UNIT 1 TEST Flashcards
Intrapersonal
Occurs within an individual
Interpersonal
One-to-one interaction between a nurse and another person
Transpersonal
Interaction that occurs within a person’s spiritual domain
Small Group
Interaction that occurs with a small number of persons; goal directed
Public/interdisciplinary
Interaction with an audience/team consist of patient family and all health care personnel involve in providing care
Referent
Motivates one person to communicate with another
Sender
who encodes and delivers a message
Receiver
Person who decodes the message and interprete
Message
Content of the communication/ using verbal or non verbal symbols
Channels
Means of conveying and receiving messages through the senses
Feedback
Indicates whether the receiver understood the meaning of the sender’s message
Interpersonal variables
Factors within both the sender and the receiver that influence communication
Environment
Setting for the sender -receiver interaction
Verbal Communication
code that conveys specific meaning through the combination of words
Connotative meaning
Interpretation of a word’s meaning influenced by the thoughts and feelings that people have about the word
Intonation
Tone of voice
Timing
When a pt expresses an interest in communicating
Pacing
Thinking before you speak and developing an awareness of the rhythm of your speech
Clarity and brevity
Simple brief and direct
Active Listening
being attentive to what the pt is saying bother verbally and nonverbally
Sharing observations
helps the pt communicate without the need for extensive questioning
sharing empathy
ability to understand and accept another persons reality
sharing hope
sense of possibility
sharing humor
coping strategy to adjust to stress
using touch
most potent form of communication
sharing feelings
subjective feelings that result from one’s thoughts and perception
using silence
useful when people are confronted with decisions that require much thought
providing information
pt’s have the right to know about their health status ans what is happening in their environment
clarifying
restating an unclear or ambiguous message
focusing
used to center on key elements or concepts of the message
paraphrasing
restating another’s message more briefly using one’s own words
asking relevant questions
seeking info needed for decision making
summarizing
concise review of key aspects of an interaction
self-disclosure
subjectively true, personal experiences about self that are intentionally revealed to another
confrontation
helping the pt become aware of inconsistencies in his or her feelings, attitudes, beliefs, and behaviors
asking personal questions
“why don’t you and john get married?:
giving personal opinions
“If i were you i’d put your mother in an nursing home.”
changing the subject
“Let’s not talk about your problems with the insurance company. it’s time for your walk.”
autonomic responses
“older adults are always confused”
false reassurance
“dont worry; everything will be all right”
sympathy
“im so sorry about your mastectomy ; it must be terrible to lose a breast”
asking for explanations
“why are you so anxious?”
approval or disapproval
“you shouldnt even think about assisted suicide; it is not right”
defensive responses
“no one here would intentionally lie to you”
passive responses
“things are bad, and there’s nothing i can do about it”
arguing
“how can you say you didnt sleep a wink? you were snoring all night long.”
communication techniques for those who cannot speak clearly
listen, do not interrupt; ask simple questions; use visual ques; allow time for them to answer ; do not shout
communication techniques for those who are cognitively impaired
use simple sentences; be attentive ; include family/friends; listen
communication techniques for the who are hearing impaired
check for hearing aids; reduce noise; rephrase; speak in a normal voice
communication techniques for those who are visually impaired
check for glasses; identify yourself; use 14 pt font; speak in a normal tone
communication techniques for those who are unresponsive
call pt by name; explain all procedures; orientate; speak as if they were responsive
Communication techniques for those who do not speak English
use an interpreter; avoid using family ; develop communication aids; use normal tones
Communication
ongoing dynamic series of events that involves meaning from the sender to receiver; life long process; not natural/needs to be learned; ongoing and multidirectional
purposes of communication in nursing
assessing the health status of clients of;being a patient/family/professional advocate;helps to meet legal ethical clinical standards;alleviates anxiety and fear in patients and their love ones;teaching ;problems solving/critical thinking;aid in coordination of the health care team; facilitates expression of feelings
assessing the health status of the client
gathering a history; its a base line to plan/identify problems
being a patient/family/professional advocate
speak for those who cant speak for themselves
helps to meet legal ethical and clinical standards
