COMMUNICATION
Define the process of communication correct answers Exchange of information.
Message has content, environment has context
type-example--how it's used in nursing correct answers process of using words, sound, signs,
behaviors to exchange info/express ideas, thoughts, feelings
Verbal-conversations--build patient relationship
Nonverbal-body language--subjective information
Electronic-patient record--legal document
Written-SBAR, physician orders--communicating with other healthcare professionals
COMMUNICATION
Ineffective Communication Techniques correct answers advising, belittling, challenging,
excessive closed-ended questions, disagreeing, imposing values, leading questions, minimizing
pt feelings, parroting, probing for information, how/why questions
RATIONALE: a lot of these impose nurse's own morals on pt. role of nurse is to listen,
document, and effectively get relevant information from pt
COMMUNICATION
Barriers to communication correct answers development, gender, socioeconomic status, personal
space, roles/relationships, context, (in)congruence
COMMUNICATION
Effective Communication Techniques correct answers acknowledging, enlist pt in care plan,
accepting, attempt to translate feelings, broad openings, encouraging, exploring, focusing, giving
communication, observations, help with sequence of events, clarify, reflect, restate, silence,
summarize, general leads
,COMMUNICATION
interviewing pt with effective communication
phase-purpose correct answers introduction-establish tone with pt, beginning therapeutic
relationship
working phase- collecting information, background for assessment. building through effective
communication
closing the interview- leaving pt comfortably, making sure all info needed is collected, verify
confusing points. trust for pt to continue to communicate when encountering again
COMMUNICATION
written communication to document pt info correct answers SBAR handoffs between shifts,
medical record--important to document concise, relevant information. reflects communcations
with pt for goals, when goals met, serves as legal document, interdisciplinary reference point
among specialties
VITAL SIGNS--temp
factors affecting
terms correct answers age, gender, physical activity, circadian rhythm, environment temp, state
of health
Febrile, Afebrile, Lo/Hi grade, Relapse (intermittent), Remittent (rise and fall w/o return to
normal)
VITAL SIGNS--pulse
characteristics
location of peripheries correct answers Rate, Rhythm, Amplitude (quality), Stroke Volume
radial, brachial, dorsalis pedis, popliteal, carotid, femoral, temporal, posterior tibial
, VITAL SIGNS--BP
factors affecting
terms
classifications of hypertension correct answers Age, gender, race//Circadian rhythm//Food
intake//Exercise//Weight//Emotional state//Body position//Drugs/medications
hypertension: too high//hypotension: too low//orthostatic hypotension: 20mmHg change, acute or
chronic, weak,dizzy,nausea,palpitation,headache
primary--no known cause//secondary--associated with health condition
VITAL SIGNS--SP O2
factors affecting
range: healthy adult correct answers circulation, activity, carbon monoxide poisoning
85-100, <70 life threatening
VITAL SIGNS- normal ranges
infant at birth correct answers pulse 100-180 BPM
respirations 30-60/minute
BP 60/90 systolic
temp 98-100
VITAL SIGNS-normal ranges
infant at 1 yr correct answers pulse 100-160 BPM
respirations 30-60/minute