EBP (10) + Communication and Collaboration (12)

Question 1

phases of therapeutic relationship

Answer 1

1) orientation phase
2) working phase
3) termination phase

Question 2

what is expected in the orientation phase?

Answer 2

the patient learns the nurse’s name, credentials and extent of responsibility

this is when they build trust, see each other as people, identify the patient’s view of their problems, and establish a “contract” that patient and nurse will work together

Question 3

what is it called when actions and words align?

(this is an important component of building trust)

Answer 3

congruence

Question 4

what is expected of the patient during the working phase?

Answer 4

nurses can expect to see their patient have motivation and resistance to change regarding their condition–this is the patient’s response to stress

Question 5

when patients make little progress because they resist more than they actively try to change

Answer 5

regression

Question 6

what is the termination phase?

Answer 6

the patient and the nurse are beginning to end the relationship in a therapeutic manner

Question 7

this type of communication is the most obvious and consists of all speech

Answer 7

verbal communication

Question 8

this type of communication consists of actions, tone, and body language

people are less able to exercise conscious control over what they communicate

Answer 8

nonverbal communication

Question 9

what are the criteria for successful communication?

Answer 9

1) feedback
2) appropriateness
3) efficiency
4) flexibility

Question 10

relaying a message back to the sender

nurses operate under the notion that they do not know everything until confirmed

Answer 10

feedback

Question 11

the reply “fits” with a question

the nurse can use the patient’s reply to evaluate the presence of a problem

Answer 11

appropriateness

Question 12

use of simple and clear words–no use of medical jargon

use words that are appropriate to the patient’s level of literacy

Answer 12

efficiency

Question 13

allowing for deviations from a plan of communicating with the patient

Answer 13

flexibility

Question 14

effective communication tools

Answer 14

1) active listening
2) empathy
3) open-ended questions
4) sharing knowledge and information
5) reflection
6) silence

Question 15

what are the characteristics of research (new science)?

Answer 15

it can be replicated across different settings

the means to resolve, clarify, or inform regarding phenomena related to improving patient care

Question 16

what are the characteristics of EBP?

Answer 16

it is the use of research to guide clinical judgment of nurses and deliver quality health care with integration of clinician expertise and patient preferences

Question 17

what are the 3 types of research?

Answer 17

1) quantitative
2) qualitative
3) mixed

Question 18

characteristics of quantitative research

Answer 18

measurable variables

minimize subjectivity and bias

it can be conducted through study groups and determined through interventions–applicable to different settings

(pain levels, LOS, lab values)

Question 19

define bias

Answer 19

the systematic distortion of a finding of data–results from problems with participants

(testing the effectivity of an intervention but using young patients only instead of diversifying to the older population)

Question 20

characteristics of qualitative research (naturalistic inquiry)

Answer 20

explores human responses to health and illness

data collection involves narrative interviews and participant observation

Question 21

characteristics of mixed research

Answer 21

combines both types, meaning there will be a variety of data collection techniques and analyses

Question 22

define research question

Answer 22

a question posed from an identified research problem

(“what are the characteristics of mothers who have difficulty initiating breastfeeding?”)

Question 23

what is the PICOT framework?

Answer 23

it is what nurses use in direct patient care roles to focus their search for evidence in regards to what is considered best practice or learn a better way to improve outcomes

guides EBP

Question 24

PICOT

Answer 24

Population
Intervention
Comparison
Outcome
Time

Question 25

reliability of data collection

Answer 25

consistently accurate (yields the same values each time the instrument is used)

Question 26

validity of data tool

Answer 26

must measure what it’s supposed to measure

Question 27

how is research used in practice and education?

Answer 27

it can be used to support and improve practice

Question 28

what is the Common Fund?

Answer 28

launched by NIH to fund research programs that make biomedical research responsive to needs of society