Communication, Documentation, and Reporting Flashcards
National patient safety goal #2
Improving caregiver communication to improve patient safety
factors affecting communication
Environment
Life span variations
Gender
Personal space
Territoriality
Sociocultural factors
Roles and relationships
considerations for verbal communication
Choice of vocabulary- no medical terms w/PT
Denotative & connotative meaning-
—D-literal C-interpreted
Pacing/timing
Intonation- tone/pitch
Clarity
Relevance
Humor
considerations for nonverbal communication
Body language
Facial expressions
Posture/Gait
Appearance
Gestures
Touch
A nurse is working with a client who speaks limited English. What is the best approach to ensure effective communication?
Speak loud and slowly
Use medical jargon to provide clarity
Use a professional interpreter
Have family members translate
Use a professional interpreters
what is collaborative communication
comm. between nurses, physicians, and other health care professionals from different disciplines.
How can we communicate assertively?
be professional-eye contact, respectful, clear, confident
“I” statements
focus on the problem not participant
learn to accept criticism
how to communicate safely?
use critical language
question decisions regarding care
closed loop communication
checklists
debrief at end of shift
A nurse is concerned about a proposed treatment plan that seems to have potential risks for the client. What is the most appropriate course of action?
accept without question
discuss concerns
proceed and document
wait until admin to express concern
discuss concerns
what is essential for providing high quality care?
therapeutic relationships
What is Empathy, Respect, Genuineness, Concreteness, and Confrontation 5 key characteristics of
therapeutic communication
Genuineness requires honesty and a willingness to ________?
self evaluate
communicate
care for others
self evaluate
what are these examples of?
Asking too many questions
Fire-hosing information
Asking why
Changing the subject inappropriately
Failing to probe
Expressing approval and disapproval
Providing false reassurance
Stereotyping
Using patronizing language
barriers to communication
how should you document?
in chronological order
client’s response to interventions
written or electronic or a combination of the two
A nurse attempts to communicate with a client who has cognitive impairment, which nursing approach best supports client comprehension and engagement?
Use medical jargon and lengthy explanations to cover all details
Utilize simple, direct language and utilize visual aids or gestures to enhance understanding
Use standard communication methods without adjusting for the client’s cognitive limitations
Provide written instructions and assume the client will follow them without further explanation
Utilize simple, direct language and utilize visual aids or gestures to enhance understanding
