SAS#6

Question 1

Provides a clinical decision-making approach for you to develop and implement and individual plan of care

It guides care for patient who needs special assistant with communication

Answer 1

NURSING PROCESS

Question 2

process thoroughly assesses each patient and critically analyzes findings to ensure that you make patient-centered clinical decisions required for safe nursing care

Answer 2

ASSESSMENT

Question 3

Gather information, synthesize, apply critical thinking

Answer 3

THROUGH THE PATIENT’S EYES

Question 4

FACTORS INFLUENCING COMMUNICATION

Internal factors affecting communication

Answer 4

PSYCHOPHYSIOLOGICAL CONTEXT

Psychological status
Emotional status
Growth and development status
Unmet needs
Attitudes values and beliefs
Perception and personality
Self-concept and self-esteem

Question 5

FACTORS INFLUENCING COMMUNICATION

Nature of the relationship among participants

Answer 5

RELATIONAL CONTEXT

Social, helping, or working relationship
Level of trust among participants
Level of carry express
Level of self disclosure among participants
Shared history of participants
Balance of power and control

Question 6

FACTORS INFLUENCING COMMUNICATION

Reason for communication

Answer 6

SITUATIONAL CONTEXT

Information exchange
Goal achievement
Problem resolution
Expression of feelings

Question 7

FACTORS INFLUENCING COMMUNICATION

Physical surroundings in which communication occurs

Answer 7

ENVIRONMENTAL CONTEXT

Privacy level
Noise level
Comfort and safety level
Distruction level

Question 8

FACTORS INFLUENCING COMMUNICATION

Sociocultural elements that affect an interaction

Answer 8

CULTURAL CONTEXT

Educational level of participants
Language and self expression patterns
Customs and expectations

Question 9

Many altered healthy states and human responses limit communication.
People with hearing or visual impairments and have difficulty receiving messages

review of a patient’s medical record provide relevant information about his or her ability to communicate

Answer 9

PHYSICAL AND EMOTIONAL FACTORS

Question 10

Aspects of a patient’s growth and development also influenced nurse patient interaction.

For example, an infant self-expression is limited to crying, body movement, and facial expression whereas older children express their needs more directly

Answer 10

DEVELOPMENTAL FACTORS

Question 11

Be aware of the typical patterns of interaction that characterize various ethnic groups, but do not allow this information to bias your response

Answer 11

SOCIO-CULTURAL FACTORS

Question 12

CULTURAL ASPECTS OF CARE

Provide language accessing services like interpreters

Answer 12

COMMUNICATION WITH NON-ENGLISH-SPEAKING PATIENTS

Question 13

CULTURAL ASPECTS OF CARE

Understand your own cultural values and biases
assess the patient’s primary language and level of fluency in english
Etc…

Answer 13

IMPLICATION FOR PATIENT-CENTERED CARE

Question 14

Influences how we think, feel and communicate
men tend to use less verbal communication but are more likely to initiate communication and address issues more directly.

women tend to disclose more personal information and use more active listening, answering with responses that encourage the other person to continue the conversation

Answer 14

GENDER

Question 15

The primary nursing diagnostic label used to describe a patient with limited or no ability to communicate verbally is

Answer 15

IMPAIRED VERBAL COMMUNICATION

Question 16

this is the state in which an individual experiences a decreased delayed or absent ability to receive process transmitted and use symbols for a variety of reasons

Answer 16

IMPAIRED VERBAL COMMUNICATION

Question 17

Are specific responses that encourage the expression of feelings and ideas and convey acceptance and respect

Answer 17

THERAPEUTIC COMMUNICATION TECHNIQUES

Question 18

Means being attentive to what a patient is saying both verbally and nonverbally

Answer 18

ACTIVE LISTENING

Question 19

In active listening you should use

Answer 19

SOLER
S - SITTING
O - OBSERVE AND AN OPEN POSTER
L - LEAN TOWARD THE PATIENT
E - ESTABLISH AND MAINTAIN INTERMITTENT EYE CONTACT
R - RELAX

Question 20

Specific and measurable

Answer 20

GOALS AND OUTCOMES

Question 21

Always maintain an open line of communication; ensure the patient is comfortable and that all physical needs have been met.

Answer 21

SETTING OF PRIORITIES

Question 22

If patients have problems with communication you may need to seek the services of a speech therapist or an interpreter

Answer 22

TEAMWORK AND COLLABORATION

Question 23

Certain communication techniques hinder or damage professional relationships.

This is specific techniques are referred to as __________ or blocking and often caused the recipients to activate defenses to avoid being hurt or negatively affected

Answer 23

NON THERAPEUTIC COMMUNICATION TECHNIQUES

Question 24

Interacting with people who have conditions that impair communication (visual, hearing) requires special thought and sensitivity.
such patients benefit greatly when you adapt communication techniques to their unique circumstances, developmental level or cognitive and sensory deficits

Answer 24

ADAPTING COMMUNICATION TECHNIQUES

Question 25

The effectiveness of your own communication by videotaping practice sessions with peers or by making process recording

Answer 25

EVALUATION