This is another student reply to wish i have to react. please add some extra information related to the post and be careful with the similarity.  Question 1 In personal relationships, effective communication helps an individual to advocate oneself, get better understood by others and also express his/her feelings in a positive and safe manner. In therapeutic relationships, effective communication help build confidence in healthcare professionals, transmit information to patients and address issues that may arise for individualized care (Tappen et al., 2004). In an inter-professional healthcare team, effective communication increases communication, reduces the chances of error and improve patient care outcomes. Question 2 The most important similarity between effective communications in the three interaction is the benefit of improvement of patient care outcomes. In all these communication, the final goal is to ensure the safety and quality of care. On the other hand, the main difference is involves the main persons affected (Tappen et al., 2004). In personal communication, the relationship is between two people; in therapeutic, it involves a healthcare professional and a patient; while two or more healthcare personnel are involved in the last type. Question 3 Congruence between verbal and non-verbal communication refers to a situation where there is a coherent message passed through the two methods and the verbal and non-verbal messages are mutually enhancing (Eisenhauer, 2018). Question 4 In communicating emotional messages, electronic communication such as email may lead to miscommunication as it does not allow for expression of emotions (Kumari, 2018). A face to face communication is appropriate emotions can be passed and read. Question 5 In my clinical experience, I have seen ISBAR used in a variety of areas. Most importantly, the ISBAR framework is used by nurses when developing care plans for patients. Question 6 Situation The current state of patient Name of the nurse/ unit Patient name and location Current situation Background Patient history, clinical background and other additional information Reason for admission Summary of treatment Physician assessment Pertinent changes H & P Assessment What the nurse thinks is going on with the patient The nurse concludes present situation Recommendation What the nurse thinks should be done What the patient needs and when he/she should get it Question 7 Dr. Roberts’ situation requires calmness and patient from the nursing department in responding. As a nurse, I would be slow to give an answer to the query. First, the approach involve asking for calmness in the doctor then explain the situation with the lab results. Question 8 Accountability in delegation means that registered nurses retain the accountability of the patient care outcomes associated with delegation as long as the person who did the task dis it as instructed (Tappen et al., 2004). Legally,.

1. This is another student reply to wish i have to react. please add
some extra information related to the post and be careful with
the similarity.
Question 1
In personal relationships, effective communication helps an
individual to advocate oneself, get better understood by others
and also express his/her feelings in a positive and safe manner.
In therapeutic relationships, effective communication help build
confidence in healthcare professionals, transmit information to
patients and address issues that may arise for individualized
care (Tappen et al., 2004). In an inter-professional healthcare
team, effective communication increases communication,
reduces the chances of error and improve patient care outcomes.
Question 2
The most important similarity between effective
communications in the three interaction is the benefit of
improvement of patient care outcomes. In all these
communication, the final goal is to ensure the safety and quality
of care. On the other hand, the main difference is involves the
main persons affected (Tappen et al., 2004). In personal
communication, the relationship is between two people; in
therapeutic, it involves a healthcare professional and a patient;
while two or more healthcare personnel are involved in the last
type.
Question 3
Congruence between verbal and non-verbal communication
refers to a situation where there is a coherent message passed

2. through the two methods and the verbal and non-verbal
messages are mutually enhancing (Eisenhauer, 2018).
Question 4
In communicating emotional messages, electronic
communication such as email may lead to miscommunication as
it does not allow for expression of emotions (Kumari, 2018). A
face to face communication is appropriate emotions can be
passed and read.
Question 5
In my clinical experience, I have seen ISBAR used in a variety
of areas. Most importantly, the ISBAR framework is used by
nurses when developing care plans for patients.
Question 6
Situation
The current state of patient
Name of the nurse/ unit
Patient name and location
Current situation
Background
Patient history, clinical background and other additional
information

3. Reason for admission
Summary of treatment
Physician assessment
Pertinent changes
H & P
Assessment
What the nurse thinks is going on with the patient
The nurse concludes present situation
Recommendation
What the nurse thinks should be done
What the patient needs and when he/she should get it
Question 7
Dr. Roberts’ situation requires calmness and patient from the
nursing department in responding. As a nurse, I would be slow
to give an answer to the query. First, the approach involve
asking for calmness in the doctor then explain the situation with
the lab results.

4. Question 8
Accountability in delegation means that registered nurses retain
the accountability of the patient care outcomes associated with
delegation as long as the person who did the task dis it as
instructed (Tappen et al., 2004). Legally, delegation is
considered accountable if the right task, right person and
direction of communication is present.
Question 9
The role of the two RNs in this unit will be to monitor the
health of patients and administer the treatments and medications
required. They will also be responsible for delegating roles in
regard to the care of the patients to the UAPs. The LPNs will
also be involved patient care record keeping and monitoring
nursing staff and the UAPs. The UAPs will assist the RNs and
LPNs in taking care of the patients in the unit after delegation.
Question 10
While in direct delegation involves a direct verbal directive
about a task, indirect delegation involves the provision of
approved list of activities already included in procedures and
policies (Tappen et al., 2004)..
Question 10.1
When delegating patient care, one should consider whether the
task is within the scope of practice of for the RN or LPN. Also,
consider whether the assessment of client needs is complete.
The task must be within the rules of delegation for UAPs. The
UAP must also be trained for the task and their capabilities
meet the client’s needs.
Question 10.2

5. In prioritizing care, the severity of illness should be the major
factor. Patients who have severe illness are delicate and in
urgent need of care.
Question 10.3
Among some of the tasks that I could delegate in my experience
include feeding patients, record keeping and cleaning patient’s
wounds.
My nurse preceptor was highly effective in delegating tasks to
others. She considered the capabilities, skills and talents of
nurses and other staff before delegating tasks.
The nurse preceptor was keen on conducting assessments to
ensure that tasks were done as she wanted.
References
Eisenhauer, E. (2018).
Informed Choices in Biobanking: An Examination of
Participants' Understanding and Congruence between
Knowledge, Values, and Decisions
(Doctoral dissertation).
Kumari, A., Tanwar, S., Tyagi, S., & Kumar, N. (2018). Fog
computing for Healthcare 4.0 environment: Opportunities and
challenges.
Computers & Electrical Engineering
,
72
, 1-13.

6. Tappen, R. M., Weiss, S. A., Whitehead, D. K., & Fletcher, M.
(2004). Essentials of nursing leadership and management.
The Canadian Nurse
,
100
(1), 14.