Its a nursing assignment based upon the communication skill of the nurses will respond to the situation

Question:

Its a nursing assignment based upon the communication skill of the nurses will respond to the situation and to the circumstances. You need to answer in the blank spaces

Aim:

Knowledge Evidence:

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

characteristics of effective partnerships in nursing including:

confidentiality

trust

self-reflection

social conversation

creating a therapeutic environment

resources for the Core Standards for nurses who support people with a disability (NSW Family and Community Services)

Communication and Behaviour Support for Nurses Practice Package

Communication and Behaviour Support for Nurses Appraisal

documentation related to clinical handover

elements and skills of communication processes:

interviewing techniques

active listening

conflict resolution

interpersonal skills

negotiating solutions

group dynamics

access and use of interpreters

factors that may facilitate and inhibit communication

information technology used in communication, and email etiquette and policies for use

principles underpinning nursing documentation including legal obligations

principles, processes and practices of open disclosure in line with Australian Open Disclosure Framework

sensory losses and appropriate nursing responses

social media medical terminology used in clinical situations and enrolled nurse practice

social media policies for nurses.

Performance evidence:

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

communicated effectively within the context of the enrolled nurse role in 4 different complex communication situations, with at least 1 of the situations involving a person, family or carer, and at least 1 of the situations involving work colleagues

Related to Elements:

1.1 Apply principles of effective communication to facilitate, not inhibit, communication with the person.

1.2 Maximise opportunities to involve the person and family or carer in their care and treatment.

1.3 Clarify roles and responsibilities of the interdisciplinary health care team involved in communicating in complex situations, including clarifying own role as an enrolled nurse.

1.4 Demonstrate politeness, respect and empathy in all interactions with the person, family or carer.

1.5 Use health terminology correctly in written and verbal communication with the person, family or carer and with colleagues.

2.1 Identify early signs of potentially complex communication situations with a person, including with people who have hearing or vision impairments and require assistance.

2.2 Implement strategies to address complex communication situations in accordance with relevant policies and procedures, and within scope of role.

2.3 Demonstrate advocacy for a person in the health or community care setting.

3.1 Use computers and related information technology to access, develop and adhere to reporting requirements according to organisation policy and procedures.

3.2 Comply with organisation policy and procedures for electronic communication with the person, family or carer.

3.3 Use information technology including the internet to access data appropriate to own role and organisation policy and procedures.

3.4 Apply ethical principles and follow regulatory responsibilities when using social media and interacting online in nursing role.

3.5 Maintain accurate documentation and adhere to reporting requirements to support safe practice according to organisation policy and procedures.

4.1 Monitor and respond appropriately to changing group dynamics.

4.2 Clarify the purpose of group meetings and manage discussion to achieve identified objectives.

4.3 Implement meeting procedures appropriate to the meeting's purpose.

4.4 Clarify participants' roles and use communication strategies to support their effective contribution to discussion.

5.1 Identify effective communication strategies for giving and receiving feedback on own performance.

5.2 Apply strategies that deliver constructive outcomes in giving and receiving feedback.

5.3 Use appropriate language and a respectful manner in giving and receiving feedback.

6.1 Participate in debriefing sessions following communication for complex situations.

6.2 Document, consider and report outcomes of communication strategies used to address complex situations.

Instructions to the Learner:

In the event of failure of an assessment the student's progress will be reviewed and eligibility for a resit will be determined by the Course Coordinator/Program Manager as per departmental policy listed in the student handbook. Students deemed not eligible for a resit of the assessment may be required to re-enrol and repeat the unit

Short Answer Questions

Mr Samson is a 75 year old man who has renal failure and is due to commence haemodialysis the next day. Mr Samson has a hearing impairment and is wearing a hearing aid. He is sharing a room with 3 other patients. It is visiting hours and two of the other patients have at least 3 visitors who are talking loudly and the other patient who is partially deaf has the TV on very loud. Mr Samson is also agitated because his wife has not come back from the cafeteria with his newspaper. Enrolled nurse David has just started his shift and has not cared for Mr Samson before. He was told at handover that one of his duties is to explain to Mr Samson the special diet that must be followed by someone who is having haemodialysis. Below is an extract of what David said to Mr Samson at the start of the shift.

David: "Hi, How are you?"

Mr Samson (who is pale and looks worried):"Not good, I feel like I'm going to vomit, I feel so terrible. Also do you know where my wife is? I have been waiting forever for her to come back from the shop with the paper, I'm worried she has gotten lost somewhere in the hospital."

David: "No I don't know where she is but don't worry about it. Right now there is some information that I need to go through with you. Now I'm sure you know you aren't allowed to eat certain foods while you are having dialysis so I'm not going to bore you with all the details but if you need some more information there is an app you can download on your phone which is great.Just google diet and dialysis and it should all come up. OK, I've got to go now as I'm prettybusy. "

David leaves the room. Mr Samson has not responded.

Critically evaluate this communication. Consider both the factors that can influence effective communication and the barriers that block effective communication.

For each factor or barrier that you identify, also suggest an improvement.

You need to identify at least 4 factors or barriers to be deemed competent for this question.

Eg.

Factor or barrier

Used terminology (google, apps) and assumed that Mr Samson would understand and did not check that he did.

