Term
| Barriers to effective Communication: |
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Definition
Failure to listen
Conflicting verbal and nonverbal messages
A judgmental attitude
Misunderstanding because of multiple meanings of English words
False reassurance
Giving advice rather than encouraging self-confidence
Disagreeing with or criticizing a person who is seeking support
The inability to receive information because of a preoccupied or impaired thought process
Changing the subject if one becomes uncomfortable with the topic |
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Term
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Definition
| occurs when the nurse has an emotional reaction to the client based on their own unconscious needs and conflicts. |
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Term
| Define THERAPEUTIC RELATIONSHIP |
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Definition
| built on a series of interactions and developing over time;Its structure varies with the context, the client's needs, and the goals of the nurse and the client. Its nature varies with the context, including the setting, the kind of nursing, and the needs of the client. The relationship is dynamic and uses cognitive and affective levels of interaction. It is time-limited and goal-oriented and has three phases |
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Term
| EGO DEFENSE MECHANISMS as Barriers to Communication: |
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Definition
Denial
Suppression
Regression
Identification
Projection:
Rationalization
Reaction Formation:
Displacement:
Sublimation:
Dissociation: |
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Term
| EGO DEFENSE MECHANISMS/Displacement: |
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Definition
| Directing feelings about one object or person toward a less threatening object/person. |
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Term
| EGO DEFENSE MECHANISMS/Dissociation: |
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Definition
| Separation or splitting off of one aspect of mental process from conscious awareness. |
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Term
| EGO DEFENSE MECHANISMS/Identification |
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Definition
| Attempt to identify with personality traits or actions of another. Incorporating qualities or attitudes of others. |
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Term
| EGO DEFENSE MECHANISMS/Projection: |
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Definition
| Placing one’s own undesirable trait onto another; blaming others for one’s own difficulty |
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Term
| EGO DEFENSE MECHANISMS/Reaction Formation: |
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Definition
| Expressing feelings opposite of one’s authentic feelings. |
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Term
| EGO DEFENSE MECHANISMS/Sublimation: |
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Definition
| Rechanneling of intolerable or socially unacceptable impulses or behaviors into activities that are personally or socially acceptable |
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Term
| EGO DEFENSE MECHANISMS/Suppression: |
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Definition
| Putting a threatening or distressing thought out of one’s awareness. |
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Term
| List skills which conducive to a helping relationship. |
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Definition
Appreciate different beliefs and experiences
Recognize and interpret verbal/nonverbal messages
Guide the interaction to accomplish goals
Determine WHETHER comm is taking place
Speak when appropriate and don't when it's not.
Adapt pace, tone, vocab to client
Eval your own participation in interaction |
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Term
| List the basic elements of helping relationships |
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Definition
Maximizes client’s abilities to do and decide for himself/herself during illness, recovery, and health maintenanceEnhances trust and acceptance of the nurse's desire and ability to help client
•Maximizes client’s involvement in issues that are his/her own; Client may want to be dependent upon nurse, but goal is to increase client’s level of self care |
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Term
| Social vs Therapeutic relationship |
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Definition
| The therapeutic relationship differs from a social relationship in that it is designed to meet the needs only of the client. |
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Term
| Social vs Therapeutic relationship |
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Definition
| The relationship differs from a social relationship in that it is designed to meet the needs only of the client. Conditions essential for a therapeutic relationship include empathy, respect, and genuineness. |
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Term
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Definition
| is a term used to describe the client’s distortion of the nurse–client relationship, when the client relates to the nurse not based on personal attributes, but instead based on other interpersonal relationships in his or her environment. |
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Term
| Understand the nurse-patient relationship phases/2 |
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Definition
| Working Phase: Collaboratively working toward mutually set specific goals; reduce symptoms, develop resources. Goals may not be changeable (as stabilization for a chronic condition, e.g., diabetes, etc.) Increased awareness & insight. Move from Dependence to Independence. Tasks include: explore reality perceptions, develop positive coping behaviors, identify supports, enhance self-confidence, encourage verbalization, develop plan and goals, implement and evaluate plan and promote client’s independence. |
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Term
| Understand the nurse-patient relationship phases/3 |
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Definition
| Termination Phase: This phase occurs when mutually agreed-upon goals are met and separation occurs between client and nurse. Common goals met by termination phase include: provide self-care, demonstrate independence, recognize signs of illness, cope positively with negative experiences and feelings, and demonstrate emotional stability. Reflect on work done together, growth as well as what was NOT accomplished. Separation & saying ‘goodbye.’ May evoke loss/grief. Independence of client. |
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Term
| What are some characteristics of a good listener? |
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Definition
Attentive (Active) Listening
accepting, non-judgmental attitude
Empathy
Respect
Confidentiality is essential during interactions |
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Term
| While communicating monitor self for: |
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Definition
Defensiveness, challenging (implies disbelief), testing (trying to get some kind of admission from client), probing (eliciting information for personal curiosity)
Rejecting, changing topics and subjects
Unwarranted Reassurance: Denial and minimizes concerns/feelings expressed
Advice giving, platitudes: (e.g., ‘I’m sure everything will be alright’)
Judgment: Don’t interpret, agree/disagree (implies the client is right or wrong).
