Nursing Scope and Standards of Practice
Standard 5B: Health Teaching and Health Promotion, p. 65
• Competency
o RN should..
▪ provide opportunities for the patient to identify needed healthcare
promotion, disease prevention, and self management
▪ Use health promotions and health teaching methods in
collaboration with the patient values, beliefs, health practices etc.
▪ Use feedback and evaluation for the patient to determine the
effectiveness of the employed strategies
▪ Use technology to communicate health promotion and disease
prevention information to patients
▪ Provides information about effects and potential adverse effects of
the plan of care
▪ Provides guidelines to promote health and prevent or reduce of the
negative outcome
▪ Engages patient alliance and advocacy group in health teaching
and health promotions activities for patients
Standard 5: Implementation, pp. 61–62
• Competency
o RN should..
▪ Partner with patient to implement the plan in safe effective timely
patient-centered and equitable manner
▪ Integrates interpersonal team in implementation of the plan through
collaboration and communication across during care
▪ Demonstrate caring behaviors to develop therapeutic relationship
▪ Uses evidence based practice to identify goals and outcomes
▪ Delegate according to the health, safety and welfare of the patient
and consider the circumstance person task direction or
communication supervision evaluation as well as the state nurse
practice act regulations, institution and regulatory entities while
maintaining accountability for care.
▪ Document implementation and any modifications including changes
or omissions of identified care
,NR222 study guide exam 2 .
Standard 9: Communication, pp. 71–72
• Competency
o RN should..
▪ Assess one's own communication skills and effectiveness
▪ Demonstrate cultural empathy when communicating
, NR222 study guide exam 2 .
▪ Asses communication ability, health literacy, resources, and
preferences of patient to inform interpersonal team and others
▪ Uses translation resources
▪ Use alternative staggies for people with visual speech, language, or
communication difficulties
▪ Give accurate information
▪ Communicate with interpersonal team and others to provide safe
care
▪ Contributes the nursing perspective in interactions with others and
discussion with interprofessional team
▪ Exposes care processes and decision when they do not appear to
be in the best interest of patient
▪ Disclose concerns related to potential or actual hazards and errors
in care or the practice environment to the appropriate level
▪ Continue improving on communication skills
Therapeutic Communication - HEAVY ON THIS
Levels of Communication
• Intrapersonal
o Occurs within an individual
• Interpersonal
o One-to-one interaction between two people
• Public
o Interaction with an audience
• Electronic
• Small group
o Interactions with a small number of people
• Transpersonal
o Interaction within a person’s spiritual domain
Circular Transactional Model
• Components
o Referent
▪ Motivates one to communicate with another
o Sender and Receiver
▪ One who encodes and one who decodes the message
o Message
▪ Content of the message
o Channels
▪ Means of conveying and receiving messages
o Feedback
▪ Message the receiver returns
o Interpersonal Variables
▪ Factors that influence communication
o Environment
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