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2) CH 24 Communication
Nursing concepts fscj nw 2012
29
Nursing
Undergraduate 3
11/16/2011

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Cards

Term
Nurses with expertise in communication express caring by the following
Definition
• Becoming sensitive to self and others

• Promoting and accepting the expression of positive and negative feelings

• Developing helping-trust relationships

• Instilling faith and hope

• Promoting interpersonal teaching and learning

• Providing a supportive environment

• Assisting with gratification of human needs

• Allowing for spiritual expression
Term
4 ways of "communicating" during ASSESSMENT
Definition
Verbal interviewing and history taking

Visual and intuitive observation of nonverbal behavior

Visual, tactile, and auditory data gathering during physical examination

Written medical records, diagnostic tests, and literature review
Term
3 ways of "communicating" during NURSING DIAGNOSIS
Definition
Intrapersonal analysis of assessment findings

Validation of health care needs and priorities via verbal discussion with client

Handwritten or computer-mediated documentation of nursing diagnosis
Term
4 ways of "communicating" during PLANNING
Definition
Interpersonal or small-group health care team planning sessions

Interpersonal collaboration with client and family to determine implementation methods

Written documentation of expected outcomes

Written or verbal referral to health care team members
Term
5 ways of "communicating" during IMPLEMENTATION
Definition
Delegation and verbal discussion with health care team

Verbal, visual, auditory, and tactile health teaching activities

Provision of support via therapeutic communication techniques

Contact with other health resources

Written documentation of client's progress in medical record
Term
5 ways of "communicating" during EVALUATION
Definition
Acquisition of verbal and nonverbal feedback

Comparison of actual and expected outcomes

Identification of factors affecting outcomes

Modification and update of care plan

Verbal and/or written explanation of revisions of care plan to client
Term
a powerful form of communication that occurs within an individual. This level of communication is also called self-talk, self-verbalization, and inner thought
Definition
Intrapersonal communication
Term
one-to-one interaction between the nurse and another person that often occurs face to face. It is the level most frequently used in nursing situations and lies at the heart of nursing practice.
Definition
Interpersonal communication
Term
interaction that occurs within a person's spiritual domain
Definition
Transpersonal communication
Term
interaction that occurs when a small number of persons meet together.
Definition
Small-group communication
Term
interaction with an audience.
Definition
Public communication
Term
WHAT motivates one person to communicate with another. In a health care setting, sights, sounds, odors, time schedules, messages, objects, emotions, sensations, perceptions, ideas, and other cues initiate communication.
Definition
referent
Term
the person who encodes and delivers the message
Definition
sender
Term
the person who receives and decodes the message.
Definition
receiver
Term
Researchers have estimated that approximately ____ of meaning is transmitted by words, ___% is transmitted by vocal cues, and ____% is transmitted by body cues.
Definition
Researchers have estimated that approximately 7% of meaning is transmitted by words, 38% is transmitted by vocal cues, and 55% is transmitted by body cues.
Term
Zones of Personal Space
0-18 inches
Definition
intimate zone
Term
intimate zone examples
Definition
Holding a crying infant

Performing physical assessment

Bathing, grooming, dressing, feeding, and toileting a client

Changing a client's dressing
Term
Zones of Personal Space
18 inches to 4 feet)
Definition
Personal Zone
Term
Personal Zone examples
Definition
Sitting at a client's bedside

Taking the client's nursing history

Teaching an individual client

Exchanging information at change of shift
Term
Zones of Personal Space
(4 to 12 feet)
Definition
Social Zone
Term
Social Zone examples
Definition
Making rounds with a physician

Sitting at the head of a conference table

Teaching a class for clients with diabetes

Conducting a family support group
Term
Zones of Personal Space
12 feet and greater)
Definition
Public Zone
Term
Public Zone examples
Definition
Speaking at a community forum

Testifying at a legislative hearing

Lecturing to a class of students
Term
Zones of Personal Space
Zones of Touch
Definition
Social Zone, Consent Zone, Vulnerable Zone , Intimate Zone
Term
specific responses that encourage the expression of feelings and ideas and convey acceptance and respect
Definition
Therapeutic communication techniques
Term
being attentive to what the client is saying both verbally and nonverbally.
Definition
Active listening
Term
SOLER acronym
Definition
Sit facing the client.
Observe an open posture
Lean toward the client
Establish and maintain intermittent eye contact.
Relax.
Term
the ability to understand and accept another person's reality, to accurately perceive feelings, and to communicate this understanding to the other.
Definition
empathy
Term
Therapeutic Communication Techniques.
Definition
Active Listening.
Sharing Observations.
Sharing Empathy.
Sharing Humor.
Sharing Feelings.
Using Touch.
Using Silence.
Providing Information.
Clarifying.
Focusing.
Paraphrasing.
Asking Relevant Questions.
Summarizing.
Self-Disclosure.
Confrontation.
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