Week 2 Chapter 20 Flashcards
Define debridement (hint: burn victim)
medical removal of dead/damaged/or infected tissue
What type of behavior is one displaying if they are standing up for their rights in a negative manner that violates the rights of others?
aggressive behavior
define body language
non-verbal communication
other names for bullying
3 terms
horizontal violence
lateral violence
professional incivility
What term is used in communication theory to denote the medium selected to convey the message?
channel
What is a word for a sterotyped, trite, or pat answer?
cliche’
define communication
the process of sharing information, process of generating and transmitting meanings
what is the word for intellectually identifying with the way another person feels?
empathy
define feedback
verbal and nonverbal evidence that the message is received and understood
What do you call you the study of a group’s characteristics and ways of functioning?
group dynamics
What type of relationship is an interaction that sets the climate of movement of the participants toward common goals?
(the relationship between a nurse and patient)
helping relationship
sometimes called the Nurse-Patient relationship
define horizontal violence
nurse to nurse hostility, aggressive behavior
Give the word that describes rude, intimidating, and undesirable behavior directed at another person
incivility
What do you call communication that occurs between two or more people with the goal of exchanging messages?
interpersonal communication
Define Interviewing techniques
communication skills specifically designed to gather and validate information
What do you call communication techniques or self-talk meant to enhance positive interactions with the patient and family
intrapersonal communication
define language
a way of using words; a way to express thoughts and feelings
What does the term message mean when it’s used in communication theory?
used to denote the actual physical product of the source or encoder
( a speech, interview, phone conversation, chart )
What does noise mean when dealing with the communication process?
factors that distort the quality of a message and interfere with the communication process
(ex: can be actual noise like a loud television or a distraction like pain)
define non-verbal communication
exchange of information without the use of words
What do you call the process of communication that involves individuals and groups to achieve established goals?
organizational communication
What is the definition of professionalism in the nursing field?
a way of being/ a commitment to secure the interests and welfare of those entrusted to one’s care
A rapport is a feeling of mutual trust experienced by people in a satisfactory relationship.
true or false?
true
What is the word for the person or object to which the message is directed ( in communication theory )?
receiver (decoder)
What is SBAR?
consistent, clear, and structured, and easy to use method of communication between health care professionals
What does SBAR stand for?
Situation
Background
Assessment
Recommendations
What word means “study of the meaning of words”?
semantics
What is it called when there is communication that occurs when two or more nurses interact with two or more individuals?
small-group communication
What are web-based technologies that allow users to create, share, and participate in dialogue in virtual communities and networks?
social media
What is the term used in communication theory to specify the one who prepares and sends a message to the receiver?
source (encoder)
Define stimulus
an agent, act, or other influence capable of initiating a response by the nervous system
define verbal communication
exchange of information using words
Any nurse who wishes to be an effective caregiver, must first learn how to be an effective ____________
effective communicator
What is the most primary aspect of Nurse-Patient interaction?
communication
Name the 4 things that the communication process (David K Berlo) includes
source
message
channel
receiver
Name the three channels nurses use to communicate with their patients
- Auditory (spoken words & cues)
- Visual (sight, observation, and perception)
- Kinesthetic (touch)
Name the three things that a person’s use of written and spoken language forms may reveal about the person
- intellectual development
- educational level
- geographic and cultural origin
What do they mean by Tactile experience?
being touched (nonverbal communication)
What is one of the most effective ways to communicate nonverbally others?
touch
In many cultures, eye contact suggests respect and a willingness to listen and keep communication open.
true or false?
true
When this form of nonverbal communication is absent in some cultures, it can indicate to others anxiety, defenselessness, or avoidance of communication. What type of nonverbal communication am I referring to?
eye contact
Some Asian and Native American cultures view eye contact as an invasion of a person’s privacy.
true or false?
true
Your eyes fixed in a stare during anger, tend to ______ __ _______
narrow in disgust
A person who is in fear may not be able to speak, but their eyes will communicate by doing what?
opening wide
send a message of anxiety
A blank stare can indicate what?
daydreaming or inattentiveness
Nurses should always show all of their emotions on their faces.
true or false?
false
nurses should learn to control their facial expressions
What type of people are more likely to slouch?
depressed or tired people
A rigid or stiff appearance may indicate the patient is feeling _______ or ____
tension or pain
Define Gait
a person’s manner of walking
Shuffling gait= ?
sad or discouraged
How would a patient recovering from a recent abdominal surgery be walking?
slightly bent over
slowly
may need assistance
wringing the hands or tapping a foot usually represent what feelings?
anxiety or anger
How would the skin and overall appesrance of a person who has taken in insufficient amounts of fluids look?
skin is dry and wrinkles easily
eyes may be sunken in and dull in appearance
poor muscle tone
Can a person’s clothing and grooming practices tell us anything about how they’re feeling (non-verbally)?
yes. when people feel sick the care very little about their appearance.
When they start feeling better they will begin caring again
Are crying moaning, gasping, and sighing, considered verbal or non-verbal forms of communication?
Non-verbal
oral
What three feelings can gasping indicate?
fear, pain, or surprise
What two feelings does crying indicate?
sadness and joy
What may the patient be feeling when they sigh?
- reluctant agreement
- relief
What are the two main challenges of using social media with other healthcare providers?
- protecting patient privacy and confidentiality
* preventing unintended consequences for the employer or nurse
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
What Act protects the patients confidentiality and privacy?
HIPAA
Derogatory comments made by a Nurse on social media can lead to civil lawsuits against that nurse.
true or false?
true
What does NCSBN stand for?
National Council of State Boards of Nursing
What two organizations have issued guidelines for Nurses in regards to social media?
