Term
| What is the most truthful information we have for communication? |
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Definition
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Term
| What type of people do we have to talk to as a nurse? |
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Definition
Doctors
patients
co-workers
other nurses
families
CNA/nurse assistants |
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Term
| Effective ____occurs when there is an exchange of information, ideas, attitudes, and emotions? |
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Definition
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Term
-Process of exchanging information
-Process of generating and
transmitting meanings between
two or more individuals is called? |
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Definition
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Term
| Sometimes referred to as the ____or ____; is the person or group who initiates the communication in order to convey information, ideas or feeling to another is? |
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Definition
Source or encoder(teacher)
encodes the info by selecting the signs & symbols used in the communication(language, word selection, voice intonations, gestures) |
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Term
Info to be communicated & includes the coding(vocabulary, tone of voice, body language, and way the ____ is transmitted)
Effective communication occurs when the ____ intended is the _____ received? |
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Definition
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Term
Is the person or group that the message is intended for, also referred to as the ____or ____ of the message?
The ___ or ____ perceives or interprets the message. |
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Definition
| receiver(student) or decoder |
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Term
Sometimes referred to as ____?
Requires the receiver to respond to the message communicated by the sender; the response may be verbal or non-verbal |
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Definition
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Term
| Visual, auditory, kinesthetic is also called? |
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Definition
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Term
Levels of communication
Interpersonal (inter) |
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Definition
-means between
-communication occurs between two or more people.
-involves sending & receiving of a message and feedback |
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Term
Levels of communication
Intrapersonal (intra) |
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Definition
-means within
-communication occurs within oneself.
-self-talk we do it all the time.
-can be positive or negative
-It involves thinking about a msg before it is sent, interpreting the msg and evaluating the msg |
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Term
Levels of communication
Group
small |
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Definition
-Staff interacts with 2 or more people.
-To be functional the group must communicate to achieve their goals. |
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Term
Level of communication
organizational |
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Definition
-Larger, more structured
Individuals with this setting communicate to achieve established goals.
Ex; union meeting, nursing meeting, quality assurance meeting, strategic planning, review unit policies, council meeting. |
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Term
One that is calm and non threatening, minimize distractions and ensure privacy.
-Talking while others are around is not respecting someone's Privacy while others are around and therefore not the right ____ to be speaking?
A curtain is not enough privacy. Speaking in a low voice is not enough privacy. |
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Definition
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Term
| Verbal communication involves the use of words that are either ____ or ____? |
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Definition
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Term
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Definition
-Good news=talk quicker,excited, afraid, nervous.
-Bad news=slow down, sick or when irritated; someone not following you.
-Consider rhythm & speed of a verbal message can impact on the way that the words of message are received.
-May indicate interest, disinterest, or anxiety.
-It's effective to let the patient set the pace. |
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Term
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Definition
-Stressing a sylabel
Pauses & accents or stresses when sending a message can impact how it is received.
-Can have an underlying mood of the sender
Ex; anger, boredom, excitement, etc. |
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Term
Clarity means?
Brevity means? |
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Definition
Clear
Brief, short to the point
clear & brief message are more likely to be interpreted correctly then vague, lengthy messages
-Is influenced by the content of message and nurse's body language (non-verbal behavior |
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Term
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Definition
Age of person we get better at this.
Ex:Brought up a subject and it wasn't the time or place to talk about it.
-The content & message is delivered at a time the client is interested in receiving them.
Ex; Newly diagnoses client with diabetes may not be interested in listening to info about diabetic diet if relatives from out of sate have just arrived for a visit.
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Term
Disrespect in other cultures
indicate other feelings, embarrassment
lack of interest in communicating |
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Definition
Nonverbal communication
Eye contact |
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Term
convey or mask emotions
Ex;smile or frowns |
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Definition
Nonverbal communication
Facial expression |
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Term
Physical well being, self concept or mood.
Ex; you are tired or interested
Excited, scared |
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Definition
Nonverbal communication
Posture/gait
Erect-steady purposeful gait
Slouching/shuffling slow gait
Guards abdomen, lying w/knew drawn towards chest is experiencing pain. |
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Term
Convey the urgency of a of pt. message or can be coping response.
Ex; wave, peace sign, etc |
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Definition
Nonverbal communication
Gestures |
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Term
Indicator of self-esteem, social status, emotional status.
Clothing, hygiene |
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Definition
Nonverbal communication
Personal appearance |
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Term
Nonverbal communication
Culture and generations |
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Definition
makes a huge difference
age groups
Ex; sit slouching, disrespect
Ex; Phones, everyone at the table is on their phones. To an older person it shows disrespect. |
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Term
| Nonverbal communication means |
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Definition
| Communication that occurs without the use of words; is often referred to as body language. |
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Term
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Definition
| thinking, anger, scared, respect(speak or eye contact in cultures), don't know the answer |
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Term
| Communication between men vs women |
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Definition
Men communicate differently then women.
Men of few words, brief and to the point.
Women emotions,talk a lot, feeling, family |
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Term
| Therapeutic communication |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
Spacing
What do you need to do as a nurse prior to going into someone's personal space or zone? |
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Definition
-you need to tell pt. what you are going to do.
