Patient-Centered Care Exam 1 questions
with complete solutions
Describe the concept of communication, including: definition - correct answer ✔✔Definition: a
process of interaction between people in which symbols are used to create, exchange, and
interpret messages about ideas, emotions, and mind states
- communication is the key to nurse patient relationships and delivering patient-centered care
- helps you develop meaningful relationships between nurse and patient/family
- helps ensure patient safety
- promotes personal growth and attainment of patient's health-related goals
- improves patient outcomes and increases patient satisfaction
Describe the concept of communication, including: scope and categories - correct answer
✔✔Scope:
- ranges from effective communication, to no communication whatsoever
- in between those 2 is ineffective communication
Categories:
- linguistic communication: spoken words or written symbols
- paralinguistic communication: nonverbal messages (gestures, eye contact, facial expressions)
- metacommunication: context of the message
Describe the concept of communication, including: attributes and criteria - correct answer
✔✔1) a process of complimentary
exchange
,- in each exchange, each participant is, in turn, either a sender or a receiver
- as each transmission is completed, the receiver perceives the message, interprets the symbols
(verbal and nonverbal), and responds again using symbols
2) context
- context is important to the quality of meaning derived by participants during the process of
complementary exchange
contextual factors include:
- characteristics of the environment
- relationship of participants
- internal mood stages (ex: anxiety)
- mental and physical conditions
- experience and education
- external noise
- culture
affected by relationships, including from highest power to lowest:
- chief nursing officer
- nurse manager
- staff nurse
3) learned skill
- acquired over time
- unique communication patterns within the health care environment including:
- medical terminology
- health care culture
,communicating with patients
- communicating with other nurses
- communicating across the health care team
- evolving mechanisms for communication
Describe the concept of communication, including: theoretical links - correct answer ✔✔- the
most basic theory of communication is a linear process model that describes a sender
transmitting a message to a receiver
- sender encodes message, message is transmitted, receiver decodes and interprets message
- Actual communication episodes involve multiple acts of perception and interpretation, in
addition to the creation of a mutually negotiated meaning
Describe the concept of communication, including: context to nursing and health care. - correct
answer ✔✔- The professional role requires that nurses develop and practice a variety of
communication skills that will ensure successful role function as well as the delivery of quality
patient care.
1) communication competence
- communication must both be effective and appropriate
- effective= goals of communication are met
- appropriate= communication has been adapted to the people and situation involved in the act
of communication
- Professional nurses can expect to be tasked with the need to communicate as a caregiver and
as a member of a health care profession, both of which require skill in interpersonal
communication
- Achieving communication competence in nursing is important for optimizing safety and quality
in health care and for creating the voice and authority needed to advocate for better systems
and safer workplaces.
2) patient safety and health care quality
, - lack of communication leads to many errors and sentinel events (98,000)
- suggest to use ISBARR communication technique
- This tool is a structured routine for passing information between team members, most notably
between nurses and other health care providers such as physicians and nurse practitioners.
When using this tool, the nurse will *I*dentify self, describe the patient *S*ituation, explain the
*B*ackground information relevant to the situation, provide an *A*ssessment, provide
*R*ecommendations for action, and *R*ead back orders
- QSEN (quality and safety education)
3) electronic health record
- Accurate and timely documentation in the patient record
- Important source of information and a major means of communication between members of
the team
- Legal document
- Evidence of provider's actions
4) advocay
- Speaking up for patients to ensure that health needs are met is an expectation within the
scope of professional nursing practice
- Ability
Describe differences in communication patterns across the lifespan and apply a stage of
Erikson's psychosocial development that needs to be addressed. - correct answer ✔✔????
