Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Effective Communication in Nursing Practice, Exams of Nursing

Atlantic Institute of Oriental Medicine (ATOM)Nursing

This document provides a comprehensive overview of key communication principles and strategies for effective nursing practice. It covers topics like communication styles, nonverbal cues, sociocultural factors, therapeutic communication, patient-centered skills, and active listening. It emphasizes the importance of professional communication in achieving positive patient outcomes, including satisfaction, health changes, safety, and quality of service. The document highlights the need for nurses to develop strong interpersonal skills to facilitate information gathering, shared decision-making, and patient motivation. It also underscores the role of communication in building rapport, trust, and culturally competent care.

Typology: Exams

2023/2024

Available from 07/10/2024

DOCSGRADER001
DOCSGRADER001 šŸ‡ŗšŸ‡ø

4.6

(8)

1.4K documents

1 / 41

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 24
Nursing 204 exam 1 questions with answers
1. Linear Model: simplest form of communication. focuses only on the
sending and receiving of a message. Useful in emergency situations
1.sender
2.message (verbal and nonverbal)
3.receiver
4.channels of CMCN
5.content
2.Transactional Model: define interpersonal communication as a
reciprocal inter- action in which the sender and the receiver influence
each other's messages and responses as they converse. Employs
system concepts
3.systems theory concepts: 1. human system (patient and providers)
receives information from the environment (input) internally processes
and interprets its meaning (throughput). The result is new information
or behavior (output). Feedback loops provide information
4.healthcare system: all organizations, people and actions whose
primary intent is to promote, restore or maintain health
5.communication: combination of verbal and nonverbal behaviors
integrated for the purpose of sharing information
6.Metacommunication: broad term used to describe all factors that
influence how the message is perceived. may be hidden within
verbalizations or conveyed as nonverbal gestures and expressions
7.communication style: the manner in which one communicates
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29

Partial preview of the text

Download Effective Communication in Nursing Practice and more Exams Nursing in PDF only on Docsity!

Nursing 204 exam 1 questions with answers

  1. Linear Model: simplest form of communication. focuses only on the sending and receiving of a message. Useful in emergency situations 1.sender 2.message (verbal and nonverbal) 3.receiver 4.channels of CMCN 5.content
  2. Transactional Model: define interpersonal communication as a reciprocal inter- action in which the sender and the receiver influence each other's messages and responses as they converse. Employs system concepts
  3. systems theory concepts: 1. human system (patient and providers) receives information from the environment (input) internally processes and interprets its meaning (throughput). The result is new information or behavior (output). Feedback loops provide information
  4. healthcare system: all organizations, people and actions whose primary intent is to promote, restore or maintain health
  5. communication: combination of verbal and nonverbal behaviors integrated for the purpose of sharing information
  6. Metacommunication: broad term used to describe all factors that influence how the message is perceived. may be hidden within verbalizations or conveyed as nonverbal gestures and expressions
  7. communication style: the manner in which one communicates
  1. denotative meaning: generalized meaning of a word
  2. connotation: personalized meaning of a work or phase
  3. Paralanguage: vocalic behaviors that communicate meaning along with verbal behavior
  4. 6 verbal styles of communication: 1. moderate pitch and tone in vocalization 2.vary vocalizations 3.encourage involvement 4.validate patient's worth 5.advocates for patient as necessary 6.provide needed information
  5. nonverbal communication: communication using body movements, gestures, and facial expressions rather than speech. most of our person to person communi- cation
  6. 6 nonverbal style of communication: 1. allows therapeutic silences 2.use congruent nonverbal behaviors 3.use facilitative body language (kinetics) 4.use touch appropriately 5.proxemics (respect patient's space) 6.attend to nonverbal body cues
  7. body language: nonverbal communication through gestures, facial expres- sions, behaviors, and posture
  8. Proxemics: perception of what is a proper distance to be maintained between one's self and others
  9. Communication Accommodation Theory: theory that people will adapt

