West Coast University, NURS 100 Quiz 1 - Study Guide,100% CORRECT
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West Coast University, NURS 100 Quiz 1 - Study Guide
1. Communication is the means to establish helping-trust relationships.
2. Need to find
3. Nursing diagnosis is Impaired Verbal Communication and could be due to:
1. Inability to articulate words
2. Inappropriate verbalization
3. Difficulty...
West Coast University, NURS 100 Quiz 1 - Study Guide
1. Communication is the means to establish helping-trust relationships.
2. Need to find
3. Nursing diagnosis is Impaired Verbal Communication and could be due to:
1. Inability to articulate words
2. Inappropriate verbalization
3. Difficulty forming words
4. Difficulty comprehending
4. If patients cannot speak clearly use letter board, flash cards etc,
a. If Cognitive impairment: use family and friends in conversations also use pictures
or gestures
b. Patients who are hearing impaired: reduce environmental noise, face patients with
mouth visible, use sign-language interpreter if indicated.
c. Visually impaired Use 14 point font +, Identify yourself when you enter room and
when you
leave.
d. If they don’t speak English use communication board, pictures, cards, interpreter.
5. Aspects of Professional Communication are:
a. Appearance, Courtesy, Use of Names, Autonomy and responsibility, Assertiveness,
Trustworthiness.
6. The qualities, behaviors and communication techniques that affect professional
communication are
a. Active listening, Therapeutic communication, SOLER, Sharing Observations,
b. Sharing empath, hope, humor, feelings.
c. Using silence, providing info, clarifying, paraphrasing, validation, asking relevant
questions.
d. Therapeutic Communication Techniques: are specific responses that encourage
the expression of feelings and ideas and convey acceptance and respect.
e. Active listening: being attentive to what a patient is saying both verbally and
nonverbally.
i. Use SOLER acronym
1. S: sit facing the patient
2. O: open position (arms and legs uncrossed)
3. L: Lean toward a patient
4. E: Eye contact,
5. R: Relax
ii. Sharing Observations: commenting on how the person looks, sounds or
acts. ( someone who didn’t eat their food “ I see you haven’t eaten
anything”)
iii. Sharing Empathy: being able to be empathic with patients (ability to
understand and
1
, accept another person’s reality, accurately perceive feelings and
communicate this understanding to the patient)
iv. Sharing Hope: hope is an essential part of healing.
v. Sharing Humor: helps relieve stress, tension, anxiety and worry. It
also increases interpersonal communication by making the nurse
seem more caring, warm and approachable.
vi. Sharing Feelings: it is okay to share feeling with patients and increased the
interpersonal
communication. However, do not allow the emotions to become uncontrolled
or cause the patient distress/ break confidentiality.
1. Avoid expressing anger/sadness.
vii. Using Touch: can convey affection, emotional support, encouragement,
tenderness, and personal attention.
1. It is important to know when touch is appropriate and you should
always ask
before you touch.
2
, viii. Using Silence: If silence is initiated let the patient break the silence this
gives you time to think
ix. Clarifying: it is always important to clarify an ambiguous statement made by
a patient.
x. Focusing: this is a way to redirect the conversation to more effective topics
xi. Validation: You want to let the patient know that you have heard their
concerns, feelings, and thoughts.
1. “Tell me if I understand you are worried about…..”
xii. Asking Relevant Questions: These questions are needed to allow a
nurse to make a decision about a patient
1. Try to avoid asking to many questions as it is dehumanizing.
xiii. Summarizing: reviews the key aspects of a conversation and reminds
patients of what was spoken about before.
xiv. Self Disclosure: Try to find common ground with a patient sympathize with
them.
xv. Confrontation: is when you help someone understand they are being
inconsistence with their feelings, attitudes, beliefs and behaviors.
Territoriality and Personal Space: is the need to maintain and defend ones right to space.
xvi. When personal space becomes threatened people respond defensively and
communicate less effectively.
f. Zones of personal Space
i. Intimate Zone is 0-8’
1. Holding a crying infant
2. Performing physical assessment
3. Bathing, grooming, dressing, feeding, and toileting a patient
4. Changing a patients surgical dressing
ii. Personal zone is 18inches to 4ft
1. Sitting at a patient’s bedside
2. Taking a patient’s nursing history
3. Teaching an individual patient
iii. Socio-Consultative Zone 9 to 12 feet
1. Giving directions to visitors
2. Asking if families need assistance from the patient door way
3. Giving a verbal report to a group of nurses
iv. Public zone 12+ feet
1. Speaking at a community forum
2. Lecturing a class of students
3. Testifying at a legislative hearing
g. Special zones of touch
i. Social zone (permission not needed)
1. Hands, arms, shoulders, back
ii. Consent zone (Permission needed)
1. Mouth, wrists, feet
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