Ch. 4: Communication Flashcards
Requirements for communication
sender and receiver
Two way communication is required for
the nurse and patient relationship
Nonverbal communication
gestures, posture, tone of voice
Verbal communication
spoken, using words or symbols
Connotative meaning
subjective, reflects the individual’s perception or interpretation
Denotative meaning
the commonly accepted definition of a word
Jargon
different vocabulary or terminology that is used
Assertive communication
ability to express thoughts and feelings and express your rights and other’s rights; direct, honest, and positive; clear and concise, unapologetic
Aggressive communication
overpowering and in a forceful manner, intention into getting one’s own way, no one benefits
Unassertive communication
apologetic, giving the patient more control, not effective for the patient
Ensuring a therapeutic relationship
interaction between nurse and patient is caring, sincere, if you lose patient’s trust you will not get cooperation
What must exist in the nurse/patient relationship?
boundaries
Active listening
conveys an interest, listen to what the person says and respond
Passive listening
interacting, eye contact, nodding your head
Touch is to be used with
discretion
Close questioning
requires yes or no answers
Therapeutic communication
is defined as the face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient.
Nontherapeutic communication
includes words, phrases, actions, and tones that make a patient feel uncomfortable, increase their stress, and worsen their mental and even physical wellbeing.
Therapeutic posture and positioning
being at the same level of the patient
Factors that affect communication
posture and position, space and territory, enviornment, patient’s level of trust, language barriers, cultural, age and gender, physiological factors, psychosocial factors
Culture plays a role in
space
Temperature and gender affect
personal space
For language barriers, offer an
interpreter, if needed
How does age affect communication
difficulty with hearing
False reassurance
a promise that is unrealistic
False assumptions
jumping to conclusions
A trusting relationship is effective in an
nurse-patient relationship
Expressive aphasia
Broca’s area
Receptive aphasia
Wernicke’s area
Alternative communication methods
pen and paper, clock-based, lip-reading, sign language, word or picture cards, magnetic board with plastic letters