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NUR111 Test 1

QuestionAnswer
The process of exchanging information and generating and transmitting meanings between two or more individuals Communication
What the communication process is initiated upon (in this case a patient need) Stimulus
The person who initiates the communication process Source (Encoder)
The actual physiologic product of the source. Message
The medium the sender uses to send the message. Channel
Auditory- Spoken Visual- sight, observation, perceptions Different types of channels
The person translating and interpreting the message sent. Receiver (decoder)
Confirmation the receiver has understood the intended message. Feedback
Factors that can distort the quality of a message Noise
Exchange of info using spoken or written word. Verbal Communication
What verbal communication depends on. Language
Body language Non verbal communication
70-90% off incidents are due to. Ineffective communication.
Vocabulary, Brevity, Clarity, Timing, and Relevance Elements of verbal communication
Vocal cues, Action cues, Object cues, Space, Touch Elements of Nonverbal communication
What is the mode of transmission/channel for this outcome? Receiving a visual stimulus Channel: Visual Mode of Transmission: Sight
What is the mode of transmission/channel for this outcome? Interpreting a visual stimulation by making note of nonverbal enhancement. Channel: Visual Mode of Transmission: Observation
What is the mode of transmission/channel for this outcome? Assigning a meaning to a visual event. Channel: Visual Mode of Transmission: Perception
What is the mode of transmission/channel for this outcome? Receiving and auditory stimulus. Channel: Auditory Mode of Transmission: Hearing
What is the mode of transmission/channel for this outcome? Gaining awareness of underlying messages and feelings accompanying auditory events. Channel: Auditory Mode of Transmission: Listening
What is the mode of transmission/channel for this outcome? Performing nursing procedures and techniques. Channel: Kinesthetic Mode of Transmission: Procedural Touch
What is the mode of transmission/channel for this outcome? Conveying emotional support Channel: Kinesthetic Mode of Transmission: Caring Touch
Self talk, mental preparedness. Intrapersonal
The heart of nursing- communication between people. There is a difference between being assertive, and being aggressive. Interpersonal
What type of communication is taking place when nurses interact with two or more individuals. Small group communication
When individuals within an organization communicate to achieve and established goal. Organizational Communication
Three levels of communication: Intrapersonal, Interpersonal, and Group
How individual group members relate to eachother during The process of working towards group goals. Group Dynamic
Characteristics of a Professional Relationship Self (introduction), Privacy, Attending to basic care needs, Professional boundaries, Goal directed, Promote positive change and growth, Respect Assertive
Phases of a working relationship: Preorientation Orientation Working Termination
Preorientation Review Data
Orientation Phase Establish trust and rapport Introduction Clarify Roles Establish Agreement about relationship Orientation to Healthcare System
Working Phase Meet patient's needs together Teaching and counseling coping mechanisms
Termination Phase Evaluate goals Discharge? Change of shifts?
Receptive aphasia Can't understand
Expressive aphasia Can't get words out
Factors influencing communication Growth and development physical status- pain? Emotional state Environment
SBAR Situation-OBJ Background- OBJ Assessment-SUBJ Recommendations-SUBJ
Traits Promoting Communication Warmth and Friendliness Openness and Respect Empathy Honesty, Authenticity, and Trust Caring Confidence
Nursing Diagnosis Impaired communication related to ---------------- (Meds) (trach) AEB Signs/symptoms/clinical Manifestations
Goals and Outcomes Specific and Measurable wishlist
Rapport builders Privacy Comfortable environment Specific Objectives Confidentiality Patient focused
Semantics The study of the meaning of words
Therapeutic communication Enhances the conversation
Nontherapeutic communication Hinders the conversation
Types of therapeutic responses Summarizing Focusing Empathy Asking for an explanation Clarifying Sharing Observations Relevant questions
Types of Nontherapeutic Responses Automatic Responses Diapproval Self Disclosure Giving Personal Opinions Changing the subject False Reassurance
I see you started reading your instructional book on Coumadin. Sharing Observations
What should we talk about next? Relevant questions
It must be very frustrating to have your blood sugar results to be high. Empathy
Let's talk about your diet that you will have at home. We can talk about your insulin some other time. Changing the subject
Let me review the steps for coughing and deep breathing exercises. Summarizing
Tomorrow will be a better day. Automatic Response
Why don't you stop all this complaining? Disapproval
If I were you, I would go with the other doctor for surgery. Giving Personal Opinions
There is nothing to worry about. False reassurance
You mentioned several things that you liked about school. What did you like? Focusing
I am not sure I understand what you mean. Clairifying
Why are you so anxious? Asking for an explanation.
