Intro Final: Communication and Nursing Concepts

Intro final Study online at https://quizlet.com/_h2jkrq 1. aggressive com- communication that is verbally, and sometimes physically, abusive. munication -uses "YOU" statements verbally, abusive, controlling, and interruptive 2. Assertive com- Honest and clear...

Intro final Study online at https://quizlet.com/_h2jkrq 1. aggressive com- communication that is verbally, and sometimes physically, abusive. munication -uses "YOU" statements verbally, abusive, controlling, and interruptive 2. Assertive com- Honest and clear communication that does not violate the rights of others munication -uses "I" statements 3. passive commu- Wants to avoid conflict, so individual says nothing or the person simply agrees nication -conflict, avoidance, anxious, hesitate to stand up for self 4. Passive aggres- Communication that appears pass up on the surface, but often the individual is sive communica- demonstrating anger and subtle indirect and secretive way tion -acts out anger in indirect way, feels powerless and resentful, sarcastic 5. Communication -language differences barriers -Culture diversities -medication effects -speech or hearing impairments -Distress -developmental or cognitive disorders -effects are recreational drugs -environmental factors 6. Non-therapeutic -not listening to the client communication -Dismissing with the client has to say -attempting to reassure or give advice -challenging or disagreeing with the client is saying 7. Therapeutic com- -Active listening munication -Asking opening questions -restate the client's message to ensure understanding -Reflect the client's message to attempt to reveal feeling/summarizing 8. occurs between two or more people with a goal to exchange messages 1 / 11  Intro final Study online at https://quizlet.com/_h2jkrq Interpersonal communication 9. intrapersonal Self-talk; communication within a person communication 10. Crucial conversa- -crucial conversations or conversations that are important but can feel difficult tions -Example disagreement with peers -Providing criticism -asking for something 11. Possible reasons -Broken rules: witness violating a rule for crucial con- -mistake: witness making a mistake versations -lack of support -Disrespect -Incompetence -poor teamwork -micro management 12. Emotional com- The Cinder's feelings and emotion state when sending a message affects how the munication message is accepted and received 13. energetic com- how the person projects themselves munication 14. Learning Is the process by which a person acquires or increases knowledge or changes behavior in a measurable way as a result of the education experience -You can educate someone repeatedly, but if they don't internalize and utilize that information, they don't learn it. Nothing will change. 15. Cognitive domain The thinking domain seeking through information and being able to comprehend of learning it -6 stages: -knowledge: recall a prior knowledge -comprehension: understanding interpret information 2 / 11  Intro final Study online at https://quizlet.com/_h2jkrq -Application: ability to use the information -synthesis: putting all the elements together to create a new whole -Evaluation: deciding the best of ideas 16. Affective domain The filling domain involves the client's feelings regarding values attitudes, and beliefs -Education may provide information that affects the client's feelings and emotions 17. Psycho-motor The doing domain the physical or mental activities required to learn skills. This is Domain the hands-on skills that are required to teach patients -5 stages: imitation manipulation, complex adaption, origination 18. Client education -An ongoing goal driven interactive process that provides clients with new infor- mation and it is a fundamental element of a nurse scope of practice -Nurses seek to effect changes in the knowledge, attitudes, behaviors, and skills of the client to help them in health, maintenance and improvement 19. Pre-teaching -Assessment parameters: it is important to complete these assessments BEFORE assessment beginning client teaching -readiness to learn -ability to learn -learning strengths process -Analyze: what is the focus of the client education? -what does the client need to know believe or be able to do? -preparation for receiving care, new medical or nursing diagnosis ,preparation before discharge from healthcare facility -plan and implement: think about these questions in order to choose interventions -what is the main problem or question? What does the client need to know or do why is it important for the client to do this? Provide the education to the client you made the plan now do the plan 20. Evaluate Does the plan need to be revised? Feedback : is helpful information provided to the learner to aid in improvement. Nurses must provide feedback to clients during and after the completion of edu- cation session, so that clients know, they understand the information appropriately 21. 