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Chamberlain College of Nursing > NR 222: Health And Wellness Exam 3 > Flashcards

NR 222: Health And Wellness Exam 3 Flashcards

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1
Q

Potter- Ch. 24 Communication ppt: what are the 5 developing communication skills

A

Critical thinking, perseverance and creativity, self-confidence, fairness and integrity, and humility

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2
Q

Potter- Ch. 24 Communication ppt: what are the 5 senses

A

Listen, taste, sight, touch and smell

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3
Q

Potter- Ch. 24 Communication ppt: thinking is influenced by what 3 perceptions

A
  1. Five sense
  2. Culture
  3. Education
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4
Q

Potter- Ch. 24 Communication ppt: (levels of communication) occurs within an individual

A

Intrapersonal

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5
Q

Potter- Ch. 24 Communication ppt: (levels of communication) one to one perception between two people

A

Interpersonal

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6
Q

Potter- Ch. 24 Communication (elements of the communication process) ppt: one who encodes and one who decodes the message

A

Sender and receiver

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7
Q

Potter- Ch. 24 Communication (elements of communication progress) ppt: means of conveying and receiving messages

A

Channels

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8
Q

Potter- Ch. 24 Communication (elements of communication process) ppt: motivates one to communicate with another

A

Referent

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9
Q

Potter- Ch. 24 Communication ppt: forms of communication

A

Verbal aspects of communication and nonverbal aspects of communication

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10
Q

Potter- Ch. 24 Communication ppt: list some nonverbal aspects of communication

A 
Personal appearance
Posture and gait
Facial expressions 
Eye contact
Gestures
Sounds
Territorially and personal space
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11
Q

Potter- Ch. 24 Communication (elements of communication process) ppt: the content of the communication

A

Message

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12
Q

Potter- Ch. 24 Communication (elements of communication process) ppt: the setting for the sender-receiving communication

A

Environment

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13
Q

Potter- Ch. 24 Communication ppt: is a broad term that refers to all factors that influences communication

A

Metacommunication

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14
Q

Potter- Ch. 24 Communication ppt: this is a phase that occurs before meeting the patient

A

Preinteraction phase

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15
Q

Potter- Ch. 24 Communication ppt: which phase is when the nurse and the patient meet and get to know each other

A

Orientation phase

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16
Q

Potter- Ch. 24 Communication ppt: this a a phase when the nurse and the patient work together to solve problems and accomplish goals

A

Working phase

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17
Q

Potter- Ch. 24 Communication ppt: this is the phase that occurs at the end of a relationship

A

Termination phase

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18
Q

Potter- Ch. 24 Communication ppt: what are the four phases of nurse-patient relationship

A

Preinteraction phase, orientation phase, working phase and termination phase

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19
Q

Potter- Ch. 24 Communication ppt: this type of communication occurs when a healing relationship between a nurse and patient

A

Therapeutic

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20
Q

Potter- Ch. 24 Communication ppt: this type of communication empowers others and enables people to know themselves and to make their own culture

A

Skilled communication

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21
Q

Potter- Ch. 24 Communication (levels of communication) ppt: interaction within a person’s spiritual domain

A

Transpersonal

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22
Q

Potter- Ch. 24 Communication: (levels of communication) ppt: interactions with a small number of people

A

Small group

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23
Q

Potter- Ch. 24 Communication (levels of communication) ppt: interaction with an audience

A

Public

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24
Q

Potter- Ch. 24 Communication ppt: what are the 4 types of professional nursing relationships

A
  1. Nurse-patient helping relationship
  2. Nurse-family relationship
  3. Nurse-health team relationship
  4. Nurse-community relationship
25
Q

Potter- Ch. 24 Communication ppt: helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the____________

A

Orientation phase

26
Q

Potter- Ch. 24 Communication ppt: what are the 6 elements of professional communication?

A
  1. Appearance, demeanor, and behavior
  2. Courtesy
  3. Use of names
  4. Trustworthiness
  5. Assertiveness
  6. Autonomy and responsibility
27
Q

Potter- Ch. 24 Communication ppt: which part of nursing process includes physical and emotional factors, development factors, sociocultural factors, gender, and looking through a patient’s eyes (gathering info., synthesize, & apply critical thinking)?

A

Assessment

28
Q

Potter- Ch. 24 Communication ppt: which part of the nursing process includes goals and outcomes (specific and measurable), setting of priorities, and teamwork/collaboration?

A

Planning

29
Q

Potter- Ch. 24 Communication ppt: which part of the nursing process includes active listening, therapeutic communication techniques, nontherapeutic communication techniques, and adapting communication techniques?

A

Implementation

30
Q

Potter- Ch. 24 Communication ppt: which part of the nursing process includes the patient’s experience difficulty with communication such as difficulty forming words, comprehension; lack of skills in attending, listening, responding, or self-expression; inability to articulate, inappropriate verbalization?

A

Diagnosis

31
Q

Potter- Ch. 24 Communication ppt: While admitting a patient, during the initial interview, a family member tells you, “My mom really means that she does not understand her medical diagnosis.” This communication form used by the family member is

A

clarifying

32
Q

Potter- Ch. 24 Communication ppt: which part of the nursing process includes the patient’s outcomes:

  • Nurses and patients need to determine whether the plan of care has been successful.
  • Nursing interventions are evaluated to determine which strategies or interventions were effective.
  • If expected outcomes are not met, the plan of care needs to be modified.
A

evaluation

33
Q

Potter- Ch. 24 Communication ppt: what are the adapting communication techniques?

