NUR 111 UNIT 3 QUESTIONS WITH ACCURATE ANSWERS
2 non-assertive communication styles correct answer Submissive- allow rights to
be violated, no regard toward your own feelings, insecure
Aggressive-insulting, disrespectful, personal attacks, controlling, dominating,
humiliates and embarrasses others
Advocate correct answer One who mediates, informs, and supports
Make sure the patient is safe and informed of their rights (client bill of rights)
Andragogy correct answer Teaching adults
Self-directed, nurse more facilitator
Assertive communication correct answer promotes client safety, honest, direct,
appropriate & open to ideas
Assessing Impairments to Communication correct answer Language Deficits: 1st
or 2nd language
Sensory Deficits: hear, see, feel, smell
Cognitive Impairments: CVA, Alzheimers,Tumor
Structural Deficits: oral/nasal cavities blockage
Paralysis: blink, nod, squeeze, point, shrug to communicate
Barriers to communication correct answer table p. 474
Stereotyping - generalized / oversimplified beliefs about groups of people
Agreeing/Disagreeing - like judgement; nurse is not in a position to say right or
wrong for patient
,Being defensive - attempting to protect person or institution from negative
comments
Challenging - making client "prove" point of view
Probing - asking for information beyond what is relevant to care
Testing - making the client admit something ex. "who do you think you are?"
Rejecting - refusing to discuss certain things with client
Changing subject - redirecting conversation away from the client's concerns
Unwarranted reassurance - using cliche statements to comfort client ex.
"everything is going to be ok"
Passing judgement - giving response implying nurse's values
Giving common advice - telling client what to do
Behaviorism correct answer stimuli response is basis for learning as in positive
reinforcement, good for skills ie: lab demo
Learning through imitation and modeling
Bullying correct answer repeated abusive or intimidating behavior from a superior
Can clients see their chart? correct answer Yes and No
They can submit a request in writing to see their chart but the chart is the
property of the facility so they may not get access immediately.
Case Management (critical pathways) correct answer Documentation System
"cookie cutter" method, uses critical pathways to determine POC
More than 1 or 2 diag becomes a problem
, *sets the length of stay, is cost effective and maintains quality*
ex:Pneumonia pt - POC is standardized same with orders.
Charting by exception correct answer only abnormal finding are recorded.
eliminates lengthy repetitive notes
Cognitivism correct answer Looking how brain receives/sorts info, go from short
term to long term (must make significant)
Collaboration correct answer Collegial working relationship with another health
care provider in the provision of patient care
Communication Nursing diagnosis correct answer Impaired Verbal
Communication (also can be etiology)
Impaired Communication
Readiness for Enhanced Communication
Computerized documentation correct answer everything is computerized,
document everything, all tied together (Labs, orders, etc)
ex. EHR electronic health records, flow sheet, checking boxes
Critical thinking in communication correct answer A (assess)- communicate
barriers, context
P (planning)- strategies, layman's terms, best channel
I (implement)- convey message, validate by feedback
E (evaluate)- commonality of message, outcomes achieved or not
2 non-assertive communication styles correct answer Submissive- allow rights to
be violated, no regard toward your own feelings, insecure
Aggressive-insulting, disrespectful, personal attacks, controlling, dominating,
humiliates and embarrasses others
Advocate correct answer One who mediates, informs, and supports
Make sure the patient is safe and informed of their rights (client bill of rights)
Andragogy correct answer Teaching adults
Self-directed, nurse more facilitator
Assertive communication correct answer promotes client safety, honest, direct,
appropriate & open to ideas
Assessing Impairments to Communication correct answer Language Deficits: 1st
or 2nd language
Sensory Deficits: hear, see, feel, smell
Cognitive Impairments: CVA, Alzheimers,Tumor
Structural Deficits: oral/nasal cavities blockage
Paralysis: blink, nod, squeeze, point, shrug to communicate
Barriers to communication correct answer table p. 474
Stereotyping - generalized / oversimplified beliefs about groups of people
Agreeing/Disagreeing - like judgement; nurse is not in a position to say right or
wrong for patient
,Being defensive - attempting to protect person or institution from negative
comments
Challenging - making client "prove" point of view
Probing - asking for information beyond what is relevant to care
Testing - making the client admit something ex. "who do you think you are?"
Rejecting - refusing to discuss certain things with client
Changing subject - redirecting conversation away from the client's concerns
Unwarranted reassurance - using cliche statements to comfort client ex.
"everything is going to be ok"
Passing judgement - giving response implying nurse's values
Giving common advice - telling client what to do
Behaviorism correct answer stimuli response is basis for learning as in positive
reinforcement, good for skills ie: lab demo
Learning through imitation and modeling
Bullying correct answer repeated abusive or intimidating behavior from a superior
Can clients see their chart? correct answer Yes and No
They can submit a request in writing to see their chart but the chart is the
property of the facility so they may not get access immediately.
Case Management (critical pathways) correct answer Documentation System
"cookie cutter" method, uses critical pathways to determine POC
More than 1 or 2 diag becomes a problem
, *sets the length of stay, is cost effective and maintains quality*
ex:Pneumonia pt - POC is standardized same with orders.
Charting by exception correct answer only abnormal finding are recorded.
eliminates lengthy repetitive notes
Cognitivism correct answer Looking how brain receives/sorts info, go from short
term to long term (must make significant)
Collaboration correct answer Collegial working relationship with another health
care provider in the provision of patient care
Communication Nursing diagnosis correct answer Impaired Verbal
Communication (also can be etiology)
Impaired Communication
Readiness for Enhanced Communication
Computerized documentation correct answer everything is computerized,
document everything, all tied together (Labs, orders, etc)
ex. EHR electronic health records, flow sheet, checking boxes
Critical thinking in communication correct answer A (assess)- communicate
barriers, context
P (planning)- strategies, layman's terms, best channel
I (implement)- convey message, validate by feedback
E (evaluate)- commonality of message, outcomes achieved or not
