204 Midterm #1 Flashcards

1
Q

Communication Broad Definition

A

Process of acting on information

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2
Q

Intentions of Communication

A

To get a response
To share information, thoughts or feelings

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3
Q

3 Essential Elements of Interpersonal Communication

A
  1. A distinctive form of communication
  2. Transaction involving mutual influence b/w individuals
  3. Helps us manage our relationships
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4
Q

Models of Communication Process

A

Communication as Action
Communication as Interaction
Communication as Transaction

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5
Q

2 Goals of a helping relationship

A

a) helping clients manage health and live effectively
b) promote optimal independence in their daily lives

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6
Q

Peplau’s Theory

A

Nurse is the participant and observer
1. Orientation
2. Working
3. Termination

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7
Q

Intrapersonal Communication

A

Communication with oneself

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8
Q

Therapeutic Communication

A

Professional relationship strategy to support the well being of the client

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9
Q

CRNS (SRNA) Practice Standards #27

A

Identifying the effect of own values, beliefs and experiences in relationships with clients, recognizing and addressing potential conflicts.

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10
Q

Self Definition

A

The sum total of who a person is; a person’s central inner force

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11
Q

Self-Concept

A

A person’s subjective description of who the person thinks they are –> labels we use to describe ourselves to others

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12
Q

Personality

A

Enduring internal predispositions and behaviours –> characteristics that describe how people react/respond to their environments

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13
Q

Attitude

A

Learned predispositions (likes and dislikes)

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14
Q

Beliefs

A

Ways in which you structure your understanding of reality (true or not true)

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15
Q

Value

A

An enduring concept of good and bad (right and wrong)

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16
Q

Parts of Ourselves

A

Material self, Social self, Spiritual self

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17
Q

Material Self

A

Possessions, body, physical

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18
Q

Social Self

A

Different depending on context of interactions

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19
Q

Spiritual Self

A

Feelings about yourself, your thoughts, values, standards, your place in the universe

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20
Q

Self-Fulfilling Prophecy

A

When people believe about themselves often comes true because they expect it to

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21
Q

Self-Awareness

A

Having a clear perception of your personality, including strengths, weaknesses, thoughts, beliefs, motivation, and emotions, interests, likes, dislikes - allows you to understand other people

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22
Q

Self-Absorbed

A

Only concerned with own self

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23
Q

Self-Concept vs Self-Esteem

A

Self-Concept: subjective description of who you think you are
Self-Esteem: what you think you are worth; self worth

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24
Q

Social Decentring

A

Cognitive process in which you take into account another person’s thoughts, feelings, values, background, perspective

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25
Q

Other-Oriented

A

Begins with social decentring
Unbiased

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26
Q

Disclosure limitations in Therapeutic Relationships

A

What is the purpose of the self disclosure?
Who does the self disclosure serve?
How will the information affect the other person?

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27
Q

Johari Model of Self Disclosure

A

Open Area = known to self and others
Hidden area = known to self and not to others
Blind Spot = not known to self but known to others
Unknown = not known to self or others

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28
Q

Medicine Wheel

A

Circle represents wholeness
Spiritual, Physical, Intellectual, Emotional

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29
Q

Mandala Model of Self

A

Mandala means circle, circle represents wholeness, arrows represent relationships among all parts
Person, Action/Praxis, Individual, Wisdom/Knowledge

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30
Q

Stages of Perception

A
  1. Selecting
  2. Organizing
  3. Interpreting
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31
Q

Selecting Perception Stage

A

Perception - ignore other noise
Attention - based on wants/needs
Exposure - select things that reinforce comfort
Recall - remember things that we want to

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32
Q

Organizing Perception Stage

A

We create categories
We link categories
We seek closure (fill gaps)

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33
Q

Interpreting Perception Stage

A

Assign meaning/try to make sense

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34
Q

Impression

A

Collection of interpretations

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35
Q

Implicit Personality

A

Pattern of assumptions in order to understand
- based on our own biases
- can be right or wrong

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36
Q

Uncertainty Reduction

A

Use perceptions to get more info to reduce uncertainty

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37
Q

Types of Effects

A

Primacy, Recency, Halo, Horn

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38
Q

Primacy

A

Emphasizes what comes first (1st impression)

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39
Q

Recency

A

Emphasize what comes last

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40
Q

Halo

A

Attribute positive qualities because we like them

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41
Q

Horn

A

Attribute negative qualities because we dislike them

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42
Q

Attribution Theory

A

First impression, generally NOT holistic - NOT good for nurses

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43
Q

Causal Attribution Theory

A

Try to find a cause (kind of like finding an excuse/reason)
Circumstance
Stimulus
Person

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44
Q

Standpoint Theory

A

Interpersonal based on our reference point

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45
Q

Intercultural Communication Theory

A

Interpret behaviour based on cultural lens

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46
Q

Barriers to Accurate Perceptions

A

Stereotypes, ignoring info, overgeneralizing/oversimplifying, imposing consistency, focusing on the negative, blaming, avoiding responsibility

