Review of Knowledge (ROK)
Course NR 222
Exam Exam 3
Purpose
The Review of Knowledge (ROK) focuses on course outcomes, unit outcomes and key concepts to enhance
student success on exams. Use this document as a focused guide for study in conjunction with assigned
readings, PowerPoint presentations, and other course resources. Supplement this document by outlining your
own notes from the textbook chapters and place your expanded more detailed notes in the Student Notes
column. This document should NOT be used as a substitute for completing the assigned readings.
Key Concepts Chapter Student Notes
s
Key concepts to All Therapeutic Communication-
review: content • Purposeful, goal-driven interaction between nurse and client
from Unit that establishes caring, healing relationships.
Therapeutic
5, as • Information exchange between the nurse and the client that
Communication
written on is utilized to promote health or aid in treating illness.
What is therapeutic the NR • Improves patient outcomes and increases patient
communication? Why 222 satisfaction.
will it be important Course Components-
for you to use Calendar • The referent motivates one person to communicate with
therapeutic and within another. In a health care setting sights, sounds, sensations,
communication as a the Course perceptions, and ideas are examples of cues that initiate the
nurse? What are Syllabus. communication process.
barriers to therapeutic • The sender is the person who encodes and delivers a
communication? How message, and the receiver is the person who receives and
can you overcome decodes the message. The more the sender and receiver
these barriers? What have in common and the closer the relationship, the more
are therapeutic likely they will accurately perceive one another’s meaning
techniques? How can
and respond accordingly.
you incorporate these
• The message is the content of the communication. It
into your
contains verbal and nonverbal expressions of thoughts and
communication with
feelings. Effective messages are clear, direct, and in
your clients and other
understandable language.
members of the
• Communication channels are means of sending and
healthcare team?
receiving messages through visual, auditory, and tactile
Consider examples of
each. What are non- senses. Facial expressions send visual messages; spoken
therapeutic words travel through auditory channels. Touch uses tactile
Atlanta Campus ROK Form Revised 7.30.16 AH 1
, Atlanta Campus
Review of Knowledge
techniques? How do channels. Individuals usually understand a message more
each of these prevent clearly when the sender uses more channels to send it.
therapeutic • Feedback is the message a receiver receives from the sender.
communication? It indicates whether the receiver understood the meaning of
Consider examples of the sender’s message.
each. • Interpersonal variables are factors within both the sender
and receiver that influence communication. Perception
provides a uniquely personal view of reality formed by an
Communication, individual’s culture, expectations, and experiences. Each
Attitudes, & Values person senses, interprets, and understands events
What are the 4 differently.
communication • The environment is the setting for sender-receiver
styles? How is each interaction. An effective communication setting provides
defined? Which style participants with physical and emotional comfort and safety.
is best? Consider • Verbal communication uses spoken or written words. Verbal
examples of each. language conveys specific meanings through the
How does culture combination of words.
influence • Communication is unsuccessful if senders and receivers
communication? How cannot translate one another’s words and phrases. When
can you demonstrate you care for a patient who speaks another language, a
professionalism, professional interpreter is necessary. Limiting use of
civility, and respect medical jargon to conversations with other health care team
during members improves communication.
communication? • The connotative meaning is the shade or interpretation of
Consider examples of the meaning of a word influenced by the thoughts, feelings,
each. What or ideas that people have about the word. You need to select
professional and words carefully, avoiding easily misinterpreted words,
ethical implications especially when explaining a patient’s medical condition or
apply to therapy.
communication in the • Conversation is more successful at an appropriate speed or
professional setting? pace. Speak slowly and enunciate clearly. Talking rapidly,
using awkward pauses, or speaking slowly and deliberately
conveys an unintended message. Long pauses and rapid
Therapeutic
shifts to another subject give the impression that you are
Communication
hiding the truth. Think before speaking.
Strategies
• Tone of voice dramatically affects the meaning of a message.
What are the phases Be aware of voice tone to avoid sending unintended
of the therapeutic messages.
relationship? What • Effective communication is simple, brief, and direct.
occurs during each Repeating important parts of a message also clarifies
phase? Consider communication.
examples of scenarios • Timing is critical in communication. Even though a message
for each phase. What is clear, poor timing prevents it from being effective.
factors influence Nonverbal Communication- is unconsciously motivated and more
Atlanta Campus ROK Form Revised 7.30.16 AH 2
, Atlanta Campus
Review of Knowledge
therapeutic accurately indicates a person’s intended meaning more than
communication spoken words.
strategies? Consider • Personal appearance
examples of each. • Posture and gait
• Facial expressions
• Eye contact
Interprofessional • Gestures
Communication • Sounds
What is • Territoriality and personal space
interprofessional Metacommunication
communication? Who • Refers to all factors that influence communication.
is involved? When Awareness of influencing factors helps people better
and where is it understand what is communicated.
appropriate to utilize • Understanding “meaning” or the “underlying
interprofessional message” of message
communication? • Involves interpretation, intuition and perception
What framework is Potential Barriers
utilized when • Motivation
communicating client • Stress level
information to • Environment
another healthcare • Financial
provider? What • Values
occurs during each • Others
step? Consider Therapeutic Communication techniques
examples of during Nurses make observations by commenting on how the other
stage. How can topics person looks, sounds, or acts. Stating observations often
listed within the helps a patient communicate without the need for extensive
therapeutic questioning, focusing, or clarification.
communication Empathy is the ability to understand and accept another
concept be applied to person’s reality, accurately perceive feelings, and
and even benefit your communicate this understanding to the other.
everyday life? Nurses recognize that hope is essential for healing and learn
to communicate a “sense of possibility” to others.
Appropriate encouragement and positive feedback are
important in fostering hope and self-confidence and for
helping people achieve their potential and reach their goals.
Humor is an important but often underused resource in
nursing interactions. It is a coping strategy that can reduce
anxiety and promote positive feelings. Patients use humor to
release tension, cope with fear related to pain and suffering,
communicate a fear or need, or cope with an uncomfortable
or embarrassing situation.
Emotions are subjective feelings that result from one’s
thoughts and perceptions. Feelings are not right, wrong,
Atlanta Campus ROK Form Revised 7.30.16 AH 3
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