Module 1-b

Question 1

Communication Process

Answer 1

Making a meaning out of a conversation: exchange information, generate/exchange meaning, foundation of society, primary aspect of rn/pt interaction, fulfill needs, reciprocal process

Question 2

Elements of Communication

Answer 2

Stimulus- need of pt, Source of Encoder-RN. Message-product of source, Channel-medium that channels the message, Receiver/Decoder-receive,translate,interpret, Feedback-received and understood, Noise-possible distraction

Question 3

Levels of Communication

Answer 3

Intrapersonal-self taught, Interpersonal- 2 or more interacting/exchanging messages, Group-small or organizational, Group Dynamics- relations b/t group members

Question 4

Ways of Communication

Answer 4

Verbal/Non-verbal

Question 5

Types of non-verbal

Answer 5

touch, facial expressions, gait, appearance, eye contact, posture, gestures, silence/sounds

Question 6

Phases of Helping relationship

Answer 6

Therapeutic, Nurse/Patient

Question 7

Phases of Helping relationship

Answer 7

Orientation-roles are clarified, agreement established Working-RN/PT work together to meet pt needs/interpersonal , Termination- end of the shift, D/C for pt, potential for suggestion for future efforts.

Question 8

Factors promoting Effective Communication

Answer 8

Therapeutic communication ADPIE (Assess, Diagnose, Plan, Implement, Evaluate

Question 9

Factors promoting effective communication

Answer 9

Dispositional- self explanatory (warmth, empathy, etc…)

Question 10

Factors promoting effective communication

Answer 10

Rapport builders- Standards- specific objectives, comfortable environment, privacy, pt focus, use of nursing observations, optimal pacing, respect personal space

Question 11

Non-therapeutic responses

Answer 11

Unholistic approach, not listening, defensive, cliches’, closed ended questions, how/why, probing, leading questions, false assurance, changing the subject, judgemental

Question 12

Therapeutic communication techniques

Answer 12

open ended questions, sit down/eye contact, exploring thoughts and feelings

Question 13

Therapeutic comm. techniques

Answer 13

Validation

Question 14

T C T- Clarifying

Answer 14

“I’m not sure I understand what you’ve said. Please tell me more about that

Question 15

T C T- Reflecting

Answer 15

Pt-“ I think I need my medication”. RN-“You think you need your medication?”

Question 16

T C T-Sequencing

Answer 16

“When did this happen? Was this before or after you took the medication?”

Question 17

T C T- Directing

Answer 17

“What have you been told about decreasing salt in your diet?”

Question 18

T C T- Humor

Answer 18

Humor

Question 19

T C T- Touch

Answer 19

Touch-

Question 20

Communication Techniques- different cultures

Answer 20

Patients from different cultures- be aware of…personal beliefs, comm. variables, modify to meet cultural needs,

Question 21

Communication techniques- different cultures

Answer 21

non-threatening, validate communication, sexual matters reluctance/sensitivity, adopt special approaches, use interpreters (certified)

Question 22

Communication - Children

Answer 22

touch, physical proximity, listening, visual communication, tome of voice, body language, timing

Question 23

Famliy centered communication

Answer 23

establish rapport, available and open to questioning, family education and empowerment, conflict mgt, feedback, spirituality.

Question 24

Special communication needs- Visually impaired

Answer 24

Acknowledge your presence, id yourself, normal tome, explain touching, indicate exiting, call bell in reach, orient to room and sounds

Question 25

Special communication needs- Hearing impaired

Answer 25

Orient to your presence, talk directly, do not chew gum/cover mouth, use sign or finger spelling, write ideas when appropriate.

Question 26

Special communication needs-Physical barrier/ET tube

Answer 26

Simple means, ensure all can use the device, patience and reinforcement, signaling for assistance.

Question 27

Special communication needs- Cognitively impaired

Answer 27

eye contact, quiet, simple and concrete, patient (avoid open ended questioning)

Question 28

Special communication needs- Unconscious pt

Answer 28

be careful of what is said (hearing is the last sense to go), assume the pt can hear you, speak before touching, keep noise low, talk in a normal tone.

Question 29

Special communication needs- language barrier

Answer 29

Use certified interpreters ( language phone), pantomime ideas, non verbal

Question 30

Priniciples of teaching/learning

Answer 30

Helping relationship, assess readiness, learning needs, develop outcomes, teaching plan, evaluate