A
  • Patients who cannot speak clearly
  • Cognitive impairment
  • Hearing impairment
  • Visual impairment
  • Unresponsive
  • Patients who do not speak English (or your language)
34
Q

Potter- Ch. 24 Communication ppt: What does “SOLER” stand for?

A

sit facing the patient; observe an open posture; lean toward the patient; establish and maintain intermittent eye contact; relax

35
Q

Potter- Ch. 24 Communication: The nurse summarizes the conversation with the patient to determine if the patient has understood him or her. This is what element of the communication process?

A

Feedback

36
Q

Potter- Ch. 24 Communication: When the nurse takes the patient’s nursing history, he or she sits:

A

18 inches to 4 feet from the patient

37
Q

Potter- Ch. 24 Communication: When identifying behaviors that foster the development of trust what should you do?

A
  1. answer the call light promptly
  2. answer questions honestly
  3. demonstrate competence when doing treatments
38
Q

Potter- Ch. 24 Communication: A patient with limited English proficiency is going to be discharged on new medication. How does the nurse complete the discharge teaching?

A

obtains an interpreter to facilitate communication of medication information

39
Q

Potter- Ch. 24 Communication: Your patient has just been told that she has cancer, and she is crying. Which actions facilitate therapeutic communication?

A
  1. pulling the curtain to provide privacy
  2. offering to discuss information about her condition
  3. sitting quietly by her bed and hold her hand
40
Q

Potter- Ch. 24 Communication: Mr. Sakda emigrated from Thailand. when taking care of him, you note that he looks relaxed and smiles but seldom looks at you directly. How do you respond?

A

deflect your eyes downward to show respect

41
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: a method for discovering one’s values and the importance of those values

A

values clarification

42
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: the application of one’s cognitions, perceptions, and behaviors to create interpersonal encounters that promote health in another person, family, group, or community

A

therapeutic use of self

43
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: what are the steps in self-awareness?

A
  1. listening to oneself
  2. listening to and learning from others
  3. self-disclosure
  4. practical reflection
44
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: What are some barriers to effective communication?

A
  1. anxiety
  2. attitudes
  3. gaps between the nurse and individual
  4. resistance
  5. transference/countertransference
  6. sensory factors
  7. failure to address concerns/needs
  8. setting
45
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: the capacity to read, comprehend, and follow through on health information is known as-

A

health literacy

46
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: list some helping or therapeutic relationship characteristics

A
  1. purposeful communication
  2. rapport
  3. trust
  4. empathy
  5. goal direction
  6. ethics
47
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: what are some factors in effective communication?

A
  1. listening
  2. flexibility
  3. silence
  4. humor
  5. touch
  6. space between communicators
48
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt: what are some effective communication steps?

A
  1. firmly stating case
  2. clarifying the message
  3. seeking feedback
  4. being receptive to received feedback
49
Q

Edelman- Ch. 4 The Therapeutic Relationship ppt:

  • tool for health-promotion interventions
  • basis for professional nurse-patient relationship
  • information exchange between individuals
  • patient-centered communication important
A

communication process

50
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: one concern that nurses have when using self-disclosure during therapeutic interaction is-

A

it may cross a boundary from a professional to personal relationship

51
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: A woman is scheduled for ambulation in the early morning of the first day after undergoing an abdominal hysterectomy. The nurse uses consensual validation of the individual’s understanding of the plan of care by stating:

A

“tell me where you would like to walk this morning”

52
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: The nurse demonstrates empathy toward a crying mother whose baby was stillborn by stating:

A

“loss of a baby is truly a sad occurrence”

53
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: Which question best assists the nurse who is helping a person to formulate the problem as a step in the problem-solving process?

A

“what do you want to see changed?”

54
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: A nurse tells a childbirth education class consisting of pregnant women and their coaches that alcohol use poses serious risks to the fetus. After the class, one woman comments, “Do you really think that having a drink once in a while is bad for the baby? I’m sick of being told that I can’t do things because of the baby.” This is an example of:

A

values clarification

55
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: The nurse utilizes strategies associated with client-centered communication by?

A
  1. not being “too busy” to talk
  2. developing mutual understanding
  3. using a conversational interviewing style
  4. tuning in to the client’s preferences and style
56
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: In health promotion, the nurse-person relationship is the context for care. The elements of communication are important considerations for?

A
  1. successful health promotion involves interpersonal skills
  2. health promotion requires communication skills
  3. values clarification is an essential element of communication and health promotion
57
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: Health literacy is the capacity to read, comprehend, and follow through on health information and is a crucial component of health promotion. What are some of the techniques nurses can utilize to reduce low health literacy?

A
  1. create a safe and comfortable environment
  2. establish eye contact during communication
  3. have the client teach back the information they have been provided to assess understanding
58
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: what are the methods of communication are most appropriate for use with individuals who are deaf, hard of hearing, or have a language barrier?

A
  1. utilize written communication with someone who is deaf or hard of hearing
  2. touch is an acceptable form of communication with the blind
59
Q

Edelman- Ch. 4 The Therapeutic Relationship ECQ: What are some ethical standards that nurses can utilize for interpersonal communications?

A
  1. communicate information accurately
  2. be sensitive to gender and cultural context
  3. communicate verbal and nonverbal messages in a congruent manner
  4. being aware and open to changing concepts of self and others
  5. sharing responsibility for the consequences among communicators

Chamberlain College of Nursing (6 decks)

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