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Nursing 200 > Chapter 24 Communication > Flashcards

Chapter 24 Communication Flashcards

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1
Q

Communication

A

lifelong learning process

Builds relationships with patients, families, and multidisciplinary team members

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2
Q

Communication and Interpersonal Relationships: Nurses express caring by-

A
  • becoming sensitive to-self and others
  • promoting and accepting the expression of positive and negative
  • developing helping-trust relationships
  • instilling faith and hope
  • promoting interpersonal teaching and learning
  • providing a supportive environment
  • assisting with gratification of human needs
  • allowing for spiritual expression
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3
Q

Perceptual biases:

A

human tendencies that interfere with accurately perceiving and interpreting messages from others

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4
Q

Levels of Communication:

A

Intrapersonal, interpersonal, transpersonal, small-group, public

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5
Q

Intrapersonal communication:

A

powerful form of communication that occurs within an individual
-self-talk, self-verbalization, inner-thought

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6
Q

Interpersonal communication

A

one-on-one interaction between a nurse and another person that often occurs face to face

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7
Q

Transpersoanl communication

A

interaction that occurs within a person’s spiritual domain

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8
Q

small group communication

A

interaction that occurs when a small number of persons meet

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9
Q

public communication

A

interaction with an audience

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10
Q

referent

A

motivates one person to communicate with another

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11
Q

sender

A

the person who encodes and delivers the message

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12
Q

receiver

A

the person who receives and decode the message

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13
Q

message

A

the content of the communication

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14
Q

channels

A

means of conveying and receiving messages through visual, auditory, and tactile senses
Ex. facial expression=visual

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15
Q

Feedback

A

the message the receiver returns

ex. indicates the receiver understood meaning

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16
Q

Interpersonal variables

A

factors within both the sender and receiver that influence communication
-another word is perception

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17
Q

Environment

A

the setting for the sender-receiver interaction

Ex. provide privacy, and remove noise

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18
Q

Verbal communication

A

uses spoken or written words

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19
Q

Vocabulary in verbal communication

A

limit use of medical jargon to conversations with other health care team members improves communication

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20
Q

Denotative and Connotative Meaning

A

denotative: words with several meanings
connotative: the shade or interpretation of the meaning of a word influenced by thoughts, feelings, or ideas

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21
Q

Pacing in communication

A

speak slowly and clearly

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22
Q

Intonation in communication

A

tone of voice

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23
Q

Clarity and Brevity communication

A

simple, brief, and direct

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24
Q

timing and relevance

A

best when a patient expresses an interest in communication

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25
Q

nonverbal communication

A

includes the 5 senses and everything that does not involve the spoken or written word

26
Q

personal appearance

A

physical characteristics, facial expression, and manner of dress/grooming

27
Q

posture and gait

A

way of walking - forms of self expression

Reflects attitudes, emotions, self-concept, and health status

28
Q

facial expression

A

most expressive

convey emotions

29
Q

eye contact

A

maintaining eye contact shows respect and willingness to listen

30
Q

gestures

A

emphasizes, punctuate, and clarify the spoken word

31
Q

sounds

A

sighs, moans, groans, or sobs also communicate feelings/thoughts

32
Q

territoriality and personal space

A

need to gain, maintain, and defend one’s right to space

-sense of identity

33
Q

symbolic communication

A

the verbal and nonverbal symbolism used by others to convey meaning

34
Q

meta-communication

A

broad term that refers to all factors that influence communication

35
Q

Phases of the helping relationship

A
  1. Preinteraction phase: before meeting patient
  2. orientation: when nurse and patient meet and get to know one another (1st interaction)
  3. Working: work together to solve problems and meet goals
  4. Termination: during end of relationship
36
Q

zones of personal space and touch

A
  1. Intimate zone: 0-18 inches
  2. Personal zone: 18inches-4feet
  3. Social Zone: 4-12ft
  4. Public Zone: 12 feet and greater
  5. Zones of touch Social Zone: hands, arms, shoulders, back
  6. Consent Zone of touch: Mouth, wrists, feet
  7. Vulnerable Zone of touch: face, neck, front of body
  8. Intimate Zone of touch: genitalia, rectum
37
Q

