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Questions and Answers
What term describes the distance individuals prefer to maintain between themselves and others during interactions?
Which barrier to communication implies that the nurse is judging the patient as either right or wrong?
Which type of communicator focuses primarily on their own needs and often appears to be attacking the recipient?
What does unwarranted or false reassurance do in a communication context?
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Which barrier to communication involves directing conversations towards personal self-interest rather than the patient's concerns?
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What characterizes an assertive communicator compared to aggressive and passive communicators?
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What is the primary issue when a nurse engages in probing during communication?
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How does passing judgment affect patient communication?
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Which elements are required in a patient's medical record for accreditation purposes?
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What is a primary purpose of flow sheets in nursing documentation?
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What content is typically included in nursing discharge/referral summaries?
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What is the role of progress notes in nursing documentation?
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Which type of nursing care plan emphasizes approaches to development and use?
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Which of the following is NOT typically found in a flow sheet?
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What must be ensured if discharge instructions are provided to a patient?
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Documentation needs can vary based on which factor?
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What is a requirement for the timing of documentation by nurses?
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Which of the following should NOT be included in nursing documentation?
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What is the purpose of maintaining correct spelling in documentation?
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Which guideline should be followed regarding the use of abbreviations in documentation?
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What is the significance of documenting the sequence of events?
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What is not appropriate to document in nursing records?
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Why is conciseness important in nursing documentation?
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What must nurses do at the end of their documentation?
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Why is documenting a patient's condition changes crucial in clinical records?
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Which of the following is NOT a recommended practice in nursing documentation?
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What is a common factor associated with cognitive delays in children?
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What should a nurse do if an error is discovered in a clinical record?
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When using electronic records to communicate with patients, what becomes part of the patient's record?
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Which of the following disorders is NOT explicitly mentioned as being associated with cognitive delays?
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What impacts adaptive functioning in children with a history of prenatal alcohol exposure?
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What is one of the key responsibilities of the nurse in documentation according to the guidelines?
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Which condition can result from fetal exposure to toxins?
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Which of the following demonstrates incorrect documentation practice?
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What is a significant legal implication of clinical records?
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What was one of the reasons suggested for the rising rates of developmental disabilities?
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What is the prevalence of children in the United States with developmental disabilities?
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According to the guidelines, how should a nurse document a patient's words?
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Which of the following is NOT a consequence of the Zika virus according to the information provided?
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What is a significant aspect of adaptive functioning?
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Study Notes
Factors Influencing Communication
- Personal Space: Defined as the preferred distance during interactions; influences comfort levels.
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Proxemics: The study of personal space, categorized into:
- Intimate distance
- Personal distance
- Social distance
- Public distance
Barriers to Communication
- Stereotyping: Generalizes patients, undermining their individuality.
- Agreeing/Disagreeing: Suggests judgment; may alienate patients.
- Defensiveness: Conveys that patient complaints are unwarranted.
- Challenging: Should avoid forcing patients to validate their feelings.
- Probing: Seeks information for curiosity rather than patient support.
- Testing: Poses questions that may pressure patients to confess.
- Rejecting: Involves declining to discuss sensitive topics.
- Changing Topics: Diverts communication from patient concerns to nurse's interests.
- False Reassurance: Dismisses patient fears and emotions.
- Passing Judgment: Implies patient must conform to nurse's perspective.
- Common Advice: Undermines patient's role in their own care.
Types of Communicators
- Aggressive Communicators: Prioritize their needs, create perceptions of personal attacks.
- Passive Communicators: Focus on others' needs, leading to frustration over their own rights.
- Assertive Communicators: Balance self-expression with respect for others, fostering productive interactions.
Nursing Care Plans
- Documentation requirements include:
- Patient assessments
- Nursing diagnoses or care priorities
- Nursing interventions and patient outcomes
- Agencies mandate a current nursing plan of care for effective clinical decision-making.
Flow Sheets
- Facilitates quick, concise data recording about patient conditions over time.
- Types include:
- Graphic records
- Input and output (I&O) records
- Medication administration records
- Skin assessment records
Progress Notes
- Used to document:
- Patient progress towards outcomes
- Problems or exceptions encountered
- Evaluations of nursing interventions.
Nursing Discharge/Referral Summaries
- Essential for documentation upon patient discharge or transfer.
- Often includes combined discharge plans and progress notes with checklists for clarity.
- Should provide clear, understandable instructions for patients and families.
- Continuity of care reports detail condition before transfer and any education provided.
Facility-Specific Documentation
- Varies by setting type, e.g., acute care, long-term care, or home care environments.
General Guidelines for Recording
- Documentation must maintain confidentiality and meet legal standards.
- Essential elements include:
- Date and time of documentation.
- Immediate recording of assessment findings.
- Use of accepted terminology and correct spelling.
- Accurate, objective observations and relevant patient information only.
Completeness and Conciseness
- Includes reflections of the nursing process, patient comments, and interdisciplinary communications.
- Brevity in documentation is crucial, avoiding unnecessary details.
Legal Prudence in Documentation
- Clinical records serve as legal evidence of care, easily admissible in court.
- Electronic records incorporate patient communications which must follow organizational policies.
Do’s and Don’ts of Documentation
- Do: Document changes in condition and follow-up, maintain objectivity, and acknowledge direct quotes.
- Don’t: Record in advance, document for others, or manipulate records. Avoid vague language and assumptions.
Concept of Development
- Important for understanding normal developmental progression and the impact of alterations across the lifespan.
Alterations in Development
- Cognition: Cognitive delays may arise from various conditions and play a role in developmental milestones.
- Adaptive Functioning: Relates to life and social skills; difficulties can challenge overall development.
Etiology of Developmental Alterations
- Causes may include genetic factors, fetal exposure to toxins, and infections affecting growth and skills.
Prevalence of Developmental Disabilities
- Approximately 1 in 6 children in the U.S. is affected by developmental disabilities, with rising trends for conditions like ADHD and ASD.
- Factors contributing to increased rates include enhanced awareness and better diagnostic criteria.
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Description
This quiz covers the key concepts related to personal space and proxemics in communication. Understand the different distances individuals maintain during interactions, including intimate, personal, social, and public distances. Test your knowledge of how these factors influence effective communication in various contexts.
