Nursing 134 Final Exam Study Material

 Changing the Subject  False Reassurance- may show lack of interest  Clichés (ex. “I’m sure everything will be fine and you have nothing to worry about.”  Failing to address the patient’s concern  Scolding  Confidentiality/Privacy Breach  Disruptive behavior • Gossip • Bullying • Horizontal violence-bullying or aggressive behavior between employees. • Nurse to nurse • Lateral Violence-bullying or aggressive behavior by a colleague in a higher position directed at a subordinate or colleague in a lower level position • Nurse to CNA; Nurse Manager to Nurse • Bullying between Nurse and physician b. Describe therapeutic communication?  Necessary Nurse Traits 1. Warm and Friendly 2. Open and Respectful 3. Empathy vs. sympathy 4. Honesty, authenticity, and trust 5. Caring 6. Competence  Building Rapport • Identify a specific objective • Provide a comfortable environment • Promote Privacy and confidentiality • Be patient focused vs. task-focused • Thorough observations and assessment • Pacing  Conversation Skills 1. Tone 2. Accuracy and clarity 3. Flexibility and Openness 4. Semantics 5. Honesty 6. Use your opportunities  Listening Skills 1. Posture and body language 2. Pay attention 3. Natural conversation 4. Timing 5. Nonverbal Communication 6. Check attitude c. State components of the acronym AIDET and the rationale for this acronym? 2. Documentation a. What are legal criteria for nurses when documenting? GUIDELINES • Consistent with professional and agency standards • Complete • Accurate • Concise • Factual • Organized and timely • Legally prudent • Confidential ELEMENTS OF DOCUMENTATION • Content • Timing • Format • Accountability • Confidentiality b. What is the purpose of an incident report? INCIDENT REPORT • Any event not consistent with the routine operation of a health care unit or routine of care of a patient • Completed by nurse who witnessed the incident or found the patient • Clear, concise and objective & submit ASAP • Objective description of patient condition • Measures taken by nurse, other nurses, MD at time of incident • No interpretation, no attempt to explain cause, no blaming • Not part of the medical record; use with quality assurance and risk management c. Describe the patient’s Bill of Rights? o Patients have the right to: • See and copy their health record • Update their health record • Get a list of disclosures • Request a restriction on certain uses or disclosures • Choose how to receive health information See listing on following page o d. What are the components of SBAR reporting? Provide an example of each component. S- Situation Name, age, dx, physician, chief complaint B- background Hx, allergies, medications, med-surg hx A- Assessment Meds given, abnormal V/S, labs, IVs, systems review R- Recommendations Plan, D/C planning, updates, consults