Communication

Question 1

A lifelong learning process. Done with patients and families to develop meaningful relationships:

Answer 1

Communication

Question 2

Nurses with expertise in communication express caring by:

Answer 2

• Becoming sensitive to self and others
• Promoting and accepting the expression of positive and negative feelings
• Developing caring relationships
• Instilling faith and hope
• Promoting interpersonal teaching and learning
• Providing a supportive environment
• Assisting with gratification of human needs
• Allowing for spiritual expression

Question 3

Therapeutic communication occurs within a healing relationship between a nurse and patient.

Answer 3

Like any powerful therapeutic agent, a nurse’s communication can result in both harm and good.

Any posture, expression, gesture, word, attitude have the potential to hurt or heal.

Question 4

Nurses who develop critical thinking skills make the best communicators.

Answer 4

When you consider a patient’s problems, it’s important to apply critical thinking and critical reasoning skills to improve communication in assessment and care of the patient.

Ex: Curiosity motivates a nurse to communicate and know more about a person… patients are more likely to communicate with nurses who express an interest in them.

Question 5

What are two attitudes conducive to communication because they motivate a nurse to communicate and identify innovative solutions?

Answer 5

Perseverance and creativity

Question 6

What attitude is important for conveying confidence and comfort?

Answer 6

Self-confidence

A nurse who conveys confidence and comfort while communicating more readily establishes an interpersonal caring relationship.

Question 7

What attitude encourages a nurse to communicate with colleagues and share ideas about nursing interventions?

Answer 7

An independent attitude

Question 8

What allows a nurse to recognize when their opinions conflict with those of their patients, review positions, and decide how to communicate to reach mutually beneficial decisions

Answer 8

Integrity

Question 9

What attitude is necessary to recognize when you need to better communicate and intervene with patients, especially related to their cultural needs?

Answer 9

Humility

Question 10

What influences perception?

Answer 10

The five senses.

Culture

Education

Question 11

Generalizations that are made about individuals without further assessment:

Answer 11

Stereotypes

Question 12

Beliefs and attitudes associating negative permanent characteristics to people who are perceived as different from oneself:

Answer 12

Biases / Prejudices

Question 13

Assessment and communication technique used to better understand and perceive emotions of themselves and others:

Answer 13

Emotional Intelligence (EI)

This assists in building a therapeutic relationship.

EI enables a nurse to use self-awareness, motivation, empathy, and social skills to build therapeutic relationships with patients.

Patients’ emotions can negatively impact their self-care behaviors… nurse-understanding can help the patient make healthy behavior changes, leading to enhanced self-care behaviors and improved outcomes.

Question 14

Communication Throughout the Nursing Process:

ADPIE: Assessment:

Answer 14

• Verbal interviewing and history taking
• Visual and intuitive observation of nonverbal behavior
• Visual, tactile, and auditory data gathering during physical examination
• Written medical records, diagnostic tests, and literature review

Question 15

Communication Throughout the Nursing Process:

ADPIE: Diagnosis (nursing):

Answer 15

• Intrapersonal analysis of assessment findings
• Validation of health care needs and priorities via verbal discussion with patient
• Documentation of nursing diagnosis

Question 16

Communication Throughout the Nursing Process:

ADPIE: Planning:

Answer 16

• Interpersonal or small-group health care team planning sessions
• Interpersonal collaboration with patient and family to determine implementation methods
• Written documentation of expected outcomes
• Written or verbal referral to health care team members

Question 17

Communication Throughout the Nursing Process:

ADPIE: Implementation:

Answer 17

• Delegation and verbal discussion with health care team
• Verbal, visual, auditory, and tactile health teaching activities
• Provision of support via therapeutic communication techniques
• Contact with other health resources
• Written documentation of patient’s progress in medical record

Question 18

Communication Throughout the Nursing Process:

ADPIE: Evaluation:

Answer 18

• Acquisition of verbal and nonverbal feedback
• Comparison of actual and expected outcomes
• Identification of factors affecting outcomes
• Modification and update of care plan
• Verbal and/or written explanation of care plan revisions to patient

Question 19

This zone of personal space is appropriate for giving directions to visitors in the hallway:

Answer 19

Socio-consultative zone

Giving a report to a group of nurses.

Question 20

This zone of personal space is appropriate for speaking at a community forum:

Answer 20

Public zone

Teaching a class.

Question 21

This zone of personal space is appropriate for changing a patient’s surgical dressing:

Answer 21

Intimate zone

Physical assessment.

Great sensitivity is needed while caring for genitilia and rectum.

Question 22

This zone of personal space is appropriate for taking a patients nursing history:

Answer 22

Personal zone

Sitting at the patient’s bedside.

Question 23

Type of communication that is interacting with an audience:

Answer 23

Public communication

RN teaching group of nursing students about the care of patients in the ICU.

Question 24

The use of technology to create ongoing relationships with patients and their healthcare teams:

Answer 24

Electronic communication

Question 25

Type of communication used when a small number of people meet:

Answer 25

Small-group communication.

Question 26

One-on-one interaction between a nurse and another person that often occurs face to face:

Answer 26

Interpersonal communication

Question 27

This type of learning involves the expression of feelings and the development of values, attitudes, and beliefs:

Answer 27

Affective learning

May include value clarifications as an example.

Characterizing is the most complex behavior of affective learning. It involves an action and response with a consistent value system.

The responding level involves active participation through listening along with a verbal or nonverbal response.

Organizing behavior requires the development of a value system by organizing values according to their worth.

At the receiving level, the learner is passive and simply takes in information by paying attention.

Question 28

Pancreas secretes these enzymes to break down proteins:

Answer 28

Elastase
and
Carboxypeptidase

Question 29

What does the pancreas secrete to breakdown emulsified fats:

Answer 29

Lipase

Question 30

What is the function of cholecystokinin?

Answer 30

Plays key role in facilitating digestion within the small intestine.

Secreted from the epitheleal cells of the duodenum.

Stimulates delivery into the small intestine of digestive enzymes from the pancreas and bile from the gallbladder.

It inhibits the secretion of gastrin from the stomach.

Question 31

In this zone of personal space special care is needed while handeling a patient’s face, neck, and front of body:

Answer 31

Vulnerable zone

Question 32

In this zone of personal space a nurse needs permission before touching patient’s mouth, wrists, and feet:

Answer 32

Consent zone

Question 33

List the order of learning starting with the first level up to the most complex:

Answer 33

1. Remembering - focuses on learning knew facts and the ability to recall them.
2. Understanding - ability to understand the meaning of the learned material.
3. Applying - using newly learned concepts in actual situations.
4. Analyzing - breaking down information into organized parts.
5. Evaluating - ability to judge the outcome of a given process.
6. Creating - ability to apply knowledge and skills to create something new.

Question 34

What foods are in the RDI’s?

Answer 34

Protein
Vitamins
Minerals

RDI - referenced daily intakes