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Nursing Essential: NAT > communication > Flashcards

communication Flashcards

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1
Q

what are the 6 elements of communication process

A

referent, sender, message, channel, receiver, feedback

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2
Q

what are the modes of communication

A

verbal and nonverbal

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3
Q

what is verbal communication

A

spoken, written, or electronic, 7%, consider setting, context, and content (privacy)

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4
Q

what is nonverbal communication

A

wordless, 93%, body language, most accurate

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5
Q

what is body language

A

posture, stance, gait, facial expressions, eye movements

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6
Q

what must nurses control

A

facial expressions

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7
Q

what does relaxes body display

A

openness

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8
Q

what does crossed legs or arms display

A

lack of openness or acceptance

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9
Q

what does walking slowly mean

A

hopelessness, exhaustion, deep thought

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10
Q

what is therapeutic touch

A

verify consent, hold hand, touch, alerts them of your presence

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11
Q

what should you do with gestures

A

limit them in multicultural environments

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12
Q

what do symbolic gestures do

A

communicate self-esteem, economic resources, mental health

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13
Q

what is hall’s zones of interactions

A

intimate, personal, social, public

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14
Q

how far is intimate away

A

within 1.5 feet

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15
Q

how far away is personal

A

1.5-4 feet

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16
Q

how far away is social

A

4-12 feet

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17
Q

how far away is public

A

12 feet and greater

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18
Q

what do nurses need to do with hall’s zones of interaction

A

be comfortable and sensitive with interactions, especially intimate

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19
Q

what affects a person’s comfort level and tolerance

A

cultural and diversity

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20
Q

what is voice inflation

A

tone, volume, rhythm, or rate

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21
Q

what do nurses need to do with inflection

A

avoid condescending tone

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22
Q

what is critical to perceive voice inflection

A

active listening

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23
Q

what are the different types of communication

A

intrapersonal, interpersonal, small group, and public

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24
Q

where does intrapersonal communication occur

A

occurs internally

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25
Q

where does interpersonal communication occur

A

between 2+ people

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26
Q

where does small group communication occur

A

focus groups, support groups

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27
Q

where does public communication occur

A

public forums, community educaiton

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28
Q

what does intrapersonal communication consist of

A

positive and negative self talk, meditation

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29
Q

what does positive self-talk do

A

build self esteem and confidence, encourage pts

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30
Q

what does negative self-talk do

A

harmful and destructive, increase perception of pain, damage personal abilities

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31
Q

why is interpersonal communication important

A

effective collaborative communication is essential for patient safety

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32
Q

how much does miscommunication contribute to sentinel events or near misses

A

82%

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33
Q

what is the ISBAR

A

identify, situation, background, assessment, recommendation

34
Q

what does the ISBAR do

A

increases inter professional communication

35
Q

what is CUS

A

concern, uncomfortable, safety

36
Q

what does CUS do

A

communicate safety concerns effectively

37
Q

what are ethical considerations for interpersonal communication

A

social media and professional role boundaries, right to privacy

38
Q

what do you do with social media

A

never post identifiable pt information, required to report

39
Q

what are professional role boundaries

A

establish and maintain, do NOT share phone numbers, meet pt outside of clinic, inappropriate touching, dating, etc.

40
Q

what is a patient helping relationship

A

ongoing, purposeful interaction, focuses on pt needs and concerns

41
Q

what are the focuses for pt needs (5)

A

trust, empathy, boundaries, cultural influences, comprehensive plan of care

42
Q

what are the 3 phases of patient helping relationship

A

orientation, working, termination

43
Q

what does the orientation/introductory phase consist of

A

introduce, establish boundaries, expectations, observe, interview, assess, SUBJECTIVE DATA, identify needs and resources

44
Q

what does the working phase consist of

A

develop and implement plan of care, collaborate, enhance trust and rapport, use therapeutic communication

45
Q

what do you do when discussing and implement plan of care

A

discuss findings, concerns, establish realistic goals, communicate before interventions

46
Q

what does the terminal phase consist of

A

nurse is leaving shift or finishes care, evaluate outcomes achieved, transition pt to another caregiver

47
Q

what are factors that affect timing of pt communication

A

pain, anxiety, location, distraction

48
Q

what type of communication does moderate-high levels of pain comprehend the best

A

direct and empathetic

49
Q

what type of communication does acute, chronic severe, or intense anxiety comprehend the best

A

short questions + specific instructions

50
Q

what should you provide when pt is controlled and relaxed

A

education and pre-op teaching

51
Q

when considering location of pt. what should you not do?

A

use just a curtain, ask pt to share health history with others in the room, minimize distraction

52
Q

if others are in the room what should you do?

A

ask them to leave or ask pt for permission

53
Q

where does a nurse get the best source of information

A

A+O pt, from themselves

54
Q

what do you do for a pt that is disoriented, comatose, or a minor?

A

relatives can be source of info once permission is granted

55
Q

what can happen when a pt gives permission

A

relatives and visitors can serve as secondary source

56
Q

when should you make sure pt is A+O

A

before health history, sign documents, make significant health care decisions (DNR, full code)

57
Q

what are essential components of nursing communication

A

respect, assertiveness, collaboration, delegation, advocacy

58
Q

how can a nurse show respect

A

asking preferences, ensure privacy, autonomy, control body language and facial expression

59
Q

how does a nurse show assertiveness

A

express ideas and concern clearly with respect

60
Q

what is the hallmark of nursing

A

advocacy

61
Q

what is the combination of things that makes the nurse the best patient adovate

A

master therapeutic communication and assertiveness

62
Q

what is social communication

A

people getting to know each other, all parties engaged

63
Q

what is therapeutic communication

A

between nurse and pt, focus on pt, enhances nurse+pt relationship

64
Q

what techniques can. be used for therapeutic communication

A

active listening, open posture, reflection, being at eye level

65
Q

what are 3 things a nurse can do for therapeutic communication

A

active listen, positive language, silence

66
Q

what does SOLER mean

A

sit, open posture, lean, eye contact, relax

67
Q

how can silence help the pt

A

provides reflection and thinking

68
Q

what can nontherapeutic communication be

A

hurtful and damage interactions

69
Q

what are defense mechanisms

A

unconscious strategies to decrease/avoid circumstances

70
Q

what do defense mechanisms do

A

prevent pt from effectively addressing critical issues

71
Q

what should the nurse do when addressing defense mechanisms

A

recognize , address real concerns, don’t take anger personally

72
Q

do nurses document defense mechanisms

A

yes

73
Q

what are 5 special communication considerations

A

hearing, visual, physical, cognitive impaired and families and communities

74
Q

what should nurses do for hearing impaired pts.

A

hearing aids, well lit room w/ no noise, raise voice slightly higher

75
Q

what is needed for deaf pts

A

ASL interpretor

76
Q

what should nurses do for visually impaired pts

A

anticipate needs, use numbers on clock to describe meals, gentle physical touch on arm

77
Q

what should nurses do for physically/cognitive impaired pt

A

ongoing creativity and adaptation

78
Q

what are some examples of communication of physically/cognitive impaired pts

A

intubated: gestures, head nods, hand squeezes, white boards
anesthesia: nonverbals
quadriplegia: eye movement with tablet
intellectual disabilities: consult family

79
Q

what should you do for families and communities

A

establish + maintain lines of communication, advocate

80
Q

what are some diversity considerations

A

personal space, same gender, gender neutral terminology, discomfort, eye contact, words have different meanings in different cultures

Nursing Essential: NAT (10 decks)

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