Module 5

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djologist
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178681
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Module 5
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2012-10-22 02:22:32
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Communication
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Communication (chapter 26)
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  1. What is communication?
    It is any means of exchanging information or feelings between two or more people. It is a basic component of human relationships, including nursing/
  2. Why are good communication skills essential in nursing?
    In nursing, communication is a dynamic process used to gather assessment date, to teach and persuade, and to express caring and comfort.
  3. What does face-to-face communication involves?
    a sender, a message, a receiver, and a response, or feedback
  4. A person or group who wishes to convey a message to another is what part of the Communication Process?
    Sender
  5. What is actually said or written is what component of the Communication Process?
    Message
  6. The third component of the communication process is the listener who is the _____?
    Receiver
  7. The _____ is the message that the receiver returns to the sender.
    Response
  8. When choosing words to say or write in verbal communication, what are somethings nurses may consider?
    pace and intonation, simplicity, clarity and brevity, timing and relevance, adaptability, and humor
  9. What are the signs of nonverbal communication?
    It includes gestures, body movements, use of touch, and phsical appearance, including adornment.
  10. Which of the following applys to the nonverbal communication process?
    1. pace and inonation
    2. adaptability
    3. personal appearance
    4. posture
    5. clarity
    6. gestures
    7. timing and relevance
    • 3. personal appearance
    • 4. posture
    • 6. gestures
    • 7. timing and relevanse
  11. What are some factors influencing the communication process?
    development, gender, values and perceptions, personal space, territoriality, roles and relationships, environment, congruence, and attitudes
  12. What are some attitudes that facilitate communication?
    caring, warmth, respect, and acceptance facilitate communication
  13. What are some attitudes that inhibit communication?
    condescension, lack of interest, and coldness inhibit communication
  14. How does Therapeutic communication promote communication?
    by promoting understanding and can help establish a constructive relationship between the nurse and the client
  15. ______ is listening actively, using all the senses, as opposed to listening passively with just the ear.
    Attentive listening
  16. _______ is defined as the manner of being present to another or being with another.
    Physical Attending
  17. What are barriers to communication?
    Failure to listen, improperly decoding the client's intended message, and placing the nurse's needs above the client's needs are major barriers to communication.
  18. How can the nurse demonstrate the actions of "physical attending" when communicating?
    • 1. Face the other person squarely.
    • 2. Adopt an open posture.
    • 3. Lean toward the person.
    • 4. Maintain good eye contact.
    • 5. Try to be relatively relaxed.