Why? is not theraputic. It is not an opened ended question and very demonstrative.
Therapeutic Listening Skills Face the patient Alert/relaxed Eye Contact Attentive to nonverbal Think before responding Listen for themes Silence
Therapeutic Interview Techniques Open Ended Validating Clarifying Reflective Sequential Direct
I-SBAR-R Introduce Situational Background Assessment Recommendation Read back orders
Evaluation Successful? Message received? Outcome achieved? Positive or Neg message received? Need to improve/revise care?
The change that takes place as a result to a stressor Adaptation
What triggers stressors? Enviornment challenging, threateneingm damaging Physical- hot, cold, trauma, Psychological- emotional abuse, kids, job loss
Stress = Anxiety
Mild Anxiety Function pretty well, maybe a little restless, everyday.
Moderate Anxiety Perception narrows, voice quivers, increase pulse and BP
Severe Anxiety Perception is even narrower
Psychosomatic Disorders Partially caused by psychological influences.
Anxiety Unknown feeling of comfort and dread from an unknown source
Fear cognitive response to an unknown threat
Coping Mechanisms Behaviors used to reduce stress and anxiety
defense mechanisms unconscious reactions to stressors
Coping mechanisms more actions- physical things done to cope with something
defense mechanisms they are more psychological and emotional more than physical
crisis a disturbance caused by a precipitating event
Maturational crisis role changes
Situational crisis loss of job, death of a loved one
Adventitious accidental and unexpected events
What happens in a crisis Person's coping methods ineffective, high anxiety, disorganized, inability to function naturally.
Developmental stress stages of life
situational stress illness, job loss, role change, new job
Ways stress can be decreased Exercise Rest and Sleep Nutrition SUpport Groups Relaxation Meditation Guided Imagery
Compensation A person attempts to overcome a perceived weakness by emphasizing a more desirable trait
Displacement Displacing an emotional rx from one person or thing to another.
Introjection Incorporates someone else' values into their own beliefs
Projection A persons thoughts are projected on to someone else
Reaction Formation A person develops behaviors or responses opposite to what they would normally do.
Sublimination an aggressive kid turns out to become a star football player.
Undoing a nice act negates a previously unacceptable act
Generic name active ingreedient
official name Used in official publications
Trade name Brand name protected by trademark
Drug classification groups of drugs sharing similar characteristics
Classification: Body system cardiovascular
Classification: chemical composition
Classification: clinical indications
Classification: theraputic action antibiotic
KSA Knowledge, Skills, Attitude
Mechanism of action what the drug does to the body to make it work
Theraputic classification more general vs pharmaco is much more specific
idiosyncratic over/under reacted to meds
duration how long the theraputic response
onset time required to illicitpeak response
peak maximum theraputic response
trough lowest concentration in blood
Medication reconciliation when transferred to a different place
QD Every day
Men hemo level 14-18
women hemo level 12-16
6 p's for dyspnea Possible foreign body Pulmonary Embolus Pneumonia Pump Failure Pul. Bronch. Constriction Pneumothorax
Expectorant reduces viscosity for removal of secretions
Antitussives inhibits cough receptors
Bronchodilators relax smooth muscle, lowers airway resistance and increase vital capacity
antihistamines blocks the action of histamine
corticosteroids inhibits inflam
nasal cannula 22-44% <6LPM
High Flow nasal cannula 6-15LPM needs humidifier
Non-rebreather 6-15LPM, 60-100% o2
Venturi mask 24-55%02, 4-10LPM
Created by: arieschica21
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