Module 4 & 5: Communication, Documentation, and Confidentiality

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These flashcards cover key concepts regarding communication, documentation, and confidentiality in nursing, as discussed in the lecture.

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15 Terms

1
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What is the definition of communication in nursing?

Exchange of information through words, actions, and behavior.

2
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What are the key components of therapeutic communication?

Active listening, empathy, touch, silence, clarifying, and paraphrasing.

3
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What should be avoided in therapeutic communication?

Barriers such as judgment, false reassurance, and changing topics.

4
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What considerations should be made for communication with aging patients?

Consider hearing, vision, cognitive, and speech impairments.

5
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What are the recommendations for adapting communication for patients with hearing impairments?

Use hearing aids, reduce noise, and face the person.

6
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What is a good practice for communicating with patients who have vision impairments?

Use large print, reduce glare, and describe the environment.

7
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How should one communicate with a patient who has aphasia?

Use short sentences, yes/no questions, and visual aids.

8
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What does high-quality documentation ensure in nursing practice?

Continuity of care, provides legal evidence, and evaluates patient outcomes.

9
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Name the three key principles of the CNO.

Communication, Accountability, and Security.

10
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What is the key rule regarding sharing patient information?

If someone isn’t involved in the patient’s care, don’t share.

11
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What is the importance of documentation in nursing practice?

It reflects the nursing process: Assess, Plan, Implement, Evaluate.

12
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What does the phrase 'If it’s not documented, it didn’t happen' imply in nursing?

Documentation is crucial to validate the care given and patient outcomes.

13
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What is a critical guideline regarding social media and professionalism for nurses?

Never post patient information or identifiers online.

14
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What does PHIPA stand for?

Personal Health Information Protection Act, 2004.

15
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What are the criteria for good charting?

Documentation must be accurate, clear, timely, and confidential.