Therapeutic Communication Quiz

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Questions and Answers

Which of the following is an example of non-therapeutic communication?

Using open-ended questions

Asking irrelevant personal questions (correct)

Active listening

Restating a patient's concerns

What does the SBAR technique stand for in professional communication?

Summary, Behavior, Analysis, Recommendation

Situation, Behavior, Assessment, Response

Summary, Background, Availability, Request

Situation, Background, Assessment, Recommendation (correct)

Which technique can promote therapeutic communication?

Offering personal opinions

Giving false reassurance

Using focused questions

Show acceptance and recognition (correct)

Which factor is NOT a risk factor for impaired glucose regulation?

High protein diet Signup and view all the answers

What constitutes effective verbal communication?

Speaking clearly and concisely Signup and view all the answers

Which of the following accurately defines the NHS Core Value of Competence?

The ability to do something successfully or efficiently. Signup and view all the answers

In the context of professional identity, which behavior reflects boundary-setting with clients?

Maintaining a respectful distance while still providing support. Signup and view all the answers

Which ethical principle emphasizes avoiding harm to patients?

Nonmaleficence Signup and view all the answers

What does the Core Value of Curiosity promote in nursing practice?

Questioning existing practices to improve outcomes. Signup and view all the answers

Which of the following best describes ethical dilemmas in nursing?

Situations requiring a choice between two ethically questionable options. Signup and view all the answers

Which behavior demonstrates effective communication in nursing practice?

Listening actively and responding appropriately to patient needs. Signup and view all the answers

What role does Continuing Education play in professional nursing identity?

It ensures nurses stay updated on evidence-based practices. Signup and view all the answers

Which NHS Core Value is primarily concerned with collaboration?

Teamwork with a multidisciplinary team. Signup and view all the answers

What ethical principle emphasizes the importance of keeping promises to patients?

Fidelity Signup and view all the answers

Which situation exemplifies the ethical principle of nonmaleficence?

Withholding unnecessary pain medication Signup and view all the answers

In ethical dilemmas, what is often required to arrive at a solution?

Discussion and thoughtful consideration Signup and view all the answers

Which ethical principle supports a patient's right to refuse care or treatment?

Autonomy Signup and view all the answers

Which ethical principle relates to fairness and equal distribution of benefits?

Justice Signup and view all the answers

What is the focus of the ethical principle of beneficence?

Acting in the patient’s best interest Signup and view all the answers

How does advocacy manifest in nursing practice?

Reporting critical changes in a client's condition Signup and view all the answers

Which of the following actions aligns with the principle of autonomy?

Respecting a patient's wish to decline treatment Signup and view all the answers

What is the fasting blood glucose level that indicates diabetes mellitus?

126 mg/dL and above Signup and view all the answers

Which of the following conditions is NOT a complication of uncontrolled diabetes?

Hypertension Signup and view all the answers

Which ketone level indicates a need for urgent medical attention?

1.6 to 2.9 mmol/L Signup and view all the answers

What is the normal range for the HgB A1C level?

Under 5.7 Signup and view all the answers

Which dietary approach is recommended for managing diabetes?

Healthy diet with plenty of fruit and vegetables Signup and view all the answers

What glucose tolerance level indicates prediabetes?

140-199 mg/dL Signup and view all the answers

How can family dynamics play a role in managing diabetes?

Family support can enhance glucose regulation Signup and view all the answers

Which of the following is a symptom of neuropathy caused by uncontrolled diabetes?

Pain and burning sensation in extremities Signup and view all the answers

Which indicator is a potential sign of inadequate nutrition in individuals?

Brittle hair and nails Signup and view all the answers

What laboratory test is considered the best indicator of current protein status?

Prealbumin Signup and view all the answers

Which of the following foods is best for someone with anemia?

Dark leafy greens Signup and view all the answers

What is a common clinical sign of inadequate nutrition associated with vitamin deficiencies?

Mouth ulcers Signup and view all the answers

Which factor is a risk for poor nutrition related to mental health?

Anxiety or depression Signup and view all the answers

Which method can assist visually-impaired individuals in feeding themselves?

Clock-method for food placement Signup and view all the answers

What is an essential requirement for optimal perfusion?

Sufficient cardiac output Signup and view all the answers

What can help indicate malnutrition when assessing a patient?

Using anthropometric measurements Signup and view all the answers

Study Notes

NHS Core Values

Comportment: Professional behavior in professional settings.
Competence: Ability to perform successfully and efficiently.
Caring: Showing kindness and concern.
Collaboration: Teamwork with a multidisciplinary team.
Curiosity: Questioning practices to prevent errors.

