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Sometimes it is ok; let the patient proceed when he is ready. |
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Giving recognition in a non-judgmental way. Example: "You trimmed your beard and mustache and washed your hair." |
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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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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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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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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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Restating or Paraphrasing |
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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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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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Don't give too much of your own personal information. |
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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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Overuse of Medical Jargon |
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Using medical terminology that the patient may not understand. Use lay terms that all can grasp. |
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Giving Personal Opinions/Offering Advice |
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Giving advice that is not within the scope of your practice. |
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Prying or Probing Techniques |
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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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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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Providing False Reassurances |
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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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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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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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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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Person or group who wishes to communicate a message to another. * 1st component of the communication process * Person who initiates the communication |
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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 |
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Vehicle to convey the message * Important for method to be appropriate for the message * Can target any of the receiver's senses |
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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. |
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Be aware of the background * Reduce interference * Give time to the process * Be aware of cultural differences and language barriers |
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Response * Information provided back to the sender * Verbal, nonverbal or both |
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Self-talk. Think about it before you say it. What you are planning to say. |
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Communication between 2 people. Feedback occurs. |
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Message goes out to a group. No expectation of feedback. |
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Nurse reviews pertinent assessment data and knowledge; considers potential areas of concern, and develops plan for interaction. |
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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. |
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Nurse and client accomplish the tasks outlined in the intro phase; enhance trust and rapport and develop caring. |
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Nurse and client accept feelings of loss. Client accepts end of relationship without feelings of anxiety or dependence. |
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