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IM1 Exam 1 > Communication > Flashcards

Communication Flashcards

1
Q

what is communication?

A

basic human function
sending messages back and forth between sender and receiver
contains verbal and nonverbal communication
helps build working relationships

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2
Q

purpose of communication

A

develop a caring relationship
increases patient satisfaction
improves patient safety
positive patient outcomes

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3
Q

communication has the power to

A

hurt and heal

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4
Q

communication is a lifelong

A

learning process

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5
Q

communication is essential for

A

establishing nurse-patient relationships

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6
Q

communication assists the delivery of

A

patient-centered care

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7
Q

communication helps to __ the risk of errors

A

reduce

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8
Q

communication is __ to the nurse-patient relationship

A

key

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9
Q

communication __ patient satisfaction

A

increases

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10
Q

nursing behaviors

A

express sensitivity/kindness
remain present with patients
support the expression of the patient’s feelings
encourage faith and hope
allow spiritual expression in a nonjudgmental manner
promote interactive teaching and learning
deliver nursing care to support the patient’s needs

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11
Q

nurse behaviors facilitate

A

interpersonal relationships

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12
Q

therapeutic relationships are the __ of clinical nursing practice

A

foundation
they protect patient dignity, autonomy and privacy and allow for trust and respect, but there are boundaries

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13
Q

communication is a crucial factor in __

A

nurse-patient relationship

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14
Q

nurse-patient relationship promotes a psychological climate that __

A

facilitates positive change

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15
Q

nurse who develop critical thinking skills make the __

A

best communicators

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16
Q

nurses interpret messages received from others tp

A

obtain new info
correct misinfo
promote patient understanding
plan patient-centered care

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17
Q

communication skills include

A

perseverance, creativity, self-confidence, independent attitude, integrity, communicate responsibly, humility

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18
Q

what are the tendencies the nurse controls and utilizes?

A

perception/thinking
five senses/culture/education
perceptual bias
stereotypes
emotional intelligence**
self-awareness/motivation/empathy/social skills

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19
Q

self-talk can be

A

positive or negative

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20
Q

intrapersonal communication is

A

self-talk

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21
Q

interpersonal communication is

A

between two people
most common: face-to-face
assessment, education, provide comfort and support

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22
Q

small group communication is

A

more than two people
ex: staff meetings, committee meetings, support groups, family teaching

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23
Q

public communication is a

A

unique form of communication
public speaking
ex: education, presentations, lobbying for health legislation

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24
Q

electronic communication provide an opportunity for

A

frequent and timely communication with a provider or nurse through internet

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25
Q

what contribute to the message seen and heard?

A

subject matter, words, body language, substance of message (open for interpretation)

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26
Q

body language makes up

A

55% of communication

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27
Q

tone of voice makes up

A

38% of communication

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28
Q

words make up

A

7% of communication

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29
Q

what is a referent?

A

stimulus that motivates communication
triggers are sights, sounds, sensations, perceptions, ideas, subject matter

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30
Q

the sender does what?

A

encodes and delivers message

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31
Q

the receiver does what?

A

receives and decodes the message

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32
Q

the closer the relationship, the perceived meaning is __

A

more accurate

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33
Q

transmission is

A

words, gestures, tone of voice, signs/symbols

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34
Q

the message description can be

A

vernal and nonverbal

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35
Q

channels for messages are

A

auditory, visual and tactile

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36
Q

methods for messages are

A

face-to-face
written
audiovisual
telephone
text
e-mail

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37
Q

effective messages are

A

complete
clear
concise
organized
timely
understood by the receiver

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38
Q

feedback indicates the receiver __

A

understood the sender’s message

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39
Q

interpersonal variables are

A

perceptions - affected by culture, expectations and experiences - affects communication

40
Q

goal of communication is

A

the receiver will understand the words and meaning of message

41
Q

verbal communication is

A

speaking or writing words to send a message

42
Q

vocab - be careful with _ terms

A

medical

43
Q

vocab - consider receiver’s

A

age
knowledge
education
primary language

44
Q

use _ and _ not we

A

I, you

45
Q

denotative means

A

literal

46
Q

connotative means

A

implied or emotional

47
Q

the rhythm of delivery affects __

A

the receiver, if it’s too slow or too fast

48
Q

what is tone?

A

feeling behind words

49
Q

what is cadence?

A

rhythmic change in pitch

50
Q

what is brevity?