Professional Identity in Nursing

Professional behaviors include comportment, professionalism, medical terminology knowledge, effective communication, clinical judgment, and continuing education (evidence-based practice).
Includes setting boundaries with clients, developing therapeutic relationships, self-reflection, and providing appropriate patient education.

Ethical Principles and Dilemmas

Ethical dilemmas: Situations requiring a choice between two ethically problematic options. Solutions require thoughtful discussion. Example: truth vs. loyalty.
Ethical Principles:
- Autonomy: Respecting patient choices and goals.
- Veracity: Honesty.
- Fidelity: Keeping promises.
- Nonmaleficence: Avoiding harm.
- Beneficence: Doing good; acting in the patient's best interest.
- Justice: Fairness and equitable benefit distribution.
- Advocacy: Supporting the patient's needs.

Ethical Principles in Client Care

Autonomy: Client's right to refuse care.
Advocacy: Reporting critical changes and speaking up for the client.
Beneficence: Actions like holding a dying patient's hand.
Fidelity: Nurses are accountable for their actions and consequences.
Justice: Providing care regardless of patient characteristics.

Communication in Nursing

Verbal Communication: Clear, concise, and effective speaking.
Non-verbal Communication: Communicating through eye contact, body language, and posture.
Written Communication: Clear, concise writing with correct language, spelling, and grammar.

Therapeutic Communication Techniques

Silence, active listening, open-ended questions, clarifying techniques (restating, reflecting, paraphrasing, exploring), general leads, broad opening statements, showing acceptance and recognition, focusing, giving information, presenting reality, summarizing, offering self, and touch.

Non-Therapeutic Communication Techniques

Closed-ended questions, irrelevant personal questions, offering personal opinions, giving advice, false reassurance, minimizing feelings, changing the topic, "why" questions, value judgments, excessive questioning, approving/disapproving responses, assumptions, social responses, clichés.

SBAR Communication Technique

A structured communication method (Situation, Background, Assessment, Recommendation).

HIPAA

Federal law regarding patient medical record access.

Impaired Glucose Regulation

Risk factors: Obesity, age, diet, genetics, sedentary lifestyle.
Diagnosis: Diagnostic labs include GTT (glucose tolerance test), fasting blood glucose, random blood glucose, and HbA1C.

Diabetes Mellitus Diagnostic Criteria

Test Type	Normal	Pre-DM	DM
Fasting Glucose	70-100 (115)	100-125	126+
Random Glucose			200+
GTT (2-hour)	Under 140	140-199	200+
HbA1C	Under 5.7	5.7-6.4	6.5+

Complications of Uncontrolled Diabetes

Neuropathy (nerve damage causing pain and burning sensation, affecting hands, feet, legs).
Nephropathy (kidney damage).
Retinopathy (eye damage).
Ketoacidosis risk (high ketone levels).

Interventions for Glucose Regulation

Client teaching, encouraging healthy diet and active lifestyle, referral to a dietician. Emphasis on patient-centered care and considering family dynamics, culture, and spirituality.

Inadequate Nutrition

Indicators: Poor wound healing, skin changes, brittle hair and nails, weight loss, loss of appetite, fatigue, anemia, vitamin deficiencies, mouth ulcers.
Assessment: Weight, lab tests (albumin, prealbumin, glucose, HbA1C, lipid profile, electrolytes, hgb/hct), anthropometric measurements, physical assessment, nutritional screening tools (e.g., Mini Nutritional Assessment).
Risk Factors: Lack of access to resources, medical conditions (dumping syndrome), anxiety/depression.

Interventions for Optimizing Nutrition

Assess swallowing, encourage oral care and intake, clock method for visually impaired feeding, balanced diet incorporating preferences.

Anemia

Low red blood cell count. Low serum albumin is associated with anemia; increases in serum albumin correlate with anemia improvement.
Best foods: Dark leafy greens, red meat, poultry, liver, seafood, fortified foods, beans, nuts, legumes, seeds.

Perfusion

The process of blood distribution to tissues throughout the body, requiring adequate cardiac output and patent blood vessels. Maintaining cardiovascular health is essential for optimal perfusion.

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Description

Test your knowledge on therapeutic and non-therapeutic communication techniques. This quiz also covers professional communication methods such as the SBAR technique. Engage with questions that assess your understanding of effective verbal communication in health care settings.