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test4
communication, sexuality, spirituality
| Question | Answer |
|---|---|
| Verbal communication- written or spoken words | pace/intonation(emotions) *simplicity *clarity *timing *adaptibility *credibility *humor |
| nonverbal comm gestures, body movements,touch and appearance | personal appearance *posture *facial expression *gestures |
| attentive listening | uses all senses. conveys an attitude of caring and interest. encourages the client to talk. the nurse should ask questions to either obtain more info or to clarify |
| CONGRUENT COMMUNICATION | the verbal and nonverbal aspects of the message MATCH |
| feedback or response | is the message the receiver returns to the sender. (can be nonverbal-nod of head or yawn or verbal)feedback allows the sender to correct or reword a message |
| personal space is the distance ppl prefer in interactions with others | intimate-touching to 1 1/2 feetpersonal-1 1/2 to 4 ftsocial 4 to 12 feetpublic 12- 15 ft |
| interpersonal process recording (IPR) | |
| self concept- ones mental image of oneself. inclues all the self perceptions that influence: | appearance *values *belief |
| global self esteem | is how one views himself as a whole. specific self esteem is how one views certain aspects of himself |
| role | is how ppl expect one in a certain role to behave |
| culture | nonphysical traits, such as values, attitudes, beliefs, and customs, that are shared by a group of ppl and passed from one generation to the next |
| sterotyping | assuming that all members of a cultural or ethnic group are alike |
| cultural care | k |
| discrimination | the differential treatment based on categories such as race, ethnicity, gender, social class, or exceptionality- based on prejudice |
| define human interaction | k |
| describe the communication process | is a guide toward achieving effective comm. 1.sender(encoder) 2 message 3 reciever (decoder)4 response |
| identify modes of communication | verbal *nonverbal *electronic-email |
| discuss factors that influence communication | developmental stage(language, psychosocial, intellectual devel.) *personal space *roles and relationships (pt role, nurse role, the formation of the pt nurse relationship) |
| define therapeutic communication | helps establish a helping relationship, is goal driven, focuses on the pt. & is outcome oriented. consist of attentive listening and physical attending |
| therapeutic communication provides | general leads and open ended questions. EX. is there something you would like to talk about? is there something on your mind? where would u like to begin? |
| list barries to communication | nontherapeutic comm.*faliure to listen, misiterpreting the message sent, putting your needs before the pt's |
| Assessing Impairments in Communication | Language Deficits: If English is not the primary language, obtain a translatorSensory Deficits: Adjust to client’s needsCognitive Impairments: Is the patient able to understand what you are saying & able to comm.to u? (Use simplest verbiage ) |
| Assessing Impairments in Communication contined | Structural Deficits: May have oral, nasal, or respiratory problems that can alter ability to speak clearly. Must be patient and understanding. Paralysis: Assess whether or not the patient can talk,nod, shrug, etc. to show understanding |
| nursing interventions to enhance communication | manipulate the enviroment *provide support *employ measures to improve communication (ex.translators) *educate the pt and family |
| communication evaluation | the nurse must listen actively, observe nonverbal comm. and use therapeutic comm.in order to determine if outcomes have been met. IPR |
| communication client outcomes | the client will: establish an effective method of comm. by.... the client will comm. effectively using sign language, word board, or translator w/ the nursing staff by... |
| factors that enhance self esteem | 1.Encourage pt to part. in planning care 2.Listen to concerns 3.Assist pt to ident & use strengths 4.encourage them to part. in activities that they can be successful 5. Comm.that pt is valued -use the pt’s name & ask for advice 6.est. therapuetic relship |
| factors that threaten self esteem | Lack of positive feedback from significant others *Repeated failures *Unrealistic expectations (Also, developmental stage, stressors, resources, and illnesses can either positively or negatively influenceself-esteem) |
| discuss cultural components as they relate to nursing care | k |
| describe guidelines for culturally sensitive nursing care | k |
| Timing communication: | communicate with pt when they are calm and not in pain. dont ask several question at ounce |
| non verbal communication | can reinforce or contradict the verbal. nonverbal comm.Often tells u more about what the a person is feeling b/c it is harder to control than verbal. |
| is the most important tech in communication | attentive listening |
| the majority of communication is | nonverbal |
| erect posture and an active, purposeful stride sugesst | a feeling of well being |
| slouched posture and a slow, shuffling gait sugest | depression or physical discomfort |
| tense posture and a rapid, dtermined gait sugest | anxiety or anger |
