Intro to Nursing & Communication

What are the Quality and Safety Education for Nursing (QSEN) competencies?

-Patient centered care -teamwork and collaboration -Quality improvement -safety -evidence-based practice -informatics

In what time period did nursing care as we now know it begin?

18th to 19th century

LPNs/LVNs differ from RNs in which two areas?

educational preparation and scope of practice

A person with an insufficient ____________________ has dry skin that wrinkles easily, eyes that might be sunken and dull in appearance, and poor muscle tone

intake of fluids

During the ________ phase of the nurse-client relationship, the nurse attends to the physical health care needs of the client and develops solutions that the client will act on.

working

Why do nurses need to know lab values?

Nurses need to know lab values to provide data for evaluation of client outcomes.

_________ is the ability to identify with client feelings

Empathy

What is the communication technique of focusing?

Focuses on the main problem that the client has been reporting and the goal for this admission

____________________ is the knowledge base for the provision of care

The science of nursing

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

During the __________ phase of the nurse-client relationship, the nurse and client work toward establishing trust and rapport.

orientation

The ______ or ______ of the message is a person or group who initiates or begins the communication process

sender or source

How should a nurse communicate the plan of care with an unconscious patient?

-The nurse is careful what is said in the client's presence because hearing is the last sense to go. -The nurse assumes the client can hear and discusses things that would ordinarily be discussed. -The nurse speaks with the client before touching the client.

What is the A in SBAR?

ASSESSMENT -Summarize the facts -What do you think is going on?

Which nursing group provides a definition and scope of practice for nursing?

American Nurses Association (ANA)

The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group?

American Nurses Credentialing Center (ANCC)

___________ responses dictate what the client should do based on the health care worker's professional opinion.

Authoritarian

What is the B in SBAR?

BACKGROUND -Briefly state pertinent history -What got us to this point?

A comfortable sense of self, such as being aware of one's own personality, values, cultural background, and style of communication, is necessary before what?

Before a nurse can communicate therapeutically

The primary aim of the Healthy People 2030 initiative is:

Health Promotion

When the nonverbal metacommunication aspects of the message do not fit with the verbal message, the communication is considered ____________.

Incongruent

__________ or _________, is communication within a person. This communication is crucial because it affects the nurse's behavior and can enhance or detract from positive interactions with the client and family

Intrapersonal communication, or self-talk

The founder of public health nursing is:

Lillian Wald

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Mary Breckenridge

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Mary Breckinridge

______________ means conveying genuine care to clients without passing any negative judgment on them.

Positive regard

Nurses ______________ by identifying, analyzing, and maximizing each client's own individual strengths as components of preventing illness, restoring health, and facilitating coping with disability or death.

Promote health

Nursing's four broad aims are ____, ____, ____ and _____.

Promote health, prevent illness, restore health and facilitate coping with disability or death.

_______________ or _____________ confirms that the nurse is following the conversation and demonstrates listening, thus allowing the client to elaborate further.

Reflecting or paraphrasing

What is the S in SBAR?

SITUATION -Briefly describe the situation -Give a succinct overview

_____________ describes the social context of nursing, a definition of nursing, the knowledge base for nursing practice, the scope of nursing practice, standards of professional nursing practice, and the regulation of professional nursing.

The ANA Social Policy Statement (2010)

The nursing process is:

a critical thinking method used by nurses to provide nursing care that is individualized and holistic.

Establishing the criteria for the education and licensure of nurses is a component of.....

a state's nurse practice act.

An __________ response supplies the client with information to make the decision.

advocacy

The __________ is the actual physiologic product of the source. It might be a speech, interview, conversation, chart, gesture, memorandum, or nursing note.

message

What are the 10 leading indicators of health established by Healthy People 2010 are:

physical activity, excessive weight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunizations, and access to health care.

What are the 12 Standards of Practice?

assessment, diagnosis, outcomes identification, planning, implementation, evaluation, ethics, culturally congruent practice, communication, collaboration, leadership, and education.

What are the critical challenges to the nursing practice in the 21st century?

-Growing population of hospitalized patients who are older and more acutely ill -increasing health care costs -the need to stay current with rapid advances in medical knowledge and technology

What is the R is SBAR?

RECOMMENDATION -What are you asking for? -What needs to happen next?

Which social force has most significantly impacted the future supply and demand of nurses?

Aging

_________ refers to feelings that match the expressions of the client

Congruence

The Nurse Corps of the United States Army was established by whom?

Dorothea Dix

________________ is the first action with all clients, especially nonverbal clients, prior to touching the client

Establishing eye contact

The nursing process includes what step(s)?

Evaluate Implement Plan Assess

___________ and application of research are using research to make decisions on how to care for clients.

Evidence-based practice

Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?

Mary Elizabeth Mahoney

There are three phases of a helping relationship: the ______ phase, the ________ phase, and the __________ phase.

Orientation, working, termination

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others?

Therapeutic communication

During the Reformation, which factor influenced the decline of nursing?

Women's subordination to men Women were viewed as subordinate to men and were expected to remain at home caring for children; this decreased the number of qualified women practicing nursing.

The ________ of communication is the medium the sender has selected to send the message.

channel

The use of a ______________ or comment allows the nurse to gain an understanding of a patient's comment.

clarifying question

Nursing controls and guarantees its practice through .......

standards of practice, nurse practice acts and licensure, and the use of the nursing process.

The communication process is initiated based on a _______.

stimulus

During the ___________ phase of the nurse-client relationship, the nurse and the client review health changes and how the client has dealt with physical and emotional responses.

termination phase

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

Nursing is recognized increasingly as a profession based on the following defining criteria:

well-defined body of specific and unique knowledge, strong service orientation, recognized authority by a professional group, code of ethics, professional organization that sets standards, ongoing research, and autonomy and self-regulation.