Vol. 3 Chapter 3 : Therapeutic Communications Flashcards

1
Q
Having the ability to view the world through another's eyes while remaining true to yourself is called:
A. Sympathy
B. Empathy
C. Internalization
D. Advocacy
A

B. Empathy

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2
Q
The term “encode” means to:
A. Interpret a message 
B. Listen to or read a message
C.  Respond to a message
D. Create a message
A

D. Create a message

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3
Q
Reasons for failing to communicate include:
A. Lack of privacy
B. Feedback
C. Nonverbal communication
D. Decoding
A

A. Lack of privacy

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4
Q

Ways to build trust and rapport with a patient, a family, and bystanders include:
A. Using the patient’s first name as soon as you learn it
B. Strolling casually into the scene
C. Modulating your voice appropriately
D. Using a pleasant cologne or perfume

A

C. Modulating your voice appropriately

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5
Q
Elements of nonverbal communication include all of the following, EXCEPT:
A. Relative level 
B. Distance
C. Stance
D. Written questions
A

D. Written questions

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6
Q
In the United States personal distance, or “personal space,” is considered to extend \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ from an individual.
A. 12 feet or more
B. 4 to 12 feet 
C. 1.5 to 4 feet
D. 0 to 1.5 feet
A

C. 1.5 to 4 feet

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7
Q

Standing below the patient’s eye level indicates:
A. A willingness to let the patient have some control of the situation
B. Equality
C. An air of authority
D. That you are completely confident and in control of the situation

A

A. A willingness to let the patient have some control of the situation

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8
Q
An open stance means that you are:
A. Vulnerable 
B. Off balance 
C. Confident 
D. Tense
A

C. Confident

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9
Q

Which of the following statements about social distance is true?
A. It is best for assessing breath and other body odors.
B. It is best for performing patient assessment.
C. It causes visual distortion.
D. It is used for impersonal business transactions.

A

D. It is used for impersonal business transactions.

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10
Q
Questions framed to guide the direction of a patient’s answer are called:
A. Leading questions 
B. Open-ended questions
C. Closed questions
D. Direct questions
A

A. Leading questions

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11
Q

Appropriate questioning techniques include all of the following, EXCEPT:
A. Asking only one question at a time
B. Listening to the patient’s complete response
C. Using medical terminology as much as possible
D. Using open-ended questions

A

C. Using medical terminology as much as possible

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12
Q
Once the speaker has stopped talking, provide feedback to confirm that you understand the message. Feedback techniques include all of the following, EXCEPT:
A. Distancing 
B. Clarification 
C. Interpretation
D. Confrontation
A

A. Distancing

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13
Q

Effective communications with pediatric patients include all of the following, EXCEPT:
A. Telling the child what you are doing and why
B. Explaining your equipment
C. Not telling the child if something will hurt
D. Getting down to the child’s eye level

A

C. Not telling the child if something will hurt

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14
Q

Characteristics of adolescents age 13 to 18 years include:
A. Being distrustful and uncooperative
B. Seeing the world their own perspective only
C. Resenting being spoken to as if still a child
D. Being scared and believing that what has happened is their own fault

A

C. Resenting being spoken to as if still a child

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15
Q

The term “ethnocentrism” means:
A. A view of one’s own lifestyle as the most desirable
B. A view of one’s own lifestyle as being inferior
C. The interaction of one culture with another
D. The imposition of one’s beliefs, values, and so on on people of another culture

A

A. A view of one’s own lifestyle as the most desirable

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16
Q

An important principle to follow when using an interpreter is to:
A. Avoid using the children of immigrants as interpreters
B. Address only the interpreter
C. Ask only one question at a time
D. Speak quickly.

