Exam 3 Flashcards
Lance
prick or cut open with a lancet or other sharp instrument
Communication Process
exchange of information, feelings, needs and preferences between 2 people. (sending and receiving)
Feedback (return message)
Indicates message has been received, processed and comprehended
Shared Meaning
Establish mutual understanding of meaning of message, message was communicated as intended.
Verbal Communication
conscious use of words - spoken or written - used to give or receive specific information. (age, education, developmental level, culture)
Nonverbal Communication (Body Language)
facial expressions, posture, body position, behavior, gestures, touch and general appearance - used to convey feelings, thoughts and meaning (observation/forming valid, true, intended interpretation of language)
Proxemics
Distance or personal space that people place between themselves and others.
Intimate - physical contact - 18 in
Casual/personal - 18 inches - 4 ft
Social/consultative - 4-12 feet
Public - 12 feet if possible
Denotative meaning
literal meaning without interpretation
Connotative meaning
emotional association that is attached to words (powerful feelings)
Active Listening
senses to interpret verbal/nonverbal messages
Styles of communication - passive/avoidant
desire to avoid confrontation, inability to share feelings/needs with others. Have trouble asking for help, others take advantage. Causes feelings of anger, emotional pain and anxiety.
Styles of communication - aggressive
putting one’s needs, rights and feelings above others. superior attitude, humiliate others, communicate in angry, hostile way.
Styles of communication - assertive
Standing up for oneself without violating basic rights of others. Show respect for others, express feelings in honest/direct way, are consistent which enhances self-worth
Therapeutic Communication
Patient- centered communication
provide general leads, use silence, offer self, use open ended questions/statements, use restatement, seek clarification, give information, use reflection, look at alternatives, summarize
blocks/barriers
leads to unsuccessful communication
asking yes/no questions, giving false reassurance, asking personal/probing questions, give advice, belittling pt’s feelings, expressing disapproval
ISBARR
Introduction - name - yours & pt’s, title, unit, why calling
Situation - brief overview of prob
background - what led to problem
Assessment - thoughts about prob
Recom - how to correct prob
Readback - read back orders
or
questions - clarify information
incivility
interacting with lack of courtesy/respect for others
upward communication
interaction with those in authority - know chain of command
quick assessment, concise details, current data on pt
Joint Commission
imrpoves staff communication
Telephone info - necessary
pt’s name, date & time order received, what/when something needs to be done, Telephone or verbal order received, my name, provider of order, documentation of readback/questions
downward communication
job instruction, job rationale, practices/procedures, feedback, role modeling
shift report
communication of pt’s condition/required care by off-going nurse to oncoming nurse - be careful of HIPAA
Kiss
keep it simple and short
empathy
ability to intellectually identify with or experience feelings, thoughts or attitudes.