Communication Class

Question 1

When working with patients who have a new diagnosis, what is our goal?

Answer 1

To create a future life that includes their diagnosis. Let them know they are not suffering from, to suffer is a choice, they are experiencing life with a new condition.

Question 2

What do we align patient goals with?

Answer 2

Their own desires and values

Question 3

How can we choose to react to “frequent flyers” and those who seem to not want to be helped?

Answer 3

Have eternal optimism. This may be the time! Do my best, let go of the rest. Believe I can make a dif.

Question 4

What is an example of looking for things in patient’s that others may not notice when it comes to nonverbal communication (HINT: may lead to discovering a condition)

Answer 4

Eye problems: squinting, dim lighting, magnifying glasses, running into things

Question 5

To ask uncomfortable questions that relate to proper education and treatment, what must I do first as a Nurse/educator?

Answer 5

Build the relationship/trust. HIPPA (infor shared on a need-to-know basis with the critical care team only!

Question 6

Organize my day according to the CURE =

Answer 6

C: critical (urgent to pt. care)
U: urgent (has to be done)
R: required (should be done)
E: extra (if there is one thing I can do for you today, what would it be?) (introduce pt. to oncoming staff and discuss goals/progress)

Question 7

What can I say if I don’t personally walk the walk of health?

Answer 7

“The literature says”

Question 8

What does it truly mean to actively listen?

Answer 8

Silence! Listen. Think. Respond.

Question 9

What should I do if someone is silent after I ask them a question?

Answer 9

Wait, stay silent and let them process. Therapeutically BE

Question 10

Fidelity means to:

Answer 10

keep your word

Question 11

What is a personalized profession practice?

Answer 11

The way I personally nurse.

Question 12

Prosody phonetic vs. non-phonetic

Answer 12

What I say vs how I say it.

Question 13

Which type of literacy involves having basic reading, writing, and numeracy skills?

Answer 13

Functional literacy

Question 14

What type of literacy involves ability to engage and interact with healthcare professionals?

Answer 14

Interactive literacy

Question 15

What type of literacy involves capacity to critically analyze information and use it in decision making?

Answer 15

critical literacy

Question 16

What does it mean to promote autonomy and avoid paternalism?

Answer 16

Give options that align with THEIR values. Do not tell patients what to do. Deliver respect for their individual care.

Question 17

—– —– is adapting communication to the cultural and linguistic needs of the patients

Answer 17

cultural competency

Question 18

What are the 3 c’s of effective communication?

Answer 18

Clear, concise, client-centered

Question 19

Examples of broad opening statements:

Answer 19

“Is there something you’d like to talk about?” *Gives client chance to express self.

Question 20

Examples of general leads:

Answer 20

“yes” “uh hum”; nodding; “I see”; “go on”
*encourages patient to express perception

Question 21

Examples of reflecting in Therapeutic com.

Answer 21

Saying back to the client what they said so that they themselves can reflect on what they mean and clarity.

Question 22

Examples of sharing an observation in therapeutic communication.

Answer 22

I sense that you are feeling uncomfortable. OR you are fidgeting quite a bit when this topic is brought up. *Make sure to clarify that it is just an observation so as not to put pt on defense.

Question 23

Conflict resolution using CPR and BEER

Answer 23

Content- context
Pattern- is it recurring. If one-off, give grace
Relationship- do I value the relationship?
Behavior- what is the behavior that needs to change; using I messages.
Effect- how does it effect me (taking responsibility)
Expectation- solution/ what happens if no change is made.
Result- how it could be if done right

Question 24

Three phases of nurse client therapeutic relationship:

Answer 24

Orientation (I am your nurse and I’ll be helping you from this time to this time today). Introducing self and setting the contract. Establish confidentiality. Maintain boundaries. Goals are established.
Working: checking back in; taking care. fidelity. teach-back. Therapeutic confrontation if lack of compliance to prescribed actions. Build relationship. Give autonomy. Imagine future; evaluate progress
Termination: Summarizing care. Goals met; needing to work on. Exchange memories and validate experiences.

Question 25

—– is when we transfer an experience onto another patient or vice-versa.

Answer 25

Transference. Part of working phase to be aware of not to do. Unconditional acceptance of the patient.

Question 26

What is clarifying techniques used in therapeutic communication?

Answer 26

restating, reflecting, exploring.

Question 27

The client asks, Do you think I’ll ever get out of the hospital?
A. Of course you’ll get out of the hospital, why do you ask that question?
B. It sounds as though you are concerned that you’re not progressing.
C. Think about getting well, then think about getting out.
D. No one is kept in the hospital longer than is necessary.

Answer 27

B. Acknowledges the patient’s concern and allows patient to explain more about his/her concerns.

Question 28

Mr. B says people driving on the highway swerve their car’s deliberately trying to collide with him. Best reply is
A. I understand how you feel. I drive too.
B. You think people are trying to harm you?
C. Why do you think people would do that?
D. Perhaps you should take a defensive driving course.

Answer 28

B.