STUDY GUIDE FOR N 114 NURSING COMMUNICATIONS FINAL EXAM 2010

THERE WILL BE 50 MULTIPLE CHOICE QUESTIONS

8 questions will be from material covered the first part of the quarter and tested on the first quiz:

Nonverbal communication

Communication skills used in stages of the nurse-client relationship

Professional boundaries

Blocks to effective communication

Communication techniques with older adults

42 questions will be from material covered since the first quiz:

I. A). Assertive behavior (p. 492, Taylor)

- Important in nurse/client relationship
- Advocating for one’s self, express thoughts with no judgments, proactive-problem
solving that allows us to cope with a situation
- Open, honest, direct communication use “I’ statements
Basic Components of Assertive Response or approach:
1. Having empathy
2. Describing one’s feelings or the situation
3. Clarifying one’s expectations
4. Anticipating consequences

B) Passive interpersonal behavior

- Allowing someone else to take control, put their needs and rights ahead of your \ own

-directly: refuse

Indirect: not to anything

Aggressiveness- selfish, put needs above others

ASSERTIVE BEHAVIORS ARE ON A CONTINUUM:

Passive- assertive <- aggressive

Difficult Being Assertive

-culture, gender, etc.

-balance of the people around you

-with strangers

-emotions/judgments, etc

-unsure of self/knowledge

Developing Assertive Behaviors

- Healthy self concept

- Takes practice
- Must be sensitive to situations, etc.
- Perceived differently among everyone

Why Important for nurses to be assertive?

- Play a leader role where we advocate for our patients and self
- Differences in understanding and knowledge between healthcare
providers/patients/patients’ families/etc etc
- Role model to clients to be assertive for client’s self
II. Conflict
Preventing Conflict in Work Groups:
Principles and Common Sources of Conflict:
1. Goal-common agenda
2. Values and beliefs

Resolving conflict/blocks to resolving conflict

Group formation and group roles

Task orientated reactions

Levels of anxiety: signs, symptoms

Interventions for anxiety

Defense mechanisms

Terminating the nurse-client relationship