Quiz 4 Mid ( Barriers to Communication) Flashcards
Offering generalized and oversimplified beliefs about groups of people that are based on experiences too limited to be valid. These responses categorize clients and negate their uniqueness as individuals.
Stereotyping
Akin to judgmental responses, agreeing and disagreeing imply that the client is either right or wrong and that the nurse is a position to judge this. Theses responses deter clients from thinking through their position and may cause a client to become defensive.
Agreeing and disagreeing
Attempting to protect the a person or health care services from negative comments. These responses detect client from expressing true concerns. The nurse is saying “ You have no right to complain.” Defensive responses protect the nurse from admitting weaknesses in the health care services, including personal weaknesses.
Challenging
Askin for information chiefly out of the curiosity rather than with the intent to assist the client. These responses areas are considered prying and violate the client’s privacy. Asking “why” is often probing and places the client in a defensive position.
Probing
Asking question that makes the client admit to something. These responses permit the client only limited answers and often meet the nurse’s need rather than the client’s.
Testing
Refusing to discuss certain topics with the client. These response often make clients feel that the nurse is rejecting not only their communication but also the clients themselves.
Rejecting
Directing the communication into areas of self-interest rather than considering the client’s concerns is often a self-protective response to a topic that causes anxiety. These responses imply that what the nurse considers important will be discussed and that clients should not discuss certain topics.
Changing topics and subjects
Using cliche’s or comforting systems of advice as a means to reassure the clients. These responses block the fears, feelings, and other thoughts of the client.
Unwarranted reassurance
Giving opinions and approving or disapproving responses, moralizing or implying one’s own values. These responses imply that the client must think as the nurse thinks, foresting client dependence.
Passing judgement
Telling the client what to do. These response deny the client’s right to be an equal partner. Note that giving expert rather than common advice is therapeutic.
Giving common advice
The nurse reviews pertinent assessment data, knowledge, considers potential areas of concern, and develops plans for interaction.
Preinteraction Phase
3 Introductory Phase
- Opening the relationship
- Clarifying the problem
- Structuring and formulating the contract (obligations to be meth by both the nurse and client)
Both Nurse and client identify each other by name. When the nurse initiate the relationship, it is important to explain the nurse’s role to give the client an idea of what to expect. When the client initiates the relationship, the nurse needs to help the client express concerns and reasons for seeking help. Vague, open- ended questions, such as “What’s on your mind today?” are helpful at this stage.
Opening the relationship
Because the client may not see the problem clearly, the nurse’s major task is to help clarify the problem.
Clarifying the problem
Nurse and client develop the degree of trust and verbally agree about (a) location, frequency, and length of meetings, (b) overall purpose of the relationship, (c) how confidential material will be handled, (d) tasks to be accomplished, and (e) duration and indications for termination of the relationship.
Structuring and formulating the contract