documentation about patient progress;
teaching
call light; urinal;teaching familys about care
problems solving/critical thinking
communication with each other to solve problems
developing communication skills
practice;have a good understanding of the communication practice;have good critical thinking skills
Good critical thinking skills
know the theory behind communication;evaluate and rationalize
factors that influence communication
values and perceptions,culture,territoriality, space and distance,time,nursing attitudes,development,roles in relationships,gender
values and perceptions
behavior and personal views of an event;clarification is a must
culture
blueprint for thinking and behaving ex.. eye contact;learn through experience
territoriality, space and distance
boundaries maintain our right to space; easily violated
intimate zone
0-18” ex. dressing changes/ADLs/assessment
personal zone
18”-4’ usual zone for communication ex. shift change teaching
Social zone
4’-12’very little sharing of thoughts ex. rounds
public zone
12’+ ex. clear verbalization
social zone
generally permission not needed ex. behands arms back
consent
permission needed ex. mouth feet and wrist
vulnerable
permission needed ex. face kneck front of body
intimate
permission needed genitalia and rectal
time
hardest for nurses;uneven between all pts.;good orginizations skills needed
nursing attitudes
a positive atitude is caring and warmth; a negative attitude would be condescending and cold
development
cognitive ability
roles in relationships
assume authority; past experience will influence this
gender
females seek confirmation and are eager to share; males dont speak directly
vocabulary
medical term used appropriately ex. jargons or trends
denotative
meaning due to common language
relevance
they have to see it explain
credibility
reliable;trust worthy;persistent;consistent
NON VERBAL COMMUNICATOINS:
PERSONAL APPEARANCE
grooming; first impression;
posture and gate
reflect our attitudes
facial expression
pts watch our faces;
eye contact
signals a readiness to communicate;differs from culture to culture;can show respect or lack of;can show lack of confidence
gestures
can communicate safely; clarify
sound
active listening
non verbal communications accounts for
55% of communications
verbal
accounts for 7% of communications
social cues accounts for
38% of communications
phases of therapeutic relationships
pre-interactions; orientations;working and termination
pre-interaction phase
reviews records anticipate plans; become aware of other person
orientation phase
meet and greet; sets tone
working phase
client and nurse work together;work to solve problems and set goals
termination phase
during the end of the relationships; reminds pts. that termination is near evaluate goal achievement relinquish responsibility
elements of professionalism related to communication
courtesy;use of names; trustworthiness;autonomy; and responsibility;assertiveness
courtesy
knocking adressing pts. and family
use of names
call them by their formal name. avoid elder speak and call them by room number
trustworthiness
rely on someone without doubt
autonomy and responsibility
respect for pts. responsible for outcomes and actions
assertiveness
expression without judgement
assessing the communication situations
developmental status socio-cultural status;physical and emotional status;values and perceptions;environment
life span considerations
infants;todlers and preschoolers;school age; adolescents;elderly;
infants
crying smiling posture expression
toddlers
simple;use play to communicate
school age
include them in communications;get on their eye level; honesty and word choices
adolescent
be nonjudgmental; active listening
elderly
avoid elder speak; be aware of sensory deficit
socio-cultural status
their age ethnic and religious practices
physical and emotional status
address their pain;and pick up on cues/clues
values and perceptions
individualize cultural differences and their motivations
environment
privacy and noise;distractions free,space
Goals and outcomes
establish trust;state the side effects
priority setting
how to communicate urgent needs; tone
continuity of care
share info with staff, keep the info private that should be though
LEVELS OF COMMUNICATIONS WITH YOUR PATIENTS
first level; second level; third level;fourth level
first level
cliche conversation; requires least involvement as it does not require much thought ex. introducing oneself : “ how are you?”
second level
fact reporting; basically objective and does not reveal much about the persons involved in the interations ex. PTS report symptoms
Third Level
sharing personal ideas and judgments; some sharing of self is taking place: ex.. guide PTs. into next level
fourth level
sharing of feelings(fears hopes,illness,dying,sex,death,etc.);some may not reach this level due to fear and rejection, appearing weak: ex.. ask whats wrong and build a relationship
IMPLEMENTING NURSING INTERVENTIONS FOR COMMUNICATION
INTRODUCE YOURSELF,FOCUS CONVERSATIONS ON PATIENT, EXPLAIN THE PURPOSES OF THE INTERACTIONS