Chapter 10 patient communication

Question 1

health care professionals chief reason for not talking to patients

Answer 1

lack of time

Question 2

what is communication

Answer 2

the process of creating meaning

Question 3

messages may be generated from the outside by

Answer 3

radio speaker , tv , or parent

Question 4

meaning are generated from

Answer 4

within

Question 5

meanings are not entirely contained in the message

Answer 5

they are interpreted by the message receivers

Question 6

there is usually a __ to __ loss of meaning in the transmission of messages from sender to receiver

Answer 6

40% to 60%

Question 7

language

Answer 7

the choice of words a sender selects

Question 8

power struggle

Answer 8

defensiveness, distorted perceptions, guilt , transference, past transgression

Question 9

fuzzy transmission

Answer 9

unreliable or inconsistent messages

Question 10

receiver distortion

Answer 10

selective hearing , ignoring nonverbal cues

Question 11

assumptions

Answer 11

assuming others see the situation the same as you

Question 12

___ of the meaning we derive from communication comes from the nonverbal cues that the other person gives

Answer 12

90%

Question 13

nonverbal communication

Answer 13

1. visual 2. tactile 3. vocal 4. use of time, space, and images 5. objects or values

Question 14

visual communication

Answer 14

often called body language and can include facial expression , eye contact , posture , and gestures

Question 15

the ___ plays the biggest role in body language

Answer 15

face

Question 16

tactile

Answer 16

involves the use of touch to impart meaning

Question 17

vocal

Answer 17

refers to the intonation of a person’s voice

Question 18

time

Answer 18

may be a form of communication , especially when we view our own status and power in relation to others

Question 19

in the context of communication , there are 4 types of distances

Answer 19

intimate , personal, social, and public

Question 20

intimate distance

Answer 20

18 in. or less

Question 21

personal distance

Answer 21

1.5 to 4 ft

Question 22

social distance

Answer 22

4 to 12 ft

Question 23

public distance

Answer 23

12 ft or more

Question 24

speakers responsibility

Answer 24

1. be audible
2. be aware that your listener may not have understood you
3. be willing to ask questions of your listener to see whether he or she understands you

Question 25

listeners responsibility

Answer 25

1. let the speaker know whether he or she is inaudible
2. let the speaker know that you are attentive
3. if the speaker is unclear , let him or her know that you need a point clarified

Question 26

communication habits to avoid

Answer 26

1. don’t use false reassurance
2. don’t ignore a patient wishes
3. don’t speak like you are talking to a child
4. don’t assume a nonresponsive patient can’t hear
   5 don’t carry on a separate conversation with a coworker while the patient is present
5. don’t think being professional means being cold
6. don’t blame the patient
7. don’t use abbreviations or medical lingo

Question 27

communication habits to adopt

Answer 27

1. be a good listener
2. use focused questions
3. use the patient’s name
4. use the touch to comfort and be aware of nonverbal messages
5. develop a rapport with the patient
6. explain before acting
7. give the patient an opportunity to ask questions
8. use reflective speech
9. give consistent messages