Exam 2

Question 1

Communication

Answer 1

The stimulus, the sender or source, the message, the channel, the receiver, and feedback

Question 2

The stimulus (communication process)

Answer 2

the patient need must be addressed

can be discomfort or desire for information or to address something they might be experiencing

Question 3

The sender or source (encoder)

communication process

Answer 3

Is a person or group who initiates or being the communication process

Question 4

The message (communication process)

Answer 4

The actual communication product from the source

-might be a speech, interview, conversation, chart, gesture, memorandum or nursing note

Question 5

The channel (communication process)

Answer 5

The medium the sender has selected to send the message

• auditory-spoke words and cues
• visual-sight, observation, and perception
• kinesthetic-touch

Question 6

The receiver (decoder)

communication process

Answer 6

Must translate and interpret the message sent and received

the receiver after they interpret the message they must make a decision about an accurate response

donna just told me she needs to take a shit how tf am I going to help her

Question 7

Feedback (communication process)

Answer 7

the receiver has understood the intended message

• I tell donna im going to take her to the bathroom

Question 8

Intrapersonal communication

Answer 8

Self talk is communication within a person

Question 9

interpersonal communication

Answer 9

occurs between two or more people to exchange messages

Question 10

small group communication

Answer 10

when nurses interact with two or more people. Communicate to achieve one goal

Question 11

Organizational communication

Answer 11

occurs when people and groups within an organization communicate to achieve established goals

Question 12

3 identify the ways patients communicate nonverbally

Answer 12

touch, eye contact, facial expressions, posture, gait, gestures, physical appearance, grooming, sounds, and silence

Question 13

SBAR

Answer 13

Situation: provides objective data
Background: provides objective data
Assessment: allow for presentation of subjective information
Recommendations: allow for presentation of subjective information

provides a method of hand off communication that is clear, structured, and easy to use

Question 14

Blocks to communication

Answer 14

Stereotypes, no cliches, no why and how questions, unrequested advice

Question 15

Phases of helping relationship

Answer 15

Orientation, working, termination phase

Question 16

Orientation Phase

Answer 16

The tone and guidelines for the relationships are established

you and the patient meet and learn to identify each other by name

get the patient o know you by name in order to built trust

• the established agreement is a verbal exchange related to goals and the means of achieving them
• orient them on hospital protocol

Question 17

Working Phase

Answer 17

Usually the longest phase

nurse works together with the patient to meet the patients physical and psychosocial needs

provides needed assistance

teacher counselor relationship

Question 18

Termination Phase

Answer 18

conclusion of the initial agreement

discharge, shift change, nurse vacation, or fired/quit

examine goals and look at the progress towards them

if goals have been reached acknowledge them

Question 19

Patient Record

Answer 19

is a compilation of a patient’s health information

assessment, nursing diagnoses or patients needs, nursing interventions, and patient outcomes are permanently integrated into the patient record

Question 20

Patients Rights under HIPPA

Answer 20

See and copy their health record

update their health record

get a list of the disclosures that a healthcare institution has made independent of disclosures made of the purpose of treatment, payment, and health care operations

request a restriction on certain uses or disclosures

choose how to receive health information

Question 21

Verbal orders

Answer 21

the only circumstance in which an attending physician, nurse practitioner, or house officer may issue orders verbally is in a medical emergency when the physician or nurse practitioner is present but finds it impossible, owing to the emergency situation to write the order

order must be given to a registered professional nurse or registered professional pharmacist, who receives, read back, documents, and executes the order

Question 22

Steps for verbal orders

Answer 22

A. Record the order in the patient’s medical record
B. Read back the order to verify accuracy of the order
C. Date and not the time the orders were issued during the emergency
D. Record VOs, the name of the physician or nurse practitioner who issued the orders, followed by nurses own name and title

Question 23

Standalone PHR

Answer 23

patients fill in information from their own record

Question 24

Tethered/connected PHR

Answer 24

linked to a special health care organization

Question 25

Source oriented record

Answer 25

a paper format in which each health care group keeps data on its own separate form