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ch 6 psyc

context the environment in which communicaiton occurs & can include the time & physical, social, emotional, & cultural environments
nonverbal communication behavioral accompanies verbal content ie:body lang, eye contact, facial expression, tone of voice, speed & hesitations in speech, grunts & groans,& distance from listener
content literal words that a person speaks
process denotes all nonverbal messages that speaker uses to give meaning & context to message. listeners must observe behavior/sounds that accent the words & interpret speakers nonverbal behavior
congruent message conveyes when content & process agree
incongruent message when content & process do not agree
therapeutic communication RN-pt interpersonal interaction during which the nurse focuses on pts specific needs to promote effective exchange of info
proxemics study of distance b/t ppl during communication
intimate zone 0-18inches:parent/child, lovers, whispering ppl
personal zone 18-36in: family & friends who are talking
social zone (nurse pt zone:3-6ft) 4-12ft: distance acceptable for comm in socail, work, & business settings
public zone 12-25ft: distance b/t speaker & audiance, small groups, informal functions
assess for abstract thinking say a proverb & see if pt can interpret it appropriately ie: "a stitch in time saves nine"
overt cues clear & direct cues & statements ie: "i want to die"
covert cues hidden, vague, or indirect messages that need interpretation ie: "nothing can help me"
expressive face protrays moment-to-moment thoughts, feelings & needs. Can tell even if pt doesnt want others to know
impassive face emotionless deadpan expression similar to a mask
confusing face expression that is the opposite of what the pt wants to convey.
body language gestures, postures, movement, & body positions
body position crossed legs or arms that are crossed may threaten the pt who is trying to express there feelings.
vocal cues voive volume, tone, pitch, intensity, emphasis, speed, & pauses augment senders message. loudness indicates anger, fear, happiness, or deafness
nondirective role using broad openings & open ended questions to collect info & help pt ID & discuss topic of concern
directive role direct, yes/no questions & using problem-solving to hlep with present here-&-now issues
assertive communication ability to express positive/negative ideas & feelings in an open, honest, & direct way
Created by: 1225581002