-ask permission.
-if they say no, stop and reevaluate and explain it a little better to them. |
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Term
| Physical, mental, & emotional state |
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Definition
-Important to develop sensitivity to physical, mental, emotional barriers to communicate.
Ex; depressed, not feeling well, have to pee/full bladder, headache, chest pains, anxiety, LOC |
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Term
Therapeutic Communication
A helping relationship |
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Definition
| -exists among people who provide & receive assistance in meeting human needs. |
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Term
Therapeutic Communication
A helping relationship
What are the four basic characteristics of a helping relationship? |
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Definition
Professional relationship, you are there to help the client.
-You are friendly, but not their friend, it's ok to share thing to establish a rapport but don't over share.
-dynamic, both the nurse & pt are involved.
-Purposeful;You need to meet some goals
-time limited; saying good bye at end of shift or clinical rotation.
-accountability; You are help accountable for your actions. |
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Term
Therapeutic Communication
Phases of helping relationship
Orientation |
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Definition
-Introduction
-Establish trust
Actions;
-establish tone & guidelines
-clarify roles
-establish agreement
-provide orientation |
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Term
Therapeutic Communication
Phases of helping relationship
Working |
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Definition
Doing the work, assessment
dressing, bathing, meds
Actions;
-work together
-assist in goal achievement
-teach & counsel |
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Term
Therapeutic Communication
Phases of helping relationship
Termination |
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Definition
-Summarize
-Saying goodbye;end of shift, or end of clinical.
Actions;
-Examine goal attainment
-make suggestions
-express emotions |
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Term
Therapeutic Communication
Phases of helping relationship
At what stage do you gain the clients trust? |
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Definition
| Orientations/Introduction phase |
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Term
Therapeutic Communication
Phases of helping relationship
When is it important to summarize? |
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Definition
| Termination phase/end of shift |
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Term
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Definition
-Specific objectives-mutal,pt has to agree.
-Comfortable environment- privacy, temp, lighting, sit down.
-Privacy
-Confidentiality-watch where you are at, behind closed doors, not in the cafeteria, waiting room or elevator. You never know who is around.
-Patient vs. task focus- make pt. feel like a person, not the disease. Call the person by their full name unless they tell you otherwise.
-Utilization of nursing observations-pay attention to what client is saying and assessing non verbal and not ignoring it.
-Optimal pacing-not too fast or low
-Providing personal space-not too close. But after built rapport can sit on bed showing caring to pt. |
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Term
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Definition
-Conversation, make chit chat w/pt. Don't say here take these pills
-Listening, hearing
-Silence, good thing, time/respect
-presence, just being there
-Touch, hand shoulder ok. no head, face, thigh, butt.
-Humor, valued as both an interpersonal skill for healing strategy for pt. Valuable tool, maintain balance in their work and to encourage pt. to do the same. |
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Term
Communication Skills
What does presence mean? |
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Definition
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Term
Interviewing Techniques -
Questions/Comments |
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Definition
-Open-ended, more therapeutic, more info
-Closed, Y/N questions or one word answers
-Validating,seeing something and you need to see if T/F
Ex; pt. feels warm and flushed. You want to validate it by taking temp.
-Clarifying, don't understand what they said. Gain understanding
Ex: holes at work
-Reflective, repeat emotions of what was said.
Ex;Showing a mirror and reflecting their emotions.
-Sequencing, timeframe/order
-Directing, in order to get job done, redirect them on topic. |
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Term
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Definition
-Failure to perceive patient as human being, call by room #, not by name, or honey or sweetie
-Not listening
-Inappropriate comments and questions
-Using clichés
"you are going to be fine"
-Using closed questions Y/N questions
-Using “why” and “how” questions
-Using questions that probe, being nosey.
I don't need to know positions or where and when.
I do need to know # of partners and are you using protection or not. |
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Term
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Definition
-Using leading questions
Ex; Pain tell me about your pain? Describe it to me? Have them tell me, don't prompt.
-Using comments that give advice, not suppose to do. Turn it back to the client and solve for themselves.
Ex. It's not my place, I'm not in your shoes. I don't have your life or situation. Is there someone you can call, family or friends.
-Using judgmental comments, don't do.
Changing the subject, don't do.
Giving false assurance, don't do.
-Using gossip and rumors, don't do.
-Using aggressive interpersonal behavior, try to do therapeutic.
Mean to students and when Dr. Montpas walked into room and she was sweet as pie. Dr. Montpass said, you should be ashamed of your self the way you are treating the student. Doesn't work in a dementia pt. |
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Term
Special Needs – Communication
Sensory impairment |
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Definition
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Term
Special Needs – Communication
Non-English |
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Definition
-obligation to get interpreter
-dictionary to translate
-don't talk loud, they are not deaf
-demonstrate or gestures
Ex; hungry or eat? |
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Term
Special Needs – Communication
Unresponsive |
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Definition
unconscious
-don't take about condition at bedside
-assume they can hear
-speak with pt. before touching
-keep noise level low |
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Term
Special Needs – Communication
Cognitively impaired |
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Definition
-maintain eye contact
-communicate simple/concrete
-quiet environment
-Ask closed ended questions
-Be patient n give pt. time to respond |
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