Ch.3: Effective Communication Flashcards
A complex process of sending, receiving, and comprehending messages between 2 or more people
Communication
Communication that occurs within an individual; “self talk”
IntRApersonal communication
Communication that occurs between 2 or more people in a small group
IntERpersonal communication
Communication that occurs within large groups of people
Public communication
Ex: Educational endeavors where the nurse is teaching a large group of individuals
Communication that addresses an individual’s spiritual needs and provides interventions to meet those needs
Transpersonal communication
Words that are used to communicate either a written or a spoken message
Vocabulary
When communicating, participants must share meanings
EX: Words that have multiple meanings may cause miscommunication if they are interpreted differently
Denotative/connotative meaning
The shortest, simplest communication is usually most effective
EX: Long and complex communication may be difficult to understand
Clarity/brevity
Knowing when to communicate allows the receiver to be more attentive to the message
Timing/relevance
The rate of speech can communicate a meaning to the receiver
EX. Speaking rapidly may imply to the patient that the nurse is rushed
Pacing
The tone of voice can communicate a variety of feelings
EX: The nurse can communicate feelings, such as acceptance, judgement, and dislike through tone of voic
Intonation
The purposeful use of communication to build and maintain helping relationships with clients, families, and significant others
Therapeutic communication
What age groups require altered techniques to enhance communication?
Children and older adults
What are 2 characteristics of therapeutic communication?
- Client centered (not social or reciprocal)
2. Purposeful, planned, and goal directed
What are 7 essential components of therapeutic communication?
- Time
- Attending behaviors of active listening
- Caring attitude
- Honesty
- Trust
- Empathy
- Nonjudgmental attitude
How do we communicate with children (4)?
- Simple, straightforward language
- Be aware of our OWN nonverbal messages–children are sensitive to these
- Be at childs level
- Incorporate PLAY
How do we communicate with older adults (4)?
- The client may require AMPLIFICATION
- Minimize distractions and face the client when speaking
- ALLOW PLENTY OF TIME FOR THE CLIENT TO RESPOND
- If there is impaired communication with the client, ask the family/caregivers what the best way to communicate is
Silence is an effective communication skill. What is it’s influence on communication?
Allows time for meaningful reflection
Active listening is an effective communication skill. What is it’s influence on communication?
The nurse is able to hear, observe, and understand what the client communicates and is able to provide feedback
Open-ended questions is an effective communication skill. What is it’s influence on communication?
The technique facilitates spontaneous responses and INTERACTIVE discussion
Clarifying techniques are effective communication skills. What are the 4 types of clarifying techniques that have an influence on communication?
Restating
Reflecting
Paraphrasing
Exploring
Claryifing technique: Uses the clients exact words
Restating
Clarifying technique: directs the focus back to the client in order for the client to examine his feelings
Reflecting
Clarifying technique: restates the clients feelings and thoughts for the client to CONFIRM what has been communicated
Paraphrasing
Clarifying technique: Allows the nurse to gather more information regarding important topics mentioned by the client
Exploring
Offering general leads and broad open statements are examples of effective communication. What is its influence on communication?
Encourages the client to determine where the communication can start and to continue talking
Showing acceptance and recognition is an effective communication skill. What is its influence on communication?
Acknowledges the nurse’s interest and nonjudgmental attitude
Focusing is an effective communication skill. What is its influence on communication?
Helps the client to concentrate on what is important
Asking questions is an effective communication skill. What is its influence on communication?
A way to seek additional information
Giving information is an effective communication skill. What is it’s influence on communication?
Provides details that the client may need for decision making
Presenting reality is an effective communication skill. What is its influence on communication?
Help the client focus on what is actually happening and to dispel DELUSIONS, HALLUCINATIONS, or FAULTY BELIEFS!!
Summarizing is an effective communication skill. What is its influence on communication?
Emphasizes important points and reviews what has been discussed
Offering self is an effective communication skill. –What is its influence on communication?
- Can you give any personal info?
- What does relevant self-disclosure allow?
- Demonstrates a willingness to SPEND TIME with the client
- Limited personal info MAY be shared–direct focus back to client ASAP!
- Allows the client to see his experience is shared by others and understood
Touch is an effective communication skill. What is its influence on communication?
IF APPROPRIATE, touch communicates caring and may provide comfort to the client
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation
D. Intonation is the tone of ones voice and communicate a variety of feelings
A nurse is communicating with a client on the acute mental health facility. The client states, " I can't sleep. I stay up all night." The nurse response, "You are having difficult sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating
D
A nurse is communicating with a newly admitted client. Which of the following is a barrier to communication? A. Offering advice B. Reflecting meaning C. Listening attentively D. Giving information
A
A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on
A. Discussing in-depth topics with which the client feels comfortable
B. Using silence to avoid unpleasant or difficult topics
C. Attending to verbal and nonverbal behaviors
D. Requiring the client and family to ask for feedback
C
When a family asks a nurse for reassurance about a client condition, which of the following is an appropriate response?
A. “I think your son is getting better. What have you noticed?”
B. “I’m sure everything will be ok. It just takes time to heal.”
C. “Im not sure what’s wrong. Have you asked the doctor about your concerns.”
D. “I understand you’re concerned. Let’s discuss what concerns you specifically.”
D
