Nurse 113 Exam 1

Nurse 113 Exam 1 language deficits Sensory deficits Cognitive impairments Identify impairments of communication Verbal and Nonverbal When considering culture, what are the two forms of communication that you use? Hunger Pain Shortness of breath Nausea Noise level List four factors that relate physical, emotional and environmental factors: Problems: Impaired communication Anxiety Powerlessness Impaired social interaction Social isolation Situational low self-esteem Ineffective coping Defining characteristics: difficulty forming words inability to articulate words Lacking skills in attending listening, or self-expression What are some nursing problem diagnosis? 1) Nurse and patient set goals and determine expected outcomes 2) Set priorities 3) Utilize teamwork and collaboration List the Nursing Planning Process Utilize therapeutic communication techniques during the patient interview Adjust the environment Provide Support Employ measures to enhance communication Educate the patient and family Name the Nurse Process Implementations: The nurse and patient determine if goals and expected outcomes have been met Evaluate if nursing interventions were effective If expected outcomes are not met, modify the plan of care Nursing Process Evaluation: Preinteraction Phase: Before meeting the patient Introductory Phase: When the nurse and patient meet for the first time; sets the tone for the rest of the relationship Working: When the nurse and patient work together to meet pre-established goals Termination Phase: The relationship ends What are the four phases in the relationship table? True Active listening means being attentive to what a patient is saying both verbally and nonverbally (T/F) Squarely face the patient Open Posture Lean toward the patient Eye contact Relax What are some therapeutic physical communication techniques? List five: Clarification Restating an unclear or ambiguous message(paraphrase); ask other person to restate by explaining further by giving an example means what? What are you seeking? Offering Self (therapeutic) Displaying interest and caring means you're doing what? Giving information (therapeutic) Helping the patient make decisions, experience less anxiety, feel safe and secure in health education contribute to what? Therapeutic Sharing empathy, focusing on key on concepts, self-disclosure, asking relevant questions, one question at a time, fully exploring a topic before moving on is what type of technique? Probing Asking for explanations Changing subject Stereotyping Being judgmental Unwarranted reassurance Being defensive Arguing List some barriers of communcation: Probing Asking irrelevant questions is known as? time, place, seating arrangement, distance, language Planning interview constitutes to: Observe - Notice, select, organize, interpret, vision, smell, hearing, touch Listen Ask Questions Mentally Retain Information Collecting data by: open-ended questions What type of questions invites the patient to elaborate and illustrate their thoughts and feelings? close-ended questions What type of question limits answers to one or two words? Neutral questions Patients that can answer without direction or pressure are known as what type of questions? Leading questions What suggests an answer to the patient? This is hard for the patient to not only agree but it is also considered non-therapeutic. True Inconsistency in team membership, lack of time, hierarchy, defensiveness and conflict are barriers of team performance. (T/F) Leadership Communication Situation Monitoring Mutual Support What four skills are required for the best outcome of team competencies? True Teamwork can't occur in the absence of a clearly defined team. (T/F) B) Two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership. What defines a team? A) Two or more people who do not interact dynamically, interdependently, and selectively toward a common goal, have hierarchy roles or functions, and have a membership with managerial counterparts. B) Two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership. C) Two or more people who interact dynamically, co-dependently, and adaptively toward a different and valued goal, have specific roles or functions, and have a limited time-limited membership. D) Four or more people who do not interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership. Strategies! Including the patients in bedside rounds Conducting handoffs at the patient's bedside Providing patients with tools for communicating with their care team Actively enlisting patient participation ALL of these involving patients in their care are known as what? Clinical Team Responsibilities Listening to patients and their families, assessing patient's preferences regarding involvement, asking patients about their feedback or concerns, giving them access to relevant info, and encouraging patients and their families to proactively participate in patient care are known as what? Provide accurate patient information Comply with the prescribed plan of care(schedule and attend appointments as directed) Ask questions and/or voice any concerns regarding the plan of care Monitor and report changes in the patient's condition Manage family members Follow instructions of the clinical team What are the six responsible ways to deal with patient and families when it comes to communication? PCA MMF Explain: TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) What does Team STEPPS stand for? ineffective communication in , what form of communication identified is the root caused for nearly 66% of all reported sentinel events? the exchange of ideas to others by using spoken words What is verbal communication? the exchange of information without the use of spoken words What is nonverbal communication? Situation: what's wrong with the patient? Background: what's the clinical background or context? Assessment: what do I think the problem is? Recommendation: what would I recommend? What is SBAR? List four. 3. Gentle touch while providing activities of daily living A student nurse is caring for a 72-year-old client with Alzheimer's disease who is very confused. Which is the most appropriate communication strategy to be used by the student nurse?1. Written directions for bathing2. Speaking very loudly3. Gentle touch while providing ADLs.4. Flat facial expression C, A, B,, D Place the following descriptions of the helping relationship phases in the correct sequence.