A

C. Ask only one question at a time

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17
Q

When caring for elderly patients, it is important to remember:
A. To be familiar with them, using their first names
B. To treat them similarly to the way you treat children
C. To use affectionate terms, such as “Honey,” “Missy,” or “Dude”
D. That interviews may take longer

A

D. That interviews may take longer

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18
Q

If a patient is blatantly hostile, EMS personnel should:
A. Approach the patient cautiously but firmly
B. Leave the patient alone
C. Avoid making any show of force
D. Be sure to maintain a clear path to an exit from the situation

A

D. Be sure to maintain a clear path to an exit from the situation

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19
Q

When dealing with an overly talkative patient, the paramedic should:
A. Inform the patient that you need to control the conversation in order to treat them
B. Only ask closed-ended questions during the assessment and transport
C. Allow the patient to see you become frustrated so that he will stop talking
D. Allow the patient brief periods of free rein

A

D. Allow the patient brief periods of free rein

20
Q

When transferring patient care to emergency department staff, the paramedic should:
A. Wait with the patient a maximum of 5 minutes before leaving the ED
B. Leave the hand-off report at the receiving desk
C. Introduce the patient by name to the receiving nurse or doctor and say good-bye to the patient before leaving
D. Leave as soon as the receiving nurse or doctor looks at the patient

A

C. Introduce the patient by name to the receiving nurse or doctor and say good-bye to the patient before leaving

21
Q

______________________________________________ is the
exchange of information using common symbols—written, spoken, or other
forms, such as signing or body language.

A

Communication

22
Q

Identification with and understanding of another’s situation,
feelings, and motives is called
______________________________________________.

A

Empathy

23
Q

To create a message is to

______________________________________________.

A

Encode

24
Q

To interpret a message is to

______________________________________________.

A

Decode

25
Q

A response to a message is

______________________________________________.

A

Feedback

26
Q

Interaction with a patient for the purpose of obtaining in-depth
information about the emergency and the patient’s pertinent medical history
is called a(n) ______________________________________________
______________________________________________.

A

Patient Interview

27
Q

Gestures, mannerisms, and postures by which a person
communicates with others are called
______________________________________________
______________________________________________.

A

Nonverbal Communication

28
Q

A posture or body position that is relaxed and suggests confidence,
ease, warmth, and attentiveness is called a(n)
______________________________________________ stance.

A

Open

29
Q

A posture or body position that is tense and suggests negativity,
discomfort, fear, disgust, or anger is a(n)
______________________________________________ stance.

A

Closed

30
Q

The ______________________________________________

zone ranges from 0 to 1.5 feet.

A

Intimate

31
Q

The ______________________________________________

space ranges from 1.5 to 4 feet.

A

Personal

32
Q

The area ranging from 4 to 12 feet around an individual is called
______________________________________________ distance.

A

Social

33
Q

The area 12 feet or more away from a person is called

______________________________________________ distance.

A

Public

34
Q

Questions framed to guide the direction of a patient’s answers are
called ______________________________________________ questions.

A

Leading

35
Q

Questions that permit unguided, spontaneous answers are
______________________________________________-
______________________________________________ questions.

A

Open-ended

36
Q

Questions that ask for specific information and require only very
short or yes-or-no answers are called
______________________________________________, or
______________________________________________, questions.

A

Closed, or Direct

37
Q

The feedback technique of echoing the speaker’s message back to
him in your own words is called
______________________________________________.

A

Reflection

38
Q

A person who chooses to change the subject rather than discuss
something difficult may be using
______________________________________________
______________________________________________.

A

Avoidance language

39
Q

The imposition of one’s beliefs, values, and patterns of behavior on
people of another culture is called
______________________________________________
______________________________________________.

A

Cultural imposition

40
Q

Viewing one’s own life as the most desirable, acceptable, or best
and acting superior to another culture is called
______________________________________________.

A

Ethnocentrism

41
Q

________________ and ______________________ are disorders

relating to cognitive function.

A

Delerium, dementia

42
Q

4 Common reasons for the failure of communication in EMS

A

Prejudice
Lack of Privacy
External Distractions
Internal Distractions

43
Q

What are some techniques for building trust and rapport in the patient interview

A

Use patients name, address patient appropriatley, modulate your voice, be professional and use compassionate tone, explain what and why’s, keep a kind, calm expression, use an appropriate style of communication.

44
Q

How to remember a name

A

Say the name out loud three times.

“See” the name in bold letters.

“Feel” yourself writing the name.

45
Q

Feedback techniques

A

Silence, Reflection, Facilitation, Empathy, Clarification, Confrontation, Interpretation, Explanation, Summarization