Jargon Medical Jargon Responsiveness of Participants Roles of Participants Context of the Message Involvement in the Relationship Use of Humor

  1. professional communication: complex interactive process used in clinical set- tings to help patients achieve health related goals
  2. outcomes of professional communication: patient satisfaction, productive health changes, safety and better quality service
  3. basic assumptions of communication theory: 1. all behavior is communica- tion 2.every communication has content and a relationship aspect 3.we know about ourselves and others primarily through communications 4.faulty communication results in flawed feeling and acting 5.feedback is the only way we know that our perception about meanings are valid 6.silence is a form of communication 7.all parts of a communication system are interrelated and affect one another
  4. people communicate through words, nonverbal behaviors and analog-verbal modalities
  5. Therapeutic communication: A dynamic interactive process

consisting of words and actions, and entered into by a clinician and client for the purpose of achieving identified health-related goals.

  1. patient centered communication skills: lifeblood of clinical tasks such as obtaining a clinic history, explaining a diagnosis and providing competent nursing care with related health teaching
  2. interpersonal communication skills: influence the completeness of diagnostic information, quality of shared decision making and patient motivation to achieve constructive clinical outcomes
  3. characteristics of patient centered communication: 1. empathy 2.frame of reference or world view 3.defined interpersonal boundaries 4.health related purpose 5.nonverbal communication supports
  4. empathy: being emotionally attuned to a patient's perceptive of a situation of a situation as well as to it's reality
  5. defined interpersonal boundaries: conversations that focuses on patient and family health care needs
  6. health related purpose: professional conversations take place within a defined health care format and terminate when the health related purpose is achieved or the patient is discharged
  7. nonverbal communication supports: behavioral signals found in the tone of voice, inflections and intonations, facial expression and body language accompany verbal messages
  8. frame of reference or world view: patient's perception
  9. active listening: dynamically focused interpersonal process in which a

4.insecurity 5.confusion 6.lack of privacy 7.sensory or cognitive deficits

  1. obstacles to effective communications within the patient: 1. preoccupation with personal agenda 2.hurried 3.making assumptions 4.cultural stereotypes 5.defensiveness 6.thinking ahead to the next question 7.intense patient emotion or aggressiveness 8.weak language
  2. verbal responses: 1. refer to spoken words in professional conversation
  3. meaning making basic tools that enables organization data, explore options, resolve issues 3.meaning resides in the person using them 4.word choice matters 5.both verbal and nonverbal can be misinterpreted
  4. self awareness: Nurses have an ethical and professional responsibility to re- solve personal issues 1.know your goals 2.know your personal vulnerabilities and prejudices 3.nonverbal behaviors support your words
  1. environmental factors: 1. privacy - free from interruptions and eliminate noise 2.space - Differs with culture, personal preferences, nature of relationship, topic
  2. timing - Consider patient's ability to absorb material, share impressions, ask questions
  3. communication as a shared partnership: 1.Patients need to be listened to, involved in own care, and supported.
  4. An interactive reciprocal exchange of ideas in which the nurse tries to understand what it is like to be this person, in this situation, with this illness
  5. 6 core, overlapping functions of client- centered communication needed to achieve beneficial health outcomes:: 1.Foster healing relationships 2.Exchange information 3.Respond to emotions 4.Manage uncertainty 5.Make decisions 6.Enable patient self-management
  6. communication applications engaging the patient: 1. Begins with 1st en- counter 2.Open, welcoming, relaxed 3.Introductions before conversation 4.Speak directly to patient; include family