3 / 11  Intro final Study online at https://quizlet.com/_h2jkrq Promoting Com- Be certain that instructions are understandable and support patient goals. pliance Include the patient and family as partners in the process. Utilize interactive teaching 22. Relevance Is the client understanding of why they should be learning the information being provided to them? 23. Motivation Is the clients ability to engage in a learning process by deciding when where and how they will learn 24. Age impacts Plan short teaching sessions clients learning Accommodate for sensory defects older adults Relate new information to familiar activities or information Allow extra time 25. Client literacy lev- Sixth grade reading level all lower el 26. Teach back Is conducted by asking a client to repeat or demonstrate education information back to you. This method also allows the nurse to confirm that the client received the information accurately and correctly 27. Accountability Taking ownership of decisions and actions and being responsible and answerable (your ownership) for actions and consequences of those actions 28. Chain of com- 1. Patient care tech. mand (lowest 2. Staff nurse. highest) 3. Charge nurse. 4. Nurse supervisor. 5. Team manager. 6. Nurse manager. 7. Department manager. 8. Hospital supervisor. 4 / 11  Intro final Study online at https://quizlet.com/_h2jkrq 9. Chief nursing officer. 10. Hospital, CEO/president. 29. Collaborative A client center approach in which members of different healthcare, professions healthcare come together and work toward a common goal or improvement or restoring a client's health 30. SBAR (do not use Is a standardized communication tool to establish uniform delivery of information it when talking to from one provider to another during transfer of care a patient) S: Situation: describe what is currently happening to the client that needs to be addressed B: Background: provide pertinent clinical background A: Assessment: give a brief evaluation of the situation R: Recommendation: give suggestions for care 31. Delegation: Five Right task Rights of Delega- Right circumstance tion Right person Right directions to communication Write supervision and evaluation 32. cannot delegate Any element of the nursing process to UAP Physical assessment Discharge planning Health education Triage interpretation of patient data Care of invasive lines Medication administration 33. Can delegate Activities of daily living such as bathing, grooming, feeding linen changes Ambulation transfer our position changes Weighing 5 / 11  Intro final Study online at https://quizlet.com/_h2jkrq Vital signs Post mortemcare Intake outputs 34. Triage Triage is like prioritization, although there is a distinct difference Prioritization: involves ranking potential nursing actions in order of importance Triage: a science priority to what is being ranked based upon a quick initial focus assessment followed by the amount of time a client can safely wait for screening and treatment 35. Other priorities Priorities, give it to the situation or factor that poses the highest risk ,safety, and risk Physical well-being is the highest priority reduction Nurses have to reduce risk and buy harm 36. Lease restrictive Focus is all using the least restrictive/invasive method to resolve a problem while maintaining client safety Think restraints, medication administration, etc. 37. Stable versus un- Unstable= acute change in condition stable Stable = condition changes little overtime 38. Triage Cate- Life-threatening injuries but high chance of survival with immediate treatment gories: Red (im- -open chest wound ,airway obstruction and shock mediate) 39. Triage cate- Serious but not immediately life-threatening injuries. Can wait for treatment. gories: yellow -open fractures, large soft tissue injuries burns without airway involvement (delayed) 40. Triage Minor injuries treatment can be delayed for hours or day cate- -minor lacerations, sprains or strains, abrasions, minor burns gories:Green (minimal) 6 / 11  Intro final Study online at https://quizlet.com/_h2jkrq 41. Triage categories Injuries are so severe that survival is unlikely even with care. Focus is on comfort. :Expectant (black) -No post after CPR, massive head trauma, 90% of body burns 42. Nursing process is s systemic method that helps nurses and clients make clinical judgments 43. Nursing Process: Assess the objective and subjective data that pertains to the client. Assessment -elicits clients values, preferences, needs of knowledge of healthcare 44. objective data observable and measurable that is seen, heard, felt, or smelled by an observer; signs 45. subjective data information the client tells you about 46. sources of data primary: the client themselves secondary: family 47. Nurisng process: the RN analyzes the assessment data to determine actual or potential problems analysis & diag- -four steps to data analysis: nosis -recognizing the significant data: comparing data to standards -recognizing patterns or clusters: identifying strengths and problems and potential complications -reaching conclusions 48. Nursing process: The RN identifies expected outcomes for a plan of individualized to the healthcare outcomes and consumer of the situation identification -collaborate with the patient to define expected outcome, interrogating the health- care patient's culture values to ethical considerations 49. SMART goals Specific, Measurable, Attainable, Realistic, Timely 50. Nursing process: The RN developed a plan that prescribed strategies