinteraction Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Anticipate health concerns or issues that arise
Preinteraction Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Identify a location and setting that fosters comfortable, private interaction.
Preinteraction Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Plan enough time for the initial interaction
Preinteraction Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
When the nurse and patient meet and get to know one another
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Set the tone for the relationship by adopting a warm, empathetic, caring manner
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Recognizing that the initial relationship is often superficial, uncertain, and tentative
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Expecting the patient to test your competence and commitment
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Observing closely the patient and expecting to be closely observed by the patient
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Beginning to make inferences and forming judgments about patient messages and behaviors
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Assessing the patient’s health status
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Prioritizing the patient’s problems and identifying his or her goals
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Clarifying the patient’s and your roles
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Forming contracts with the patient that specify who will do what
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Letting the patient know when to expect the relationship to be terminated
Orientation Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
When the nurse and patient work together to solve problems and accomplish goals
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Encouraging and helping the patient express feelings about his or her health
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Encouraging and helping the patient with self-exploration.
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Providing information needed to understand and change behavior
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Encouraging and helping the patient set goals
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Taking action to meet the goals set with the patient
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Using therapeutic communication skills to facilitate successful interactions
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Using appropriate self-disclosure and confrontation
Working Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
During the ending of the relationship
Termination Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Reminding the patient that termination is near
Termination Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Evaluating goal achievement with the patient
Termination Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Reminiscing about the relationship with the patient
Termination Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Separating from the patient by relinquishing responsibility for his or her care
Termination Phase
PHASES OF THE HELPING RELATIONSHIP
Which Phase is this?
Achieving a smooth transition for the patient to other caregivers as needed
Termination Phase
VOCABULARY
————— is a technique that holds promise for encouraging patients to share their thoughts, beliefs, fears, and concerns with the aim of changing their behavior.
Motivational Interviewing
VOCAB/FILL IN THE BLANK
————— provides a way of working with patients who may not seem ready to make behavior changes that are considered necessary by their health practitioners.
Motivational Interviewing
VOCAB/FILL IN THE BLANK
____________ can be potentially be used to evoke change talk, which links to improve patient outcomes
Motivational Interviewing
VOCAB/FILL IN THE BLANK
When using ____________, a nurse tries to understand a patient’s motivations and values using an empathic and active listening approach. The nurse identifies differences between the patient’s current health goals and behaviors and his or her current health status
Motivational Interviewing
TRUE/FALSE
Breakdown in communication, lack of patient education, and poor health care provider accountability is a frequency cause of serious injuries in healthcare settings.
TRUE
VOCAB/FILL IN THE BLANK
Use of a common language such as the __________ technique for communicating critical information improves perception of commutation and information about patients between health care providers.
The __________ technique is a popular communication tool that standardizes communication.
SBAR ( Situation, Background, Assessment, Recommendation)
VOCAB/FILL IN THE BLANK
S =
B =
A =
R=
Situation
Background
Assessment
Recommendation
VOCAB/FILL IN THE BLANK
___________ or workplace bullying between colleagues sometimes occurs and includes behaviors such as withholding information, backbiting, making snide remarks, or put downs, and nonverbal expressions of disapproval such as raising eyebrows or making faces.
Lateral violence
VOCAB/FILL IN THE BLANK
__________ adversely effects the work environment, leading to job dissatisfaction, a decreased sense of value, poor teamwork, poor retention of qualifies nurses, and nurses leaving the profession.
Lateral Violence
VOCAB/FILL IN THE BLANK: ELEMENTS OF PROFESSIONAL COMMUNCATION
__________ is being self-directed and independent in accomplishing goals and advocating for others. Professional nurses make choices and accept responsibility for the outcomes of their action.
Autonomy
VOCAB/FILL IN THE BLANK
According to Chap 24: Communication, give 5 Elements of Professional Communication.
Courtesy Proper Use of Names Trustworthiness Autonomy and Responsibility Assertiveness
VOCAB/FILL IN THE BLANK: ELEMENTS OF PROFESSIONAL COMMUNICATION
What does this describe?
- __________ allows you to express feelings and ideas without judging or hurting others
- _________ behavior includes intermittent eye contact; nonverbal communication that reflects interest, honesty, and active listening; and culturally sensitive use of touch and space.
- An __________ nurse communicates self assurance; communicates feelings; takes responsibility for choices; and is respectful of others’ feelings, ideas, and choices.
- __________ behavior increases self-esteem and self-confidence, increases the ability to develop satisfying interpersonal relationships, and increase goal attainment.
Assertiveness, being assertive, assertive
VOCAB/FILL IN THE BLANK
AIDET is a technique developed by the Studer Group to enable health care workers to provide accurate and timely communication to patients and families while focusing on excellent patient service.
A = I = D = E = T =
AIDET
Acknowledge Introduce Duration Explain Thank You