Comm Ch 3

Question 0

Sender

Answer 0

The person conveying the message

Question 1

Communication

Answer 1

The reciprocal process in which messages are sent and received between people

Question 2

Receiver

Answer 2

The individual or individuals to whom the message is conveyed

Question 3

One way communication

Answer 3

The sender is in control and expects and gets very little response from the receiver

Question 4

Two way communication

Answer 4

Requires that both the sender and the receiver participate in the interaction

Question 5

Verbal communication

Answer 5

Involves the use of spoken or written words or symbols

Question 6

Connotative meaning (of a word)

Answer 6

Is subjective and reflects the individuals perception or interpretation

Ex:/ stable

Question 7

Denotative meaning

Answer 7

Refers to the commonly accepted definition of a particular work

Ex. Telephone

Question 8

Jargon

Answer 8

Commonplace “language” or terminology unique to people in a particular work setting, such as a hospital, or to a specific type of work, such as nursing

Question 9

Nonverbal

Answer 9

Messages transmitted without the use of words (either oral or written)

Question 10

Voice

Answer 10

Aspects of the voice affect nonverbal messages, among them tone and volume and the rate of speech

Question 11

Eye contact

Answer 11

Communicate an intention to interact

The person who maintains eye contact for 2-6 seconds during interaction helps involve the other person in what is said without being threatening or intimidating

Longer then 6 sec is extended

Question 12

Physical appearance

Answer 12

Size, color of skin, dress, grooming, body carriage, age, sex

A professional appearance conveys pride and competence

Question 13

Gestures

Answer 13

Movement people use to emphasize the idea they are attempting to communicate

Distinct movements of hands, head, body

Question 14

Open posture

Answer 14

Relaxed stance, facing receiver, uncrossed arms and legs, slight shift toward receiver, direct eye contact, smile

Question 15

Closed posture

Answer 15

Formal, distant stance, arms and possibly legs tightly crossed

Question 16

Posture

Answer 16

The way that an individual sits, stands, and moves

Has the potential to convey warmth and acceptance or distance and disinterest

Question 17

Consistency of verbal and nonverbal communication

Answer 17

If nonverbal communication is the consistent with verbal comm, non verbal is likely to be received and cause miscommunication

Question 18

Styles of communication

Answer 18

The manner, or style in which a message is communicated will greatly affect the mood and the overall outcome of an interaction

Question 19

Assertive communication

Answer 19

Your ability to confidently and comfortably express thoughts and feelings while still respecting the legitimate rights of the patient

Style that takes into account the feelings and needs of the patient

Question 20

An assertive nurse: (8)

Answer 20

• appears self confident and composed
• maintains eye contact
• uses clear, concise speech
• speaks firmly and positively
• speaks genuinely, without sarcasm
• unapologetic
• takes initiative to guide situations
• gives the same message verbally and nonverbally

Question 21

Aggressive communication

Answer 21

When you interact with another in an overpowering and forceful manner to meet your own personal needs at the expense of the other

Question 22

Unassertive communication

Answer 22

Nurse agrees to do what the patient requests even though doing so will create additional problems for the nurse.
Sacrifices your legitimate personal rights to the needs of the patient
There’s a price to pay: resentment

Question 23

Therapeutic nurse- patient interaction

Answer 23

The nurse demonstrates caring, sincerity, empathy, and trustworthiness

Trust is essential to effective nurse- patient interaction

Maintain professional boundaries

Question 24

Therapeutic communication

Answer 24

Exchange of info that facilitates the formation of a positive nurse- patient relationship and actively involved the patient in all areas of her or his care

Question 25

Nontherapeutic communication

Answer 25

Usually blocks the development of a trusting and therapeutic relationship

Question 26

Listening

Answer 26

Most effective and most difficult

Question 27

Active listening

Answer 27

Requires full attention to what the patient is saying.
you hear the message
interpret the meaning
and give the patient feedback

Question 28

Passive listening

Answer 28

You indicate that you were listening to what the patient is saying either nonverbally through eye contact and nodding or verbally through encouraging phrases such as uh- huh and I see
It is not possible for the patient to be sure that you have accurately received or understood the message

Question 29

Silence

Answer 29

Underused
requires skill and timing
allows you to observe the patient’s nonverbal messages

Question 30

Touch

Answer 30

Use it with great discretion to fit into social cultural norms and guidelines the nature of your touch is sincere and genuine

Question 31

Conveying acceptance

Answer 31

Willingness to listen and respond to what the patient is saying without passing judgment

Question 32

Minimal encouragement

Answer 32

Subtle therapeutic technique that communicates to the patient that you are interested and want to hear more involved nonverbal cues such as maintaining appropriate eye contact and nodding occasionally and verbal comments such as yes go on to encourage the patient to continue