bound

  1. emblems: gestures or body motions have a common verbal interpretation (e.g. handshaking, baby waving bye)
  2. illustrators: actions that accompany and emphasize the meaning of the verbal message (e.g. smiling, stern facial expression)
  3. affect displays: facial presentation of emotion affect. have a larger range of meaning and act to support or contradict the meaning of the verbal message
  4. regulators: nonverbal gestures such as nodding to stop conversation or to reinforce or modify what is being said
  5. adaptors: patient specific, repetitive, nonverbal actions that are part of a pa- tient's usual response to emotional issues (e.g. nervous foot tapping)
  6. physical characteristics: information about the patient observed about the outward appearance of the patient (e.g. body odor, physical appearance)
  7. nonverbal cues active listening: - Intentional form of listening
  • Requires extra effort
  • note feelings & look for underlying themes Goal: mutual understanding of facts & emotions Contributes to: 1.Fewer incidents of misunderstanding 2.Increase accuracy of data 3.Stronger health relationships Core clinical questions (open-ended):

Encourage patient exploration, expand on ideas, voice confusion

  1. open-ended questions: patient expresses problem in own words; open to interpretation & cannot be answered by "yes", "no", or one- word response.
  2. Focused questions: require more than a yes or no answer, but place limitations on the topic. Good for prioritizing, details, limited verbal skills.
  3. circular question: form of focused, look at other people within patient's support circle and identify difference in impact on each.
  4. closed-ended questions: narrow the focus to a single (yes, no, or simple phrase) answer. Use when need to obtain information quickly & emotions come second.
  5. themes: the underlying message, present, but not identified in the patient's words
  6. emotion objectivity: Seeing what an experience is like for another person
  7. active listening responses: 1. Minimal Cues and Leads 2.Clarification 3.Restatement 4.Paraphrasing 5.Reflection 6.Summarization 7.Silence
  8. minimal cues and leads: 1. Encourage the patient to continue their story.

4.Gives the patient an opportunity to validate or change the narrative. 5.Ways to use: -Reflect on vocal tones (i.e. anger or frustration in the voice) -Link feelings to content or with past experiences (reminds of feelings)

  1. summarization: 1. Used to review content and process.
  2. Pulls several ideas & feelings together, into a few succinct sentences. Followed by a comment seeking validation. 3.Can bridge a change in topic or focus of the conversation. 4.Do before the end of the conversation.
  3. false reassurance: Using falsely comforting phrases in an attempt to offer reassurance.
  4. giving advice: making a decision for a patient; offering personal opinions; telling a patient what to do
  5. false inference: making an unsubstantiated assumption about what a patient means; interpreting the patients behavior without asking for validation, jumping to conclusions
  6. moralizing: expressing your own values about what is right and wrong, espe- cially on a topic that concerns the patient
  7. value judgment: conveying your approval or disapproval about the patient's behavior or about what the patient has said using words such as "good", "bad" or "nice"
  8. silence: - An intentional short pause to allow patient to think and let nurse process what was heard before responding
  • Helps emphasize important points for patient reflection
  1. mirroring communication patterns: 1. Some patients, exaggerate,

leave out highly relevant details, talk a lot (multiple examples) or say very little

  1. Reflected and influenced by Culture, Role, Ways of handling conflict, Ways of dealing with emotions *Rule of Thumb - Start where patient is and mirror the patient's communication style.
  2. Fundamental themes patients look for: "hear me," "touch me," "respond to me," feel my pain and experience my joys with me."
  3. Matching Responses: responses that encourage a patient to explore feelings about limitations or strengths at a slightly deeper but related level of conversations are likely to meet with more success
  4. plain language: use of clear cut, simple, easy to understand words to convey ideas, particularly those that are more abstract
  5. What the nurse listens for: -Content themes -Communication patterns -Discrepancies in content, body language, and vocalization -Feelings revealed in voice, body, and facial expression -What is said; what is not being said -The client's representational system -The nurse's own inner responses -The effect communication produces in others involved with the client
  6. focusing: What is most pressing topic? "I would like to hear more about...." You mentioned...I wonder if..."
  7. Presenting reality: If patient is misinterpreting "I know you feel strongly about..., but I don't see it that way."