Explain the importance of cultural awareness during the nurse patient relationship - correct
answer ✔✔- culture influences thinking, feeling, behaving, and communicating
- try not to stereotype people
- different cultures will have different degrees of eye contact, personal space, gestures, loud
voice, pace of speech, touch, silence, and meaning of language
with complete solutions
Describe the concept of communication, including: definition - correct answer ✔✔Definition: a
process of interaction between people in which symbols are used to create, exchange, and
interpret messages about ideas, emotions, and mind states
- communication is the key to nurse patient relationships and delivering patient-centered care
- helps you develop meaningful relationships between nurse and patient/family
- helps ensure patient safety
- promotes personal growth and attainment of patient's health-related goals
- improves patient outcomes and increases patient satisfaction
Describe the concept of communication, including: scope and categories - correct answer
✔✔Scope:
- ranges from effective communication, to no communication whatsoever
- in between those 2 is ineffective communication
Categories:
- linguistic communication: spoken words or written symbols
- paralinguistic communication: nonverbal messages (gestures, eye contact, facial expressions)
- metacommunication: context of the message
Describe the concept of communication, including: attributes and criteria - correct answer
✔✔1) a process of complimentary
exchange
,- in each exchange, each participant is, in turn, either a sender or a receiver
- as each transmission is completed, the receiver perceives the message, interprets the symbols
(verbal and nonverbal), and responds again using symbols
2) context
- context is important to the quality of meaning derived by participants during the process of
complementary exchange
contextual factors include:
- characteristics of the environment
- relationship of participants
- internal mood stages (ex: anxiety)
- mental and physical conditions
- experience and education
- external noise
- culture
affected by relationships, including from highest power to lowest:
- chief nursing officer
- nurse manager
- staff nurse
3) learned skill
- acquired over time
- unique communication patterns within the health care environment including:
- medical terminology
- health care culture
,communicating with patients
- communicating with other nurses
- communicating across the health care team
- evolving mechanisms for communication
Describe the concept of communication, including: theoretical links - correct answer ✔✔- the
most basic theory of communication is a linear process model that describes a sender
transmitting a message to a receiver
- sender encodes message, message is transmitted, receiver decodes and interprets message
- Actual communication episodes involve multiple acts of perception and interpretation, in
addition to the creation of a mutually negotiated meaning
Describe the concept of communication, including: context to nursing and health care. - correct
answer ✔✔- The professional role requires that nurses develop and practice a variety of
communication skills that will ensure successful role function as well as the delivery of quality
patient care.
1) communication competence
- communication must both be effective and appropriate
- effective= goals of communication are met
- appropriate= communication has been adapted to the people and situation involved in the act
of communication
- Professional nurses can expect to be tasked with the need to communicate as a caregiver and
as a member of a health care profession, both of which require skill in interpersonal
communication
- Achieving communication competence in nursing is important for optimizing safety and quality
in health care and for creating the voice and authority needed to advocate for better systems
and safer workplaces.
2) patient safety and health care quality
, - lack of communication leads to many errors and sentinel events (98,000)
- suggest to use ISBARR communication technique
- This tool is a structured routine for passing information between team members, most notably
between nurses and other health care providers such as physicians and nurse practitioners.
When using this tool, the nurse will *I*dentify self, describe the patient *S*ituation, explain the
*B*ackground information relevant to the situation, provide an *A*ssessment, provide
*R*ecommendations for action, and *R*ead back orders
- QSEN (quality and safety education)
3) electronic health record
- Accurate and timely documentation in the patient record
- Important source of information and a major means of communication between members of
the team
- Legal document
- Evidence of provider's actions
4) advocay
- Speaking up for patients to ensure that health needs are met is an expectation within the
scope of professional nursing practice
- Ability
Describe differences in communication patterns across the lifespan and apply a stage of
Erikson's psychosocial development that needs to be addressed. - correct answer ✔✔????
Explain the importance of cultural awareness during the nurse patient relationship - correct
answer ✔✔- culture influences thinking, feeling, behaving, and communicating
- try not to stereotype people
- different cultures will have different degrees of eye contact, personal space, gestures, loud
voice, pace of speech, touch, silence, and meaning of language
