Nursing as an art of Communication

Question 1

A two- way process involving the sending and the receiving of a message thereby exchanging information or feelings between 2 or more people.

Answer 1

Comuunication

Question 2

Process of transmitting thoughts, feelings, information and other verbal and non-verbal behavior.
The vehicle for establishing a therapeutic relationship with a client. (Trusting relationship)

Answer 2

Communication in Nursing:

Question 3

Critical skill to develop in communication in nursing

Answer 3

Nurses spend more time with patients.
Nurses must be able to recognize subtle cues from silent patients.
Integral part of helping relationships

Question 4

Main purpose of communication

Answer 4

Influence others
obtain information

Question 5

teaching, express caring and comfort , influencing others may be helpful or non-helpful.

Answer 5

influence others

Question 6

assessment data, interview purpose of communication

Answer 6

obtain information

Question 7

source-encoder; person or group who convey messages.

person has a thought, idea, or emotion to convey to another person.

messages stem from a person’s need to relate to others, create meaning & to understand various situations

decides on what language and words to use, arrange the words , tone and gestures

Answer 7

sender

Question 8

is the thought, idea, or emotion one person sends to another person.

it is the stimulus produced by the sender
alteration in the message depends on the person’s perception

What is actually said or written

Answer 8

Message

Question 9

medium through which a message is transmitted.

Answer 9

channel

Question 10

MAJOR CHANNELS:

Answer 10

Visual
auditory
kinesthetic

Question 11

sight, observation, perception - drawing, painting, pictures

Answer 11

visual

Question 12

spoken words and cues, requires active listening - singing

Answer 12

auditory

Question 13

experiencing situations, procedural touch, caring touch - gestures (nodding, tapping feet etc), this involves feelings

Answer 13

kinesthetic

Question 14

interprets, sort out the meaning of the message

person or group to whom the message is sent

Answer 14

Receiver/Encoder

Question 15

components involved in the receiver

Answer 15

physiological
psychological
cognitive

Question 16

sensory dysfunction(eyes,ears,taste, nose etc…), mental dullness or the receiver

Answer 16

physiological

Question 17

emotional character - fear of expressing one’s ideas to others, excitement, emotional instability of the receiver

Answer 17

psychological

Question 18

thinking or social skills , trouble making decisions, reasoning, organization, insight of the receiver

Answer 18

cognitive

Question 19

meaning of the decoded message matches the intent of the sender

Answer 19

effective communication

Question 20

occurs when receiver misinterprets the sent message

Answer 20

ineffective communication

Question 21

the response from the receiver that enables the sender to verify that the message received was the message sent.
allows the sender to correct or reword a message

Answer 21

feedback response

Question 22

they are the person’s frame of reference
involves: culture, age, emotions, education, language and attention

Answer 22

influences

Question 23

METHODS OF COMMUNICATION

Answer 23

VERBAL COMMUNICATION
NON-VERBAL COMMUNICATION
ELECTRONIC COMMUNICATION

Question 24

The use of words, either spoken or written, to send a message.

Answer 24

VERBAL COMMUNICATION

Question 25

Methods of verbal communication:

Answer 25

1) Speaking/ Listening 2) Pace and Intonation 3) Writing/ Reading

Question 26

for communication to take place, both ___ & ___must occur

Answer 26

speaking & listening

Question 27

use of commonly understood words

Answer 27

simple

Question 28

direct precisely what is meant

Answer 28

clear

Question 29

fewest words necessary

Answer 29

brevity

Question 30

be sensitive to the needs and concerns of the patient, avoid asking several questions at a time

Answer 30

timing and relevance

Question 31

the manner of speech modifies the feeling and impact of the message

Answer 31

pace and intonation

Question 32

rate of speech: indicates ______ _____ _____

Answer 32

interest, anxiety, boredom, or fear.

Question 33

the receiver reads the words. reader must understand the words &then attach meaning to them.

Answer 33

Writing/ Reading

Question 34

transmission of message without the use of words. partly learned behavior partly instinct. generally done unconsciously can either reinforce or contradict what is said verbally. clarify any observation to validate

Answer 34

NON-VERBAL COMMUNICATION or BODY LANGUAGE

Question 35

Essential skill to learn

Answer 35

observing and interpreting the client's non-verbal bahavior

Question 36

often referred to as “talking with hands” may be used to clarify a verbal message, to emphasize an idea, to hold another’s attention, or to relieve stress. Sign language pacing back and forth, tapping of the hands and feet

Answer 36

Gestures

Question 37

good posture, with head held up, & a purposeful gait = self-confidence, competence & positive self-image stooped shoulders, downward-held head & shuffling gait= convey low self-esteem, depression, lack of confidence or apathy.

Answer 37

Posture and Gait

Question 38

Generally interpreted as indicating interest & attention Lack of eye contact = indicate avoidance, disinterest or discomfort.

Answer 38

Eye contact

Question 39

crossed arms = indicate withdrawal or cold behavior open position (arms held freely at the sides) = receptive attitude

Answer 39

Body Position

Question 40

clean, neat, appropriately dressed = conveys a positive image, knowledge, & competence dirty, sloppy or inappropriately dressed =conveys the message of “I don’t care how I look”.

Answer 40

Physical Appearance

Question 41

Touch is a simple yet powerful means of non-verbal communication

Answer 41

Touch

Question 42

Purposes of touch:

Answer 42

Connects people Provides affirmation (verification/confirmation) Gives reassurance hope & encouragement Shows warmth Communicates caring Provides stimulation (inspiration/motivation) Decreases loneliness Increases self esteem

Question 43

Guidelines in the use of touch as a means of communication between nurse and patient

Answer 43

Exhibit ability and sureness when touching the patient or when performing nursing procedure. Seek permission before touching the client. Touching a client must bring about a sense of security, rather than anxiety.

Question 44

type of communication with the use of electronic devices.

Answer 44

ELECTRONIC COMMUNICATION

Question 45

simplest form of telecommunication system

Answer 45

telephone

Question 46

load information to be synchronized with the hospital’s IT system

Answer 46

cellphone

Question 47

Uses of Electronic Communication in Health Care

Answer 47

Send requisitions to other depts. in the hospital Show safe dosages & drug interactions in hospital pharmacies Aid physicians in diagnosing and treating some conditions. Online documentation of patient care Electronic medical records (EMR)

Question 48

schedule and confirm appointments, report lab results, conduct client education

Answer 48

EMAILS

Question 49

Disadvantages electronic communication

Answer 49

client's privacy, confidentiality and potential misuse of information * not all have access to computer