Diploma of Nursing: HLTENN002 Communication Skills Assignment

This assignment provides a detailed response to a nursing case study focusing on communication skills in a healthcare setting. It addresses factors that facilitate and inhibit effective communication, including verbal and non-verbal techniques, cultural competency, and the use of interpreters. The...Read More

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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Answer 1
Factors that will facilitate effective communication include both verbal and non-
verbal communication skills. For Ashley and her family members, execution non-verbal
communication skills will be more effective as it will help in the development of trust and the
level of respect with the healthcare professionals, which is lack at present. Another factor
include use of a culturally competitive nurse who is form Nepalese background of south-
Asian background. Presence of culturally competent nurse from identical cultural background
will help to ensure trust development (Norouzinia et al., 2016)
Factor that will inhibit effective communication is language, Ashley and her family
(paternal) is a Nepalese and English is her second language. Thus, she might experiences
difficulty in understudying certain terminologies or sentences drafted in professional English
and at the same time might experience difficult in expressing her thoughts and thus creating a
barrier in executing effective communication. Second factor include the distance age of Amir.
Amir is a 7-year old boy thus professional approach of executing effective communication
skills is not applicable in this case. Use of gestures, props and rhymes can be used for the
execution of communication ((Norouzinia et al., 2016).
Answer 2
Active listening for is an important non-verbal perspective of communication skills
that helps in the developing of the therapeutic relationships with the client and thereby
helping to increase the level of trust. Active listening is mainly executed by the use of the
positive body language and attentive listening with the help of maintaining proper eye contact
with the client (Giger, 2016). In case of Amir, active listening will help to develop friendly
relationship with the child and thus enabling the child to explain his share of pain and

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discomfort due to ear infection. This in turn will help to understand the severity of the
problem along with identifying the clinical priority. Active listening in case of Ashley will
help her to establish a level of trust and respect towards the healthcare professionals and thus
helping her to provide consent to admit her ward to the hospital.
Answer 3
Any patient or their family members who whose first language is not English might
require assistance from an interpreter. In case of Ashley and her family member, it is
important to assess whether they can fully understand and communication in English for
explaining health care situation. Just because they can communicate their everyday activities
in English, it is unfair to assume that they have adequate proficiency in English language to
explain the medical condition. Executing effective communication with Ashley and her
family member will help in understanding their English proficiency and thereby helping to
understand they need of interpreter (Eggenberger & Sanders, 2016).
Answer 4
It is the duty of the nursing professional to execute the professional code of conduct in
a responsible manner. Furthermore, it also entails within scope of the practice of the nurses to
find themselves accountable for any kind of fault in their practice that is casting a negative
impact overall health and well-being of the patients. In this case, Simon practice has violated
the professional code of conduct of the nurses. According to the standard 1 of Nursing and
Midwifery Board of Australia (NMBA) (2018), it is the duty of the nursing professional to
conduct mandatory reporting and to remain alert for the patients who are at risk of physical
harm. However, Simon failed to report that her course of action during transferring
hemiparapelegic patient from bed to chair had lead to the development of scrape marks over
patient's leg. Receiving warning for violating professional code of conduct can be categorized

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as a form of feedback for practice improvement. However, posting the entire grudge in social
media sites has reflected that Simon has failed to take RN's feedback positively and thereby
highlighting the she is ignoring his accountability and responsibility. Simon also lacks
responsibility, as she wants her patient to seek help whether taking proactive initiatives and
this has again violated the standard 4 (professional boundaries).
Answer 5
According to the standard 1 of NMBA (2018), it is the duty of the nursing
professional to create a scope for continuous professional development. Vermeir et al. (2015)
stated that feedback is one of the essential component in the nursing professional. In order to
bring a change in the clinical practice both positive and negative feedbacks must be given in
order to promote supportive environment for professional development. In this case RN has
given a feedback in order to address Simon’s gap in practice but Simon failed to utilize the
feedback for professional development (Vermeir et al. 2015).
Answer 6
Poor performance of THE interpersonal skills, manual handling incompetence and
inconsistency of taking patient observations decreases the overall health-related outcomes of
the patient and thus hampering overall health and well-being. Missen et al. (2016) stated that
decrease in the health and well-being of the patient due to poor nursing outcome decrease the
level of trust of the patients over the nursing professionals. In such cases, the patients are less
likely to share their complications with the nurses. Poor performance of interpersonal skills
hamper the process of team building and co-oporative working among the nursing
professionals. This negatively within the work envrionment generated due to lack and trrust
and respect towards the collegueas further hamper the overall quality of care (White et al.,
2016).

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Answer 7
The conflict resolution that the RN might adopt is verifying whether the incidence
reported by patients is actually true or not any enquiring the same with Simon. Negotiation
techniques that the RN must adopt include : (i) educating Simon about the importance of the
professional code of conduct of nurses under health care settings like explaining the need for
timely documentation of vital signs of the patients for avoiding the chances of medical
emergency and noting the progress update of the patient. This would helped Simon to take
the criticism positively. Both the strategies fall under the category of emotional intelligence
(Başoğul & Özgür, 2016).
Answer 8
Majority of the medical terms are compound words. These words are made up of root
words that are combined with prefixes (at the initiation of the word) and suffixes (towards the
end of the word). Thus, the medical term might seem complex but can be sub-divided into
their component parts in order to provide the basic understanding of their meaning. Example
neuroblastoma: neuro: nerve; blast: related to immature cells; oma means tumor.
The important suffixes that are used in the medical terminology include:
Component Meaning Example
Aemia Blood condition Leukaemia: cancer blood cells
Ectomy Removal Nephrectomy: removal of kidney
It is Inflammation Hepatitis: inflammation of lives
Oma Tumor Tumor of eyes (retinoblasta)

