Shared Flashcard Set

Details

Therapeutic Communication
Kozier & Erb, Fundamentals, "Communicating" and lecture notes
31
Nursing
Not Applicable
12/09/2011

Additional Nursing Flashcards

 


 

Cards

Term
Silence
Definition
Sometimes it is ok; let the patient proceed when he is ready.
Term
Acknowledging
Definition
Giving recognition in a non-judgmental way. Example: "You trimmed your beard and mustache and washed your hair."
Term
Clarifying
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."
Term
Focusing
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."
Term
Giving Information
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."
Term
Offering Self
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."
Term
Restating or Paraphrasing
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."
Term
Summarizing
Definition
Stating the main points of a discussion to clarify the relevant points discussed. Example: "During the past half hour we have talked about..."
Term
Self-disclosure
Definition
Don't give too much of your own personal information.
Term
Inattentive Listening
Definition
Pay attention. Don't just nod and make appropriate sounds while mentally thinking about things other than what the patient is telling you.
Term
Overuse of Medical Jargon
Definition
Using medical terminology that the patient may not understand. Use lay terms that all can grasp.
Term
Giving Personal Opinions/Offering Advice
Definition
Giving advice that is not within the scope of your practice.
Term
Prying or Probing Techniques
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?"
Term
Changing the Subject
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."
Term
Providing False Reassurances
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."
Term
Open-ended questions
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?"
Term
Closed-ended questions
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?"
Term
Elderspeak
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
Term
Sender (Encoder)
Definition
Person or group who wishes to communicate a message to another.
* 1st component of the communication process
* Person who initiates the communication
Term
Message
Definition
What we want to communicate
* 2nd component of the communication process
* What is actually said or written or the body language that accompanies the words
* Congruent - what's said and what's received is the same
* Cultural sensitivity
* Take cues from patient
Term
Channel
Definition
Vehicle to convey the message
* Important for method to be appropriate for the message
* Can target any of the receiver's senses
Term
Receiver (Decoder)
Definition
Person or group who interpret the message
* 3rd component of the communication process
* Whether the message is decoded properly by the receiver depends largely on the similarities in background of the sender and receiver.
Term
Environment (Context)
Definition
Be aware of the background
* Reduce interference
* Give time to the process
* Be aware of cultural differences and language barriers
Term
Feedback
Definition
Response
* Information provided back to the sender
* Verbal, nonverbal or both
Term
Intrapersonal
Definition
Self-talk. Think about it before you say it. What you are planning to say.
Term
Interpersonal
Definition
Communication between 2 people. Feedback occurs.
Term
Public Communication
Definition
Message goes out to a group. No expectation of feedback.
Term
Pre-interaction
Definition
Nurse reviews pertinent assessment data and knowledge; considers potential areas of concern, and develops plan for interaction.
Term
Orientation
Definition
Also known as the introductory phase. Open the relationship; clarify the problem; structure and format the contract: obligations to be met by both nurse and client.
Term
Working
Definition
Nurse and client accomplish the tasks outlined in the intro phase; enhance trust and rapport and develop caring.
Term
Termination
Definition
Nurse and client accept feelings of loss. Client accepts end of relationship without feelings of anxiety or dependence.
Supporting users have an ad free experience!