Exam 2 NR 222 Questions and Answers 100% Pass

Exam 2 NR 222 Questions and Answers 100% Pass Therapeutic communication -the purposeful use of communication to build and maintain helping relationships with the client, families, and significant others -client centered: not social or reciprocal -purposeful, planned, and goal-directed What to avoid when talking with a patient. avoid self-disclosure negative aspects of personal problems/affairs. can come off as unprofessional Effective communication the exchange of information so there is common understanding by all participants 30-60% of medical errors come from not communicating correctly Healthy People 2020 Improve health care quality and safety Increase the efficiency of health care and public health service delivery Improve public health information infrastructure Improve health literacy Improve environment for all - client & health care providers to prevent horizontal violence Values What we believe to be important; change and evolve over time silent forces behind one's actions and decisions Self awareness steps Listening to oneself: (Attention to emotions, thoughts, memories, reactions) Listening to and learning from others: (Feedback: helps to modify some ineffective behaviors) Self-disclosure: (Enhance self-knowledge, Promote reciprocal interaction) Practical reflection: debriefing of event (Enhance understanding of events & appropriate action)therapeutic relationship stages sequential phases: overlap, vary in length, involve issues over time Orientation/Introductory Stage: nurse and patient/client meet and get to know each other Working Stage: nurse and client works together, problem solving, goal attainment, teach client for certain skills for self-care Terminal Stage: end of relationship Ethical communication Enhances dignity and respect by fostering trustfulness, fairness, responsibility, and personal integrity Barriers to effective communication Anxiety, Attitudes, Noise, Activity, Distance, Language, Beliefs, Touch, Eye contact, Illness, Discomfort, Appearance, Emotion, Body language, Gestures, Interruptions, Distractions, Illness, Medications, Pain Forms of Communication verbal: (things to watch while talking:Vocabulary, Word meaning, Pacing, Intonation) Clarity and brevity, Timing and relevance non-verbal: 90% of communication Rapport a close and harmonious relationship understand each other's feelings/ideas empathy ability to understand and accept other's feelings Proxemics the study of the use of space. different cultures have different set of proxemics though. Techniques with communication Active listening Sharing