| the nurse clarifies the meaning of the observed posture by | describing to the client what the nurse sees and then asking what it means or wheather the nurse's interpretation is correct (ex. "u look like it really hurts to move. Im wondering how ur pain is & if you might need something to make u more comfortable>" |
| a person who feels weak or defenseless often | adverts the eyes or avoids eye contact |
| ex of intimate distance | cuddling a baby, touching the sightless client, positioning clients, observing an incision, and restraining a toddler for an injection, bathing, procedures, phys. assessment |
| much communication b/t nurses and clients occurs at personal distance. ex. are | sitting with a client, giving medications, or establishing an intravenous infusion, hand shake |
| social distance (clear visual of the person as a whole) ex | when the nurse makes rounds or waves at someone |
| social distance is frequently missed used. ex | a nurse standing in the clients doorway and says "how are you today?" will recieve more of a NONcommital reply than the nurse who moves to a personal distance to make the same inquiry |
| a nurse can convey attentive listening to clients by | nodding the head, uttering "uh huh" or "mmm", by repeating the words the client has used, or saying i see what u mean |
| therapeutic comminication tech. | Silence: gives the patient time to respond anprovides supportive presence (physical attending) Being specific: used when info is needed,ex describing symptomsUsing touch: can reinforce a message if usedappropriately Restating: Shows that you understand |
| therapeutic comm. | sequencing *clarifying *summarizing |
| NON therapeutic comm | reassuring (devalues the message) ex. you're comming along fine or i wouldnt worry about that *disagreeing/defending/challenging |
| NON therapeutic tech. | rejecting:nurse ignores pt questions or remarks *passing judgement-giving ones own opinion; basing pt statements on ur own values *giving advice-not allowing pt to make their own decision |
| ex of social distance | interview, making rounds, greeting at the door |
| ex. of public distance | walking around the halls and seeing pt in their room |
| ex. of NONtherapeutic comm disagreeing/challenging/defending | i dont believe thatno one here would lie to uif no one like u then.... |
| if one is SELF AWARE... | his perceptions of himself is similar to how others perceive him |
| components of self concept | 1 personal identity 2 body image 3 role performance 4 self esteem |
| personal identity- Conscious sense of individuality and uniqueness that is continually evolving throughout life | Often viewed in terms of name, sex, age, race,culture, ethnic group, occupation or roles, talents,marital status, and/or education. It also includes one’ beliefs, morals, and values, a person’s character |
| body image -image of physical self | How a person perceives the size, appearance, and functioning of the body and its parts.Also includes the sensations, such as pain, pleasure,stress, fatigue, movement.Develops from how others perceive us as well as how we perceive ourselves. |
| role performance | is the relationship between how oneperforms a role and the behaviors expected of that role |
| role strain | occurs when one is frustrated because they feelor are made to feel inadequate. |
| taking care of someone that took care of you could cause | a role strain |
| role conflicts | occur when ther are opposing or incompatible expectations for a certain role. disagreement in roles |
| self esteem- ones judgement of one's own worth | how ones standards and performances compare to others and to one's ideal self |
| social self | is how one is perceived by others |
| social evaluation | the appraisal of oneself in relationship to others, events, or situations |
| define the concept of culture | |
| low self esteem behaviors | Poorly groomed,unkempt appearance. Hesitant or halting speech.Overly critical of self. Unable to accept positive remarks about self. Encourages reprimands from others. Apologizes frequently.Verbalize feelings of hopelessness,helplessness &powerlessness |
| disturbed body image- confusion in mental picture of one’s physical self | Supporting d:change in body structure orfunc, altered view of body.Related to: changes in body, illness, treatment,trauma, injury |
| disturbed body image possible outcomes | :The pt will verbalize congruence between body reality and body perception by…The client will describe, touch, or observe affected body part |
| ineffective role performance- patterns of behavior and self-expression that do not match the environmental context, norms, andexpectations | Supporting Data: altered role perceptions, anxiety,change in usual patterns of respon, deficient knowledge, depression, harassment, inadequate adaptation to change Related to: inadequate or lack of role model, lack ofeducat, unrealistic role expectation |
| chronic low self esteem-long-standing, negative selfevaluation/feelings about self or self capabilities | Supporting Data: dependent upon other’s opinions,indecisive, lack of eye contact, passive, rejects positive feedback about self |
| physical attending | supportive, meaningful presence |
Created by:
chelsea309
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