Ch 3 Definitions Flashcards
Compensation
Using personal strengths or abilities to overcome feelings of inadequacy
Denial
Refusing to admit the reality of a situation or feeling
Displacement
Transferring emotional energy away from an actual source of stress to an unrelated person or object
Introduction
Taking on certain characteristics of another individuals personality
Projection
Attributing undesirable feelings to another person
Rationalization
Denying true motives for an action by identifying a more socially acceptable explanation
Regression
Reverting to behaviors consistent with earlier stages of development
Repression
Storing painful or hostile feelings in the unconscious, causing them to be temporarily forgotten
Sublimation
Rechanneling unacceptable impulses into socially acceptable activities
Suppression
Choosing not to think consciously about unpleasant feelings
Actions of nontheraputic communication
Asking “why” questions Using closed ended questions or comments Changing the subject Giving false reassurance Giving advice Giving stereotypical or generalized responses Showing approval or disapproval Showing agreement or disagreement Engaging in excessive self disclosure or comparing the experiences of others Comparing patient experiences Using personal terms of endearment Being defensive
Nonverbal techniques for facilitating communication
Active listening
Silence
Therapeutic touch
Verbal techniques for initiating communication
Using open ended questions or comments Using focused questions or comments Providing general leads Conveying acceptance Using humor Verbalizing the implied Paraphrasing or restating communication content Reflecting feelings or emotions Seeking clarification Summarizing Validating Offering self Calling the patient by name Sharing observations Giving information
Orientation or introductory
- making introductions, extra bling professional role boundaries and expectations, and clarifying the role of a nurse
- observing, interviewing and assessing the patient, followed by validation of perceptions
- identifying the needs and resources of the patient
Working
- development of a contract or plan of care to achieve identified patient goals
- implementation of the care plan
- collaborative work among the nurse, patient and other health care providers
- enhancement of trust and rapport between the nurse and patient
- reflection by the patient on emotional aspects of illness
- use of therapeutic communication by the nurse to keep interactions focused on the patient
Termination
- alerting the patient to impending closure of the relationship
- evaluating the outcomes achieved during the interaction
- concluding the relationship and transitioning patient care to another caregiver
I S B A R
Identification Situation Background Assessment Recommendation
Identify key components of the communication process
A referent initiates communication between a sender and a receiver during which a message is sent through a channel and followed by feedback to ensure accuracy
List examples of the verbal and nonverbal modes of communication
Most common and accurate more of communication is nonverbal - body language and voice inflection.
Verbal may be spoken, written or electronic
Recognize various types of communication
Effective intrapersonal, interpersonal, small group, public communication skills are used to meet needs of patients, families and the community
Describe how significant aspects of the nursing process are implemented in the nurse patient helping relationship
The relationship focuses on addressing identified patient needs. Build a trusting relationship focused on positive patient outcomes
Discuss factors affecting the timing of patient communication
Several factors influence the ability of patients to respond to nurse initiated communication - pain level, anxiety, environmental factors such as distractions or level of privacy
Recognize the roles of respect, assertiveness, collaboration, delegation and advocacy in professional nursing communication
This is how they professionally communicate
Identify social, therapeutic and non-therapeutic communication techniques
Therapeutic comm - address the patient
Nontherapeutic comm - considered social and shifts convo away from concerns of patient
List defense mechanisms used by patients while communicating
Individuals under extreme stress may use defense mechanisms to protect themselves and their psyches to better cope with the reality of life experiences
Illustrate methods of communicating in special situations
Nurses may use a variety of methods such as whiteboards, computer tablets, physical touch and online resources to communicate with sensory impaired or nonverbal patients. Assessing family and community dynamics facilities enhanced communication and patient safety
