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► Med Misc 49 > Unit III > Flashcards

Unit III Flashcards

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1
Q

Receiver

A

The person whom the message is given

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2
Q

Name the three critical elements of communication process

A

Sender (encoder)
Message
Receiver (decoder)

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3
Q

Intrapersonal

A

Self talk

Occurs with in the pt

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4
Q

Interpersonal

A

Face to face

Goal directed nursing

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5
Q

Name the levels of communication

A

Intrapersonal
Interpersonal
Public

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6
Q

Communication

A

A continuous circular process by which information are transmitted between people

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7
Q

In nursing, communication us a dynamic process used to?

A

Gather assessment data, teach, express comfor

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8
Q

Types of feedback

A

Informational
Corrective
Reinforcing

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9
Q

Informational feedback

A

Exchange of non evaluative information

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10
Q

Corrective feedback

A

In response to an action or behavior

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11
Q

Reinforcing feedback

A

Can be Positive or negative

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12
Q

Name the modes of communication

A

Verbal
Non verbal
Written

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13
Q

Congruence

A

How well verbal and non verbal levels fit together

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14
Q

The majority of communication is?

A

Non verbal

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15
Q

The most important communication is?

A

Verbal

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16
Q

Pacing

A

Manner of speech, increase rate

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17
Q

Intonation

A

Manner of speech

Increase tone

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18
Q

%of communication is non verbal

A

80%

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19
Q

Body language

A

Non verbal communication expressed by how we move our bodies

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20
Q

Personal space

A

Distance ppl prefer in interactions with others

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21
Q

Proxemics

A

Study of distance between ppl & interactions

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22
Q

Intimate level of personal space

A

0-1.5 ft

Pt care

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23
Q

Personal level of personal space

A

1.5-4ft

Conduct interview

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24
Q

Social level of personal space

A

4-12ft

Making rounds

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25
Q

Public level of personal space

A

More than 12 ft

Formal groups

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26
Q

What is the most basic and primitive form of communication

A

Touch

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27
Q

What is the most common type of electronic communication

A

E mail

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28
Q

Values

A

Standards that influence behavior

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29
Q

Incongruence

A

Verbal and non verbal don’t match

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30
Q

Name factors influencing communication

A 
Knowledge
Development 
Gender
Values
Personal distance
Enviornment
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31
Q

Transference

A

Client transfers feelings & attitudes towards a nurse

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32
Q

Counter transference

A

Nurse transfers feeling & attitudes for significant others onto pt

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33
Q

Therapeutic communication

A

Promotes understanding between both sender and Reciever

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34
Q

Goal directed

A

Goals provide against for selection of communication techniques

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35
Q

Name the types of therapeutic communication

A 
Active listening
Physical attending 
Open ended questions 
General leads
Silence 
Restatement
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36
Q

Show you are listening by?

A

Eye contact

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37
Q

Non therapeutic communication

A

Impairs the flow of communication

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38
Q

Non therapeutic communication examples

A 
Cliches
Stereotyping
Giving advice
Judgemental comments 
Probing
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39
Q

The #1 communication problem?

A

Not listening

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40
Q

The helping relationship

A

Foundation of clinical practice essential part of caring for every pt

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41
Q

The nurse-pt relationship is

A

Purposeful
Planned
Goal directed

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42
Q

Phases of the helping relationship

A

Pre interaction phase
Orientation phase
Working phase
Termination phase

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43
Q

Pre interaction phase

A

Gather pt info prior to face to face

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44
Q

Orientation phase

A

Est rapport

Explains plan of care

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45
Q

Working phase

A

Longest phase
Nursing care activities
Implement nursing interventions

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46
Q

Termination phase

A

Closure of relationship occurs when work of client & nurse coming to a close

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47
Q

Contract

A

Used in psychiatric nursing

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48
Q

Advocate

A

One who expresses and defends the cause of another

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49
Q

Empathy

A

Ability to respond receptively, remain objective

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50
Q

Empathetic behaviors

A

Focus on feelings

Non Judgemental attitude

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51
Q

Cognitive impairments

A

Any disorder that impairs cognitive functioning

Ex. Aphasia

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52
Q

Expressive aphasia

A

Knows what to say but unable to express

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53
Q

Receptive aphasia

A

Unable to understand words

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54
Q

Planning for effective communication

A

Nurse & client determined outcomes

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55
Q

End of shift report includes:

A 
Room #
Pt name
Age
Sex
Physician name
Medical diagnosis 
Lab tests/procedures/surgeries
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56
Q

Medical records are a legal document ?

57
Q

Legal guidelines for charting

A

Permanent black ink

58
Q

Telephone orders

A

Written then read back

59
Q

4 common problems with charting

A

Incorrect time
Failing to chart verbal orders/having verbal orders signed
Charting in advance
Incorrect data charted

60
Q

Charting must be

A 
Factual
Accurate
Complete
Current
Organized
61
Q

Charting requirements

A

Assessment
Intervention
Client response or changes

62
Q

POR

Problem Oriented Clinical Record

A

Organized to focus on pt problems

63
Q

SOAP

A

S- subjective data
O- objective data
A- assessment
P- plan

64
Q

PIE

A

P- problem
I- intervention
E- evaluation

65
Q

Advantages of computerized charting

A

Availability
Quality
Access
Sharing knowledge

66
Q

Disadvantages of computerized charting

A

Expensive

Potential Hippa violation

67
Q

Referent

A

The incentive or motivation for communication to occur between one person & another

68
Q

Message

A

Verbal or non verbal information expressed by the sender & intended for the Reciever

69
Q

Channel

A

The method of transmitting & receiving a message (sight, hearing, touch)

70
Q

Feedback

A

May be verbal or non verbal positive or negative

71
Q

Nursing communication is utilized to

A

Gather data
Teach & persuade
Express caring and comfort

72
Q

The feedback channel for communication is

A

Visual & kinesthetic

73
Q

Non Verbal communication

A

Confirms & reinforces what is said

Includes gestures, body language, eye contact, facial expressions, posture

74
Q

Factors that influence communication

A 
Development
Language
Gender
Values 
Personal space
Culture 
Environment
75
Q

Congruent communication

A

Verbal & non verbal aspects match

76
Q

Incongruent communication

A

Verbal and non verbal do not match

77
Q

Interpersonal attitudes

A

Attitudes convey beliefs, thoughts & feelings

78
Q

Emotions are

A

Subjective feelings about events

Strong emotions

79
Q

Socialcultural

A

Influence attitudes, languages, values and gender roles

80
Q

Transference

A

Client transfers feelings & attitudes towards nurse

81
Q

Counter transference

A

Nurse transfers feelings & attitudes onto pt

82
Q

Therapeutic communication

A

Promotes understanding between both sender and receiver

83
Q

Goals provide a guide for selection of communication techniques

A

Name examples of therapeutic communication

84
Q

Name techniques to promote therapeutic communication

A 
Active listening
Physical attending
Open ended questions
Focusing
Clarification 
Using touch
Silence
Restatement
Reflection
85
Q

What can block therapeutic communication

A

Cliches
Stereotypes
Giving advice

86
Q

% of the nurses day is communication

87
Q

Silence

A

Allows pt to collect thoughts

88
Q

Show you are listening by

A

Eye contact

89
Q

Name some behaviors of active listening

A

Maintaining an open posture
Est. and maintain eye contact
Responding positively when giving feedback

90
Q

What impairs the flow of communication

A

Non therapeutic communication

91
Q

The nurse-patient relationship is?

A

Goal directed
Ongoing
Interactive
Based on trust

92
Q

.

