Unit 1 Fundamentals Test

Front 1

Describe the various communication modalities.

Back 1

Written
Spoken
Computer

Front 2

Relate the principles and techniques of basic communication to interactions with clients and other interdisciplinary members

Back 2

Nurses mus communicate with clients, family and other health professionals. Nurses must be assertive so they can ask the correct questions and so their voices will be heard. They must act as an advocate for their pts.
Therapeutic communication is important - the way that you communicate with your client. It begins with the first contact and this sets he stage for future communication.

Front 3

Verbal Communication definition

Back 3

Uses spoken or written words. Verbal language conveys specific meanings through combo of words.

Front 4

Verbal communication includes

Back 4

Vocabulary
denotative/connotative meaning
Pacing
Intonation
Clarity/Brevity
Timing/Relevance

Front 5

Non-Verbal Communication definition

Back 5

Includes all five senses. all types of nonverbal communication are important, but interpreting the meaning can causes problems.

Front 6

Types of non-verbal communication

Back 6

personal appearance
posture and gait
facial expressions
eye contact
gestures
sounds
territoriality and personal space

Front 7

Enhancements of communication

Back 7

Practice
Critical thinking
curiosity
humility
recognition
self-control
varying techniques

Front 8

Blocks

Back 8

biases
wrong impressions
lack of effort
poor attitude
arrogance
cultural illiteracy
disrespect
issues of age

Front 9

Communication is an active two way process

Back 9

Active: requires some action from the sender/receiver. It is ongoing, dynamic and multidimensional.
Two-Way: represents a flow of information between two points

Front 10

S-BARR and nursing communication

Back 10

SBARR is a formalized method of communicating with other healthcare practitioners. This helps prevent some miscommunication which could cause pt injury or death.

Front 11

Skills and techniques for effective communication across the lifesapn

Back 11

an infant's self-expression is limited to crying, body movement, and facial expression, whereas older children express their needs more directly
Children are more responsive to nonverbal communication.
Older adults may have hearing and visual deficits which may change the way that you interact with them

Front 12

Cultural communication

Back 12

It is important to realize the difference between cultures when trying to communicate with someone who is foreign born.

Front 13

Tips for culture

Back 13

Understand your own cultural values and biases.
•Client's culture will possibly affect willingness to share private information.
•Determine level of fluency in English.
•Avoid body language that can be misunderstood.
•Speak directly to the client even if an interpreter is present.
•Nodding or statements such as “okay” do not necessarily mean the client understands.

Front 14

Tips for older adults

Back 14

Get the client's attention before speaking.
•Check for hearing aids and glasses.
•Introduce yourself.
•Be sure your face is visible to the client, and use facial expressions and gestures.
•Choose a quiet, well-lit environment with minimal distractions.
•Do not shout, it distorts sounds. Speak clearly at a moderate speed.
•Allow time for the client to respond. Do not assume the client is being uncooperative if does not reply or takes a long time to reply.
•Give client a chance to ask questions.
•Do not talk to the client like a child. Use words appropriate to the client's developmental level.

Front 15

Differentiate among assertive, passive, and aggressive communication styles

Back 15

Assertive - conveys self-assurance but also respect for the other person

Passive - avoidance of expressing opinions, feelings, identifying needs, or protecting rights

Aggressive - express feelings and opinions in a way that violates the rights of others

Front 16

Identify effective participants in a group process

Back 16

actively participates
provides personal talents to task
considers others' points of view
discusses/negotiates

Front 17

Identify ineffective participants

Back 17

failure to offer efforts to task
inactive
close-minded
"my way or no way"

Front 18

Recognize stages of group process

Back 18

Forming
Storming - roles are determined
Norming - operation agreed upon
Performing - group performs its function
Adjourning - unform

Front 19

Critical thinking

Back 19

Critical thinking challenges you to think creatively, search for the answer, collect data, make inferences and draw conclusions

Front 20

Critical thinking and Nurses

Back 20

clinical decision making separate the professional nurse from technical staff
clients have problems with no textbook answers
nurses need to seek knowledge, act quickly, and make sound clinical decisions

Front 21

Legal responsibilities of nursing students

Back 21

liable for own actions
instructor, institution and health care facility share in student's liability,
should NEVER perform a task that have not been instructed
instructor should be present when performing new skills
you cannot perform nursing interventions while working as a CNA

Front 22

Explain 4 components of HIPPA

Back 22

Privacy regulations
Security regulations
Info transactions and code sets
National Identifiers
Training and Education

Front 23

HIPPA

Back 23

All individuals have the right to privacy
Must protect against any possible threats or misuse of ePHI
Information is protected by ID numbers and passwords
All facilities must be trained and tested on HIPPA policies

Front 24

PSDA - Patient Self Determination Act

Back 24

Pt must be educated on right to make decisions
Pt makes all decisions unless medically or legally incompetent
Must be documented
Nurses advocate for their pt's and their wishes

Front 25

ADA

Back 25

protects the rights of disabled people
it is the nurses obligation to report any practices or findings that endanger the health of a person
Informed consent is required of all patients
this also protects clients and health care workers with HIV

Front 26

ANA Code of Ethics

Back 26

The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
•The nurse's primary commitment is to the client, whether an individual, family, group, or community.
•The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the client.
•The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum client care.
•The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.
•The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.
•The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.
•The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.
•The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.

Front 27

Preventative

Back 27

stresses health promotion as key to quality Health
disease oriented, reducing and controlling risk factors
immunizations and occupational health programs
stress management
seat belt

Front 28

Primary care

Back 28

keeps people healthy through personal hygiene, good nutrition, clean living environments, regular exercise, rest and positive attitudes
clinic visits, scheduled school or work screenigns

Front 29

Secondary

Back 29

diagnosis and treatment of emergency or acute illnesses
hospital or ED

Front 30

Tertiary

Back 30

health care involves provision of specialized highly technical care for the client
oncology centers
burn centers
psychiatric facilities

Front 31

restorative

Back 31

intermediate follow-up care for restoring health
home health care
rehab centers
skilled nursing

Front 32

Continuing

Back 32

addresses long-term or chronic health care needs
hospice
adult day care
respite care

Front 33

Financial resources

Back 33

Private health insurance
Medicare/Medicaid
PPO/MCO
Long-Term Care insurance

Front 34

DRG's

Back 34

regulatory and competitive approaches - look at quantity, quality and cost of hospital care
utilization review committees review admissions, dx testing and tx provided
diagnosis related groups were created with PPS to fix dollar amounts and fixed reimbursement for certain dx
capitation - fixed payment mechanism per pt per health care plan