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Communication

Study Questions

QuestionAnswer
Define Communication The process of transmitting messages and interpreting meaning.
List and define 7 basic elements of the communication process Referent: motivates communication, Sender: delivers msg, Message: verbal/nonverbal info. channel: conveying and receiving msg thru auditory, visual, tactile senses, Receiver: receiver of msg, Environment: physical/emotional climate, Feedback: returned msg
Name 3 levels of communication and define Intrapersonal - self talk Interpersonal - b/n people/groups Public - person with lg groups
Define meta-communication exploration of all factors that influence communication, the deeper msg. verbal/nonverbal
What does Imogene King say about the nurse-client relationship? "learning exp that two people interact to face an immediate health prob, to share, in resolving and discover way to adapt to the situation
what are comforting stratgies in therapeutic env.? humor, physical comfort, emotionally supportive statements, touch
Name 2 things that can harm nusing's image? Inappropriate appearance and behavior
Why is self introduction important? Give name, status, acknowledge pxt, creates uncertainty and conveys lack of commitment/caring
How can nurse foster trust with client? Comm. warmth and caring. Demon. consistency, reliability, honesty,competence.
How does a nurse listen attentively? Active listening: providing info helps decision making, paraphrasing, clarifying, focusing, summarizing
SOLER S sit facing pxt O observe open posture L Lean to pxt E eye contact R relax
pseudolistening pretending to listen, break eye contact, daydreaming, fidgeting
When can silence be effective? useful when decision need thought. Helpful during grief/sadness
What are the 5 steps in ASSERT formula? Action: describe action that bothers Subjective: interpretation of it Sensation: ur feelings effcts: effects of action request: make it of other person tell: ur intentions if req. not met
Give 2 examples of focused questions directs conversation to specific issues
What role does family play in planning client care? Very important role
How does collaboration help interventions succeed? Use collaboration and pxt r more likely to comply with plans. Promotes relationships. encourage ideas, gives others chance to express, strengths problem solving
what type of comm when giving instructions to young children is best? use simple direct language and be honest. Give toys
what is sensory overload? too much information and the client is not retaining or listening anymore.
What can affect verbal comm good or bad? vocab, denotative/connotative meaning, pacing,intonation,clarity/brevity,timeing/relevance
zones of personal space intimate 0-18 in, holding crying infant, physical assess., bathing, change pxt dressing
Personal Zone 18in - 4ft, sit at bedside, teaching pxt, exhange info at change of shift
Social Zone - Personal Space 4-12ft, make rounds, sit at head of table, teach class, conduct family support group
public zone 12 ft>, speak at forum, legislative hearing, lecture in class
Zones of Touch Social Zone permission not needed hands,arms,shoulders,back
Consent Zone permission needed mouth,wrists,feet
vulnerable zone special care needed face,neck front of body
intimate zone great sensitivity needed genitalia
In Nurse Health team relationship, what is comm. geared toward? team building, collaboration, consultation, delegation, supervision, leadership, mgmt.
How to convey acceptance and respect be nonjudgemental, ask for explanations, avoid arguing, avoid being defensive, allow silence, avoid false reassurance
How do males use communication? to achieve goals, establish ind status, authority, compete for attention/power
how do females use communication? discuss feelings and personal issues, downplay achievements
Should you touch the head of a person from Africa or SE Asia? No, it's the seat of life. May predispose person to lose spirit and power.
communications tips for pxts with difficulty hearing avoid shouting, simple sentences, facial expressions/gestures
communications tips for pxts with difficulty seeing comm. verbally before touch, announce self upon entering, inform when leave
communications tips for pxts who cannot speak listen, do not finish sentences, yes/no questions, visual cues, only one person to speak at a time, let know if not understand, use aids
communications tips for cognitely impaired reduce distractions, get attention before speaking, avoid long explanations, avoid shift subjects,
communications tips for pxts unresponsive call pxt by name, verbal and touch, speak like can hear, explain all procedures and sensations
communications tips for pxt not speak English no shouting, call light, interpreter, imagaes, dictionary
communications tips for older adults quiet env. free of bckgrd noise, avoid shifting subjects, use explorative questions "How do you feel?" short, allow reminisce, let know not understand
Which cultures do not like eye contact? Asian, Indochinese, Native American, Appalachian
Gender insensitivity mininterpret or reacts to msg differently. use direct/indirect comm.
Created by: palmerag
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