Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

IM1 Exam 1 > Communication > Flashcards

Communication Flashcards

1
Q

communication’s purpose is to do these 4 things

A
  • develop a caring relationship
  • increase patient satisfaction
  • improve patient safety
  • positive patient outcomes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

communication is essential for

A

establishing nurse-patient relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

communication is a _____ learning process

A

lifelong**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

communication assists the delivery of ________

A

patient-centered care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

communication helps to _____ the risk of errors

A

reduce**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

communication is ____ to the nurse-patient relationship

A

key**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

communication increases patient _____

A

satisfaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

nursing behaviors include expressing ____ and _____ to themselves and others

A

sensitivity and kindness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

nursing behaviors include remaining ____ with their patients

A

present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

nursing behavior include supporting the ____ of the patient’s feelings, whether they are positive or negative

A

expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

nursing behaviors include encouraging faith and ____

A

hope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

nursing behaviors include allowing _____ expression in a _____ manner

A

spiritual, nonjudgemental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

nursing behaviors include ______ interactive teaching and learning

A

promoting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

nursing behaviors include delivering nursing care to _____ the patient’s needs

A

support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

nurse behaviors ______ interpersonal relationships

A

facilitate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

therapeutic relationships are the ______ of clinical nursing practice

A

foundation**
- protects patient dignity, autonomy and privacy
- allows for trust and respect
however, there are boundaries in therapeutic relationships**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

therapeutic relationships protect patient ____, autonomy, and _____

A

dignity, autonomy and privacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

therapeutic relationships allow for _____ and _____

A

trust and respect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

nurse-patient relationship promotes a psychological climate that facilitates _____ change, thus helping patients reach their health-related goals

A

positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

nurses who develop _____ ________ _____ make the best communicators, which forms therapeutic relationships, which helps gather relevant and comprehensive information about their patients

A

critical thinking skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

nurses interpret messages received from others in that they obtain ___ information, ______ misinformation, promote patient understanding and plan patient-centered care

A

new, correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

patients respond _____ to nurses who present a confident attitude

A

positively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

perserverance and creativity motivate the nurse to identify _______ solutions

A

innovative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

independent attitude encourages the nurse to share ideas and ______ with colleagues

A

communicate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

integrity assists a nurse to ______ when their opinions conflict with a patient or coworker, and nurse adjusts to improve communication

A

recognize

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

communicate responsibly and ____ when uncertain or uncomfortable about an aspect of patient care

A

ask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

humility assists the nurse to ______ the need to better communicate

A

recognize

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

tendencies controlled by the nurse while utilizing others to build therapeutic relationships

A
  • perception influences thinking - five senses, culture, education
  • perceptual bias - stereotypes
  • emotional intelligence** - self-awareness, motivation, empathy, social skills
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

emotional intelligence** is a tendency controlled by the nurse to build therapeutic relationships, it involves:

A

self-awareness,
motivation,
empathy,
social skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

intrapersonal

A

self talk - positive or negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

interpersonal

A

2 people
most common: face to face
nursing: assessment, education, provide comfort and support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

small group

A

more than 2 people
staff meetings
committee meetings
support groups
family teaching session

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

public speaking

A

unique form of group communication
nurses: education, presentations, lobbying for health legislation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

electronic communication venues

A

patient portals provide opportunity for frequent and timely communication with a patient’s provider or nurse through use of the internet

35
Q

contribute to the actual message that is seen and heard

A

subject matter
words
body language
substance of the message - open to interpretation

36
Q

referent is the stimulus that _____ communication

A

motivates** communication
can be sight, sound, sensation, perception, idea, subject matter
ex: patient moaning in pain, patient looks sad

37
Q

transmission (words, gestures, tone of voice, signs/symbols) and relationship affect whether the message is ____ _____

A

received accurately
closer relationship = perceived meaning is more accurate

38
Q

the message is the verbal and/or ____ information the sender _____ through the auditory, visual and tactile channels