Suggested Improvement

David should have checked that Mr Samson could understand what apps were and knew how to google by asking him if he was proficient using the internet.

a. Factor or barrier

____________________________________________________________________________________________________________________________________________________

Suggested Improvement

____________________________________________________________________________________________________________________________________________________

__________________________________________________________________________b.Factor or barrier

____________________________________________________________________________________________________________________________________________________

Suggested Improvement

____________________________________________________________________________________________________________________________________________________

Suggested Improvement

____________________________________________________________________________________________________________________________________________________d.Factor or barrier

____________________________________________________________________________________________________________________________________________________

Suggested Improvement

____________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory

How would you respond to a client to encourage them to talk if they said the following to you?

Client: "Please let me stay in bed, I don't feel like getting up today"

To be deemed satisfactory in your response may include open questions, paraphrasing and reflection of feeling

Satisfactory/Not Satisfactory

Miss Bee is completely deaf. She has just been admitted to the ward and you are the enrolled nurse designated to look after her.

To be deemed satisfactory, which two strategies, specific to some-one with a hearing impairment, would you employ to ensure effective communication with Miss Bee?

a.____________________________________________________________________________________________________________________________________________________________________________________________________________________________

b.____________________________________________________________________________________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory

Mr Papadopolous has had a stroke and now cannot speak properly and is very difficult to understand.

To be deemed satisfactory you must describe three (3) verbal or non-verbal strategies that are specific to people with a speech impairment you could use to achieve effective communication.

1.____________________________________________________________________________________________________________________________________________________________________________________________________________________________2.____________________________________________________________________________________________________________________________________________________________________________________________________________________________

3.____________________________________________________________________________________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory

You are an enrolled nurse working at Holmesglen Health. One of your patients, Jenny Smith, aged 22, is very sick and dying. Her father is very angry and is yelling at you. He says "This is all the doctor's fault. They never gave her the right treatment!"

In order to be deemed saisfactory you must describe the 6 strategies specific to this situation and how you could apply them to help resolve this situation of conflict?

____________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory

What would you say to a client, Jenny who told you that "I don't know how I will manage this walking frame when I get home" that demonstrates a reflection of feelings.

To be deemed satisfactoryt for this question you must write your answer in first person ("I"), and provide a reasonable response that reflects Jenny's feelings.

Satisfactory/Not Satisfactory

Develop an assertive response for the following situation.

To be deemed satisfactory for this question you must write down exactly what you would say to your client, Mark, using first person ("I"), which must include a response that will encourage Mark to alter his behaviour.

For a client, Mark who insists on smoking in the ward even though it is against hospital policy.

Satisfactory/Not Satisfactory

You have just explained to your client the importance of increasing fibre and fluids to reduce the risk of developing constipation.

To be deemed satisfactory, list two ways you could immediately establish if the education has been effective.

Satisfactory/Not Satisfactory

During a shift you are looking after Joseph who has been admitted with abdominal pain for investigation. He has been happily watching television for most of the shift. His favourite football team is North Melbourne. Unfortunately he had a fall while walking to the toilet and the doctor has asked him to rest in bed until he reviews him later on this afternoon. His family visited him after lunch.

To be deemed satisfactory you need to write down the one most important piece of information you would handover to the next nurse caring for Joseph?

__________________________________________________________________________

Satisfactory/Not Satisfactory

List and explain in detail the three components of active listening.

To be deemed satisfacotry for this question you need to completely outline and describe the 3 components of active listening.

1)____________________________________________________________________________________________________________________________________________________________________________________________________________________________2)____________________________________________________________________________________________________________________________________________________________________________________________________________________________3)____________________________________________________________________________________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory

Define the following commonly used abbreviations.

To be deemed satisfactory you must get 7 answers correct.

NFR____________________________________________________________________

CPR ____________________________________________________________________

SOB ____________________________________________________________________

R/V ____________________________________________________________________

1/52____________________________________________________________________

F.I____________________________________________________________________

NGT _____________________________________________________________________

# ____________________________________________________________________

NBM_____________________________________________________________________

SOOB____________________________________________________________________

Satisfactory/Not Satisfactory

You are an enrolled nurse and working on a medical ward with Rajwinder, a student nurse who you are supervising. You notice that she speaks so quietly so that the clients have to keep asking her to repeat herself. She has also arrived 15 minutes late for the past two days. She is competent with practical skills and performs vital signs well. You are required to give her feedback.

To be deemed satisfactory, write down exactly what you would say to Rajwinder, in first person ("I") and any feedback you would say that could improve her communication skills.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory

Describe one of the several key aspects of therapeutic communication.

To be deemed satisfacotry you must provide a correct response

Satisfactory/Not Satisfactory

Whilst you are on clinical placement you are on debrief and your phone rings in front of your group, including your facilitator. What would you do in this circumstance?

To be deemed satisfactory you must outline the appropriate action regarding the use of this form of social media.

Satisfactory/Not Satisfactory

You are on clinical placement and the ward is really quiet. Your preceptor/buddy nurse has jumped onto the computer to check their friends' brothers blood results. She manages to find them as she has a password to the pathology department. She is really nice nurse and she has been very helpful to you. Is this OK and what would you say to her?

To be deemed satisfactory for this question you must provide an appropriate response to this question.

Satisfactory/Not Satisfactory

You are on clinical placement and you have just been allocated a patient, Neville who cannot speak to you at all, but he can point and guide you to get the message across.

Considering the 3 levels of communication, what level of communication is this?

Intentional

What could you do to help improve your communication with Neville - receptive & expressive?

To be deemed satisfacotry for this question you need to provide at least 2 suggestions per category

Receptive:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Expressive:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Satisfactory/Not Satisfactory