Chapter 1: Responsible, Assertive, Caring Communication in Nursing Flashcards

PPT 1

1
Q

Function of Interpersonal Communication in Nursing

A

The vehicle for establishing a therapeutic relationship

The means by which people influence others

The relationship itself

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2
Q

Three types of communication

A
  1. Assertive Communication
  2. Nonassertive Communication
  3. Aggressive Communication
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3
Q

Assertive communication

A

Be clear about what you need

Be respectful in your language and behavior

Be confident and comfortable
An “active” behavior

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4
Q

What kind of behavior is assertive communication?

A

An “active” behavior

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5
Q

Nonassertive communication

A

Disregard own needs and rights

May be interpreted as lack of interest/knowledge

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6
Q

What kind of behavior is nonassertive communication?

A

A “passive” behavior

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7
Q

Aggressive Communication

A

Loud

Forceful

Confrontational way of trying to get what we want

Rights are responded to out of proportion to those of others

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8
Q

Three step process to build assertiveness skills

A
  1. Review the list of assertive rights
  2. Review the irrational beliefs
  3. Review the DESC script
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9
Q

Review the list of assertive rights- what rights are you giving up by not asserting yourself?

A

You have the right to:

Be treated with respect

A reasonable workload

An equitable wage

Determine your own priorities

Ask for what you want

Refuse without making excuses or feeling
guilty

Make mistakes and be responsible for them

Give and receive information as a professional

Act in the best interest of the patient

Be human

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10
Q

Identify Irrational Beliefs that Impede Assertive Communication: Irrational beliefs are:

A

Irrational beliefs:

Arise when we are anxious about being assertive

Focus on possible negative outcomes

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11
Q

DESC script

A

A framework for developing assertive responses

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12
Q

DESC stands for:

A

Describe the situation
Express what you think and feel
Specify your request
Consequences

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13
Q

Three Types of Assertions:

A
  1. Basic
  2. Empathic
  3. Escalating
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14
Q

Basic Assertion

A

Expresses an idea, belief, or opinion; stands up for your rights or the rights of others

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15
Q

Empathic Assertion

A

Conveys sensitivity to the situation while taking an assertive position

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16
Q

Escalating assertion

A

Expresses more emphatically when a simple assertion did not accomplish your goals and your rights are still being violated

17
Q

Identify Three Essential Criteria for Presenting an Assertive Response

A

Timing

Content

Receptivity

18
Q

Describe the Behavior of an
Assertive Nurse

A

Appears self-confident and composed

Maintains eye contact

Uses clear, concise speech

Speaks firmly and positively

Speaks genuinely, without
sarcasm

Is nonapologetic

Takes initiative to guide situations

Gives the same message verbally and nonverbally

19
Q

List the Advantages of Assertive Communication

A

You will likely get what you want when you ask for it
clearly

People respect clear, open, honest communication

You stand up for your own rights and feel self-respect

You avoid the invitation of aggression when the rights of others are violated

You are more independent

You become a decision maker

You feel more peaceful and comfortable with yourself

20
Q

Responsible Communication in Nursing

A

To communicate responsibly when a problem must be solved means to communicate in a logical way based on your nursing knowledge and on the facts presented in the situation

21
Q

What is a systematic means for nurses to demonstrate accountability and responsibility to clients?

A

The nursing process

22
Q

What is defined as the essence of nursing?

A

Caring

23
Q

Caring

A

Characterizes the nurse-client relationship

24
Q

The role of Caring in Nursing:

A

Caring includes

Ongoing commitment to sharpening knowledge and skills

Identifying care needs and nursing actions that will bring about positive change

Protecting and enhancing human dignity

25
Q

The real purpose of communication

A

To create meaning

26
Q

What percent of healthcare errors involve communication?

A

90% of healthcare errors involve communication and suggested that assertiveness is an important strategy to minimize communication