A

nonverbal information the sender communicates

39
Q

effective messages are these 6 things

A

complete
clear
concise
organized
timely
understood by the receiver

40
Q

feedback** is the _____ sent by the sender that indicates the receiver _____ the sender’s message

A

message, receiver understood the message

41
Q

perceptions are affected by

A

culture, expectations, and experiences
perceptions affect communication

42
Q

the environment should be ______ when nurses communicate with patients so that patients and families are safe physically and emotionally

A

quiet / private
comfortable temperature

43
Q

therapeutic communication’s 3 goals + focus on patient’s goal

A
  • establish therapeutic communication
  • obtain and provide healthcare info
  • express interest and concern for the family
44
Q

when speaking to a patient, be careful with medical terms, use ____ not we, and consider the receiver’s ___, ______, ________, ______

A

use I, not we
consider receiver’s age, knowledge, education, primary language

45
Q

brevity means to

A

use as few words as possible

46
Q

credibility of the sender means that there is ____ between verbal and nonverbal messages and the sender’s message is honest and timely

A

congruence

47
Q

posture and gait can reveal _____ and self-concept

A

attitude

48
Q

remember cultural influences when interpreting eye contact meaning that it

A

may need to be intermittent**

49
Q

eye contact can show _____ and willingness to learn while the lack of it can indicate ____, _____, ______, or _______

A

respect, lack can indicate anxiety, defensiveness, discomfort, or lack of confidence

50
Q

territoriality definition

A
  • space and things that an individual identifies as belonging to that person
  • visible to others
    OR
  • defined by the individual in a way not noticeable to others
51
Q

amount of physical space ____ from person to person

A

varies - comfort

52
Q

territoriality can be influenced by

A
  • relationship of the individuals
  • nature of the conversation
  • the setting
  • culture**
53
Q

when moving into a patient’s intimate space, you should

A
  • discuss what is about to be done when moving into a patient’s intimate space
  • ask permission to touch the patient
  • verbalize “I am going to touch you now.”
54
Q

intimate distance definition

A

area immediately surrounding a person that is defined as their private space,
- typically about 18 inches in western culture
- within this distance, people can typically interpret facial expression, maintain eye contact, hear each other speaking at a low volume, and even sense each other’s smell and body heat

55
Q

personal distance definition

A

from 18 inches up to 4 feet
- sitting at a patient’s bedside to take a health history
- providing a patient education
- talking with a patient
- this distance facilitates sharing of feelings or personal thoughts and is appropriate when communicating caring or concern

56
Q

social distance definition

A

generally between 4 to 12 feet
common for formal interaction or when communicating with a group, makes it possible for people to overhear any conversation
- giving info or report to a group of nurses
- giving directions to a group in the hall
- less personal feelings and thoughts at this distance

57
Q

public distance definition

A

beyond 12 feet
- requires loud and clear enunciation for communication
- lack of individuality and greater focus on the group or community like a lecture

58
Q

passive communication style

A

avoid** conflict and allow others to take the lead
- submissive, helpless
- indecisive
- overly apologetic
- whining
other’s rights and needs take precedence over mine and my patient

59
Q

aggressive communication style

A

forces others to lose** and the goal is to win with each encounter
- bossy/arrogant
- opinionated
- sarcastic/manipulative
- intolerant/overbearing
I boldy insist that my rights and needs prevail

60
Q

assertive communication style

A

direct and open**, rights of the speaker and others respected
- clear and decisive
- positive and professional
- uses I statements, asks questions openly and honestly
- strives for a compromise
- asks for more information for negative feedback
- accepts criticism and focuses on issue
- effective non-verbal communication