A

use as few words as possible

51
Q

relevance means

A

both parties value the interaction, pertinent information

52
Q

credibility of the sender is helped by

A

congruence between verbal and nonverbal messages

53
Q

non-verbal communication is

A

without using words, messages are communicated

54
Q

personal appearance may be indicative of

A

feelings and attitudes of the sender

55
Q

posture and gait reveal

A

attitude and self-concept

56
Q

facial expression communicates

A

feelings behind a message

57
Q

eye contact shows

A

respect and willingness to listen

58
Q

absence of eye contact may indicate

A

anxiety, defensiveness, discomfort or lack of confidence

59
Q

eye contact may need to be

A

intermittent - remember cultural influences when interpreting eye contact

60
Q

gestures emphasize

A

and clarify spoken words
can have different meanings in different cultures

61
Q

sounds signify

A

feelings and thoughts
can assist with meaning of message

62
Q

territoriality means

A

space and things that an individual identifies as belonging to that person
visible to others
defined by the individual in a way not noticeable to others

63
Q

amount of physical space varies from

A

person to person

64
Q

influential factors for personal space are

A

relationship of individuals
nature of conversation
setting
culture**

65
Q

intimate distance is

A

less than 18 inches
area immediately surrounding a person that is private space
during conversations
where body contact occurs

66
Q

personal distance is

A

from 18 inches up to 4 feet
interactions with clients and healthcare team members
sitting at the bedside
proving patient education
talking with patient

67
Q

social distance is

A

4 to 12 feet
common for formal interaction or with a group
giving directions or report to a group of nurses

68
Q

public distance is

A

beyond 12 feet
group or community communication

69
Q

aggressive and assertive

A

high openness of communication

70
Q

assertive and passive

A

high consideration for others

71
Q

passive-aggressive and passive

A

low openness of communication

72
Q

passive-aggressive and aggressive

A

low consideration for others

73
Q

passive

A

other’s rights and needs take precedence over mine
avoids conflict, allows others to take lead
submissive/helpless, indecisive, overly apologetic, whining

74
Q

aggressive

A

I boldly insist that my rights and needs prevail
forces others to lose, goal is to win and be in with each encounter
bossy/arrogant, opinionated, sarcastic/manipulative, intolerant/overbearing

75
Q

assertive

A

I clearly express that we both have rights and needs
direct and open, rights of speaker and others respected, strives for compromise, asks for more info
clear and decisive, positive, professional, uses I statements, asks questions openly and honestly, accepts criticism, focuses on issue, effective nonverbals

76
Q

passive-aggressive

A

emotionally dishonest, backhanded compliments, indirectly expresses anger, inhibited
self-denying, feigns cooperation, blaming, apologetic

77
Q

phases of helping relationship

A

pre-interaction
introductory or orientation
working
termination

78
Q

pre-interaction phase

A

assigned a patient, gather info prior to meeting patient
receive report, anticipate health concerns, plan for first interaction

79
Q

orientation phase

A

introductions to patient/family, establish rapport and trust, communicate the work to be done
set the tone, assess patient’s health status, clarify roles, prepare patient and family

80
Q

working phase

A

active part of the relationship, use techniques that support therapeutic communication
provide info to assist patient to modify behavior, encourage patient to set goals, take action to meet patient’s goals

81
Q

termination phase

A

conclusion of the relationship, evaluate goals, relinquish responsibility for patient’s care

82
Q

motivational interviewing encourages patients to share

A

thoughts, beliefs, fears, concerns to assist patient in goal of changing behavior

83
Q

it is most important to _ cultural beliefs and attitudes

A

be aware of

84
Q

when talking about other cultures

A

use short words and sentences, give small amounts of info

85
Q

for a translation use a

A

certified medical interpreter when needed

86
Q

when communicating with people who are impaired with speech/hearing

A

be positive and patient
use hand gestures, picture board, white board, family

87
Q

with people with impaired cognition

A

don’t rush
be patient
use multiple modalities
address the patient slowly, face-to-face

88
Q

verbal communication with people with impaired cognition

A

short sentences
yes/no questions
one question at time
be concrete and specific
avoid slang, jargon

89
Q

when communicating with older adults

A

quiet environment
face pt
check if they use hearing aids
wait for pt to respond
give pt chance to ask questions

90
Q

SBAR

A

standardizes the process of communication

91
Q

SBAR stands for

A

situation
background
assessment
recommendation

92
Q

when could SBAR be used?

A

hand-off
RN-healthcare provider communication
anytime there is important communication

93
Q

situation includes

A

patient’s details
reason for communication
nurse’s concern

94
Q

background includes

A

significant history with patient - meds, labs, studies, treatments

95
Q

assessment includes

A

nurse’s assessment of patient/situation - clinical impression/concerns, vital signs, early warning score

96
Q

recommendations include

A

what is needed, suggestions, expectations, actions

97
Q

report at the bedside is

A

between shifts
allows for patient and family communication
improves communication
reduces patient injuries and nursing errors

IM1 Exam 1 (7 decks)

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