Levels of Communication - Answers Intrapersonal
Interpersonal
Small group
Public
Electronic
intrapersonal communication - Answers self-talk, inner thought process
Interpersonal Communication - Answers one to one exchange of thoughts, ex. SBAR with a provider
small group communication - Answers Interaction within a committee or report.
Public Communication - Answers Interaction with an audience (e.g., community teaching).
Electronic Communication - Answers Use of technology to bond or document (EHR/Patient Portal).
The Helping Relationship Phases: - Answers preinteraction, orientation, working, termination
Pre-interaction phase - Answers Reviewing the chart before meeting the patient.
Orientation (introductory) phase - Answers Setting the "contract," establishing trust, and defining
goals.
Working Phase - Answers Active problem-solving and meeting goals.
Termination Phase - Answers Evaluating goals and transitioning care/discharge.
special needs - Answers Always use professional interpreters for language barriers. For sensory
deficits (intubation/aphasia), use communication boards or simple gestures.
Watson Theorist - Answers Transpersonal caring; the "Caring Moment."
Orem Theory - Answers Self-care deficit; help the patient do what they cannot do for themselves.
Leininger's Theory - Answers Cultural competence; transcultural nursing.
Peplau: - Answers Interpersonal relations; focus on the nurse-patient relationship phases.
Henderson: - Answers 14 basic needs, focus on patient independence
Roy's Theory - Answers adaption , how the patient adapts to stressors (physiological, self concept)
patient perception - Answers Patients value the "small things" (smiles, blankets, listening) as much as
technical competence.
QSEN (Quality & Safety Education for Nurses): - Answers Patient-Centered Care
Teamwork and Collaboration
Quality Improvement
Nursing senstitve indicators
Informatics
Patient-Centered Care - Answers Patient is full partner in care
teamwork/collaboration - Answers Open communication and shared decision-making.
Quality Improvement - Answers Using data to monitor outcomes and design changes.
Informatics - Answers Using tech (like BCMA/Barcoding) to reduce errors and manage data.
Nursing sensitive indicators - Answers Outcomes that depend on nursing care (e.g., Falls, Pressure
Injuries, CAUTIs).
prioritization frameworks - Answers ABCs (Airway, Breathing, Circulation)
Actual vs potential
Systemic vs Local
actual vs potential - Answers A patient currently in pain (Actual) beats a patient at risk for a fall
(Potential).
Systemic vs. Local - Answers Life-threatening systemic issues (low O2, shock) beat localized issues
(wound, broken toe).
Safety Tools - Answers BCMA: Barcode Medication Administration reduces "Right Patient/Right Med"
errors.
NPSGs: National Patient Safety Goals - Answers identifying patients correctly, preventing infection).
Delegation Assessment: Before delegating, ask: - Answers 1. Is there Potential for Harm?
2. Is the task Complex?
3. Is the outcome Unpredictable?
4. Does the task require high Patient Interaction?
RN Responsibility - Answers You can delegate the task, but you cannot delegate the nursing process
(Assessment, Planning, Evaluation) or the accountability for the outcome
The 5 Rights of Delegation: - Answers Right Task, Circumstance, Person, Direction/Communication,
and Supervision.