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Foundations of Nursing > Chapter 24 > Flashcards

Chapter 24 Flashcards

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0
Q

Perceptual biases are

A

Human tendencies that interfere with accurately perceiving and interpreting messages.

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1
Q

Communication is

A

A lifelong learning process.

An essential part of patient centered nursing care

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2
Q

Lost some challenging communication situations

A 
People who are silent
People who are sad
People with special needs
Angry people
Demanding people
Frightened people
Confused people
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3
Q

Intrapersonal communication

A

Occurs within an individual

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4
Q

Interpersonal communication

A

One on one interaction between a nurse and another person

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5
Q

Transpersonal

A

Interaction within a spiritual domain

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6
Q

Small group communication

A

Interaction with a small number of people

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7
Q

Public communication

A

Interaction with an audience

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8
Q

Referent

A

Motivates a person to communicate

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9
Q

Sender

A

The person who encodes and delivers the message

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10
Q

Receiver

A

The person who decides and and receives the message

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11
Q

Message

A

The content of communication

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12
Q

Channels

A

Means of conveying and receiving messages through visual, auditory and tactile senses

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13
Q

Feedback

A

The message the receiver returns

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14
Q

Interpersonal variables

A

Factors that influence communication (perception, educational background, emotion, gender, values)

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15
Q

Environment

A

The setting for the sender-receiver interaction

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16
Q

Verbal communication

A

Spoken or written words

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17
Q

Connotative meaning

A

The interpretation of the meaning of a word based on thoughts, feelings or ideas

18
Q

Intonation

A

Voice or tone

19
Q

Symbolic communication

A

The verbal and nonverbal symbolism used to convey a meaning

20
Q

Metacommunication

A

All factors that influence communication

21
Q

Nonverbal communication (examples)

A 
Personal appearance
Posture and gait
Facials eye contact
Gestures
Sounds
Personal space
22
Q

Four zones of personal space

A 
Intimate zone (18inches)
Personal zone ( up to 4 feet)
Social zone (up to 12 feet)
Public zone (12 feet +)
23
Q

Four zones of touch

A 
Social zone (no permission needed:arms, shoulders)
Consent Zone (permission needed: mouth, feet)
Vulnerable zone (special care needed: face, neck, front of body)
Intimate zone (great sensitivity needed: genatalia, rectum)
24
Q

Phases of the helping relationship

A

1: preinteraction phase: before meeting the patient here you review data, anticipate concerns or issues
2: Orientations phase: getting to know the patient where you closely observe them, assess health status & form contracts with them
3: working phase: working with the patient to solve problems where you encourage expression, set goals, provide therapeutic communication and privacy
4: termination phase: end of the relationship where evaluate goals, achieve a smooth transition

25
Q

Explain the nurse-patient relationship

A

Assume the role of a professional experience and get to know the patient as an individual

26
Q

Explain the nurse-healthcare team relationship

A

Requires communication with all disciplines. Communication must be frequent and clear because breakdowns in communication cause injury

27
Q

Explain the nurse-family relationship

A

Requires additional understanding of the family dynamic, needs and their relationship

28
Q

Explain the nurse-community relationship

A

You must establish relationships with the community to be an effective change agent. It involves awareness of language, nonverbals, and respect for cultural influences

29
Q

Elements of professional communication

A 
Courtesy
Use of names
Trustworthiness
Autonomy
Assertiveness
30
Q

Autonomy

A

Self-direction and independence in accomplishing goals and advocation for others

31
Q

Assertiveness

A

Allows you to express feelings and ideas without hurting others

32
Q

Gender differences in communication

A

Men: less verbal but more likely to initiate conversations and address issues directly
Women: disclose more personal information and use more active listening and encourage conversation to continue

33
Q

The primary diagnosis used to describe a patient with limited or no ability to communicate is

A

Impaired verbal communication

34
Q

Define characteristics for the impaired verbal communicative patient

A

Inability to articulate, inappropriate verbalization, difficulty forming words and comprehending them

35
Q

Contributing factors to impaired verbal communication

A

Anxiety
Social isolation
Powerlessness

36
Q

List goals for a patient with impaired verbal communication

A

Patients initiates conversation
Patient appropriately responds to stimuli
Patient conveys clear and understandable messages
Patient experiences increased satisfaction with the communication process

37
Q

Active listening

A

Being attentive to what the patient is saying. S (sit facing the patient) O (open posture) L (lean toward the patient) E (eye contact) R (relax)

38
Q

Communication with someone who cannot speak clearly

A

Listen attentively
Simple questions
Use visual cues
Allow time for understanding and questions

39
Q

Communication techniques for people who are cognitively impaired

A

Simple sentences
Ask one question at a time
Attentive listening
Allow time for patient response

40
Q

Communication with people who are hearing impaired

A 
Reduce background noise
Check for hearing aids
Face the patient
Speak at a normal volume
Rephrase rather than repeat
41
Q

Communication techniques for visually impaired people

A

Check for glasses
Identify yourself
Avoid light glares

42
Q

Communication techniques for unresponsive patients

A

Call patient by name
Communicate verbally and through touch
Speak to patient even if they cannot hear you
Explain everything

43
Q

Communication techniques for patients who do not speak English

A

Speak to patient in a normal tone
Request an interpreter
Use a communication board with pictures
Translate words for basic requests

Foundations of Nursing (7 decks)

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