ANA (American Nurses Association)
NCSBN (National Council of State Boards of Nursing)
The BON (Board of Nursing) can suspend your Nursing license if they receive evidence that you have violated a patients privacy. true or false?
true
Is describing a patient by using a room number or diagnosis instead of a name, still considered a breach of confidentiality and a violation of the patient’s privacy?
yes
Employers may use social media to screen potential employees, as long as they don’t do what?
as long as they do not violate any discrimination laws
Any emails sent to a patient must be duplicated and become part of the medical records for that patient.
true or false?
true
Name the four levels of communication Nurses engage in during practice?
- Intrapersonal communication
- Interpersonal communication
- Small-group communication
- Organizational communication
Which type of communication is referred to as self-talk?
Intrapersonal communication
Which 2 types of communication are considered group communication?
small-group and organizational communication
During small-group communications, the more people involved in the communication process, the more _______ it becomes
complex
When determining the effectiveness or ineffectiveness of a group, you need to study the _____ ________
group dynamics
Being familiar with commonly used slang usually helps when communicating with ___________
adolescents
It is better to use more detailed explanations with who, children or adolescents?
adolescents
more abstract ways of thinking than a child would have
When communicating with older patients, assess for any problems with what?
- hearing
- sight
- confusion
- depression
What word explains people that have common lifestyles, languages, behavior patterns, traditions, and beliefs that are passed down from one generation to the next?
culture
Using which type of terminology can alienate certain patients and inhibits further communication?
medical terminology
Which type of terminology should we as nurses be using with patients that have no medical background and may have a language or cultural barrier?
lay terminology
define Proxemics
the study of distance zones between people during communication
List the 4 communication zones
- Intimate zone
- Personal zone
- Social zone
- Public zone
Which “zone” or distance is good when interacting with close friends?
Personal zone
Which “zone” is appropriate for when you’re speaking to an audience or small groups?
Public zone
How close is the intimate zone?
0-18 inches
for parents or children or people you want close contact with
How close is the personal zone?
18 inches- 4 ft
How many feet away from a person is the Social Zone?
4 ft- 12 ft
How many feet away from a person is the Public Zone?
12 ft- 25 ft
Can having a full bladder or a headache interfere with communication?
yes
define Aphasia
the inability to comprehend and formulate language because of damage to specific brain regions
What health problems would typically be the cause for Aphasia?
- cerebral vascular accident (stroke)
* head trauma
What type of environment is most conducive to communication?
a calm and nonthreatening environment
What are the first 2 things a nurse should do before they begin an assessment on a patient (especially older patients)?
(they are technically an assessment as well)
- Determine if the patient needs any assistive devices in order to communicate effectively and understand conversations.
- Identify the patients preferred language and secure an interpreter if one is needed.
The data collected verbally and nonverbally, during your one-to-one communication with your patient, are analyzed and then passed on to the appropriate people through what two types of communication?
Oral and written communication
What is the Major focus of assessment
to gather information in both verbal and non-verbal communication forms
Since one nurse cannot provide 24-hour coverage for patients, significant information must be passed on to others through _______ ________ notes and ____ plans
nursing progress notes &
care plans
It is estimated that 80% of serious medical errors occur due to miscommunication between caregivers when……….
patients are handed off or transferred
At least 1/3 of all patient handoffs are problematic.
true or false?
true
Name 3 situations where hand-off communication can occur
when you’re relaying information about a patient before no longer being responsible for them
- with other hospital departments
- nurse-to-nurse report
- nurse-to-physician discussions
What does TJC stand for?
The Joint Commission
What does IHI stand for?
Institute for Healthcare Improvement
Both TJC (The Joint Commission) and IHI (Institute for Healthcare Improvement) have recommended that we use ____ reports to improve hand-off communication.
SBAR
What does SBAR stand for?
What is SBAR?
Situation Background Assessment Recommendations It is a consistent method for hand-off communication that is clear, structured, and easy to use
Who originally developed SBAR?
The US Navy
Which 2 parts out of the 4 parts of the SBAR system, allow for presentation of subjective information?
Assessment
and Recommendations
Which 2 parts out of the 4 parts of the SBAR system, provide objective data?
Situation and Background
When they reformulated SBAR in 2008, what did it become and what did the added letters represent?
ISBARR
I for introduce yourselves (you and the patient)
R for respond to questions or read back
Do helping relationships occur spontaneously like social relationships?
No
it occurs for a specific purpose with a specific person
Helping Relationships are ____________ relationships
professional
List the 3 phases of the Helping relationship
phase (1) orientation phase
phase (2) working phase
phase (3) termination phase
Is it most common for 1 nurse to work with a patient through all three phases of the helping relationship? If not, what is most common?
no, it is more common for several nurses at different times to be walking through the phases with them
During which phase of the helping relationship are the tone and guidelines of the relationship established?
orientation phase
Which of the three phases of the helping relationship is the longest?
working phase
During which phase of the helping relationship, is the nurses role of teacher and counselor primarily performed?
working phase
Emotions are associated with which of the three phases of the helping relationship?
termination phase
(either goal was met and it’s exciting and feels good or goal wasn’t met and it can cause fear or anxiety about the future)
define dispositional traits
a characteristic or customary way of behaving
For Confidentiality purposes, would it be necessary to share with your patient who will have access to the health information that they share?
yes
Name the three ways that observation can help us while assessing the patient
- it increases awareness of the patients nonverbal messages
- it’s the primary source of information when the patient is unwilling or unable to communicate verbally
- it demonstrates caring and interest in the patient
Let the patient know at the beginning of your conversation if your time is limited so that they don’t feel like you’re rushing because you don’t care, and always let the _______ set the pace for the conversation?
patient sets the pace
What developmental level should we be speaking to our patients at?
(grade school wise)
6th grade or lower
