OLD_Exam 2 Flashcards
Communication
Transfer of information
What is often cited as a key issue in patient safety?
Miscommunication between team members
Name the 6 components of the Shannon-Weaver Communication Model
Sender, encoder, channel, decoder, receiver and noise
What are the three components in Schramm’s model of communication?
Sender, receiver, message
ABX model is also called?
Theodore Newcomb’s model of communication
What are the components of the ABX / Newcomb model of communication?
Sender, receiver, topic
David K. Berlo’s Model of communication is called what?
S-M-C-R
What does S-M-C-R stand for?
sender, message, channel, receiver
Therapeutic communication
Techniques used to improve communication, such as active listening.
Auditory communication
What message the receiver hears.
Emotional communication
A form of communication that expresses feelings and emotions.
Energetic communication
The speaker’s presence or vibration that is expressed when communicating.
Empathy
Ability to understand the feelings of another.
Name the four modes / types of communication.
Verbal, written, nonverbal, electronic
Name 4 communication styles
Passive, assertive, aggressive, passive aggressive
Passive communication
Communication style that does not act or openly express discomfort.
Assertive communication
Communication style that displays confidence or self-assurance.
Aggressive communication
Hostile or forceful style of communication.
Passive aggressive communication
Communication style that finds indirect ways to protest or express unhappiness with a situation.
Dementia
A cognitive disorder that can impair communication ability due to language and memory changes.
Down syndrome
A developmental disorder that can cause physical, cognitive and communication deficits.
Autism Spectrum Disorder (ASD)
A developmental disorder that can cause barriers in social interaction and communication.
Nontherapeutic Communication
Techniques that hinder communication, such as stating the person is wrong.
What is Jean Watson’s Theory of Human Caring?
embodies the key components of therapeutic relationships (10 total)
Peplau’s Theory of Interpersonal Relationships categorizes nurse-client relationships into what 4 phases?
Orientation
Identification
Exploitation
Resolution/termination
Open-ended questions
Questions that require more than a yes or no answer.
Restating
A therapeutic communication technique where the receiver summarizes or paraphrase the message back to the sender to ensure understanding.
Reflection
A therapeutic communication technique where one person mirrors back the message of the speaker to encourage further sharing.
Motivational Interviewing (MI)
Communication strategy that empowers the receiver to make positive changes.
the mnemonic for motivational interviewing is ____ and it stands for ___, __, __, and ___
OARS: Open-ended questions, Affirmations, Reflective listening, Summarizing.
Affirmations
Positive comments that help build the receiver’s confidence.
Examples of nontherapeutic communication techniques include…
Not listening or rejecting what the client is saying
Being critical
Trying to reassure the client by dismissing concerns
Giving advice
Patient-centered care
A treatment technique that keeps the client involved in their own care.
Collaborative healthcare
A client-centered approach where different health care teams come together and work toward a common goal.
Interprofessional teams
A setting in which two or more professionals work together.
Consultation
The act of a provider formally proposing treatment with another provider, in a different specialty area, to determine best practices in client care.
Referral
The act of directing a client from a provider to a specialist provider with delegation of responsibilities for responsibility of care.
Interpersonal communication
Person-to person communication skills within personal and professional relationships.
Silos
Groups within an organization’s infrastructure (departments, professionals) that work with their own area of responsibility and create a division of labor.
What is the main goal of continuity of care?
quality care over time
The Joint Commission (TJC)
An independent, not-for-profit, unbiased accreditation and certification agency, for assessing quality client safety and care of health care organizations.
Closed-loop communication
Is the use of standardized terminology and procedures to ensure the message between sender and receiver is received, clarified and has been correctly interpreted.
I-SBAR
Standardized communication tool that delivers uniform information via the acronym I-SBAR-R, meaning introductions, situations, background assessment, recommendation and readback.
Handoff report
A communication technique where one provider hands-off care of a client to another provider by a detailed and structured reporting method.
Transcribing Medications
Upon receiving a provider’s prescription (order) for a client, verify or read back the information, and then document the information correctly in the client’s EHR.
Verbal Prescription
Provider verbally prescribing treatment, for a client, to another provider or nurse.
Care transitions
The transfer of care of a client to or between different health care providers or settings.
Comorbidities
The concomitant occurrence of two or more disease processes in the same client.
Incivility
Behaviors in the workplace that negatively affect others such as gossiping, spreading rumors, rudeness, or refusing to help a coworker. It can be peer to peer (see also: lateral violence), supervisor to employee (vertical), and includes behaviors meant to harm, humiliate or distress another.
Bullying
Recurring behavior of unwelcome action(s) intended to harm, humiliate, or distress another.
