Ch. 3 Communication Flashcards
A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse. Both the patient and his wife become very concerned, and the patient’s call light is activated. What referent initiated communication between the patient and the nurse?
A. Interaction between the patient and his wife
B. Concern on the part of the patient’s spouse
C. Pain experienced by the patient
D. Activation of the call light
D. Activation of the call light
Which factor influences whether a message is effectively communicated? (All that apply)
A. Timing of the conversation B. Educational level of participants C. Mode of communication used D. Physical environment of discussion E. Clothing that the nurse is wearing
A, B, C, D???
When a patient is grimacing what assessment statement or question would be most beneficial for identifying the underlying cause of the nonverbal communication?
A. Did you lose something
B. You appear to be having pain
C. I will turn off the lights and let you rest
D. May I get you something to relieve your tension
May I get you something to relieve your tension
What action by the nurse would most ensure accurate interpretation of patient communication
A. Providing feedback regarding the conveyed message
B. Writing down the patient’s conversational highlights
C. Assuming significant cultural differences exist
D. Verifying the patient’s emotional state
?
If a patient’s verbal and nonverbal communication is inconsistent, which form on communication is most likely to convey the true feelings of the patient?
A. Written notes
B. Facial expressions
C. Implied inferences
D. Spoken words
Facial expressions
What strategy would be most effective in communicating with a highly anxious adult immediately before surgery
A. Providing specific, concise information
B. Detailing likely causes of their anxiety
C. Focusing on postoperative details
D. Using instructional multimedia dvds
Providing specific, concise information
What actin should the nurse take if an alert and oriented patient asks the nurse for personal contact information
A. Ask the patient why the personal information is needed
B. Report the interaction to the nursing supervisor immediately
C. State that it would not be appropriate to share that information
D. Change the subject, and hope that the patient does not ask again
?
What would be the best therapeutic response to a patient who expresses indecision about recommended chemotherapy treatments?
A. Can you tell my why you are undecided
B. It’s always a good idea to have chemotherapy
C. What are you thinking about the treatments at this point
D. You should follow whatever your health care provider recommends
A/C
Which statement is most accurate regarding symbolic expression
A. Skills confidence can be shared most effectively by nurses wearing distinctive clothing
B. Clothing choices by a hospitalized patient rarely reflect his/her economic resources
C. Make-up use by a patient is unnecessary for any reason during hospitalization
D. Nondramatic make-up use and minimal accessorizing by nurses demonstrates professionalism
Nondramatic make-up use and minimal accessorizing by nurses demonstrates professionalism
Which defense mechanism is being exhibited when a 27 y.o patient insists on having a parent present during routine care
A. Denial
B. Regression
C. Repression
D. Displacement
Regression?
Referent
Event or thought initiating communication
Sender (patient’s)
Person who initiates and encodes comm
Receiver (nurse)
Person who receives and decodes or interprets comm
Message
Information that is communicated
Channel
Method of comm
Feedback
Response of receiver
Verbal comm
Spoken, written, electronic
Nonverbal comm
Body language, gestures and eye contact
Most accurate mode of conveying info
Body language
Posture, stance, gait, facial expressions, and eye movements
Therapeutic touch
Holding patients hand or touching shoulder
Voice inflection
Tone, volume and rhythm or rate of speech
Nurses actively listen to perceive quality of speech
Halls zones of interaction
Public - 25 ft
Social - 12 ft
Personal - 4 ft
Intimate - 1.5 ft
Written comm
Lacks voice inflection, may not comm urgency
Electronic comm
Maintain confidentiality, potential for miscommunication
Life span
Need for personal space increases
Same-gender family members
Gender
Eye contact
Nurse of opposite sex not permitted
Culture/ethnicity
Personal space
Intrapersonal communication
Self-talk
Positive, negative, meditation, prayer
Interpersonal comm
Between two or more people - 70-80% medical errors occur
- ethical implications
- role boundaries
Inter professional comm
Open comm among teams of health pros - creates safety
It is the nurses responsibility to establish and maintain professional role boundaries when interacting w patients
.
Small-group comm
Forming, storming, norming, performing, adjourning
Nurse-patient helping relationship
- Building trust
- Demonstrating empathy
- Establishing boundaries
- Recognizing and respecting cultural influences
- Developing a comprehensive plan of care
Phases of nurse-patient helping
- orientation or introductory
- working
- termination
Nursing diagnoses of comm
- impaired verbal comm
- readiness for enhanced comm
- powerlessness
- risk for powerlessness
- social isolation
- situational low self-esteem
- anxiety and fear
