Communication Flashcards
Communication definitions
between senders and receivers to build relationships
What powers does communication have?
heal or hurt
What is essential for a nurse-patient and patient-centered relationship?
Communication
Communication is a ______ learning process that facilitates interpersonal relationships to reduce risks.
Lifelong
Communication Behaviors
express sensitivity to self and others
remain present
support expression of the patient’s feelings
encourage faith and hope
spiritual expression with no judgment
interactive learning
support needs
Therapeutic relationships are the foundation of clinical practice and protects patient’s _____,_____,_____, and ______ .
dignity, autonomy, privacy, and trust
Communication skills
critical thinking
therapeutic relationships
interpret messages (new, correct, and promote understanding)
perseverance and creativity
self-confidence
independent attitude
integrity
humility
Communication tendencies
perception
bias
emotional intelligence
Interpersonal
2 people usually face to face
- assessment, education, provide comfort and support
Intrapersonal
with self
small group
more than 2 people
What part of communication is open to interpretation?
substance of message
What are the approximate percentages of communication? (words, tone, body language)
Words 7
Tone 38
Body 55
referent def
motivates communication (sights, sounds, sensations)
The closer the relationship the more _______ the information is.
accurate
The environment of communication needs to be:
quiet, private patient comfort and safety
What type of vocabulary should a nurse use with a patient?
no medical jargon
consider age, knowledge, education and language
only “I” statements
denotative
literal
connotative
implied
brevity
few words as possible
What are negative techniques in communciation?
asking or saying personal questions
change subject
automatic responses
false assurances
arguing
sympathy
ask explanations
judgement
defensiveness
passive aggressive response
T/F
Eye contact is considered respectful in all cultures.
False
territorality
belongings and closeness
Inimate space is
less than 18 inches
personal space
18 inches to 4 feet
social space
4 to 12 feet
public space
12 feet or more
Passive (low openness with high consideration)
avoid conflict
allows others to take the lead
submissive/helpless
indecisive, over apologetic
Aggressive (low consideration with high openness)
forces others to lose
goal of winning
bossy/arrogant/opinionated/sarcastic/manipulative/intolerant/overbearing
Assertive (high consideration and openness)
direct and open
respect, decisive, positive, professional
open questions
compromise
accepts criticism
focus on issues
effective non-verbal
What personality is the best at communication?
assertive
Passive-Aggressive (low consideration and openness)
emotionally dishonest
backhanded compliments
indirect anger
self-deny
blame and apologetic
sarcasm
Phases of Help Relations
1-pre-interactions
2-orientation
3-working
4-termination
1- Pre-interactions
assign patients
gather info prior to meeting
receive report/chart review
anticipate health issues
plan for initial interactions
2-orientation
introduction with patient and family
establish rapport and trust
tone set, assess status, clarify roles, prepare for ending
3-working
the active part of the relationship
support techniques
provide info to assist patient understanding
encourage goals and achieve them
4-termination
conclusion
reminder of ending
evaluate goals achieved
relinquish responsibility for care
motivation interview
What phase makes 1st impressions important
2-orientation
What should a nurse do when a patient is impaired cognitively or in speech?
patient, be slow, and face to face
with short sentences, yes/no, be specific
What does SBAR stand for?
Situation, Background, Assessment, Recommendations
Situation
patient detail, identify reasons, and main concerns
Background
significant history
Assessment
clinical impressions, vital signs, early warning score
Recommendations
specific, what is needed, suggestions, clarify expectations, confirm actions
What strategies are used during hand-off, provider communications, and interdisciplinary meetings?
SBAR
Lateral violence
calmly addresses affects behavior, and ask abuse to stop
-manager support
-plan action in future
-document incidents in person
