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A comprehensive overview of various communication techniques and strategies that nurses can utilize to enhance patient care and improve healthcare outcomes. It covers topics such as the communication process, types of communication (verbal, nonverbal, and therapeutic), communicating with special populations (children, hearing-impaired, visually-impaired, and those with dysarthria), subjective and objective data collection, active listening, motivational interviewing, and effective communication within the healthcare team. The document also addresses common communication challenges, such as lateral violence, and emphasizes the importance of incorporating patient preferences and goals into the nursing care plan. By studying this document, nursing students and professionals can develop the necessary skills to communicate effectively with patients, families, and the healthcare team, ultimately leading to improved patient satisfaction, safety, and overall well-being.
Typology: Exams
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Can only occur when both the ____________ and the _____________ have a common understanding of the sender's message - correct answer Sender, receiver Sender - correct answer Person responsible for initiating the communication through nonverbal or verbal techniques Verbal communication - correct answer Spoken word and should be direct, clear and concise Receiver - correct answer person responsible for interpreting the message and confirming to the sender the message is understood - verbal or non-verbal Direct feedback - correct answer the receiver understands the message and conveys this information to the sender Indirect feedback - correct answer the receiver knows there is a message but is unclear as to its meaning the most powerful communication is - correct answer nonverbal communication 7 Types of distractors - correct answer 1’ Accent 2’ Dress 3’ Voice tone 4’ Loud music 5’ Hot weather 6’ Colorful wall 7’ Dreadful news 4 types of special populations - correct answer 1’ Child 2’ Hearing impaired 3’ visually impaired 4’ dysarthia Communicating with a child - correct answer -Use language appropriate to age -Be at eye level Parents Primary caregiver -Extensive hx -Involve child -Play Rx/ drawings feelings and to teach Hearing impaired - correct answer -Be sure hearing aid is clean and functional
-Adjust volume -Speak slowly and clearly c simple sentences -Position self to lip reading Talk toward best ear Visually - correct answer -Always announce self -Orient pt to environmental sounds -Keep eyeglasses clean and intact -Blind pt - tell q move Dysarthria - correct answer -Imperfect speech 2 muscular control, e’g’, CVA, Parkinsonism -Listen well, be patient, don't interrupt -Encourage pt to converse -Possible referral to speech therapist prn Subjective Data - correct answer Patient's verbal description of their health -Interview -Sx -Values -Perceptions -Feelings -Attitudes -Sensations -Beliefs Ex’ Dizzy Objective Data - correct answer -Health assessment data by nurse -Lab studies -Dx procedures -Health record -Vital signs Examples: 97’4o F Active listening is a way to get subjective or objective - correct answer subjective Getting info from the pt's chart is an example of subjective or objective - correct answer objective Observation - correct answer systematic, nonjudgemental process Environment - correct answer Describe the situation accurately in a nonbiased manner Perception - correct answer personal interpretation of an observation
When working with an older adult, the ns should remember to avoid - correct answer Shifting from subject to subject Which technique by the ns would block communication - correct answer My mother had the same thing and she made it through when working with an older adult who is hearing-impaired, the use of which techniques would improve communications? - correct answer -check for needed adaptive equipment -give the patient time to respond to questions -keep communication short and to the point nurses must communicate effectively with the health care team for which of the following reasons - correct answer -reduce the risk of errors to the patient -provide optimum level of patient care -improve patient outcome a new nurse complains to her preceptor that she has no time for therapeutic communication with her parents’ Which of the following is the best strategy to help the nurse find more time for this communication - correct answer include communication while performing tasks such as as changing dressings and checking vital signs Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals in helping the patient make behavior changes’ What are other benefits of using MI? - correct answer -gaining an understanding of patient's motivations -recognizing patient's strengths and supporting their efforts -identifying differences in patient's health goals and current behaviors A nurse is talking with a young-adult patient about the purpose of a new medication’ The nurse says "I want to be clear’ Can you tell me in your words the purpose of the medicine?"This exchange is an example of the transactional communication process? - correct answer maintaining feedback A patient who is spanish speaking does not appear to understand the nurse's information on would care’ Which action should the nurse take? - correct answer use a professional interpreter to provide wound care education in spanish A nurse prepares to contact a patient's physican about a change in the patient's condition’ - correct answer A nurse is assigned to care for a patient for the fist time and states, "I dont know a lot about your culture and want to leanr how to better meet your health care needs’" which theraputic communication technique did the nurse use? - correct answer Humility
A new nurse is experiencing lateral violence at work’ Which steps could the nurse take to address this problem? - correct answer talk with the preceptor or manager and ask for assistance in handling this issue A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns’ The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions’ This is an example of the nurse engaged in which phase of the nurse-patient relationship? - correct answer working phase a nursing student is reviewing a process recording with the instructor’The student engaged the patient in a discussion about the availability of family members to provide support at home once the patient is discharged’ The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to "tell his story" ‘ This is an example of which step of the nursing process? - correct answer evaluation Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility - correct answer - collaboration between staff members from sending and receiving departments -using a standardized transfer policy The nurse uses silence as a therapeutic communication technique’ What is the purpose of the nurses's silence’ - correct answer -prompt the patient to talk when he or she is ready -allow the patient time to think and gain insight