    The five actions of physical attending convey a "posture of involvement."
  19. In the helping relationship process, the four sequential phases in the succession order are?
    preinteraction phase, introductory phase. working phase, and termination phase
  20. What phase of the Helping Relationship process is similar to the planning stage before an interview?
    Preinteraction Phase
  21. Setting the tone for the rest of the relationship is what phase in the Helping Relationship process?
    Introductory Phase
  22. Which of the following signs are components of "genuineness" in conversation? Circle all that apply.
    1. The person is spontaneous
    2. The nurse tells the client "i know exactly how you are feeling."
    3. The client is open and nindefensive.
    4. The client states that he does not routinely practice "safe sex" while partying.
    • 1. The person is spontaneous.
    • 3. The client is open and nondefensive.
  23. What are some impairments to communication?
    • language deficits, sensory deficits, cognitive impairments, structural deficits, and paralysis.
    • The nurse must assess each to determine their presence.
  24. What is Dyspnea?
    Shortness of breath
  25. Open expression of ideas and opinions while respecting the rights, opinions, and ideas of others is _______.
    Assertive Communication
  26. ______ ______ is often perceived as a personal attack by the other person, that person humiliates, doinates, controls, or embarrasses the other person.
    Aggressive communication
  27. What is Elderspeak?
    Elderspeak is a speech style similar to babytalk, that gives the message of dependance and incompetence to older adults. it does not communicate respect.
  28. In _____ _____ , the verbal and nonverbal aspects of the message match.
    • Congruent communication
    • Clients more readily trust the nurse when they perceive the nurse's communication as congruent.
  29. A nurse is caring for an 86-year-old client. During the care, the nurse needs to reposition the client: she asks the client to "please grab the side rail, Honey, while i bathe your back." What type of speech style is the nurse employing?
    Elderspeak, speech style similar to babytalk
  30. When seeking clarification during an initial health assessment, what is the best question the nurse could ask?
    1. "Would you tell me more?"
    2. What do you mean you smoke one pack of cigarettes a day? Are you trying to kill yourself?"
    3. "Why did you even come to the emergency room?"
    4. "I can't understand you at all. What are you saying?"
    1. "Would you tell me more?"
  31. What is the difference between teaching groups and self-help groups?
    Teaching groups are to impart information to the participants, whereas self-help groups are voluntary organizations composed of people who share similar health, social, or daily living problems.
  32. A student nurse is caring for a 72-year-old client with Alzheimer's disease who is very confused. The most appropriate communication strategy should include which of the following?
    1. Written directions for bathing
    2. Speaking very loudly
    3. Gentle touch while providing ADLs
    4. Flat facial expression
    • 3. Gentle touch while providing ADLs
    • Nonverbal, gentle touch is an important tool; overstimulation may affect the client in a negative way.
  33. Using the phases of the helping relationship as a framework, place the following descriptions in the correct sequence.
    1. After introductions, the nurse asks. "What plans do you have for the upcoming holiday weekend?"
    2. The nurse states, "It sounds like you are concerned about the possibile complications of having diabetes. What would be the most helpful for you at this time?"
    3. The nurse reads in the medial history that the client was diagnosed with diabetes 1 wwk ago/
    4. The nurse states, "When we met, you knew very little about diabetes and now you are able to use your new information and apply it to you own personal situations."
    • Answer: 3, 1, 2, 4
    • The four phase's are preinteraction, introductiory, working, and termination.
  34. The nurse who uses apppropriate therapeutic listening skills will display which of the following behaviors? Selct all that apply.
    1. Absorb both the contect and the feeling the client is conveying.
    2. Presume an understanding of the client needs.
    3. Adopt an open professional posture.
    4. React quickly to the message.
    Options 1 and 3 are listening behaviors; the others are barriers to listening
  35. A nurse tells a client who is strugging with cancer pain, "it is normal to feel fustrated about the discomfort." Which of the following is most representative of the skills associated with the working phase of the helping relationship?
    1. Respect
    2. Genuieness
    3. Concreteness
    4. Confrontation
    • 1. Respect
    • respect is correct because the nurse is validating the client's feeling.
  36. The nurse is communicating with a well-oriented older adult client in a long-term care setting, Which statement best reflects respectful and caring communication?
    1. "Are we ready for our shower?"
    2. It's time to go to the dining room, honey."
    3. "Are you comfortable, Mrs. Smith?"
    4. "You would rather wear the slacks, wouldn't you?"
    3. "Are you comfortable, Mrs. Smith?"
  37. The nurse asks the client, "What do you fear most about your surgery tomorrow?" This is an example of which of the following communication techniques?
    1. Providing general leads
    2. Seeking clarification
    3. Presenting reality
    4. Summarizing
    • 1. Providing general leads
    • It encourages the cliient to verbalize and choose the topic of the conversation
  38. What is the difference between listening and active listening?
    Actively listening is listening attentivlely, using all the senses, as opposed to listening passively with just the ear.
  39. What is SBAR?
    • Situational briefing or SBAR ( situation, background, assessment, recommendation) Model
    • A framework for nurse-physician communication
  40. The nurse is using active listening skills, building rapport, and providing a nonjudgmental attitude and nonreactive behaviors. Based on this information, which populations is the nurse communicating with?
    1. Infants
    2. School age children
    3. Adolescents
    4. Toddlers
    Answer: 2, 3, 4
  41. While assessing a postoperative client for pain, the nurse notices the client is holding the surgical site and making facial grimaces. However, the client states that she is not hurting. What part of the communication process is most important in this scenario?
    1. Sender
    2. Receiver
    3. Message
    4. Feedback
    • 3. Message
    • The sender is a person or group who wishes to convey a message to another. The receiver is the listener. The second component is the message itself. Feedback is the message that the receiver returns to the sender.
  42. A primary nurse developed a contract with a newly admitted client. Which phase of the helping relationship is the nurse involved in?
    1. Preinteraction phase
    2. Introductory phase
    3. Working phase
    4. Termination phase
    • 2. Introductory phase
    • The preinteraction phase is similar to the planning stage before the interview. The three phases of the interview are opening the relationship, clarifying the problem, and structuring the contract. The introductory phase is when the client and nurse formulate the contract.

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