A patient from a high-context culture, such as Japan, is hospitalized due to complications from hypertension. It has been observed that the patient rarely asks questions and prefers to rely on family decisions. How could a nurse most effectively adapt their communication strategy in this situation?

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1.
FLASHCARD QUESTION
Front
Back
Apply the transactional communication model, involving family members in discussions and ensuring that both the patient and their family understand the treatment goals and process.
2.
FLASHCARD QUESTION
Front
Select the statement which, in your opinion, inaccurately describe the essence of a communication model: A) The linear communication model is characterized by simplicity and clarity, as information is transmitted directly from the sender to the receiver. However, the drawback of this model is the absence of feedback, which can lead to misunderstandings or misinterpretation of the message., B) The transactional model is highly dynamic, as it involves mutual exchange of information and shifting of participant roles. However, its complexity can become a disadvantage when communication occurs at a fast pace or in a noisy environment., C) The interactive communication model ensures feedback and allows the receiver to confirm or dispute the received information. However, a limitation of this model is that it is most often applied only in formal, written communication, making it less suitable for conveying emotional content., D) The linear model is ideal for situations where quick information delivery is important and in-depth engagement from the receiver is not required. However, its limitation is that in more complex situations where feedback is important, it becomes ineffective., E) The transactional model takes into account how participants’ relationships, emotional states, and environmental noise influence communication. However, it requires active participation from both parties, which can be challenging if one of the parties is not ready for dialogue.
Back
The interactive communication model ensures feedback and allows the receiver to confirm or dispute the received information. However, a limitation of this model is that it is most often applied only in formal, written communication, making it less suitable for conveying emotional content.
3.
FLASHCARD QUESTION
Front
During a shift handover, a nurse shares several important updates about multiple patients, including a critical change in medication for one of them. The colleague listens without asking questions and nods occasionally, appearing to understand. However, later during the shift, the colleague administers the previous medication, unaware of the update. Which component of the communication process was most likely ineffective in this scenario?
Back
Feedback - there was no meaningful confirmation or clarification of the message during the conversation.
4.
FLASHCARD QUESTION
Front
During a shift handover, a nurse is explaining a critical update about a patient to a colleague. The colleague seems distracted and later misunderstands the information, leading to an error in patient care. Which component of the communication process was most likely ineffective in this scenario?
Back
Decoding - the colleague misinterpreted the message due to their lack of focus.
5.
FLASHCARD QUESTION
Front
A nurse is faced with a situation where a terminally ill patient requests assistance to hasten their death. The nurse is aware that this is illegal in their country but also feels conflicted because the patient is suffering and insists that this is their wish. Which type of ethics would most appropriately guide the nurse’s decision-making in this situation? Options: Descriptive Ethics: examine how nurses in other cultures approach similar situations to understand what is considered morally acceptable globally., Normative Ethics: determine the morally correct course of action by applying professional principles, such as beneficence, nonmaleficence, and justice., Metaethics: analyze the underlying meaning of ethical concepts like "autonomy" and "justice" to reflect on the situation philosophically., Applied Ethics: address the specific ethical dilemma by integrating nursing codes, legal standards, and patient-centered care to develop a practical response., Legal Ethics: follow the country’s laws strictly, avoiding any action that might contravene legal boundaries.
Back
Normative Ethics: determine the morally correct course of action by applying professional principles, such as beneficence, nonmaleficence, and justice.
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