Nurse/Client Chapter 3 Communication Skills

What does CAT stand for?

"computerized adaptive testing"exam that is administered at a computer terminal.

two-year associate degree program

*prepares for the occupation of nursing *passes RN licensure exam *two-year program sponsored by community, technical and junior colleges.

What ?

*regulates education and practice *uniform laws for certification and licensure.

What is ACEN

ACEN stands for Accreditation Commission for Education in Nursing: maintains a list of accredited practical/vocational nursing schools.

The nurse practice acts or administrative rules are administered by boards, called by various names. Name them.

Board of Nursing Board of nurse examiners nurse registration board

What is the Definition of communication?

Communication takes place when one mind so acts upon its environment another mind is influenced, and in that other mind, an experience occurs, which is like the experience in the first mind, and is caused in part by that experience.

What is non-verbal communication

Nonverbal communication is made up of signs, signals, and symbols

Occupational Professional

Serious approach high level of integrity trustworthy has high standards

When communication with physicians how can we relay information?

by making sure you have carefully collected all of the information you need to describe a particular situation.

speaking?

clearly in a pleasant voice

The term professional generally means that someone is?

competent and qualified to do their job whether it be an electrician or a Doctor.

expressing.......

confidence

A license must be kept?

current

when charting give________not___________opinions!!!

facts, opinions

It is imperative that a nurse have good what?

listening skills

avoid set speeches that sound?

memorized

never be

sarcastic

What are some examples of non-verbal communication?

signs, signals and symbols

Non-verbal communication includes

signs, signals, symbols and body language.

organize your thoughts before

speaking

what is the mandatory vs accreditation?

state board of nursing in a state set the guidelines of education. However you will not be able to transfer your credits to another school. accreditation on the other hand allows you to transfer your credits.

The message is the what?

the idea you want to communicate.

The license gives permission to practice?

the skills learned in the practical/vocational nursing program.

What is vocal communication?

the sound and tone of your voice

as you listener for?

their opinion or other response

Practical/Vocational Nursing Programs

* 1 year of education with emphasis on nursing skill applicable to variety of patients and heath-care settings. *preparation to function under supervision of -registered nurse -physician -dentist -nurse practitioner

There are seven parts to speaking and writing, what are they?

* source or sender (the person sending the message) *an encoder (eardrum, electrical wires) *a message (what is being communicated) *a channel (face-to-face, or over-wires or cable) *a decoder( brain, TV,) convert code into message *a receiver (the person who is the recipient of the message. *feedback (the recipient responds)

When communicating with patients what are some questions to ask to keep the conversation open?

*Avoid frivolous conversation and joking *show respect when speaking or listening *Be honest in your relationships with patients. *Ask questions that cannot be answered with a yes or no. *restate what you thought the person said. *use clarifying phrases. *identify the purpose of your conversations. *Keep confidential information confidential. *Write down important facts or instructions *sit down to indicate that you have time to listen.

four year professional nursing programs

*a professional nurse has completed a 4 year plus years of college and passed RN licensure exam *Studied nursing theory and application *performs according to a code of ethics *participates in development of nursing through membership in nursing organizations *engages in nursing research *works independently

graduates of practical/vocational nursing programs should:

*pass licensing exam *be prepared to perform entry-level task. *meet patient needs *teach health and disease prevention *understand effects of change on health care *be active in local and national nursing associations *pursue continuing education

a professional

*studies theory and it's application *subscribes to a code of ethics *participates in organizational activities/research *Works independently of others

Sending a message or receiving a message.

*think through electronic messages to avoid misunderstanding and misinterpretations. * use the method most appropriate to the situation. *use correct vocabulary, grammar, medical terminology and abbreviations.

What are some general rules you can apply that will help you improve your cross-cultural communication skills.

*understand your own cultural values and biases *respect the culture of others. *Have an interest in learning about others. *have an ability to avoid judging the behavior of others.

There are four ways to learn to communicate, what are they?

1) Learn more about how people communicate. 2) Practice sending clear messages 3) Practice listening to messages from others 4) Learn how to communicate with people with special needs 5)Ask your friends and teachers to provide constructive criticism

name three ways to start being a good listener.

