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COMMUNICATION

FUNDAMENTALS OF NURSING BY PAMELA SUE

AB
COMMUNICATIONOCCURS WHEN ONE PERSON SENDS A MESSAGE TO ANOTHER PERSON WHO RECEIVES IT, PROCESSES IT AND INDICATES THAT THE MESSAGE HAS BEEN INTERPRETED.
THE RECEIVERMUST ACKNOWLEDGE THAT THE MESSAGE HAS BEEN RECEIVED AND COMPREHENDED FOR THE COMMUNICATION TO BE COMPLETE, BY VERBAL (WITH WORDS) AND NON-VERBAL (WITHOUT WORDS)
VERBAL COMMUNICATION(IN WORDS) CONSISTS OF WORDS EITHER SPOKEN OR WRITTEN.
NON VERBAL COMMUNICATION(WITHOUT WORDS) IS CONVEYED WITHOUT WORDS BY GESTURE, EXPRESSION, BODY POSTURE, INTONATION, AND GENERAL APPEARANCE
NON VERBAL COMMUNICATIONIS OFTEN REFERRED TO AS BODY LANGUAGE
NON VERBAL COMMUNICATIONCONVEYS MORE OF WHAT A PERSON FEELS, THINKS, AND MEANS THAN WHAT IS ACTUALLY STATED IN WORDS
SOMETIMES THE PERSONS NON VERBAL COMMUNICATION IS NOTCONGRUENT (IN AGREEMENT) WITH THE VERBAL COMMUNICATION
IF YOU SAY YOU WANT TO SIT AND TALK AND YOU ARE SITTING WITH YOUR ARMS CROSSED AND TAPPING YOUR FOOTYOU WOULD BE NON CONGRUENT WITH YOUR VERBAL & NON VERBAL SIGNS
IF YOU SAY THAT YOU WANT TO STAY AND TALK AND YOU ARE SITTING STILL AND ACTIVE LISTENINGYOU ARE CONGRUENT WITH YOUR VERBAL AND NON VERBAL SIGNS
YOU CAN LEARN MORE ABOUT PATIENTS BY OBSERVINGNON VERBAL BEHAVIOR
NON VERBAL CUESANXIETY, FEAR, AND PAIN
NON VERBAL CUESWINCING, A PINCHED EXPRESSION,
INDICATIONS OF PAINRIGID BODY POSTURE, SLOW MOVEMENTS, WINCING, A PINCHED EXPRESSION
INDICATIONS OF ANXIETYRESTLESS MOVEMENTS, TAPPING FOOT OR HAND
VALIDATEPERCEPTION (RECOGNITION AND INTERPRETATION OF SENSORY STIMULI) OF NON VERBAL COMMUNICATION
VALIDATION OF PERCEPTION (RECOGNITION AND INTERPRETATION OF SENSORY STIMULI)CAN BE DONE BY ASKING ABOUT FEELINGS AND THOUGHTS
COMMUNICATION BREAKS DOWNWHERE THERE IS A LACK OF ACTIVE LISTENING, FAILURE TO PROVIDE FEEDBACK (RETURN OF INFORMATION AND HOW IT WAS INTERPRETED) REGARDING THE MESSAGE, AND ASSUMPTION FROM NONVERBAL CUES OF THINGS THAT WERE NOT SAID OR INTENDED
VERBALIN WORDS
NON VERBALWITHOUT WORDS
NON VERBAL COMMUNICATIONBODY LANGUAGE
PERCEPTIONRECOGNITION AND INTERPRETATION OF SENSORY STIMULI
FEEDBACKRETURN OF INFORMATION AND HOW IT WAS INTERPRETED
FACTORS AFFECTING COMMUNCATIONCULTURE, PAST EXPERIENCES, EMOTIONS, MOOD, ATTITUDE, PERCEPTIONS OF THE INDIVIDUAL, SELF CONCEPT ALL CONTRIBUTE TO THE WAY PEOPLE COMMUNICATE
EVERY CULTURE HAS"NORMS" FOR APPROPIATE CUMMUNICATION
THE "NORMS" INCLUDETHE DISTANCE, EYE CONTACT, TONE OF VOICE, AND THE AMOUNT OF GESTURES USED