Question 33

Closed question

Answer 33

Focused and seeks a particular answer

Question 34

Open ended questions

Answer 34

Allows patient to elaborate freely

useful in assessing feelings patients thoughts without influencing the response

Question 35

Restating

Answer 35

Let’s the patient know if the nurse heard what she said encourages the patient to offer additional information

You repeat to the patient what you believe the main point that the patient was trying to convey

Question 36

Paraphrasing

Answer 36

The restatement of the patients message in your own words to verify that your duplication of the messages correct

Question 37

Clarifying

Answer 37

Allows the patient to verify that the message received is accurate particularly useful when the message is ambiguous or not easily understood

Question 38

Focusing

Answer 38

Allows the nurse to gather more specific information when the patients message is too vague focuses on specific data

Question 39

Reflecting

Answer 39

Like restating by involves inner feelings and thoughts more than facts
used to assist patients to explore their own feelings
Promote independent decision-making allows the patient to see that her his ideas and thoughts are important

Question 40

Stating observations

Answer 40

Communicating your observations to the patient is called stating observations and is often useful and validated the accuracy of your observation
Allows for clarification of the intended message when verbal cues did not match nonverbal cues allows for more accurate interpretation of patient concern

Question 41

Offering information

Answer 41

Preparing a patient for what to expect before during and after an invasive diagnostic procedure,
make the interaction go in both directions
Useful for patient teaching promotes inform decision-making

Question 42

Summarizing

Answer 42

Review of the main points covered in an interaction
focuses on key issues and allows for additional information that was perhaps omitted
particularly useful when interaction have been lengthy or has covered several topics

Question 43

Use of humor

Answer 43

Laughter provides a psychological and physical release

Enhance feeling of well-being reduce Anxiety and encourage a sense of hope

Question 44

Posturing and positioning

Answer 44

Your most therapeutic posture and positioning is the same position and level as the patient was close to it as possible

Question 45

Comfort zone

Answer 45

Intangible personal space maintaining the distance between ourselves and others necessary to keep this comfort zone inviolated protects us against feeling of personal threat or intimidation
varies

Question 46

Intimate zone

Answer 46

From touching us to 18 inches away

Question 47

Personal zone

Answer 47

Comprises the area from 18 inches to 4 feet away from a person

Question 48

Social zone

Answer 48

4 to 12 feet

Question 49

Public zone

Answer 49

12 ft or more

Question 50

Environment

Answer 50

Make every attempt to provide a calm relaxed atmosphere for the interaction another key aspect of the environment is privacy

Question 51

Level of trust

Answer 51

A trusting relationship is essential to affective nurse patient interaction

Question 52

Language barriers

Answer 52

Make every attempt to find an interpreter

Question 53

Culture

Answer 53

Nursing is concerned with holistic care of the patient

culture is significant component of a patient’s psychosocial well-being

Question 54

Age and gender

Answer 54

The effects of age and gender on communication are largely influenced by cultural or social little believes and attitudes.

A significant age difference between you and the patient will in some cases raise a barrier of communication .

male and female patterns of communication are often closely related to cultural , familial, and lifestyle patterns developed over a lifetime

Question 55

Physiological factors (3 ex and what they effect)

Answer 55

There are many physiological factors in the patient experience that interfere with effective communication.

Ex:/ pain, altered cognition, impaired hearing

Question 56

Psychosocial factors (2)

Answer 56

Stress

Grieving

Question 57

Nursing interventions for patients with impaired verbal communication (15)

Answer 57

1) determine language spoken
2) listen carefully
3) anticipate patients needs.
4) Use simple communication.
5) Maintain eye contact.
6) Use touch as appropriate.
7) Spent time with the patient.
8) Explain all healthcare procedures.
9) Determine the patient’s literacy status.
10) Obtain communication equipment.
11) Alternative method of communication.
12) Environment quiet when communicating.
13) Give praise for progress noted ignore mistakes and watch for frustration or fatigue.
14) Never raise your voice.
15) Be persistent and deciphering what the patient is sAying, and do not pretend to understand then the message is unclear

Question 58

Communication board

Answer 58

A valuable tool.

Includes alphabet, commonly used phrases, pictures, or a combination of all three

Question 59

Signal system

Answer 59

If the patient is unable to move well enough to point

Ex: blink once for yes and blink twice for no

Question 60

Expressive aphasia

Answer 60

In which they are unable to send the desired verbal message

Question 61

Receptive aphasia

Answer 61

The inability to recognize or interpret the verbal messages being received

Question 62

Unresponsive patient

Answer 62

Assume that all sound and verbal stimuli have a potential being heard by the patient

Question 63

Alternative methods of communicating with patients who are unable to speak (9)

Answer 63

Lipreading, sign language, paper and pencil or magics late, picture board, order picture cards, magnetic boards, I blanks, computer-assisted communication, clock face communicator