Elements of professional communication

A

courtesy, use of names, trustworthiness, autonomy and responsibility, assertiveness

38
Q

Autonomy

A

being self-directed and independent in accomplishing goals and advocating for others

39
Q

Assertiveness

A

allows you to express feelings and ideas without judging or hurting others

40
Q

Assessment

A
  1. through the patient’s eyes: values, preferences, backgrounds
  2. Physical and Emotional factors: psycho-physiological factors influence communication
  3. Developmental factors: patient’s growth
  4. Sociocultural factors: culture= thinking, feeling, behaving, communicating
  5. Gender: influence how we think, act, feel communicate (men= less verbal)
41
Q

Nursing Diagnosis: causes of communication disorder

A 
impaired verbal communication:
anxiety
social isolation
ineffective coping
compromised family coping
powerlessness
impaired social interaction
42
Q

Planning Diagnosis of communication disorder

A
  • Goals and Outcomes: patient initiates conversation about health care problem, able to attend appropriate stimuli, etc
  • Setting Priorities: maintain open-line communication
  • Teamwork: ensure effective plan, collaborate with other staff members
43
Q

Therapeutic communication

A

techniques are specific responses that encourage the expression of feelings and ideas and convey acceptance and respect

44
Q

active listening

A

being attentive to what a patient is saying both verbally and non-verbally

45
Q

non verbal skills in attentive listening: SOLER

A 
S= Sit facing the patient 
O= observe an open posture
L= Lean toward the patient
E= Establish eye contact
R= Relax
46
Q

Therapeutic communication techniques :

A

active listening, sharing observations, sharing empathy, hope, humor, feelings, using touch, using silence, providing info, clarifying, focusing, paraphrasing, asking relevant questions, summarizing, self-disclosure, confrontation

47
Q

empathy

A

ability to understand and accept another person’s reality, accurately perceive feelings, and communicate this understanding to the other

48
Q

non-therapeutic communication techniques:

A

asking personal questions, giving personal opinions, changing the subject, automatic responses, false reassurance, sympathy, asking for explanations, approval or disapproval, defensive responses, passive or aggressive responses, arguing

49
Q

sympathy:

A

concern, sorrow, or pity felt for a patient (more emotional)

50
Q

Communication techniques for the patient with special needs

A

environmental considerations, cultural understandings, picture boards

51
Q

Evaluation:

A

effectiveness of own communication:
through patient’s eyes
patient outcomes

52
Q

Communication and Interpersonal Relationships:

A

-Developing communication skills requires an understanding both of the communication process and of
one’s own communication experience.
-The ability to relate to others is important for interpersonal communication.
-Communication is the means to establish helping-trust relationships.

53
Q

Developing Communication Skills: you need to have

A
  • critical thinking (best)
  • perseverance and creativity (identifying innovative solution)
  • self-confidence
  • fairness and integrity (listen to both sides)
  • humility (you don’t have to know everything)
54
Q

Thinking is influenced by

A

perception: five senses, culture, education

perceptual bias

55
Q

You are invited to attend the weekly unit patient care conference. The staff discusses patient care issues. This type of communication is:

A

Small Group

56
Q

Forms of communication- Verbal aspects

A
  • Vocabulary: denotative, connotative
  • Intonation: clarity and brevity
  • Pacing: timing and relevance
57
Q

Professional Nursing Relationships:

A

nurse-patient relationships
nurse-family
nurse-health team
nurse-community

58
Q

Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the

A

orientation phase

59
Q

types of communication

A

therapeutic, non-therapeutic, and adapting communication

60
Q

Adapting Communication Techniques go towards:

A

Patients who cannot speak clearly- marker board
Cognitive impairment
Hearing impairment- picture boards
Visual impairment-
Unresponsive- use touch
Patients who do not speak English (or your language) -body language

61
Q

While admitting a patient, during the initial interview, a family member tells you, “My mom really means that she does not understand her medical diagnosis.” The communication form used by the family member is

A

Clarifying

Nursing 200 (23 decks)

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