Lateral violence
Incivility that is peer-to-peer, also known as horizontal violence.
Vertical violence
Incivility from supervisor to employee, or vice versa.
Zero-tolerance policy
A policy adopted by many organizations to describe null, or an absolute, no tolerance for incivility, bullying, harassment, or other acts of intimidation or violence in the workplace.
Conflict management
A method to settle disagreements peacefully and respectfully, through compromise, and accommodation to each other s needs, sharing goals, and avoiding competition with the other party
Cognitive rehearsal
An intellectual therapeutic technique where one envisions or visualizes an overwhelming, or an anxiety-producing situation.
Accommodation
maintain peace and harmony by smoothing over differences.
______ provides a temporary solution and recognizes the importance of resolving the relationship
Compromise
_____ and ______ are both short term solutions
Avoidance and competition
Multifactorial qualities of emotional and social skills where the ability to recognize, understand, manage emotions and adapt to change are related to personal problem solving; efficiently coping with life s daily demands, difficulties and challenges professionally.
Emotional intelligence
In healthy people 2030, the 5 main domains of SDOH are…?
(1) economic stability
(2) education access and quality
(3) health care access and quality
(4) neighborhood and built environment
(5) social and community context
The process of enabling people to increase control over and improve their health.
Health promotion
Wellness
A positive state of health.
Prevention
Specific, population-based and individual-based interventions for primary and secondary (early detection) prevention, aiming to minimize the burden of diseases and associated risk factors.
Learning experiences that are designed to improve the health of an individual or community through increased knowledge or by influencing attitudes.
Health Education
The result of health promotion and disease prevention measures. Individuals are empowered to make healthier decisions to reduce the likelihood of developing disease and disability through health promotion and disease prevention programs.
Health outcomes
long hours, few breaks, stress, unpredictable and unhealthy eating and sleep patterns, and lack of exercise contribute to what?
work-health imbalance for nurses
Modifiable risk factors
Behaviors and actions that can affect a client’s risk for developing a disease.
What are the 3 common modifiable risk factors responsible for the majority of chronic diseases?
(1) unhealthy and excessive diet
(2) lack of physical exercise
(3) use of tobacco products
Nonmodifiable risk factors
Risk factors that cannot be changed.
ability to process and comprehend basic health information that is necessary for the client to make appropriate health care decisions
Health Literacy
The learned, shared, and transmitted values, beliefs, norms, and lifeways of a particular group that guides their thinking, decisions, and actions in patterned ways.
Culture
Family
group whose members are related biologically, legally, or emotionally
Prevention
The action of stopping something from happening.
Primary Prevention
The act of intervening before negative health effects occur.
Secondary Prevention
To reduce the impact of disease or injury, and limit disability.
Tertiary Prevention
controlling the chronic effects of a health issue that has already occurred and on restoring the individual to optimal functioning
Self-Care
An inclusive group of activities nurses can utilize to promote one’s mental health and overall well-being.
Quaternary Prevention
protecting clients from the excessive use of medical interventions that can cause more harm than good
An ongoing, goal-driven, interactive process that provides clients with new information.
Client Education
x
x
Cognitive Domain
The thinking domain; here, a client must think through the information presented to them and be able to comprehend the information.
Affective Domain
One of three domains of learning involves the client’s feelings, precisely their values, attitudes, and beliefs.
Psychomotor Domain
Involves the use of hands-on fine and gross motor skills.
What are Knowles’s fundamental principles of learning?
(1) Relevance
(2) Self-directed
(3) Life-experience
(4) Readiness
(5) Task-centered
(6) Motivation
Barriers to learning
Something that hinders learning.
What factors can impair learning?
(1) impaired cognition
(2) language barriers
(3) visual and hearing impairments
(4) emotional concerns
(5) cultural differences.
Fine motor skills
The use of small muscles, such as fingers.
Gross motor skills
The use of large muscle groups to perform whole body movements.
A ____ is an optimal learning environment that reduces distraction and provides good ventilation, adequate lighting, and a comfortable temperature.
Low-stimulus environment
Repetition
continuing to provide the same education more than once to reinforce the information conveyed
Response to a message, positive or negative.
Feedback
Group instruction
Involves two or more clients who are obtaining the same learning material simultaneously.
Individual instruction
Occurs when the educational session engages only the learner and the teacher
Teach-back
A technique to determine the client’s level of understanding by having the client explain back to the nurse the information that was taught.
Occurs within and among cultural groups and includes a multitude of factors impacting diversity such as age, sexual orientation, culture, ethnicity, and socioeconomic status.
Cultural diversity
Self-bias
Personal perception or stereotype regarding situations, people, or actions.