PERSONAL SPACEIN AMERICA 18 INCHES TO 4 FT IS THE AVERAGE DISTANCE THAT INDIVIDUALS PLACE BETWEEN THEM AND THE OTHER INDIVIDUAL
THE DISTANCE (PERSONAL SPACE)LESSONS WHEN PEOPLE CONVERSE WITH SOMEONE WITH WHOM THEY ARE INTIMATE WITH
WHEN PEOPLE ARE NOT AQUAINTEDTHEY MAINTAIN A "SOCIAL DISTANCE" (PERSONAL SPACE) OF 4-12 FEET IF THEY HAVE A CHOICE
IN GENERAL, NATIVE AMERICANS, NORTHERN EUROPEANS AND ASIANS MAINTAIN MORE DISTANCE FROM OTHERS THAN DOTHE HISPANIC, SOUTHERN EUROPEAN, OR MIDDLE EASTERN PEOPLE
INTERPRETATION OF MESSAGES ARE INFLUENCED BYCULTURAL VALUES, LEVEL OF EDUCATION, FAMILIARITY WITH THE TOPIC, OCCUPATION, AND TYPE OF PREVIOUS LIFE EXPERIENCES
EMOTIONS AND MOODDRASTICALLY AFFECT THE WAY MESSAGES ARE SENT OR INTERPRETED
A HIGHLY ANXIOUS PERSON MAY NOT CORRECTLY HEAR WHAT IS SAIDBECAUSE ANXIETY MAY INTERPRET THE MESSAGE TOTALLY DIFFERENTLY THAN THE SENDED INTENDED
DEPRESSED PERSON TENDS TO KEEPCOMMUNICATION DOWN TO ESSENTIAL MESSAGES OF FEW WORDS
A PERSON WHO IS UPSET OR STRESSEDMAY SPEAK IN A LOUD, HARSH TONE OR BE MORE ABRUPT THAN USUAL
A PERSONS ATTITUDEAFFECTS HOW A MESSAGE IS WORDED AND THE BODY LANGUAGE THAT ACCOMPANIES IT
ATTITUDE OF ACCEPTANCECARING AND CONCERNED ARE DISPLAY BY OPEN, ATTENTIVE, BODY LANGUAGE
ATTITUDE OF DISAPPROVALYOU MAY HAVE A CLOSED BODY STANCE AND STERN EXPRESSION AND BE SOMEWHAT DISTANT DURING INTERACTIONS
YOU SHOULD TRY TO BE OPEN AND ATTENTIVETO PATIENTS COMMUNICATIONS, NONJUDGEMENTAL ATTITUDE, NOT TO TAKE PERSONALLY UNPLEASANT THINGS A PATIEN MIGHT SAY WHEN UPSET OR FRIGHTENED
WHEN INTERACTING WITH THE ELDERLYTRY NOT TO SPEAK TOO QUICKLY, ALLOW MORE TIME FOR THE PERSON TO PROCESS YOU MESSAGE AND FORMULATE A RESPONSE
EFFECTIVE COMMUNICATION SKILLSCAN BE LEARNED BY IMPROVING BASIC COMMUNICATION SKILLS
ACTIVE LISTENINGREQUIRES GREAT CONCENTRATION AND FOCUSED ENERGY
ALL THE SENSES ARE USED TOINTERPRET VERBAL AND NONVERBAL MESSAGES, ATTENTION ON WHAT THE SPEAKER IS SAYING, AND THE MIND ON THE INTERACTION
NON VERBAL CUE OF ACTIVE LISTENINGLEANING FORWARD, FOCUSING ON THE SPEAKERS FACE, NODDING SLIGHTLY TO INDICATE THE MESSAGE IS BEING HEARD, MAINTAINING OPEN BODY POSTURE
OBTAINING FEEDBACKA VITAL PART OF COMMUNICATION IS CHECKING TO SEE IF YOU INTERPRETED A MESSAGE IN THE WAY THE SPEAKER MEANT IT. THIS CAN BE DONE BY REPHRASING THE MEANING OF THE MESSAGE
FEEDBACK EXAMPLESIS YOUR HEADACHE SEVERE?, ARE YOUAMBIVALENT ABOUT HAVING THIS SURGERY?, DOES THE IDEA OF HAVING ANESTHESIA SCARE YOU?
