6 ch3 communication PP

Question 1

role of therapeutic communication

Answer 1

*is ideal, exchange of information that forms a positive nurse-pt relationship and actively involves the pt in all areas of their care

Question 2

active listening

Answer 2

*full attention to what pt is saying
i hear the message
interpret the meaning
give feedback indicating understanding

Question 3

passive listening

Answer 3

*eye contact nodding uh huh

avoid this, misunderstandings can arise

Question 4

assume the unresponsive patient CAN hear you

Answer 4

always explain to the pt any procedure or activity that involves the pt

Question 5

1 way communication

Answer 5

*highly structured sender is in control, expects and gets very little response from the receiver

Question 6

2 way communication

Answer 6

*meets the needs of both pt and nurseto establish a trusting relationship
seeking and accept the pts input and feedback

Question 7

the “zones” intimate, etc

comfort zone

Answer 7

*intimate touching to 18 bathing
peersonal 18’ to 4ft sitting n talking
social zone 4ft to 12ft speaking w sm group
public zone 12ft+ public speaking

Question 8

is jargon understood by everyone?

Answer 8

*common language unique to people in particular work setting, hospital talk

Question 9

types of nonverbal communication

Nonverbal therapeutic communication

Answer 9

*moaning
voice tone volume rate
Listening, silence, touch, convey acceptance
Silence requires skill and timing
eye contact intention to interact, 2-6 sec involves the other person, significantly influenced by culture
physical appearance how you look and facial expression, professional=pride and competence
gestures emphasize idea
posture open/closed

Question 10

at what level should you be with your pt

Answer 10

*same level as pt

Question 11

sender

Answer 11

*person conveying the message

Question 12

receiver

Answer 12

*to whom the message is conveyed

Question 13

comfort measure for non English speaking pt during a painful procedure

Answer 13

*
use a translator
non verbal is important
pantomime-simple words and actions
pictures paper pencil

Question 14

nonthreatening posture by the nurse

Answer 14

*most therapeutic posture and nonthreatening is the same position and level as pt or as close to it as possible

Question 15

Erikson

Answer 15

Infancy birth-1 trust vs mistrust
Toddler 1-3 autonomy vs shame and doubt walking talking
Preschool 4-6 initiative vs guilt adult like activities
School age 7-11 industry vs inferiority do a task
Adolescence 12-19 identity vs confusion who am I
Young adult 20-44 intimacy vs isolation
Middle adult 44-65 generative vs stagnation productive or inactive
Late adult 65+ ego integrity vs despair reflect meaningful or despairing

Question 16

Piaget

Answer 16

Sensorimotor birth -2
Preoperational thought 2-6
Concrete operational thought 7-11
Formal operational thought 12+

Question 17

Stages of family development

Answer 17

1Engagement commitment
2 Establishment wedding 
3 Expectant conception 
4 Parenthood birth 
5 Disengagement 
6 Senescence

Question 18

therapeutic nonverbal communication

Answer 18

Listening, one of the most effective and most difficult to master. conveys interest and caring.
active listening, full attention, hear interpret and give feedback indicating understanding
passive listening eye contact, nodding, uh huh,
Silence conveys respect understanding caring support often used in conjunction with touch.
Touch, safe place is elbow, use discretion, conveys warmth. be sincere and genuine

Question 19

therapeutic communication

Answer 19

exchange of information forming a positive nurse pt relationship. it actively involves the pt in all areas of care

Question 20

therapeutic verbal communication

Answer 20

*be accepting without passing judgement
closed and open questions
Restating
Paraphrasing
Clarifying
Focusing-when more specific info is needed to accurately understand pts meaning
Reflecting-is like restate but involves inner feelings and thoughts more than facts
Stating observation-validating accuracy
Offering information
Summarizing-review of the main points covered in an interaction

Question 21

use of humor

Answer 21

provides psychological and physical release

enhances feelings of well being, reduce anxiety, and encourages sense of hope

Question 22

factors that affect communication

Answer 22

Comfort zone
Environment-provide calm relaxed atmosphere
Level of trust-demonstrate confidence and competence
Language barriers-speak slowly not loud, use pictures, stress interferes w the ability to speak English
Culture
Age and gender
Physiological factors=pain, altered cognition, impaired hearing
Psychological factors=stress anger withdrawn, grieving

Question 23

responses that block communication

Answer 23

false reassurance/you'll be fine
advice or personal opinions/you should
false assumptions/jumping to conclusions
approval or disapproval
automatic response/i don't make the rules, doctors know best
defensiveness
arguing
asking for explanations
changing the subject

Question 24

ventilator dependent via endotracheal tube or tracheostomy

Answer 24

communication board
signal system/blinks
lip reading
sign language

Question 25

aphasic patients

Answer 25

cant speak from ischemic(decreased blood supply to bodily organ/tissue) insult to the brain. stroke, brain trauma, anoxia(absence of oxygen)

Question 26

expressive aphasia

Answer 26

unable to send verbal message

Question 27

receptive aphasia

Answer 27

inability to recognize or interpret the verbal message being received

Question 28

communication w pts w aphasia

Answer 28

listen be patient
do not shout or speak loudly
use simple short ?s 
speak of familiar things
ask ?s that require yes/no answers
communication board
blinking
pictures
be calm and patient
avoid childish patronizing phrases