A

Preinteraction

93
Q

Phases of the nurse-pt relationship

A

Pre interaction
Orientation
Working
Termination

94
Q

Orientation phase

A

Explain purpose of interview

Phase developed trust

95
Q

Working phase

A

Teaching
Exploring
Longest phase

96
Q

Termination phase

A

Closure
Evaluation
No new business

97
Q

Barriers to communication

A

Language
Culture
Sensory
Cognitive (ex.aphasia)

98
Q

End of shift report

A

Nurse to nurse to promote continuity of care

99
Q

Records

A

Legal document
Sign name & title each page
Accurate & timely info about the client
Use military time

100
Q

Telephone communication

A

Write down

Read back

101
Q

SLIDE

A 
Single 
Line
Initial
Date
Error
102
Q

Source charting

A

Separate sections for each discipline
Easy to locate
Disadvantage- info is fragmented

103
Q

Problem oriented charting

A

Advantage- emphasis on client

Disadvantage- constant need to update

104
Q

SOAP

A

Subjective
Objective
Assessment
Plan

105
Q

PIE

A

Problem
Intervention
Evaluation

106
Q

Computerized charting

A

Advantages- saves time, more time for client, standard of care improved
Disadvantages- privacy, expense

107
Q

Name the four phased of thereputic communication

A

Pre orientation-plan for initial meeting
Orientation- developed trust
Working- implement plan of care
Termination- closure of relationship occurs & evaluation

108
Q

Empathy

A

Putting yourself in the pt’s shoes

109
Q

Expressive aphasia

A

Knows what to say but unable to express

110
Q

Receptive aphasia

A

Unable to understand words

111
Q

Four common problems in documentation

A

Incorrect time
Failing to chart verbal orders or getting them signed
Charting in advanced
Incorrect data charted

112
Q

POR problem oriented clinical record

A

Organized to focus on pt problems

113
Q

Admission

A

Administrative process that covers the period from time pt enters door until the time settled in

114
Q

Discharge

A

Official procedure helping pt’s to learn to leave health care institution
*physician has to order a discharge

115
Q

Transfer

A

Transfer from one room, unit, or facility to another

Regulated by federal government

116
Q

Discharge process starts when?

A

At admission

117
Q

Registration

A

Admission office obtains basic demographic information

118
Q

Pt ID

A

Name
DOB
ID #
Used for all procedures & interactions

119
Q

Informed consent

A

General consent signed prior to admission for treatments, procedures, therapies

Implies pt has been given info & understands the info
RN signs ONLY to witness signature of pt

120
Q

Name the exceptions to consent

who can’t sign

A

Minors
Persons unconscious
Mentally ill persons judged incompetent

121
Q

Most important aspect of nursing admission to the unit

A

Orient to call bell

122
Q

2.2lbs =

123
Q

Who is the best source for client data during the admission process?

A

The client

124
Q

After gathering data & performing the review of systems what is the priority action for the nurse?

A

Orient the pt to the room

125
Q

Pt and family education

A

Includes procedures, diets, meds, referrals, extended care facilities

126
Q

Referral

A

Request for service outside scope of referring professional

Social worker
Hospice
Home health aide
Housekeeper

127
Q

Complex referral

A

Case manager is the one who is needed

128
Q

Types of discharges from the hospital

A 
Discharge to home (need MD order on chart)
Discharge home with referral
Discharge to another facility
Death
AMA
129
Q

When transferring a pt with a fracture from the ED to the ortho unit what is the most important to report?

A

Info regarding last dose of pain medication recently given

130
Q

Simple referral

A

Referral to community resource

131
Q

Home health care

A

Use of professional, para-professional & equipment to pt’s in their homes

132
Q

% of communication that is non verbal

133
Q

2 modes of communication

A

Verbal & non verbal

134
Q

Open ended questions facilitate?

A

Communication

135
Q

Example of non verbal communication

A

Gestures
Expressions
Touch

136
Q

Most of our communication is ________, but the most important communication is _________.

A

Non verbal

Verbal

137
Q

1 problem with communication

A

Not listening

138
Q

Sender

A

The person who initiates the message

► Med Misc 49 (29 decks)

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