Exam (elaborations)
PNC 100 Test 2 Questions and Answers 2024
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Exam of 19 pages for the course PNC 100 at PNC 100 (PNC 100 Test 2)
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PNC 100 Test 2Benefits of Heat therapy: - answer Relaxes Muscles
Decreases Pain
Increase circulation
Relieves congestion
Raises body
temperature / Prevents infection
Promotes Healing
Benefits of Heat therapy: (Continued) - answer Has a sedative effect
Reduces the need for medication
Reduces Joint: reduces the need for anti-inflammatory agents.
Promotes resolution of superficial infections: reduces the need for antibiotics
Relieves - dysmenorrhea (Menstrual cramps)
Benefits of Cold Therapy: - answerRelaxes muscles
Decreases pain
Decreases circulation
Reduces swelling
Prevents edema
Benefits of Cold Therapy: (Continued) - answerReduces temperature
Retards bacterial growth
Acts as a local anesthetic: decreases the need for analgesics (Pain relievers)
Decreases oxygen supply to area
,Decreases metabolism
TECHNIQUES OF THERAPEUTIC COMMUNICATION: (Encouraging conversation) -
answerHelp the pt begin talking and convey the nurses' willingness to listen.
a. Broad open statements: Open ended questions that allow the pt to take the
conversation wherever they want.
Ex. Can you tell me about your... , How are you feeling today? , What did the doctor
say?
b. General Leads: Short words or sounds that let the pt know you are listening.
Ex. "Uh huh" , "OK" , nodding, etc...
c. Reflecting: Paraphrasing a pt's statement to make them pause and expand on it.
TECHNIQUES OF THERAPEUTIC COMMUNICATION: (Helping the pt express his
thoughts and feelings) - answerHelping the pt express his thoughts and feelings - You
may need to take an active role to accomplish this.
a. Sharing observations: A statement that focus on your observations of the pts.
behavior. It conveys your concern and interest in the pt.
Ex. "You have been less talkitive with me this morning, would you like to talk?"
b. Acknowledging the pts feelings: Convey the message that you understand their
feelings and you accept them. Encourages them to continue.
Ex. "This must be difficult for you"
c. Selective Reflexing: Taking one thought a pt said as a thread throughout the
conversation. The pt might realize its importance.
Ex. "You had a difficult experience in the hospital a few years back..."
d. Silence: Slows the pace of the conversation. Gives the pt time to think more about
their feelings and concerns. Learn to be comfortable with silence.
Ex. "The patient's facial expressions show that they are thinking, concentrating or
pondering - sit quietly and patiently watch and wait for the patient to lead the
conversation."
e. Giving Information: Misconceptions about health, treatments, and care will cause the
pt to be concerned and anxious. Make sure they have all the facts and clarify questions.
Ex. "The test you are having will not cause any pain..."
f. Confrontation: Used if non-congruency is noticed between verbal and non-verbal
communication. USED AFTER TRUST IS ESTABLISHED
Ex. "I notice that you pacing and fidgeting (appears nervous) but you are telling me that
you are fine."
, TECHNIQUES OF THERAPEUTIC COMMUNICATION: (Insuring mutual
understanding) - answerImportant for effective communication between nurse and pt.
Determine if the words and ideas shared are clear and accurate.
a. Clarifying: Ask the pt what they mean by a statement to prevent misunderstanding.
Ex. "Do you mean?"
b. Verbalizing implied thoughts and feelings: If pt implies a thought then ask about it.
Follow up on pt concerns.
Ex. "Are you saying that you don't want to go home?"
c. Validating: See that all pt needs were met. Work on them if not.
Ex. "Do you feel better about that test now that we talked?"
TECHNIQUES OF THERAPEUTIC COMMUNICATION: (Effective Communication w
staff) - answerEffective Communication: with peers, staff, other health care
professionals
"There seems to be a problem between us, I'd like to discuss it as soon as you are
available."
"I was upset when you......"
"Mr. Jones asked for his pain medication 30 minutes ago, can I tell him how soon he
might receive it?"
"Before I get Mr. Jones up to the chair, I would like you to look at his decubitus on his
coccyx."
Communication Techniques with different types of patients: - answer1. Withdrawn/quiet
- build trust, allow silence, use techniques to encourage conversation
2. Angry - let them share their emotions but don't take it personally, listen - you might
learn more than what they initially meant to say
3. Fearful - give information, spend time, need to be in personal space or intimate space
4. Depressed - slow down, spend time, safety is important - frequent checks
5. Unresponsive - tell them everything you are doing, touch, get info from family about
likes and dislikes
6. Extreme pain - build trust, may need to get into intimate space to help focus, observe
non-verbals, let them know what you are doing to help
7. Demanding - set expectations, list-making, build trust
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