Communication
Pace, clarity, intonation, and simplicity are all characteristics of what type of communication?
Verbal Communication
What does OARS stand for?
Open Ended Questions
Affirmations
Reflective Listening
Summarizing
What are the steps in the nursing process?
Assessment, diagnosis/analyze, planning, implementation, and evaluation
Identifying major problems, patient needs, and patient strengths is what part of the nursing process?
Diagnosis/problem statement
The nurse made a documentation error in the chart. What next steps must the nurse take?
Draw a line through the documentation, write error, and initial next to the error.
The four modes of communication are:
Verbal, non-verbal, written, and electronic
What does SOLER stand for?
Sit facing the patient
Open your posture
Leaning toward patient
Eye contact
Relax
The nurse has collected data from the patient and identified a list of problems according to Maslow's hierarchy. What should the nurse address next in the nursing process?
Plan
Reviewing patient lab results is done during which phase of the nursing process?
Assessment
True or False: The nursing student can access patient charts so long as it is for education or research purposes.
TRUE
Four factors that impact communication
What are
1) Values
2) Space
3) Environment
4) Gender
When is process recording utilized?
To determine if teaching session was effective. Word for word account of interaction that occurred (verbal and non verbal)
What are the four steps of critical thinking?
Suspend judgement, collect data, balance information, and make a decision
what type of data is collected through the senses?
Objective data
How can nurses ensure electronic patient records are protected?
Never share passwords
Log off of computers when not in use
Never leave a computer unattended if in use
Therapeutic Communication techniques include:
Silence, open-ended questions, reflecting, using touch, etc
What does I-SBAR stand for?
Introduction, Situation, Background, Assessment & Recommendation
What are advantages of using concept maps?
What type of data is collected from patients?
Subjective data
Each discipline documents within its own specialty section in the electronic medical record. What type of medical record is this?
Source oriented
Communication barriers include:
1) Language barriers
2) False reassurance
3) Cultural differences
4) Defensive statements
When is I-SBAR utilized?
Communication tool used to transfer information from one care team member to the other (shift change, reporting new change in status, calling other care team member)
Correct nursing diagnosis format for ACTUAL patient problem?
Problem (Diagnosis), Etiology (cause - related to), and Signs/Symptoms (defining characteristics)
*REMEMBER - risk for diagnoses do NOT follow the PES format*
True or False: OOB and T.I.D. are acceptable medical abbreviations to use in practice
FALSE - OOB (out of bed) is accepted but T.I.D. is not - should use tid