Chapters 8/9/18/20 Flashcards
Quiz for 01/25
Nonverbal communication may be by:
- Gesture
- Body posture
- Intonation
- General Appearance
Nurses use communication when:
- Providing care to demonstrate caring
- Establish therapeutic relationships
- Obtain and deliver
- Assist with changing behavior
Essential Components of Communication
-Time
-Attentive behavior or active listening
-Caring attitude
-Honesty
-Trust
-Empathy
-Nonjudgemental attitude
Intrapersonal Communication is:
Communication within an individual. It
is each person’s “self-talk,” the internal discussion when thinking but not
outwardly verbalizing thoughts. It helps nurses assess clients and
situations and think critically about them before communicating verbally.
Examples of intrapersonal communication:
Talking to yourself, reading loud, self-reflection.
Interpersonal communication is:
Communication between two people.
This form of communication is the most common in nursing and requires an
exchange of information with another individual. However, messages the
receiver perceives can differ from what the sender intended.
Example of interpersonal communication:
Active
listening, body language. openness, positive attitude, teamwork
Basic communication Levels:
-Intrapersonal communication
-Interpersonal communication
-Public communication
-Small group communication
Effective skills and Techniques
Active listening, asking questions, open-ended questions, silence, presenting reality.
Clarifying techniques:
Restating, reflecting, paraphasing, exploring
What are some nonverbal cues that indicate that a nurse is
an active listener?
Leaning forward, focusing on the patient’s
face, nodding slightly, and maintaining an open body posture.
Focusing is:
Keeping attention focused on the communication task at hand.
What does the effective communicator do when the focus
of communication has wandered?
Occasionally the
approach, “We’ll come back to that later, but right now I need to
know…” will quickly refocus the communication. At other times,
commenting, “I think we were talking about…” is what is
needed.
Communicating with an
Aphasic Patient
A dry erasable board is helpful for communicating
with aphasic patients
Other communication strategies might you use when
communicating with older adults?
⬤ When interacting with an older adult, try not to speak too quickly.
⬤ Allow more time for the person to process your message and
formulate a response.
⬤ Many older adults have some degree of hearing loss, but do not
assume that all older adults have hearing loss.
⬤ Face the person so that your lips can be seen and she has the
best chance of hearing your words.
⬤ If the person wears a hearing aid, be certain it is in place and
turned on.
⬤ If the older adult has impaired hearing on one side, position
yourself on the side with better hearing.
⬤ Touch the patient’s arm or shoulder gently to gain her attention
before you start speaking.
How to communicate with young children:
-Do not make sudden movements.
-with infants, keep the mother in view
-with toddlers and preschoolers, focus on the child’s needs and concerns
-with school age children, give simple explanations and demonstrate how equipment works
-with adolescents, use active listening, avoid interrupting, and show acceptance.
BE HONEST AND TELL THE CHILD WHAT TO EXPECT.
How to communicate with health with health care team:
-Nurses notes
-Physician’s orders and progress notes
-Dietitian notes
-OT, PT, and speech therapy notes -
-Shift report
-Radiology and lab findings
What’s in the end-of-shift reports:
-Walking rounds
-Audiotape
-Computerized sheets
-ISBAR-R
what is ISBAR:
-Identify
-Situation
-Background
-Assessment
-Recommendation
How to observe nonverbal messages:
Observe:
-Poster
-Gestures
-Tone
-Facial expressions
-Smiling or frowning
-Eye contact
Purposes of patient education:
preventing illness and promoting wellness
when does patient teaching begin?
patient teaching begins at time of admission
Modes of learning:
-Visual Learning(seeing)
-Auditory learning(hearing)
-Kinesthetic learning(through feeling or experiencing)
To prepare a teaching plan, assess patient for:
-knowledge of disease
-diet
-activity regimen or limits
-medications
-self-care at home
Factors affecting learning:
assess for factors that might interfere with the patients ability to learn
age may interfere with the strength
All of the following are true regarding patient teaching
except:
1) it is a process that begins within 48 hours of admission..
2) the patient must be taught how to care for himself at
home before discharge.
3) nurses teach patients what they need to know about their
disease or disorder, diet, medications, treatments, and
self-care.
4) discharge planning requires looking ahead to what the
patient will be facing when returning home.
1) it is a process that begins within 48 hours of admission.
Madison is a student nurse who finds it easier to
learn by performing a task. This is which type of
learning?
1) Visual learning
2) Auditory learning
3) Kinesthetic learning.
4) Affective learning
3) Kinesthetic learning
Irene is working in a rural health department. She
spends most of her day teaching patients and
families. She realizes several factors affect learning.
Which one of the following choices affects learning?
Select all that apply..
1) Cultural values and expectations
2) Confidence and abilities
3) Readiness to learn
4) Environmental factors
5) Race and gender
1,2,3,4