to obtain expected measurable planning/gener- outcomes ate solutions -HOW is the patient going to meet this goal and what do I need to do to support them towards this goal? Include the patient in the plan 7 / 11  Intro final Study online at https://quizlet.com/_h2jkrq 51. Nursing Process: perform the nursing actions identified in planning Implementation -the nurse partners with the patient to implement the plan in a safe effective efficient timely patient center in equitable manner -this will likely have all collaboration with interprofessional team 52. Nursing process: RN evaluates progress toward attainment of outcomes and goals evaluation 53. Priority setting Is an essential skill for all nurses as the nurses ability to intervene on the highest framework risk problems first can decrease avoidable adverse client outcomes -Defined as delivery of nursing care based on the urgency of importance of a client needs 54. The ABCDE is an algorithm that can be used and established priorities for individual or group method of clients and is appropriate in any clinical crisis A- airway B-breathing C-circulation such as O2 sat D-disability E-exposure 55. The CURE hierar- Nurses can use the cure hierarchy which is critical urgent routine and actress chy acronym to prioritize client care with managing numerous client needs C-critical: emergence life-threatening situations U-urgent: situations in which the client could suffer harm or discomfort if there is a delay in addressing the client needs R-routine: routine task associated with client care E-extras: task that are not essential to client care but promote comfort 56. palliative care vs Palliative Care occurs *throughout the course of the illness* and in any setting. It hospice care allows for curative therapies. 8 / 11  Intro final Study online at https://quizlet.com/_h2jkrq Hospice care occurs during the *last six months of life*. It can occur in the home, inpatient hospice units, and long-term care settings. The patient decides against life-sustaining therapy. 57. Palliative care Is to improve quality of life by aggressive management of symptoms goal 58. needs of dying Meaning and purpose patients: spiritual Forgiveness needs Love and relatedness Hope 59. Needs of Dying patient needs control over fear of the unknown, pain, separation, leaving loved Patients: Psycho- ones, loss of dignity, loss of control, unfinished business, isolation logical Needs Dignity : is regarded as in everyday necessity essential to the well-being of all clients 60. Needs of a dying Hygiene patient: physical Movement Pain control Nutritional needs Elimination Respiratory care 61. Performing post- Washing the body mortem care: Accounting for the clients possessions removing invasive devices, such as a intra- physical care venous catheter in indwelling catheters, unless an autopsy is scheduled, placing identification tags, and at least two areas to arm outside of body, etc. 62. Performing post- Date and time of death, name of anyone notified, location of belongings, where mortem care: the client body is moved funeral home name, death certificate issued and signed, documentation review of organ donation arrangements if any 63. 9 / 11  Intro final Study online at https://quizlet.com/_h2jkrq Telling patient The healthcare provider is responsible for initial information to the patient such as about terminal diagnosis, progression, and what that means for the patient diagnosis 64. How individ- Grief can be defined as the feelings or reactions an individual has to a loss in one's ual individuals life. The lost at an individual endurance is not necessarily related to death as grief process grief can be experienced from any loss or personal experience. 65. Code status do not resuscitate (DNR) 66. Code status (DNI) do not intubate but perform CPR 67. Code status No CPR but full intervention (DNR-FI) 68. Code status No CPR but limited intervention (DNR-LI) 69. Types of Grief: Also known as uncomplicated grief is caused by the loss of someone very close to Normal Grief death or the ending of a relationship 70. Types of Grief that is experienced before the expected loss of someone or something Grief: Anticipa- tory (anticipat- ing/waiting) 71. Types of Grief: Grief related to a relationship that does not coincide with what is considered by Disenfranchised society to be a recognized or justified loss 72. Denial Client refuses to believe the truth, and this helps to lessen the pain of the loss 73. Anger Client adjusted to the loss in is feeling severe emotional distress often and often asking why me is suggesting it's not fair 10 / 11  Intro final Study online at https://quizlet.com/_h2jkrq 74. Bargaining Usually involves bargaining with higher power by making a promise to do some- thing in exchange for a different better outcome 75. Depression Reality sitting in the loss of the loved one our thing is deeply felt 76. Acceptance Client still feels the pain of the loss but realizes they will be all right 77. Grief reactions Shock and signs of grief Anxiety processing Denial Depression Anger Sadness Guilt Numbness Relief (if expected) 78. responsibility -obligation to perform work duties or tasks using sound professional judgement Being responsible for one's actions 11 / 11