-Nurturing, comforting, powerful -Used when words might break a mood or fail to convey empathy -Stimulates security, sense of feeling valued -People vary in their comfort of touch

  1. Metaphor: -Familiar images used to promote understanding. -Connecting new information with familiar images from ordinary life experiences. -Should be "nonthreatening" mental pictures - use with caution.
  2. humor: -Recognizes incongruities in a situation -Lightens the mood and puts a tense situation into perspective "A good laugh bonds communicators" -Works best when rapport and trust established -Should focus on the idea, event, or situation; not the patient's personal character- istics. -Has a healing purpose
  3. factors that contribute to successful use of humor: 1. knowledge of patient's response pattern 2.an overly intense situation 3.timing 4.situation lending itself to an imaginative or paradoxical solution 5.gearing the humor dynamics to the patient's development level and interests
  4. focus on the humor in the situation or change in circumstances rather than the patient's personal characteristics
  5. ANA Standard of Culturally Congruent Practice: The RN practices in a

man- ner that is congruent with cultural diversity and inclusion principles

  1. Culture: complex social concept consisting of family customs, beliefs and val- ues, political systems, and ethnic identities
  • Helps explain how people approach shared decision making
  • A filter through which people "learn how to be in the world..."
  1. How culture is learned: Learned through family and other social institutions *Children - Primary caregivers and schools *Immigrants -Two-step interpersonal process. Transitions from traditional culture to full adoption of new
  2. Subculture: a smaller group of people living within the dominant culture with distinct lifestyle, shared beliefs and expectations that set them apart from the mainstream (e.g. Amish, Mormons)
  3. Acculturation: How immigrants from a different culture learn and choose to adapt to the behavior and norms of a different, new culture, which holds different expectations. -A complicated process because it includes embracing new social, hierarchal, and kinship relationships -Creates stress due to competing pressures of reconciling a familiar cultural identity with the need to adopt new customs -People will have different levels of acculturation
  4. Assimilation: When an individual from a different culture fully adopts the be- haviors, customs, and values of the mainstream culture as part of his or her social identity.

5.personal views on right and wrong 6.perspectives on health, illness and death, including rituals 7.hearing and discussing negative health information 8.decisional authority, role relationships and truth telling practices 9.child-rearing practices 10.use of advance directives, informed consent and patient autonomy

  1. Worldview: the way people tend to look out upon their world or universe to form a picture or value stance about life or the world around them
  • An individual's point of view or perspective about the larger social culture
  1. Personal Heritage: country of origin, reasons for migration, politics, class distinctions, education, social and economic status
  2. communication: dominate language and dialects, personal space, body lan- guage and touch, time relationships, greeting, eye contact
  3. Family Roles and Organization: gender roles, roles of extended family, el- ders, head of household, family goals, priorities and expectations and lifestyle differences
  4. workforce issues: acculturation and assimilation, gender roles, temporality, current and previous jobs, variance in salary and status associated with job changes
  1. bioecology: genetics, hereditary factors, ethnic physical characteristics, drug metabolism
  2. high risk behaviors: drugs, nicotine and alcohol use, sexual behaviors
  3. Nutrition: meaning of food, availability and food preferences, taboos associat- ed with food, use of food in illness
  4. pregnancy and childrearing: rituals and constraints during pregnancy, labor and delivery practices, newborn and postpartum care
  5. death rituals: how death is viewed, death rituals, preparation of the body, care after death, use of advance directives, bereavement practices
  6. Spirituality: religious practices, spiritual meanings, use of prayer
  7. healthcare practices: traditional practices, religious health care beliefs, indi- vidual versus collective responsibility for heath, how pain is expressed, transplanta- tion, mental health barriers
  8. health care practitioners: use of traditional and/or folk practitioners, gender role preferences in health care
  9. health disparities: a particular type of health difference that is closely linked with a person's social, economic, and/or environmental disadvantage. *The inequality influences a person's capacity to achieve positive health outcomes
  10. health disparities can reflect: 1. ethnic group 2.socioeconomic status 3.mental health