Confidentiality and professional/personal boundaries (watch self-disclosure) |
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Term
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Definition
| Sometimes it is ok; let the patient proceed when he is ready. |
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Term
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Definition
| Giving recognition in a non-judgmental way. Example: "You trimmed your beard and mustache and washed your hair." |
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Term
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Definition
Helping the client to make clear an event, situation, or happening in relationship to time or sequence. Example:
Client: "I feel that I have been asleep for weeks."
Nurse: "You had your operation Monday, and today is Tuesday." |
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Term
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Definition
Helping the client expand on and develop an important topic. Let the client finish what he is saying. Example:
Client: "I have been diagnosed with MS, and my husband has his hands full trying to take care of me, the kids, the house, and get to his job everyday."
Nurse: "Sounds like you are worried about how well he can manage." |
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Term
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Definition
| Provide in a factual way the information that is needed. Example: "You will feel a pulling sensation when the tube is removed from your abdomen." |
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Term
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Definition
| Suggesting one's presence, interest or wish to understand the client without making any demands or attaching conditions that the client must comply with to receive the nurse's attention. Example: "We can sit here quietly for a while; we don't need to talk unless you would like to." |
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Term
| Restating or Paraphrasing |
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Definition
Actively listening for the client's basic message and then repeating those thoughts and/or feelings in similar words. Example:
Client: " couldn't manage to eat any dinner last night - not even the dessert."
Nurse: You had difficulty eating yesterday |
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Term
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Definition
| Stating the main points of a discussion to clarify the relevant points discussed. Example: "During the past half hour we have talked about |
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Term
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Definition
| Pay attention. Don't just nod and make appropriate sounds while mentally thinking about things other than what the patient is telling you. |
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Term
| Overuse of Medical Jargon |
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Definition
| Using medical terminology that the patient may not understand. Use lay terms that all can grasp |
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Term
| Giving Personal Opinions/Offering Advice |
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Definition
| Giving advice that is not within the scope of your practice. |
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Term
| Prying or Probing Techniques |
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Definition
Asking for information chiefly out of curiosity rather than with the intent to assist the client. Example:
Client: "I was speeding along the street and didn't see the stop sign."
Nurse: "Why were you speeding?" |
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Term
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Definition
Directing the communication into areas of self-interest rather than considering the client's concerns. Don't change the subject to avoid a difficult topic. Example:
Client: "I'm separated from my wife. Do you think I should pursue a physical relationship with another woman?"
Nurse: "I see that you are 36 and that you like gardening. This sunshine is good for my roses. I have a beautiful rose garden." |
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Term
| Providing False Reassurances |
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Definition
| Using cliches or comforting statements to reassure a patient. These responses block the fears, feelings, and other thoughts of the client. Example: "I'm sure everything will turn out alright." |
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Term
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Definition
May begin with how or what; encourages the patient to talk. Examples:
"I'd like to hear more about that."
"Tell me about..."
"What brought you to the hospital?"
"What is your opinion?" |
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Term
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Definition
Can be a block to communication. They are restrictive and generally require only a "yes" or "no" answer. Examples:
"What medication did you take?"
"Are you having pain now?"
"When did you fall?"
"How old are you?" |
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Term
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Definition
Using inappropriate terms of endearment. Ex. "Honey" "Sweetie" "Dearie" "Grandma"
Using inappropriate plural pronouns. Ex. "Are WE ready for our medicine?"
Using "tag" questions - Leading questions. Ex. "You would rather wear the blue blouse, wouldn't you?"
Using baby talk - shortened sentences, slow speech rate, simple vocabulary |
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Term
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Definition
| Covering up a real or perceived weakness by emphasizing a trait one considers more desirable |
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Term
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Definition
| Refusing to acknowledge the existence of a real situation or the feelings associated with it |
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Term
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Definition
| An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires. |
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Term
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Definition
| An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis |
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Term
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Definition
| Integrating the beliefs and values of another individual into one's own ego structure |
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Term
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Definition
| Separating a thought of memory from the feeling, tone, or emotion associated with it |
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Term
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Definition
| Attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors. |
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Term
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Definition
| Retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning |
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Term
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Definition
| Involuntary blocking of unpleasant feelings and experiences from one's awareness |
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Term
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Definition
| Symbolically negating or canceling out an experience that one finds intolerable. |
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Term
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Definition
Be simple and straight forward
Watch nonverbal because they are sensitive to it
Childs eye level
Incorporate play into interaction |
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