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Suffix terminologies are mainly used by the healthcare professionals in order to communicate
important medical information among themselves in code language that is easy to write and
thus taking less time.
Answer 9
Prefixes are used at the initiation of the word. This is used for modifying the meaning of the
word.
Prefix Meaning
A Not or without
Ab Away from or far like movement of limb from the body
Dextro Dexter meaning right side
Dia Greek word meaning dialysis
Entero Intestine
Answer 10
The main parts of the medical terms are prefixes, suffixes, roots and combining terms.
In this, combining terms can be used many a time as it is used for the combination of the
prefixes and suffixes for the generation of meaningful word
Answer 11
The combining vowel is a letter that is included within the normal list of the literary
vowels. It is used in the medical terminology. One of the widely used combining vowel is “o”
It is used to ease the process pronunciation of the medical terminology. Combining vowel is
also used for connecting two root words or to connect a root word with suffix.

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Answer 12
Medical terminology Prefix Root word Combining
Vowel
Suffix
Carcinoma carcinoma
Intravenous intra ven ous
Streptococci Strepto Cocci
Gynecology gyne o logy
Myopathy myo pathy
Appendectomy append ect tomy
Brochogenic Broncho genic
Phlebotomy Phlebo Phelin tomy
Atrophy Atrophy
Hemiplegia Hemi plegia
Hypokalemia Hypo kal emia
Hypertension Hyper tension
Percarditis Peri card inflammation
Pathologist pathos pathologikos logia
Rhinoplasty Rhino plasty
Tracheostomy trachea o tomy

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Answer 13
Characteristics Example of effective partnerships in nursing
Confidentiality While taking the documentation of the patient in order to carry out a survey
for the generation of the evidence-based practice, it is not permissible to
disclose the personal information of the patient. This helps to ensure
confidentiality (Arnold & Boggs, 2019)
Trust While taking vital information of a patient in the out-patient department, the
cardiac patient stated that I used to consume alcohol but please don’t disclose
it to my wife. I followed the same as it helped me to gain trust
self-reflection
While communicating with the patient, I understood that use of verbal and
non-verbal communication skill plays an important role for the development
of therapeutic relationship with the patient (Riley, 2015)
social
conversation
During the social interaction with the client it is not permissible not to ask
any personal question as it might hamper the healthy conversation.
Moreover, it is also not permissible to use medical terminologies as it might
create problem for the patient to understand hampering the development of
healthy relationship with effective communication (Arnold & Boggs, 2019)
creating a
therapeutic
environment
For creating a therapeutic environment, cultural competency is important
along with the execution of the effective communication skills (Arnold &
Boggs, 2019)
(Source: Leonard, 2019)
Answer 14
Dear Mr. X,
Please find below the clinical handover of the patient Jill Campbell (84 years old
Caucasian female) based on the documentation taken till 02/11/2017 (evening).

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 Previous history: Osteoporosis and repeated hospitalization due to pain
 Reason for admission: Lumber compression fractures along with chronic pain
resulting from accidental fall and fluctuating blood pressure for past six months
 Additional mental health condition: Depression post death of spouse (2014)
 Contradiction in medication: respiratory depression on morphine
Present status:
 Death: 2200 hours 2nd November 2016
Reason for death: hypotensive and febrile (77/36; HR 73, T37.5) leading to declining health
condition along with WBC 26K, INR 10.8. Patient experienced respiratory depression on
morphine. Thus upon the consent of the patient and family member, the medication was
withdrawn and death occurred post two hours of medication withdrawal.
Regards,
XX

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References
Arnold, E. C., & Boggs, K. U. (2019). Interpersonal Relationships E-Book: Professional
Communication Skills for Nurses. Elsevier Health Sciences.
Başoğul, C., & Özgür, G. (2016). Role of emotional intelligence in conflict management
strategies of nurses. Asian nursing research, 10(3), 228-233.
Eggenberger, S. K., & Sanders, M. (2016). A family nursing educational intervention
supports nurses and families in an adult intensive care unit. Australian Critical Care, 29(4),
217-223.
Giger, J. N. (2016). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier
Health Sciences
Leonard, P. C. (2019). Quick & Easy Medical Terminology-E-Book. Elsevier Health
Sciences.
Missen, K., McKenna, L., Beauchamp, A. & Larkins, J.A., (2016). Qualified nurses' rate new
nursing graduates as lacking skills in key clinical areas. Journal of clinical nursing, 25(15-
16), pp.2134-2143.
Norouzinia, R., Aghabarari, M., Shiri, M., Karimi, M., & Samami, E. (2016).
Communication barriers perceived by nurses and patients. Global journal of health
science, 8(6), 65.
Nursing and Midwifery Board of Australia (NMBA). (2018). Code of conduct for nurses.
Access date: 18th January 2020. Retrieved from: https://www.nursingmidwiferyboard.gov.au/
Riley, J. B. (2015). Communication in nursing. Elsevier Health Sciences.

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Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., Hallaert,
G., Van Daele, S., Buylaert, W. & Vogelaers, D., (2015). Communication in healthcare: a
narrative review of the literature and practical recommendations. International journal of
clinical practice, 69(11), pp.1257-1267.
White, D. E., Jackson, K., Besner, J., & Norris, J. M. (2015). The examination of nursing
work through a role accountability framework. Journal of nursing management, 23(5), 604-
612.