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47
Q

How to improve Perceptual Skills

A

Self-Reflecting, testing perceptions, and consider how others perceive you - become “other” oriented

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48
Q

Qualities of Skilled Communicators

A

Active listener, provide verbal and non-verbal feedback, good listening = good leadership, 55% of our communication is listening

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49
Q

Listening Process

A
  1. Selecting
  2. Attending
  3. Understanding
  4. Remembering
  5. Responding
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50
Q

Listening Styles

A

a) Relational - express emotions
b) Analytic - well-organized and brief
c) Critical - sceptical, finds underlying messages
d) Task-oriented - looking for an outcome

51
Q

How to fix listening barriers

A

Self-Absorbed - be aware of self-focus
Unchecked Emotions - use self-talk
Criticizing - focus on the message
Speech rate vs thought rate - mentally summarize
Shifting attention - most important message
Info overload - don’t be tired or distracted
External Noise - eliminate distraction
Apprehension - concentrate on the message

52
Q

Listening Effectively

A

STOP - LOOK - LISTEN

53
Q

Symbolic Interaction Theory

A

Society is bound together through use of common symbols (understandings between people) Symbol (black cat) Referent (image of black cat) Thought (provide meaning, comes later)

54
Q

Denotative

A

Literal/objective meaning

55
Q

Connotative

A

Personal/subjective meaning

56
Q

Power of words

A

Create our perceptions (good or bad)
Influence our thoughts (can distort) and actions
Affect and reflect culture
Affect quality of interpersonal relationships
Language shape culture and vice versa
Language impacts quality of relationships

57
Q

Examples of Miscommunication

A
  1. Missed meaning of same word
  2. Confusion of meaning/context
  3. Level of specificity
  4. Overgeneralization
  5. Oversimplification
  6. Polarizing statements
  7. Biased statements
  8. Apologize
  9. Changed meaning/context
58
Q

Assertive

A

Pursuing your best interest without denying communication with your partner

59
Q

Aggressive

A

Pursuing your best interest by denying communication with partner

60
Q

Behaving Assertively

A
  1. Describe - how you view the situation
  2. Disclose your feelings
  3. Identify Effects - of other person’s behaviour on you or others
  4. Be Silent - wait for a response
  5. Paraphrase - content and feelings
61
Q

Good Communication Qualities

A

Moderate voice
Encourage client involvement
Advocates for client
Provides info clearly in a professional manner

62
Q

Non-verbal messages

A

Provide more meaning than verbal (more believable) 55% of emotional meaning is communicated by the face and 38% vocal cues

63
Q

Interaction Adaptation Theory

A

Interpreting others non-verbal messages help us adapt our communication

64
Q

Interactional Synchrony

A

Mirroring of behaviour (useful in adapting to client)

65
Q

Understanding non-verbal communication

A

Movement, posture, gestures
Eye contact
Facial Expressions
Vocal cues
Touch
Appearance

66
Q

Movement and Gestures

A

Helps bridge cultural or language differences
1. Emblems
2. Illustrators
3. Affect Displays
4. Regulators
5. Adaptors

67
Q

Eye Contact

A
  1. Cognitive - gives info
  2. Monitor - behaviour of others
  3. Regulatory cues - signal when we want to talk
  4. Express function - “mirror of the soul” - reveal emotions
68
Q

Facial Expressions

A
  1. Emotional Displays
  2. Can betray our true emotions (makes it harder to lie)
  3. Universal emotional categories: Surprise, Fear, Disgust, Anger, Happiness, Sadness
69
Q

Vocal Cues

A
  1. Communicate emotions
    a) Infant; adult
    b) Nature of Relationships
    c) Relational cues - liking and trust
    d) Self-Confience
  2. Manage converstation
70
Q

Spatial Zones

A

Public Space - 3.5m
Social Space - 1.5m-3.5m
Personal Space - 0.5m-1.5m
Intimate Space - 0-0.5m

71
Q

Touch

A

Shows intimacy

72
Q

Appearance

A

Alters perceptions of credibility and attractions

73
Q

Interpreting Non-Verbal

A
  1. Immediacy
  2. Arousal
  3. Dominance
74
Q

Immediacy

A

Move towards/away
Cues

75
Q

Arousal

A

Responsiveness/passive/dull or excited

76
Q

Dominance

A

Communicating power

77
Q

How to check your perceptions

A

Observe non-verbal behaviour (frowning, eye contact)
Form a mental impression of what you think they mean (happy, sad, angry?)
Ask whether your perception is accurate (are you upset/angry?)

