NSG 211- Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
Therapeutic Touch - grabbing/holding hand
-sitting or getting on there level when speaking
Personal Space-proxemics -intimate
-personal
-social
-public
intimate proxemics 0-18 inches
personal proxemics 1-4 ft
social proxemics 4-12 ft
public proxemics beyond 12 ft
Active Listening SOLER
S in SOLER square- face squarely; by doing this it shows you are involved
O in SOLER Open- keep an open posture; this means not crossing your arms and legs,
makes people feel engaged and welcome
L in SOLER Lean- by leaning forward when a person is talking to you, it shows you're
involved and listening to what they have to say
E in SOLER ***eye contact***- maintain eye contact with the person you are listening to
R in SOLER Relax- keep relaxed and calm
Non- Therapeutic Communication - cliche statements, talking "down" on the patient, why/how questions, giving
own opinion, offering advice, abruptly changing the subject, etc.
Process of Communication -sender
-message
-channel
-receiver
-responce
verbal language exchange of information using words
non-verbal (body language) exchange of information without using words. includes facial expressions,
touch, eye contact
- posture, gait, gestures, general physical appearance, mode of dress and
grooming, sounds, silence, electronic communication,
, verbal communication should be... simple and "to the point, clear, complete, relevant.
Communication techniques - open-ended
- close-ended
- validating
- clarifying
- reflective
- sequencing
- directing
open-ended ex. "what did your health care provider tell you about..."
close-ended yes or no questions
validating serves to validate what the nurse believes he or she has heard or observed
-ex. "at home have you been taking both your water pill and blood pressure pill
everyday. Did you take them today?"
clarifying The process of making sure you have understood the meaning of what was
said, leads to less misconceptions
-ex. pt.- "I've never had to take medicine in my life"
nurse.- "is this the first health problem you've had?"
pt. - "yes, I've always been healthy"
reflective repeating that the patient has said or describing the persons expressed
feelings
sequencing place events in chronological order to investigate cause-and-effect
relationships
directing used when needing more information about a previous topic (leading the
conversation)
older adult communication considerations -sensory deficits (vision, hearing), cognitive impairments (dementia),
neurological deficits from CVA (aphasia, lack of movement), psychosocial
problems such as depression
older adult nursing interventions - assistive devices (hearing aids, glasses)
- communication aids (pictures, communication board)
- environmental factors (TV, turning lights down)
- Short, simple (one topic at a time)
- face them while speaking
- include their family and friends in the conversation
- **use reminiscing/story telling- maintains memory, connections, enhances
self esteem**
- verbal and non-verbal congruency
-reality orientation- knowing when to stop when you are making them upset
SBAR S: Situation
B: Background
A: Assessment
R: Recommendation
Interprofessional communication call doctor, time you called, place, information you received, document in real
time
Answers
Therapeutic Touch - grabbing/holding hand
-sitting or getting on there level when speaking
Personal Space-proxemics -intimate
-personal
-social
-public
intimate proxemics 0-18 inches
personal proxemics 1-4 ft
social proxemics 4-12 ft
public proxemics beyond 12 ft
Active Listening SOLER
S in SOLER square- face squarely; by doing this it shows you are involved
O in SOLER Open- keep an open posture; this means not crossing your arms and legs,
makes people feel engaged and welcome
L in SOLER Lean- by leaning forward when a person is talking to you, it shows you're
involved and listening to what they have to say
E in SOLER ***eye contact***- maintain eye contact with the person you are listening to
R in SOLER Relax- keep relaxed and calm
Non- Therapeutic Communication - cliche statements, talking "down" on the patient, why/how questions, giving
own opinion, offering advice, abruptly changing the subject, etc.
Process of Communication -sender
-message
-channel
-receiver
-responce
verbal language exchange of information using words
non-verbal (body language) exchange of information without using words. includes facial expressions,
touch, eye contact
- posture, gait, gestures, general physical appearance, mode of dress and
grooming, sounds, silence, electronic communication,
, verbal communication should be... simple and "to the point, clear, complete, relevant.
Communication techniques - open-ended
- close-ended
- validating
- clarifying
- reflective
- sequencing
- directing
open-ended ex. "what did your health care provider tell you about..."
close-ended yes or no questions
validating serves to validate what the nurse believes he or she has heard or observed
-ex. "at home have you been taking both your water pill and blood pressure pill
everyday. Did you take them today?"
clarifying The process of making sure you have understood the meaning of what was
said, leads to less misconceptions
-ex. pt.- "I've never had to take medicine in my life"
nurse.- "is this the first health problem you've had?"
pt. - "yes, I've always been healthy"
reflective repeating that the patient has said or describing the persons expressed
feelings
sequencing place events in chronological order to investigate cause-and-effect
relationships
directing used when needing more information about a previous topic (leading the
conversation)
older adult communication considerations -sensory deficits (vision, hearing), cognitive impairments (dementia),
neurological deficits from CVA (aphasia, lack of movement), psychosocial
problems such as depression
older adult nursing interventions - assistive devices (hearing aids, glasses)
- communication aids (pictures, communication board)
- environmental factors (TV, turning lights down)
- Short, simple (one topic at a time)
- face them while speaking
- include their family and friends in the conversation
- **use reminiscing/story telling- maintains memory, connections, enhances
self esteem**
- verbal and non-verbal congruency
-reality orientation- knowing when to stop when you are making them upset
SBAR S: Situation
B: Background
A: Assessment
R: Recommendation
Interprofessional communication call doctor, time you called, place, information you received, document in real
time
