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FUNDAMENTALS OF NURSING - EXAM #1 QUESTIONS WITH CORRECT ANSWERS

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FUNDAMENTALS OF NURSING - EXAM #1 QUESTIONS WITH CORRECT ANSWERS

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FUNDAMENTALS OF NURSING - EXAM
#1 QUESTIONS WITH CORRECT
ANSWERS
What are forms of Nonverbal Communication? - ANSWER-Personal Appearance
Posture and gait
Facial Expression
Eye Contact
Gestures
Sounds - sighs, moans, groans...
Territoriality & Space

What are the four phases of the Helping (Nurse-Patient) Relationship? - ANSWER-
Pre-interaction

Orientation

Working

Termination

Describe the PRE-INTERACTION phase of the Helping Relationship. - ANSWER-
This takes place before meeting the patient:

- Review available data, history
- Talk to other caregivers who have info about patient
- Anticipate health concerns or issues that arise
- Identify a location or setting that fosters comfortable, private interaction
- Plan enough time for initial interaction

Describe the ORIENTATION phase of the Helping Relationship. - ANSWER-When
nurse and patient first meet and get to know one another:

- Set the tone for the relationship by adopting a warm, empathetic, caring manner
- Recognize relationship is tentative
- Expect patient to test your competence and commitment
- Closely observe
- Begin to make inference and form judgements about messages and behaviors
- ASSESS PATIENT HEALTH STATUS

Describe the WORKING phase of the Helping Relationship. - ANSWER-When nurse
and patient work together to solve problems and accomplish goals. TEACHING
occurs.

- Encourage pt. to express feelings about health
- encourage pt. w/ self exploration
- Provide information

,- Help pt. set goals
- Take action to meet said goals
- Use therapeutic comm
- Use appropriate self-disclosure & confrontation

Describe the TERMINATION phase of the Helping Relationship. - ANSWER-Ending
of the relationship

- Remind pt. that termination is near
- Evaluate goal achievement with pt.
- Reminisce about relationship with pt.
- Separate from the pt. by relinquishing responsibility for care
- Achieve a smooth transition for pt. to other caregivers

Acronym used for successful communication in the workplace to promote teamwork
and safety. - ANSWER-S - situation
B - background
A - assessment
R - Recommendation

Characteristics of communication within Caring/Working Relationships: - ANSWER-
Professionalism - appearance, demeanor, behavior

Courtesy - hello, good-bye, knock on doors, please, thank you...

Use of Names - Always introduce yourself

Confidentiality - HIPPA

Trust - always honest!

Acceptance & Respect - Non-judgmental attitudes

Availability - "Anything else I can get you?

Socializing - don't socialize with pt. and don't socialize with colleagues where pt's
can hear

What is therapeutic communication techniques? - ANSWER-Specific responses that
encourage the expression of feeling and ideas and convey acceptance and respect.

Define the therapeutic communication technique of:
Active Listening - ANSWER-Being attentive to what patient is saying both verbally
and nonverbally.

** Use SOLER to facilitate attentive listening

Define acronym SOLER - ANSWER-S - Sit facing the patient

O - Open posture

, L - Lean toward the patient

E - Establish & maintain eye contact

R - Relax

Define the therapeutic communication technique of:
Sharing Observations - ANSWER-Observations/perceptions can help start a
conversation, but need to be careful not to anger patient or make assumptions.

Define the therapeutic communication technique of:
Sharing Humor - ANSWER-Important but often underused resource in nursing
interactions. It is a coping strategy that adds perspective and helps adjust to stress.

Define the therapeutic communication technique of:
Using Silence - ANSWER-Allow patient to break the silence, particularly when
he/she has initiated it.

Particularly useful when people are confronted with decisions that require thought.

Define the therapeutic communication technique of:
Providing Information - ANSWER-To help patient understand, but do not preach

Define the therapeutic communication technique of:
Clarifying - ANSWER-Check that understanding is accurate
Restate an unclear message
Rephrase to clarify

Define the therapeutic communication technique of:
Focusing - ANSWER-Centers on key elements of concepts of message

Helpful when patient is vague or rambles

Define the therapeutic communication technique of:
Restating - ANSWER-or Paraphrasing
this sends feedback that lets the patient know nurse is actively involved

Define the therapeutic communication technique of:
Open-ended Questions - ANSWER-Asking relevant questions allows patient to fully
respond

Define the therapeutic communication technique of:
Reflection - ANSWER-Summarizing a concise review of key aspects of interaction.
Especially helpful in termination phase

Define SENDER in communication - ANSWER-The person who encodes and
delivers the message.

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