61
Q

passive aggressive communication style

A
  • emotionally dishonest, backhanded compliments
  • indirectly expresses anger, inhibited
  • self-denying, feigns cooperation
  • blaming, apologetic
    I subtly make clear that my rights and needs prevail
62
Q

stage 1: pre-interaction

A

assigned a patient, gather information prior** to meeting the patient
- receive report/chart review
- anticipate health concerns/issues
- plan for initial interaction

63
Q

stage 2: orientation

A

introductions** to patient/family, establish rapport and trust, communicate the work** to be done
- set the tone
- assess* the patient’s health status
- clarify roles/form contracts
- prepare patient and family for the relationship to end
first impressions are important

64
Q

stage 3: working

A

active** part of the relationship
use techniques that support therapeutic communication
- provide info to assist the patient to understand/modify behavior
- encourage/assist the patient to self-explore/set goals
- take action to assist the patient to meet goals

65
Q

stage 4: termination

A

conclusion** of the relationship

66
Q

motivational interviewing

A

encourages patients to share thoughts, beliefs, fears, concerns which all assist the patient with the goal of changing their behavior

67
Q

nurse-healthcare team relationship affects ____ _____ and the work environment

A

patient safety
- use an assertive style
- express self effectively
- support own point of view while respecting others
- use standard communication tools

68
Q

be ____ of own cultural beliefs and attitudes

A

aware
- learn about other cultures in the area
- show respect
- ask questions
- ask permission

69
Q

with other cultures, you want to use communication strategies that are ______ appropriate

A

culturally appropriate
- use short** words and sentences
- give small amounts of information

70
Q

with other cultures/languages, written information should be _____ for the population served and in the patient’s ______ language

A

appropriate for the population,
dominant language

71
Q

for other cultures/languages, translation should be through a ______ medical interpreter as needed

A

certified**
- most healthcare systems employ trained interpreters and/or utilize a professional interpreters’ service

72
Q

for patients with impaired speech/hearing impaired, nonverbal communication is _____

A

crucial
be positive and patient**
use:
- hand gestures
- picture board, if available
- white board
- family assistance

73
Q

with impaired cognition, always try to _____

A

communicate
don’t rush**
- address the patient slowly and face to face
- use multiple modalities
- be patient
- orient the patient
- eliminate distractions
- provide reminders to stimulate memory
- avoid assumptions

74
Q

with impaired cognition, verbal communication should have ______

A

short sentences
- yes/no questions
- one question at a time/limit choices
- be concrete and specific
- avoid slang, jargon, medical terms

75
Q

for older adults, pick a ____ environment

A

quiet
- face the patient
- check if patient uses hearing aids
- allow time for patient to respond
- give patient a chance to ask questions
- verify the patient knows you are talking
- speak clearly and slowly
- keep communication short and to the point

76
Q

3 elements of professional communication

A
  • courtesy
  • use of names
  • trustworthiness
77
Q

SBAR stands for

A

situation
background
assessment
recommendations**
- standardizes the process

78
Q

SBAR may be used

A
  • during a patient hand-off
  • during RN-healthcare provider communication
  • anytime there is important communication in the interdisplinary team
79
Q

situation in SBAR

A

patient’s details,
identify reason for this communication,
describe nurse’s concern

80
Q

background in SBAR

A

relating to the patient, significant history
include medications, lab work, studies, treatments

81
Q

assessment in SBAR

A

nurse’s assessment of the patient or situation,
include clinical impression/concerns, vital signs and early warning score

82
Q

recommendations in SBAR

A

be specific,
explain what is needed,
make suggestions,
clarify expectations,
confirm actions to be taken

83
Q

nurse to nurse handoffs aka report

A

at the bedside
- between shifts
- allows for patient and family participation
- improves communication
- reduces patient injuries and nursing errors

84
Q

what to do if lateral violence occurs

A
  • calmly address the behavior when it occurs
  • describe how the behavior affects your functioning
  • ask for the abuse to stop
  • notify the manager to get support for the situation
  • plan for action in the future
  • document the incident in detail

IM1 Exam 1 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions