UF NUR3066C-HEALTH
ASSESSMENT EXAM 1 STUDY
GUIDE WITH CORRECT SOLUTIONS
State the factors that affect communication - ANSWER-Internal factors: knowing
yourself, knowing your belief, being self-aware.
External factors: privacy, equal status seating, personal space.
In addition to internal and external factors, what else can affect communication? -
ANSWER-Health literacy
What is health literacy? - ANSWER-Ability to understand the health information
provided and/or navigate the health care system.
Includes reading, using numbers, understanding & remembering verbal instructions.
Verbal communication - ANSWER-what is said with your words
When communicating verbally you should use... - ANSWER-SOLER.
Squarely facing speaker (Or at an L).
Open your poster.
Lean towards the speaker.
Eye contact is maintained.
Relax while listening.
What are the different verbal communication types? - ANSWER-Open ended
questions.
Closed or direct questions.
What is an open ended question? - ANSWER-allows the patient to expand on the
subject.
Example: Tell me how I can help you?
What is a closed or direct question? - ANSWER-yes or no answers.
Example: Are you on a diet?
Nonverbal communication - ANSWER-what is said with your body language and
actions
What are the 5 types of nonverbal behaviors that convey information about a
person? - ANSWER-Vocal Cues, Action Cues, Object Cues, Personal Space, and
Touch
action cues - ANSWER-posture, facial expressions, and gestures
object cues - ANSWER-clothing, jewelry, and hairstyles
,personal space - ANSWER-interpersonal transactions and care of belongings
touch - ANSWER-involves use of personal space and action
vocal cues - ANSWER-pitch, tone, and quality of voice, including moaning, crying,
and groaning
Identify therapeutic communication techniques - Active listening - ANSWER-Silent
attentiveness to what the patient is expressing both verbally and nonverbally.
Gives patient time to think what to say without interruption from you & gives you a
chance to observe person unobtrusively and note nonverbal cues.
Example of active listening - ANSWER-two ears/one mouth & sit quietly to listen
Identify therapeutic communication techniques - Facilitation - ANSWER-Provides
general leads for patient to say more.
Example of facilitation - ANSWER-uh-huh, go on, mm-hmmm, .....
Identify therapeutic communication techniques - Summary - ANSWER-Final review
of what person has said; it condenses facts and presents your view of health
problem.
Is a type of validation that person can agree with or correct; both you and patient
should participate; occurring at the end of the interview.
Example of summary - ANSWER-Nurse states, "From what you have said, your back
pain has gotten worse over the past two days and now radiates to your hips. Your
pain medicine isn't helping and that is why you came to the clinic."
Identify therapeutic communication techniques - Reflection - ANSWER-Echoes
patient's words, repeats what person just said.
Focuses further attention on a specific phrase, and helps person continue in his or
her own way.
Example of reflection - ANSWER-Patient states, "I am worried that I will need a
blood transfusion." & Nurse states, "You feel worried about needing to get a blood
transfusion?"
What is SBAR? - ANSWER-Situation, Background, Assessment, and
Recommendation
Situation - ANSWER-What is going on with the patient?
- Providing specific information relative to patient background
Background - ANSWER-What is the clinical background?
- Providing context and assessment data relative to patient issue
Recommendation - ANSWER-What would I do to correct it?
- Expectation of physical order relative to patients' issue
, Assessment - ANSWER-What do I think the problem is?
- Nurses interpretation of data relative to patient issue
Identify therapeutic communication techniques - Sharing Observations - ANSWER-
Observe the client by making comments on how they look, sound, or act.
Purpose is to eliminate the need for extensive questioning, focusing, or clarification.
Example: "You look like you are uncomfortable."
Communication techniques in infants - ANSWER-birth to 1 years - nonverbal
communication.
Handle gently & use quiet, calm voice, face infants directly
Identify therapeutic communication techniques - Empathy - ANSWER-Recognizes a
feeling and puts it into words.
Names the feeling and allows expression of it.
Example: Patient states, "I don't have the strength to comb my hair." & Nurse states,
"This must be very hard for you."
Communication techniques in toddlers - ANSWER-1-3 years - developing
communication with 6-8 word sentences.
Keep simple, one direction at a time, simple choices.
Identify therapeutic communication techniques - Sharing Hope - ANSWER-Essential
for healing.
Provides positive feedback & encouragement.
Example: Nurse states, "Although you don't have enough strength to comb your hair
right now, I can see that you are getting more muscle strength each day."
Identify therapeutic communication techniques - Sharing Humor - ANSWER-Must be
appropriately used.
What are the benefits of sharing humor?
Communication techniques in preschoolers - ANSWER-3-6 years - developing
communication with 6-8 words.
Short simple sentences.
Education & explanations through play, puppet shows, dress up, drawings.
Identify therapeutic communication techniques - Clarification - ANSWER-Use when
person's words are ambiguous or confusing; used to summarize person's words and
to simplify them to make them clearer.
You are asking for agreement, and the person can then confirm or deny your
understanding.
Example of clarification - ANSWER-Example: Nurse states, "Are you saying that
your pain is interfering with your ability to get out of bed?" Patient states, "Yes, that is
correct."
Communication techniques in school age children - ANSWER-7-12 years -
communication is functional.
Use nonjudgmental approach; child wants to know how & why.
ASSESSMENT EXAM 1 STUDY
GUIDE WITH CORRECT SOLUTIONS
State the factors that affect communication - ANSWER-Internal factors: knowing
yourself, knowing your belief, being self-aware.
External factors: privacy, equal status seating, personal space.
In addition to internal and external factors, what else can affect communication? -
ANSWER-Health literacy
What is health literacy? - ANSWER-Ability to understand the health information
provided and/or navigate the health care system.
Includes reading, using numbers, understanding & remembering verbal instructions.
Verbal communication - ANSWER-what is said with your words
When communicating verbally you should use... - ANSWER-SOLER.
Squarely facing speaker (Or at an L).
Open your poster.
Lean towards the speaker.
Eye contact is maintained.
Relax while listening.
What are the different verbal communication types? - ANSWER-Open ended
questions.
Closed or direct questions.
What is an open ended question? - ANSWER-allows the patient to expand on the
subject.
Example: Tell me how I can help you?
What is a closed or direct question? - ANSWER-yes or no answers.
Example: Are you on a diet?
Nonverbal communication - ANSWER-what is said with your body language and
actions
What are the 5 types of nonverbal behaviors that convey information about a
person? - ANSWER-Vocal Cues, Action Cues, Object Cues, Personal Space, and
Touch
action cues - ANSWER-posture, facial expressions, and gestures
object cues - ANSWER-clothing, jewelry, and hairstyles
,personal space - ANSWER-interpersonal transactions and care of belongings
touch - ANSWER-involves use of personal space and action
vocal cues - ANSWER-pitch, tone, and quality of voice, including moaning, crying,
and groaning
Identify therapeutic communication techniques - Active listening - ANSWER-Silent
attentiveness to what the patient is expressing both verbally and nonverbally.
Gives patient time to think what to say without interruption from you & gives you a
chance to observe person unobtrusively and note nonverbal cues.
Example of active listening - ANSWER-two ears/one mouth & sit quietly to listen
Identify therapeutic communication techniques - Facilitation - ANSWER-Provides
general leads for patient to say more.
Example of facilitation - ANSWER-uh-huh, go on, mm-hmmm, .....
Identify therapeutic communication techniques - Summary - ANSWER-Final review
of what person has said; it condenses facts and presents your view of health
problem.
Is a type of validation that person can agree with or correct; both you and patient
should participate; occurring at the end of the interview.
Example of summary - ANSWER-Nurse states, "From what you have said, your back
pain has gotten worse over the past two days and now radiates to your hips. Your
pain medicine isn't helping and that is why you came to the clinic."
Identify therapeutic communication techniques - Reflection - ANSWER-Echoes
patient's words, repeats what person just said.
Focuses further attention on a specific phrase, and helps person continue in his or
her own way.
Example of reflection - ANSWER-Patient states, "I am worried that I will need a
blood transfusion." & Nurse states, "You feel worried about needing to get a blood
transfusion?"
What is SBAR? - ANSWER-Situation, Background, Assessment, and
Recommendation
Situation - ANSWER-What is going on with the patient?
- Providing specific information relative to patient background
Background - ANSWER-What is the clinical background?
- Providing context and assessment data relative to patient issue
Recommendation - ANSWER-What would I do to correct it?
- Expectation of physical order relative to patients' issue
, Assessment - ANSWER-What do I think the problem is?
- Nurses interpretation of data relative to patient issue
Identify therapeutic communication techniques - Sharing Observations - ANSWER-
Observe the client by making comments on how they look, sound, or act.
Purpose is to eliminate the need for extensive questioning, focusing, or clarification.
Example: "You look like you are uncomfortable."
Communication techniques in infants - ANSWER-birth to 1 years - nonverbal
communication.
Handle gently & use quiet, calm voice, face infants directly
Identify therapeutic communication techniques - Empathy - ANSWER-Recognizes a
feeling and puts it into words.
Names the feeling and allows expression of it.
Example: Patient states, "I don't have the strength to comb my hair." & Nurse states,
"This must be very hard for you."
Communication techniques in toddlers - ANSWER-1-3 years - developing
communication with 6-8 word sentences.
Keep simple, one direction at a time, simple choices.
Identify therapeutic communication techniques - Sharing Hope - ANSWER-Essential
for healing.
Provides positive feedback & encouragement.
Example: Nurse states, "Although you don't have enough strength to comb your hair
right now, I can see that you are getting more muscle strength each day."
Identify therapeutic communication techniques - Sharing Humor - ANSWER-Must be
appropriately used.
What are the benefits of sharing humor?
Communication techniques in preschoolers - ANSWER-3-6 years - developing
communication with 6-8 words.
Short simple sentences.
Education & explanations through play, puppet shows, dress up, drawings.
Identify therapeutic communication techniques - Clarification - ANSWER-Use when
person's words are ambiguous or confusing; used to summarize person's words and
to simplify them to make them clearer.
You are asking for agreement, and the person can then confirm or deny your
understanding.
Example of clarification - ANSWER-Example: Nurse states, "Are you saying that
your pain is interfering with your ability to get out of bed?" Patient states, "Yes, that is
correct."
Communication techniques in school age children - ANSWER-7-12 years -
communication is functional.
Use nonjudgmental approach; child wants to know how & why.