78
Q

Improving non-verbal skills

A
  1. Be mindful
  2. Observe other peoples reactions
  3. Ask others
  4. Practise
79
Q

Influence of non-verbals in Therapeutic communication

A

Listen and understand the value of silence
Body language (use facilitative)
Appropriate touch
Respects client’s space (proxemics)
Is attentive to client’s nonverbal cues

79
Q

Influence of non-verbals in Therapeutic communication

A

Listen and understand the value of silence
Body language (use facilitative)
Appropriate touch
Respects client’s space (proxemics)
Is attentive to client’s nonverbal cues

80
Q

Stages of Perception

A

Selecting, Organizing and Interpreting

81
Q

Selecting

A

“tune in”
- Selective perception
- Selective attention
- Selective exposure
- Selective Recall

82
Q

Organizing

A

Categorize perceptions
1. We create categories and patterns
2. Link categories
3. We seek closure

83
Q

Interpreting

A

Assign meaning - try to make sense out of information you see or hear

84
Q

Forming Impressions

A

Collection of Interpretations

85
Q

Impression Formation Theory

A

Impressions are made based on physical qualities, behaviour, what is told to us by others, and what is told by the individual

86
Q

Standpoint Theory

A

Interpretation based on or own reference point - power and privlege

87
Q

Wheel of Power and Privlege

A

Everyone has different perceptions based on position (ex. CEO vs employee)

88
Q

Intercultural Communication Theory

A

Interpret behaviour based on your own cultural lens

89
Q

How much time in a day is spent listening

A

80%

90
Q

Interpersonal Relationship Continuum

A

Shared Perception
Ongoing Connection
Relational Expectations
Interpersonal Intimacy
Increase intimacy = Increase in disclosure

91
Q

Theories of Interpersonal Relationship Development

A

Social Exchange Theory
Relational Dialectics Theory
Social Penetration Theory

92
Q

Social Exchange Theory

A

People make decisions on the basis of assessing and comparing the costs and rewards
- Immediate
- Forecasted
- Cumulative
- Expected

93
Q

Relational Dialectics Theory

A

Management of tensions that pull us in two directions
- Connectedness vs autonomy
- Predictability vs Novelty
- Openness vs Closedness

94
Q

Social Penetration theory

A

Interpersonal intimacy increases with increased self-disclosure (breadth and depth pies)

95
Q

Upward Communication

A

Flows from subordinates to superiors
- helps managers to deal quickly with problems
- helps managers hear suggestions for improving

96
Q

Downward Communication

A

Flows from superior to subordinates - ex. manager posting instructions

97
Q

Safe work environment/Safe Communication

A

Supervisors have responsibility to eliminate the harassment in a hostile environment where employees feel their rights being violated

98
Q

Horizontal Communication

A

Among colleagues or co-workers at the same level within an organization

99
Q

Outward Communication

A

Flows to those outside an organization (such as clients/patients)
- focus on the needs of those they serve through outward communication

100
Q

What is the core of the nursing practice?

A

Therapeutic Nurse-Client Relationship

101
Q

Components of the nurse-client relationship

A

Trust
Respect
Professional Intimacy
Empathy
Power

102
Q

Trust

A

Client is in a vulnerable position - be authentic and transparent

103
Q

Respect

A

Recognition of dignity, worth and uniqueness of every individual without bias

104
Q

Professional Intimacy

A

Type of care nurses provide - physical activities (bathing) as well as psychological, spiritual and social elements

105
Q

Empathy

A

Expression of understanding, validating and resonating with the meaning of the experience for the client/family
INCLUDES APPROPRIATE EMOTIONAL DISTANCING

106
Q

Power

A

Interpersonal Power: ability to influence another person in the direction one desires
Dependent: 1 person has power
Interdependent: sharing power

107
Q

Principles of Interpersonal Power

A

It exists in all interactions/relationships
Primarily derives from someones ability to meet another person’s needs
Both partners in a relationship have some power
Power is circumstantial
Development involves a negotiation of each partner’s power

108
Q

Types of Power Relationships

A

Complementary
Symmetric
Competitive Symmetric
Submissive Symmetric
Parallel

109
Q

Types of Power

A

Legitimate
Referent
Expert
Reward
Coercive

110
Q

Legitimate Power

A

Comes from a respect for a position another holds

111
Q

Referent Power

A

Comes from our attraction to another person or the charisma they hold

112
Q

Expert Power

A

Derives from a person’s ability to satisfy our needs

113
Q

Coercive Power

A

Use of sanctions of punishment to influence others

114
Q

Complementary Relationship

A

Power is divided unevenly where one is dominating and the other is submitting

115
Q

Symmetric Relationship

A

Both partners attempt to have the same level of power

116
Q

Competitive Symmetric Relationship

A

Both partners vie for control or dominance of the other

117
Q

Submissive Symmetric Relationship

A

Neither partner wants to take control or make decisions

118
Q

Parallel Relationships

A

Power shifts back and forth between the partners depending on the situation

119
Q

What power do nurses hold in a therapeutic relationship?

A

Complementary and Symmetrical

120
Q

How should nurses maintain boundaries?

A

Self-reflection
Following the care plan
Meeting one’s own personal needs outside of the relationship
Being sensitive to context
Initiating, maintaining and terminating the nurse-client relationship appropriately

121
Q

CRNS RN entry level of competencies, 2019

A

Communicator and Collaborator
- Communicating respectfully and effectively in collaboration with client, family, colleagues and others and resolving conflict when it occurs

122
Q

Therapeutic Relationships and Colonization

A

We each have an individual and collective responsibility to address the effects of present and past harms to Indigenous people