68WM6 Communication

Description:	68WM6 Communication
Category:	Nursing
Created by:	Mary Ercanbrack on 2009-09-18

Question	Answer
Communication	Defined as the use of words and behaviors to construct, send, and interpret messages.
Communication can happen in two ways....	Both verbal and nonverbal and conveys varied messages.
Six Aspects of Communication	1.Sender 2.Message 3.Channel 4.Receiver 5.Feedback 6.Influences
Communication may be one-way or two-way, depending on	the roles of the persons in the interaction
This form of communication is is highly structured, with the sender being in control and expecting and getting very little response from the receiver. What is this called?	One-way communication
Two-way communication requires	both the sender and the receiver participate equally in the interaction.
What are some Factors that Influence Communication?	Culture, past experiences, emotions, mood, attitude, perceptions of the individual, and self-concept
Every culture has norms for appropriate communication.	Distance between communicators.Eye contact.Tone of voice.Amount of gestures used
What is the average distance between people in America while communicating?	In America, 18 inches to 4 feet is the average distance. This lessens when people converse with someone they know
Interpretation of the messages in influenced by	cultural values, level of education, familiarity with the topic, occupation, and type of previous life experiences
Aggressive Communication	is interacting with another in an overpowering and forceful manner to meet one's own needs at the expense of others.
Unassertive Communication	is interaction sacrifices the nurse's legitimate personal rights to meet the needs of the patient at the expense of feeling resentful.
Therapeutic Communication	Defined as communication that promotes understanding between the sender and the receiver.
Therapeutic Communication is also known as	Effective Communication
The most effective method of communication is	listening
What is the most difficult skill to acquire	listening?
Two types of listening are	Active and Passive
Active listening involves	Full attention to patient.Allows feedback.
Passive Listening	Attends nonverbally through eye contact and nodding.
Touch can convey	warmth, caring, comfort, support and understanding
Closed questioning encouraged what kind of response?	"Yes", "no" or short answer response or a specific answer to a specific question
Open-ended questioning	Doesn't seek specific answer.Patient can elaborate.Useful to assess feelings.Doesn't influence responses
Paraphrasing	Similar to restating, but the intent is different.Restatement of the pt’s message in the nurse’s own words to verify that the interpretation was correct.
How does reflecting impower a patient?	Empowers the pt to verbalize a solution Position of control.Promotes self-esteem.
Much of the communicating that the nurse does	is offer information:
Most therapeutic posture and position is for the nurse to	assume the same position and level as the patient.
Comfort zone	necessary distance between two or more individuals that must be maintained to guard against personal threat or intimidation.
Intimate zone	: 0 - 18 inches. Nursing interventions provided to the patient.Must be approached in a professional manner with gentleness and tact.
Personal zone	18 inches to 4 feet.Less intimidating to patient.Sitting or talking to patient.
Social zone	4 - 12 feet.Speaking to a small group
Public zone	12 feet or more.Public speaking
Without trust, interaction will not progress past	superficial social interaction
Trust is built with	confidence and competence
Pain can create a barrier for	effective communication between the nurse and the patient.Should address prior to proceeding with any other interaction with the patient.
Altered Cognition	Patient lacks the ability to receive, process, and send information, communication will not occur.
False Reassurance	May promise something that won't happen or is unrealistic.
Cliché	Stereotyped or superficial comments that don't focus on what patient is feeling or saying.
Defensiveness	Negative response to criticism Implies that patient doesn't have right to opinion
Changing the subject	Inappropriately focusing on something other than patient's concern.
Aphasia	is a deficient or absent language function resulting from ischemic insult to the brain, such as stroke, brain trauma, or anoxia.
Expressive aphasia	patient cannot send the desired message.
Receptive aphasia	patient cannot recognize or interpret the message being received.
Dysphasia	impairment of speech
Dysarthria	dysfunction of the muscles used for speech. Speech difficult, slow and hard to understand.
Empathy	Understand patient's feelings.Includes warmth, nonjudgmental attitude and focus on patient's feelings.
One of the most boring lectures you will ever sit through EVER!!!!!!!	F*** my LIFE!!!!