POSITIVE FEEDBACK RESPONSESHOULD REFLECT WHETHER THE ORIGINAL MESSAGE SENT WAS INTERPRETED CORRECTLY
FOCUSINGKEEPING ATTENTION FOCUSED ON THE COMMUNICATION TASK AT HAND CAN SAVE TIME, THE EFFECTIVE COMMUNICATOR REFOCUSES THE OTHER PERSON GENTLY TO THE SAME ISSUE AT HAND WHEN THE FOCUS WAS WANDERED.
FOCUSING EXAMPLESWE'LL COME BACK TO THAT LATER, BUT RIGHT NOW I NEED TO KNOW.....?, I THINK WE WERE TALKING ABOUT......" CONTINUING CHECKING TO SEE THAT THE PATIEN IS STILL THE TOPIC OF THE INTERACTION IS ESSENTIAL
ADJUSTING STYLEA PATIENTS STYLE AND LEVEL OF UNUSUAL COMMUNICATION SHOULD BE CONSIDERED WHEN INTERACTING, IF THE PERSON IS SLOW AND CALM, ADJUST TO THAT PACE, TRY NOT TO DISPLAY IMPATIENCE
THERAPEUTIC COMMUNICATIONIS COMMUNICATION THAT PROMOTES UNDERSTANDING BETWEEN THE SENDER AND THE RECEIVER
THERAPEUTIC "SILENCE"SILENCE GIVES THE PATIENT TIME TO THINK AND RESPOND. BY REMAINING SILENT AND ATTENTIVE AND EXPRESSING PATIENT BODY LANGUAGE, THE PATIENT IS ENCOURAGED TO VERBALIZE FEELINGS OR THOUGHTS
THERAPEUTIC "OPEN ENDED QUESTIONS"AN "OPEN ENDED QUESTION" IS BROAD, INDICATING ONLY THE TOPIC, AND IT REQUIRES A RESPONSE OF MORE THAN A WORD OR TWO
THERAPEUTIC "OPEN ENDED QUESTIONS"TELL ME ABOUT YOUR DAY, HOW DID YOU SLEEP?,
THERAPEUTIC "OPEN ENDED QUESTIONS"CREATE AN INVITING ATMOSPHERE FOR SHARING THOUGHTS, FEELINGS, AND CONCERNS
THERAPEUTIC "CLOSED QUESTIONS"ARE MAINLY USED FOR INFORMATION GATHERING
THERAPEUTIC "CLOSED QUESTIONS"FORCES THE LISTENER TO STICK DIRECTLY TO THE TOPIC AND TO BE CONCISE.
THERAPEUTIC "CLOSED QUESTIONSDID YOU HAVE A GOOD DAY, HOW DID YOU SLEEP, A ONE WORD RESPONSE, USUALLY YES OR NO OR OK
THERAPEUTIC "RESTATING"WIDELY USED, YOU LISTEN FOR THE BASIC MESSAGE THE PATIENT IS CONVEYING AND THEN REPHRASE THE MESSAGE
THERAPEUTIC "RESTATING" EXAMPLEMY SON HASN'T BEEN TO SEE ME IN MONTHS...YOU RESTATE "YOUR SON HASN'T BEEN HERE IN MONTHS? OR YOU MISS YOUR SONS VISITS?
THERAPEUTIC "RESTATING"THIS TECHNIQUE IS USED TO ENCOURAGE THE PATIENT TO CONTINUE WITH INFORMATION ON A TOPIC
THERAPEUTIC "TOUCH"GENTLE TOUCH THAT INDICATES CARING IS THERAPEUTIC (EFFECTIVE OR CURATIVE)
THERAPEUTICEFFECTIVE OR CURATIVE
THERAPEUTIC "TOUCH", EXTOUCHING THE PATIENT WARMLY ON THE SHOULDER AND SAYING, I'M GLAD THE MEDICINE HAS RELIEVED YOUR PAIN, INDICATES THAT YOU REALLY CARE
THERAPEUTIC "CLARIFYING"CLARIFYING HELPS VERIFY THAT THE MESSAGE HEARD IS WHAT THE PATIENT INTENDED, ESPECIALLY WHEN THE DIALOGUE IS RAMBLED
THERAPEUTIC "CLARIFYING" EXAMPLEARE YOU SAYING THAT THE COFFEE KEPT YOU AWAKE,
THERAPEUTIC "GENERAL LEADS"GENERAL LEADS OR BROAD STATEMENTS ARE USED TO GET THE INTERACTION UNDER WAY
THERAPEUTIC "GENERAL LEADS" EXAMPLESI FEEL GUILTY ABOUT BREAKING MY LEG,..(GL) TELL ME MORE ABOUT THAT
A GENERAL LEAD WOULD BE USEFUL FIRST THING IN THE MORNINGTELL ME HOW YOUR NIGHT WAS, PERHAPS YOU WOULD LIKE TO TALK ABOUT YOUR CHEMOTHERAPY, I NOTICED THAT THE DOCTOR CAME AFTER I LEFT YESTERDAY, PERHAPS YOU LIKE TO TALK ABOUT WHAT HE SAID.....I HEAR YOU ARE BEING DISCHARGED TODAY, WHAT DO YOU THINK ABOUT THAT....
THERAPEUTIC "OFFERING OF ONES SELF"BEING AVAILABLE TO THE PATIENT, ANSWERING CALL LIGHTS QUICKLY, CHECKING RIGHT AWAY, LETTING THE PERSON KNOW YOU ARE GOING TO RETURN, SITTING WITH PATIENT
THERAPEUTIC "ENCOURAGING ELABORATION"YOU SAID YOU HAVE HAD A DIFFICULT TIME WITH PAIN THESE LAST FEW MONTHS....? TELL ME MORE ABOUT THAT....IM NOT CERTAIN THAT I FOLLOW WHAT YOU MEAN
"ENCOURAGING ELABORATIONSUCH COMMENTS ARE USED TO ELICIT FURTHER INFORMATION ABOUT A TOPIC
"GIVING INFORMATIONNURSE MAY GIVE INFORMATION ABOUT MEDS, PROCEDURES, DIAGNOSTIC TESTS, SELF CARE, GIVING INFORMATION CONCISELY AND ALLOWING TIME FOR QUESTIONS IS THERAPEUTIC FOR THE PATIENT
"LOOKING FOR ALTERNATIVES"NURSES HELP SOLVE PROBLEMS, YOU MIGHT THINK ABOUT..., HAVE YOU THOUGHT OF YOUR OPTIONS..., WHAT DO YOU THINK ARE POSSIBLE SOLUTIONS...THE FOCUS IS ON ASSISTING PATIENTS TO LOOK AT THINGS FROM THEIR POINT OF VIEW WHILE YOU REFRAIN FROM GIVING ADVICE.
"SUMMARIZING"IS WHAT HAS OCCURED DURING THE INTERACTION IS HELPFUL, SUMMARY OF ALTERNATIVE SOLUTIONS TO A PROBLEM, DECISIONS MADE, PLANS FOR ACTION, FEELINGS THAT HAVE BEEN EXPRESSED
SUMMARIZING EXAMPLESYOU HAVE INDICATED THAT YOU HAVE A CHOICE BETWEEN SURGERY AND TRYING MEDS FOR YOU PROBLEM, WEVE DISCUSSED THE POTENTIAL EFFECTS AND BENEFITS OF BOTH TREATMENTS, AND NOW YOU WANT TO THINK ABOUT IT
GENERAL LEADS....GO ON..I SEE..UH HUH...PLEASE CONTINUEENCOURAGES PATIENT TO CONTINUE OR ELABORATE
OPENEDED QUESTIONS OR STATEMENTS....TELL ME MORE ABOUT THAT FEELING...ID LIKE TO HEAR MORE ABOUT....ENCOURAGES PATIENT TO ELABORATE RATHER THAN ANSWER IN ONE OR TWO WORDS
OFFERING SELF...IM HERE TO LISTEN...CAN I HELP IN SOME WAY...SHOWS CARING, CONCERN AND READINESS TO HELP
RESTATEMENT....PATIENT SAYS...I TOSSED AND TURNED LAST NIGHT...NURSE SAYS...YOU FEEL LIKE YOU WERE AWAKE AL NIGHTRESTATEMENT OF THE CONTENT OF WHA TTHE PATIENT HAS SAID ENCOURAGES FURTHER COMMUNICATION ON THAT TOPIC
REFLECTION....PATIENT SAYS...IM SO SCARED ABOUT THE SURGERY, ANESTHESIA TERRIFIES YOU...REFLECTING BACK DIRECTLY TO PATIENTS THE MAIN CONTENTS OF THIER STATMENTS ASKS FOR VALIDATION THAT THIS IS WHAT WAS MEANT, IT ALSO ENCOURAGES FURTHER VERBALIZATION OF FEELINGS
CLARIFYING..SEEING MY GIRL WAS SO HARD...IM SO UPSET....YOUR DAUGHTER UPSETS YOUHELP THE PATIENT CLARIFY UNCLEAR THOUGHTS OR IDEAS
FOCUSING....DO YOU HAVE ANY QUESTIONS ABOUT YOUR CHEMOTHERAPYASKING A GOAL DIRECTED QUESTION HELPS THE PATIENT FOCUS ON KEY CONCERNS
ENCOURAGING ELABORATION...TELL ME WHAT THAT FELT LIKE...I NEED MORE INFO...TELL ME MORE ABOUT THAT EXPERIENCEHELPS THE PATIENT DESCRIBE MORE FULLY THE CONCERN OR PROBLEM UNDER DISCUSSION
GIVING INFO....THE TEST RESULTS TAKE AT LEAST 2 HRS, YOU WILL GET A PREOP INJECTION....INFORMS THE PATIENT OF INFO RELEVANT TO SPECIFIC HEALTH CARE OR SITUATION
LOOKING AT ALTERNATIVES....HAVE YOU THOUGHT ABOUT....YOU MIGHT WANT TO THINK ABOUT ...WOULD THIS BE AN OPTIONHELP PATIENTS SEE OPTIONS AND CONSIDER ALTERNATIVES TO MAKE THEIR OWN DECISIONS ABOUT HEALTH CARE
SILENCE.....I DONT KNOW IF I SHOULD HAVE CHEMO....NURSE REMAINS SILENTTHE NURSE MAINTAINS SILENCE, SITTING ATTENTIVELY, BUT QUIETLY...ALLOWS PATIENTS TIME TO GATHER THEIR THOUGHTS AND SORT THEM OUT
SUMMARIZING....YOU IDENTIFIED...YOU ARE AWARE...PLAN TO CALL..SUMS UP THE IMPORTANT POINTS OF INTERACTION
BLOCKS TO EFFECTIVE COMMUNCIATIONTO BLOCK OR TERMINATE
BLOCKS TO EFFECTIVE COMMUNICATIONCHANGING THE SUBJECT, OFFERING FALSE REASSURANCE, GIVING ADVICE,
GIVING ADVICEPLACES THE FOCUS ON THE NURSE RATHER THAN THE PATIENT
BLOCKS OF EFFECTIVE COMMUNICATIONDEFENSIVE COMMENTS, PRYING OR PROBING QUESTIONS, USING CLICHES, INATTENTIVE LISTENING,
INTERRUPTING OR JUMPING INBEFORE THE PATIENT HAS FINISHED SPEAKING ALSO INDICATES INATTENTIVE LISTENING
CHANGING THE SUBJECT....IM SO WORRIED ABOUT MY HUSBAND....IT IS TIME FOR YOU BATH NOWDEPRIVES THE PATIENT OF THE CHANCE TO VERBALIZE CONCERNS
GIVING FALSE REASSURANCE....IM SURE IT WILL TURN OUT FINE...YOU DONT NEED TO WORRYNEGATES THE PATIENTS FEELINGS AND MAY GIVE FALSE HOP, WHEN THINGS TURN OUT DIFFERENTLY, CAN DESTROY TRUST IN A NURSE
JUDGEMENTAL RESPONSE....I DONT THINK THAT WAS A GOOD THING FOR YOU TO DO CONSIDERING YOU HAVE DIABETESIMPLIES THAT THE PATIENT MUST TAKE ON THE NURSES VALUE AND DEMEANING TO THE PATIENT
DEFENSIVE RESPONSE...MY DR NEVER SEEMS TO KNOW WHAT IS GOING ON...DR SMITH IS A VERY GOOD DR HE IS HERE EVERY DAYPREVENTS PATIENTS FROM FEELING THAT THEY ARE FREE TO EXPRESS THEIR FEELINGS
ASKING PROBING QUESTIONS, WHY WERE YOU THERE AT THAT HR, WHAT DID YOU WANT TO PROVEPRIES INTO THE PATIENTS MOTIVES AND INVADES PRIVACY
INATTENTIVE LISTENING...TURNING YOUR BACK...SHOWING IMPATIENCE...TAPPING YOUR FOOTINDICATES THAT THE PATIENT IS NOT IMPORTANT, BORING, DONT MATTER
IN ADMISSION INTERVIEWUSE CLOSED ENDED QUESTIONS FOR SPECIFIC DATA
CLOSED QUESTIONSWHAT MEDS, LBM, PAIN?, ANY ALLERGIES,
NURSE PATIEN RELATIONSHIPYOU ARE IN A HELPER ROLE RATHER THAN A SOCIAL ROLE
NURSE PATIENT RELATIONSHIPFOCUSES ON THE PATIENT, GOALS, BOUNDARIES, WHEN THE PATIENT IS DISCHARGED, THE RELATIONSHIP IS OVER
EMPATHYABILITY TO UNDERSTAND BY SEEING THE SITUATION FROM ANOTHERS PERSPECIVE
CONFIDENTIALITYON THE NURSES PART MUST BE MAINTAINED FOR TRUST TO ENDURE
TO BE NONJUDGEMENTALYOU MUST LOOK AT THE PATIENT IN REFERENCE TO HIS OR HER VALUES RATHER THAN YOUR OWN
HOPEIS WHAT HELPS A PATIENT COPE IN A DIFFICULT SITUATION
THE PATIENT SHOULD BE HELPEDTO ESTABLISH REALISTIC HOPES, POSITIVE PROGNOSIS, LESS PAIN, PEACE,
APPLICATION OF THE NURSING PROCESSIS ENGLISH SPOKEN, WHAT IS THE VOCAB LEVEL, NEUROLOGIC IMPAIRMENT?, WHAT CULTURAL FACTORS,
IMPAIRED VERBAL COMMUNICATIONPROBLEMS WITH COMMUNICATION
AUDITORY SENSORY PERCEPTUAL ALTERATIONDIFFICULTY WITH HEARING
ASSESSMENT INTERVIEWNOT MORE THAN A HALF HOUR
APHASICHAS DIFFICULTY EXPRESSING OR UNDERSTANDING LANGUAGE, SPEECH THERAPIST
COMMUNICATING WITH THE HEARING IMPAIREDSPEAK DISTINCTLY, DO NOT SHOUT, SLOWLY, VOICE PITCH, ATTENTION OF PERSON, SPEAKING DISTANCE, NONVERBAL COMMUNICATION, USE SHORT SIMPLE SENTENCES, REPHRASING
WITH THE ELDERLYWAIT FOR AN ANSWER TO ONE QUESTION BEFORE ASKING ANOTHER
COMMUNICATING WITH CHILDRENLANGUAGE AND THOUGHT PROCESS, VERY RESPONSIVE TO NONVERBAL, INFANT KEEP MOTHER CLOSE, TODDLER, FOCUS ON CHILDS NEEDS AND CONCERNS, SCHOOL AGE, GIVE EX..ADOLESCENT...NEEDS TIME TO TALK, USE ACTIVE LISTENING...BE HONEST AND TELL THE CHILD WHAT TO EXPECT
PEOPLE FROM CULTURESENGLISH?, BE ACCEPTING, GIVE PRINTED MATERIALS, REPECT THEIR CULTURAL DIFFERNCE
SHIFT REPORTA VERBAL COMMUNICATION ON THE DETAILS OF A PATIENTS CONDITION AND TREATMENT
INPUTINFORMATION PUT IN
INFO ON END OF SHIFT REPORTROOM NUMER, BED#, NAME, AGE, SEX, DATE OF ADM..DIAGNOSIS, DR, TESTS, TREATMENTS, THERAPIES PERFORMED IN THE PAST 24 HRS WITH PATIENTS RESPONSE, I/O, CHANGES IN CONDITION, SCHEDULED TESTS, CONSULTS, SURGERY, IV, FLOW RATE, AMOUNT REMAINING, NEXT TO BE HUNG, CURRENT PROBLEMS, ASSITANCE OF DAILY LIVING, TREATMENTS, MEDS, TIMES, PATIENT RESPONSE, CONCERNS, NEED FOR ORDERS CHANGES, TEACHING, FAMILY DYNAMICS AND EMOTIONAL STATUS
PRNAS OCCASION ARISES
THE ABILITY TO USE A COMPUTERFOR COMMUNICATION IS ESSENTIAL FOR TODAYS NURSE
END OF SHIFT REPORTMAY BE RECORDED, PRESENTED IN A GROUP, GIVEN TO 2 SHIFT NURSES AS THEY WALK AROUND THE ROOM TOGETHER, WALKING ROUNDS
WALKING ROUNDSWHEN THE NURSES FROM 2 SHIFTS ASSIGNED TO A GROUP OF PATIENTS WALK AROUND FROM ROOM TO ROOM TOGETHER
FULL END OF SHIFT REPORTSHOULD ONLY TAKE 1 TO 3 MINUTES
COMPUTERIZED KARDEX TYPE INFORMATION SHEETSARE AVAILABLE AT THE BEGINNING OF THE SHIFT FOR ON ONCOMING NURSE
DELEGATEAUTHORIZE ANOTHER PERSON TO DO SOMETHING
IN HOME CARESTATE WHEN INSTRUCTIONS ARE TO BE GIVEN, LEAVE STEP BY STEP INFO,
COMMUNICATIONIS A CONTINOUS, CIRCULAR PROCESS AND OCCURS VERBAL AND NON VERBAL
A NON VERBAL RESPONSE INDICATING AGREEMENTNODDING THE HEAD UP AND DOWN
ACTIVE LISTENING INVOLVESKEEPING FOCUSED ON THE INTERACTION
AN OPEN ENDED QUESTION OR STATEMENT WOULD BETELL ME ABOUT YOUR NIGHT
SAYING WHY DID YOU DO THAT TO A PATIENT IS AN EXAMPLE OFA PROBING QUESTION
A DIFFERENCE IN A SOCIAL RELATIONSHIP AND A THERAPEUTIC RELATIONSHIP IS THAT THE THERAPEUTIC RELATIONSHIPMAINTAINS THE FOCUS ON THE PATIENT
WHEN YOU ARE CONDUCTING AN ASSESSMENT INTERVIEW, TIME WILL BE SAVED BYASKING CLOSED QUESTIONS TO OBTAIN ESSENTIAL DATA
WHICH OF THE FOLLOWING WOULD NOT PROMOTE TRUST IN THE NURSE PATIENT RELATIONSHIPEXAMINING A WOUND WITHOUT PROVIDING PRIVACY


Mary Estes RN
Hamilton High School
Hamilton, AL

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