Communication and Collaboration

What is communication?

process of information exchange between two or more individuals

What are the three channels of communication

visual, auditory, kinesthetic

What are the different levels of communication?

(1) Intrapersonal communication

(2) Interpersonal communication

(3) Small-Group communication

(4) Organizational communication

A nurse is reflecting on his day and determining what could have went better and what went good. Which type of communication is this and why?

Intrapersonal, it is occurring within

A nurse manager holds a meeting regarding a recent increase in falls on the floor. What level of communication is this and why?

Small-group, occurring with more than two people

A nurse is giving bedside shift report to the new on coming nurse. Which level of communication is this and why?

Interpersonal, occurring between 2 people

You attend a National Student Nurse Associations meeting and observe how the group is communicating to develop and achieve goals. Which level of communication is this?

Organizational

What is proxemics?

the study of distance between people in their interactions

The intimate zone is between

0-18 inches

The personal zone is between

18 inches- 4 feet

Social zone is between

4ft- 12ft

Public zone is between

12ft-25ft

What is CUS? what does it stand for and what is this used for

Im Concerned

Im Uncomfortable

This is unSafe

Communication tool for safety concerns

Explain the helping relationship

Relationship between RN and pt.

Someone provides (RN) and receives (pt.) assistance to meet care needs

Professional relationship

Occurs though purposeful communication

What are the phases of the helping relationship?

Orientation phase

Working phase

Termination phase

A nurse is assessing a need admission to the ER, which phase of the helping relationship is occurring?

Orientation phase

What is the orientation phase?

The beginning. Identification of pt and nurse by name. Establish tone and guide lines. Clarifies roles of both people. Establishes an agreement about the relationship. Provides orientation to the healthcare system.

A nurse is giving the pt. his prescribed medications and encouraging him to get out of bed to walk following his surgery. Which phase of the helping relationship is occurring

Working phase

What is the working phase?

Working together to met clients needs. Provide whatever assistance is needed to achieve each goal. Provide teaching and counseling. Goals for the patient is to actively participate in the relationship. Longest phase.

The nurse stops by the pt.'s room one last time before her shift is over to wish the pt. luck and to say "goodnight." Which phase of the helping relationship is occurring

Termination phase

What is the termination phase?

Examine goals of helping relationship for attainment. Make suggestions for future efforts if necessary. Encourage patient to express emotions about the termination. Patient needs to be verbalizing with feelings about the relationship and continue to be active.

What is rapport?

the feeling of mutual trust and respect between people

A nurse is conducting an emergency assessment because the pt. appears to be going into anaphylaxis after eating a peanut butter and jelly sandwich. The nurse asks the pt. while they are still conscious, "are you allergic to peanuts?" What type of question is this?

Closed

What is a closed question

seeks specific info. and has a limited response of "yes" or "no"

A nurse comes into the room and notices that the patient is crying. The nurse asks, "Why are you crying?" What type of question is this?

Open-ended

What is an open-ended question?

Prevents "yes" or "no" response, allows for more extensive response

A nurse asks the pt. if they are experiencing any pain and the pt. points to her lower right quadrant of her abd. The nurse responds with, "You are having paint in you're lower right part of you're stomach?" What type of question is this?

Validating

What is a validating question?

Confirms what you though you heard or observed

A nurse asks the pt. last had a bowel movement and the client states, "My last BM was last night around midnight." The nurse responds with "So you're last BM was midnight last night?" What type of question is this?

Clarifying

What is a clarifying question

Assists to gain understanding of comment or response

A nurse asks a pt. how they slept last night and the pt. states "I slept terribly." The nurse responds with, "Why did you sleep bad?" What type of question is this?

Reflective

What is a reflective question

Encourages elaboration, more, details

The nurse asks a pt. to explain what has lead up to the point of them coming to the ER. What type of question is this?

Sequencing

What is a sequencing question

Places events in chronological order, facilitates probable cause-effect

What is a directing question

a question meant to obtain more info. about earlier topic or comment