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Exam (elaborations)

NUR 323 Exam 1 Questions and 100% Correct Answers

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  • NUR 323
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  • NUR 323

Describe how communication affects team processes and outcomes -Communication (a lifeline of the team) affects team processes and team outcomes by influencing how the team functions and as well as the flow of the mechanism of teamwork resulting in an impact on patient safety by increasing the risk ...

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  • September 13, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 323
  • NUR 323
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NUR 323 Exam 1 Questions and 100%
Correct Answers
Describe how communication affects team processes and outcomes ✅-
Communication (a lifeline of the team) affects team processes and team outcomes by
influencing how the team functions and as well as the flow of the mechanism of
teamwork resulting in an impact on patient safety by increasing the risk of error
-Communication facilitates the development of shared mental models, adaptability,
mutual trust, and patient safety

Lack of communication leads to failure of.... ✅-Sharing information with the team
-Requesting information from others
-Directing information to specific team members
-Including patients and their families in communication involving their care
-Ineffective communication identified as root cause for nearly 66% of all reported
sentinel events

Examples of missed communication opportunities ✅-Unavailable or underutilized
status board
-Inconsistencies in the utilization of automated systems
-Poor documentation (not timed, nonspecific, illegible, and incomplete)
-Failure to seek input from the patient

One critical result of effective communication is.... ✅-A shared understanding between
the sender and receiver of the information conveyed

Two considerations in communication are..... ✅1.) Whom you are communicating
with= The audience will influence how information is conveyed; For example, an
information exchange with a lab technician may differ from an exchange with a
physician
2.) How you communicate= Includes verbal (see standards for effective communication)
and nonverbal (in healthcare most is written, but nonverbal influences)

Define effective communication ✅-Complete= includes all relevant information;
communicate all relevant information while avoiding unnecessary details that may lead
to confusion; leave enough time for patient questions and answer all questions
completely
-Clear= layman's terms with patients, standard professional language with team; use
information that is plainly understood; use common terminology when communicating
with members of the team
-Brief= concisely communicated
-Timely= be dependable without delay; be dependable about offering and requesting
information; avoid delays in relaying information that could compromise a patient's

,situation; note times of observations and interventions in patient's record; update
patients and families frequently

Identify communication challenges ✅-Language barrier
-Distractions
-Physical proximity
-Personalities
-Workload
-Varying communication styles
-Conflict
-Lack of information verification
-Shift change

Differentiate TeamSTEPPS tools/strategies (SBAR and checkback) that can improve
team's communication ✅-SBAR= Situation (what is going on with the patient),
Background (what is the clinical background or context), Assessment (what do I think
the problem is), and Recommendation (what would I I recommend)
-Checkback= A closed-loop communication strategy used to verify and validate
information exchanged; Involves the sender initiating, the receiver accepting the
message and confirming what was communicated, and the sender verifying that the
message was received

Differentiate characteristics of chronic illness/disease ✅-Psychological and social
issues
-Phases of illness
-Therapeutic regimens
-Managing a chronic illness
-Development of other chronic conditions
-Family life
-Home life
-Self-management
-Collaborative process
-Health care costs
-Lost income
-Ethical issues
-Living with uncertainty

What is chronic illness? ✅A noncommunicable disease not passed from person to
person and generally slow progressing

Correlated risk factors with prevention measures ✅1.) Hypertension (high blood
pressure)= watch high fat foods and high sodium intake
2.) Tobacco use (any form of tobacco use) and exposure to secondhand smoke= stop
use of tobacco
3.) Overweight or obesity (high BMI)= eat healthier food options and exercise daily
4.) Lack of physical activity= can lead to obesity

, 5.) Excessive alcohol use= can make issues with liver and can lead to addiction
6.) Consumption of diets low in fruits and vegetables= eat more fruits and vegetables for
fiber and vitamin intake
7.) Consumption of food high in sodium and saturated fats= lower intake of those foods
as they can lead to hypertension and obesity issues

Challenges associated with chronic illness and providing care to those living with
chronic illness/disability ✅-Alleviate and manage symptoms
-Psychologically adjust to and physically accommodate resulting disability
-Prevent and manage crises and complications
-Carry out regimens as prescribed
-Validate individual self-worth and family functioning
-Manage threats to identity
-Normalize personal and family life as much as possible
-Live with altered time, social isolation, and loneliness
-Establish networks of support and resources that can enhance quality of life
-Return to a satisfactory way of life after an acute debilitating episode (ex: myocardial
infarction or stroke) or reactivation of a chronic condition
-Die with dignity and comofort

Disability assessment questions to consider? ✅-What usual health status
considerations might be needed?
-What if any disability-related consideration are needed to seek care or needed during
an examination?
-Is there any risk of abuse or is abuse detected?
-Is the patient experiencing depression?
-How and what impact does aging have related to disability?
-Is the patient at risk for or have any secondary health conditions?
-Are there any accommodations required in the home for self-care?
-What is the patients cognitive status for discussion and conversation; are there any
specific strategies needed for communication (verbal or nonverbal)?
- Are there any nursing care modifications required?
-Are there any specific accommodation, strategies, or modifications required during
patient education?
-What health promotion and disease prevention strategies require implementation?
-What is the extent of independence vs. dependance?
-Are there any barriers to care, services related to insurance coverage?

General approach to use ✅-Do not be afraid to make a mistake when interacting and
communicating with someone with a disability or chronic medical condition.
-Keep in mind that a person with a disability is a person first and is entitled to the
dignity, consideration, respect, and rights you expect for yourself.
-Treat adults as adults. Address people with disabilities by their first names only if
extending the same familiarity to all others present. Never patronize people by patting
them on the head or the shoulder.

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