1) focus your attention on the speaker and what is being said. 2) Interpret what is said to understand what to do. 3) restate what you thought you heard to be sure you understood the message.

What are some ways that you can learn to speak clearly?

1) study the way you speak 2) face the person you are addressing 3) use words you are comfortable with 4) words, tone, rhythm, inflection, and posture work together.

Ballard School in New York

3 month live in course

Then came the World War II practical nursing program

35 hours lectures 45 hours supervised clinical experience

address people appropriately by?

Mr. MRs. according to their wishes...

What is NAPNE?

National Association for Practical Nurse Education

Clara Barton was heavily involved with?

The American Red Cross (nurse's aids)

Can clear speaking be learned?

Yes

What is verbal communication?

a language expressed in speaking and in writing, in English or any other language.

what is a scope of practice?

a phrase that is used to describe what task and duties members of a particular occupation are legally permitted to do. *State laws, which vary around the country *employer rules and regulations *professional standards

In education professional means?

a professional education requires a 4 years of college.

giving simple......

and straightforward answers to questions

give complete explanations in words your patients

and their families will understand

When taking a CAT exam you must do what?

answer every question you are given. Even if you have to guess. You also cannot go back to answer the questions.

when charting always use what kind of abbreviations only.

approved.

what are some of the thins that we do to block communication?

avoid the person, change the subject, or deny an issue. We can be opinionated that others don't pursue a conversation.

Do your best to sound?

cheerful even if you don't feel like it.

keep your personal opinions and values out of?

communications where they don't belong.

using accurate .......

descriptions

Schools before 1941 had minimal?

education and practice and minimal supervision

avoid terms of....

endearments such as honey, dear or grandpa when addressing patients and families.

what are examples of body language?

facial expressions, body posture and body positions. EX: yawning, putting your and on your hip, gently touching a patient, smiling when entering a room, looking into the eyes of your patient.

Getting to know people from where?, gives us an opportunity to learn more about the world.

from different cultures.

student council

group made up of student and faculty members who serve as representatives of the student body.

keep your listener?

in mind when your speaking.

using good judgments.......

in what you say

to empathize is to be able to?

intellectually (not emotionally) identify with the feelings, thoughts, or attitudes of another person.

listening without.....

interrupting

The board of nursing has the right to?

issue licenses and the right to revoke or suspend them for a variety of reasons.

Laws that govern nursing, including nurse licensing are called?

nurse practice acts or administrative rules.

Explain the 3 different ways that verbal communication can be.

one-way two-way three or more way (multidirectional)

restate or repeat in your.....

own words the questions or statements of others to make sure you understand what they've said.

Charting has a direct influence on what?

patient care

state board of nursing are responsible for what?

protecting the safety and welfare of people who receive nursing services in their state.

Nonprofessional

refers to educational preparation however all nurses should function as professionals

what is OBRA

requires states to establish specific educational programs for nurses aids working in Medicare-funded long-term care facilities and for homemaker-home-health. Must be able to pass a written and practical exam.

empathy is similar to?

sympathy but does not include-self involvement.

avoid ___________________ even if your intentions is to raise spirits.

teasing

use proper technical.....

terms when speaking with colleagues

cultural competence is a term used?

to describe the process of working effectively within the cultural context of another person.

When sending messages it is important to?

use correct vocabulary, grammar, medical terminology, and abbreviations when speaking.

Dr. Albert Mehrabian identified the components of the communication process. What are they?

verbal, vocal and nonverbal

what is an example of a symbol

wave of the hand

articulate program

we call 1 plus 1 plus 2. which means: 1 year PN second year ADN two more years BSN

what is an example of a symbol?

wedding ring or the American flag

One of the best ways to block communication is to ask what?

yes and no questions.

Explain how the CAT exam works?

you are given the first question. If you choose the correct answer, you get a slightly more difficult answer. If you choose an incorrect answer, you get a slightly less difficult answer. Whether you pass the test is not based on how many of the test you've gotten correctly but how many of the difficult questions you got right.

The National council licensure Examination for Practical/Vocational Nurses (NCLEX-PN) has limit on both time and number of questions limit. What are these?

you have 5 hours in which to answer a maximum of 205 questions.

avoid giving false reassurances to anyone about?

your patients condition.