Chapter 8 Flashcards
Principles of communication allow nurses to adapt to which of the following trends?
a. Generation X c. Telephone technology
b. Cultural diversity d. Kinesthetic communication
B: Principles of communication allow nurses to adapt to trends such as increasing diversity, an aging population, and computer technology. The traditional visual, auditory, and kinesthetic modes of communication are shifting to computer technology. It is estimated that 20 percent of the population will be 65 years of age or older by 2020. These trends affect the profession of nursing and its practice.
When the nurse asks the client a question, the nurse is considered the:
a. sender. c. receiver.
b. message. d. feedback.
A: The message originates with the sender. It consists of verbal and nonverbal stimuli that are taken in by the receiver. The message is the “what” in communication. The receiver takes in the message and analyzes it. The new message that is generated by the receiver in response to the original message from the sender is the feedback.
The Health Insurance Portability and Accountability Act (HIPAA) was developed to:
a. make it easier to transport and transmit your personal health information.
b. guard against insurance companies selling their client list of names and addresses.
c. protect all individuals’ identifiable health information held or transmitted.
d. make health insurance companies more accountable for payment of claims.
C: HIPAA was developed to protect all individually identifiable health information held or transmitted by a covered entity or its business associate, in any form or medium, whether electronic, paper, or oral.
Nonverbal communication is considered:
a. conscious. c. written documents
b. unconscious. d. wireless e-mail.
B: Nonverbal communication tends to be unconscious and more difficult to control than verbal communication. Written documents and e-mail are both forms of verbal communication.
When communicating using technology such as e-mail, it is important to proofread your correspondence for appropriate use of:
a. spelling, grammar, punctuation, and accuracy.
b. inclusion of emoticons for nonverbal cues.
c. design, length of message, color, and font size.
d. notation for an acceptable response time.
A: The first tip in communicating using technology is to keep in mind that accurate spelling, correct grammar, and organization of thought assume greater importance in the absence of verbal and nonverbal cues that are given in face-to-face encounters.
A staff nurse remembers an important piece of information that should have been relayed to the supervisor before the nurse left the unit. Since the message is urgent, the nurse would consider which communication tool as primary, in order to transmit the message to the supervisor?
a. Fax c. Blackberry
b. E-mail d. Telephone
D: The telephone remains the primary tool for communicating urgent information; however, some practitioners may be comfortable receiving urgent patient information, such as an elevated potassium level, electronically.
The unit secretary is sending an e-mail message to all staff. Recognizing e-mail etiquette, the secretary would do which of the following?
a. Use capital letters generously for emphasis
b. Respond immediately to an angry message
c. Refrain from forwarding e-mail messages from others without their permission
d. Include a joke at the end of the e-mail so readers will be more likely to read the entire message
C: Tips for communicating by e-mail include the following: No capital letters, be brief, use clear subject lines, cool off before responding to an angry message, forward e-mail messages from others only with their permission, forward jokes selectively, and use good judgment because e-mail may not be private.
When the nurse says to himself, “I can do this procedure,” it is a form of what level of communication?
a. Interpersonal c. Nonverbal
b. Intrapersonal d. Nonpublic
B: Intrapersonal communication can be thought of as self-talk. It is what people do within themselves, and it can present as either doubts or affirmations. Interpersonal communication is communication between individuals or small groups. A nurse presenting a workshop is an example of public communication. Nonverbal language deals with body language or facial expressions.
Verbal communication relies on which of the following to convey a message?
a. Facial expression c. Gestures
b. Posture d. Speaking words
D: Verbal communication relies on speaking words to convey a message. Nonverbal communication consists of aspects of communication that are outside what is spoken such as appearance, facial expressions, posture, gait, body movements, position, and gestures.
The level of communication that is concerned with communication between individuals is:
a. interpersonal. c. public.
b. intrapersonal. d. physiological.
A: Interpersonal communication is concerned with communication between individuals, either person to person or in small groups. Intrapersonal communication is self-talk. Public communication is communicating with a group of people with a common interest. Kinesthetic communication involves touch and physiological responses.
The chief executive officer of an organization announces that the company will adopt a new policy. This organizational communication is called:
a. downward. c. lateral.
b. upward. d. diagonal.
A: A chief executive officer’s communication is considered downward communication. The message starts at the top and is disseminated by levels through the chain of communication.
When a nurse recommends to the nurse manager a more efficient approach to organizing care, this type of organizational communication is called:
a. downward. c. lateral.
b. upward. d. diagonal.
B: In upward communication, the idea originates at some level below the top of the structure and moves upward.
In the world of work and service, you can create and sustain high-quality connections by all of the following except:
a. providing support. c. fostering admiration.
b. showing appreciation. d. avoiding negative people.
D: Avoiding negative people does not help create and sustain high-quality connections. Providing support, showing appreciation, fostering admiration, challenging, and expressing hope for the future are all ways to energize people at work and develop high-quality connections.
The communication skill that centers on the main point is called:
a. supporting. c. reassuring.
b. focusing. d. accepting.
B: The communication skill of focusing centers on the main point. Supporting is siding with another person or backing up another person. Reassuring restores confidence or removes fear. Accepting makes known that another is capable or worthy.
The statement “You are so thoughtful” is an example of which of the following communication skills?
a. Providing information c. Conveying acceptance
b. Expressing appreciation d. Conveying reassurance
B: The comment “You are so thoughtful,” is expressing appreciation, which shows gratitude. An example of providing information would be “It is common for people with pneumonia to be tired.” The statement “It is okay to cry” conveys acceptance. Conveying reassurance is reflected in the comment “I can assure you that tomorrow will be better.”