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nsg communication
chapter 21
| Question | Answer |
|---|---|
| communication | dynamic - critical thinking is used so process is effective |
| stimulus | motivates one person to communicate with another |
| examples of a stimulus | sights, sounds, odors, ideas, perceptions |
| sender | person who encodes and delivers the message |
| what makes it easier to have message decoded correctly | the more sender and receiver have in common |
| message | content of communication |
| what is contained in message | verbal and non-verbal |
| channel of communication | means of conveying the message:visual, auditory, tactile senses (kinesthestic) |
| what helps the message to be understood | the more channels that are used |
| receiver | decodes message |
| feedback | message is returned to sender and indicates if message was understood |
| levels of communication | intrapersonal, interpersonal, group |
| intrapersonal | "self talk" - can be positive or negative |
| interpersonal | one to one communication. most frequent in nursing care. |
| group communication | group dynamics must be considered |
| roles of group members | task oriented, maintenance, self-serving |
| task oriented group member | will focus on work to be done |
| maintenance group member | will be active listener, supporter and help to harmonize group |
| self-serving group member | attention seeker, dominator, agressor |
| factors influencing communication | developmental, gender, socioculteral, physical,environment |
| forms of communication | verbal and non-verbal |
| verbal communication | language (written or spoken) |
| non-verbal communication | body language (transmission of informaation without words) |
| examples on non-verbal communication | facial expressions, gestures, mode of dress, sounds, posture, gait |
| the helping relationship | foundation of nursing practice |
| the nurse is the ___________ helper | professional |
| the helping realtionship is | theraputic |
| _____________ is the key in the helping relationship | communication |
| ___________ is the priority in the helping relationship | client's needs |
| what the helping relationship is built on | patient's trust in the nurse |
| characteristics of helping realtionship | does not occure spontanously, unequeal sharing of information,dynamic, purposeful, time limited, uses the nurisng process |
| phases of the helping relationship | orientation, working, termination |
| goals of orientation phase | establish guidleines, assess patient needs, prioritize problems, id goals |
| goals of working phase | work together to meet patient needs |
| goals of termination phase | evaluation of working phase, separate from patient, achieve smooth transition |
| factors that promote effective communication | dipositional traits and rapport builders |
| dispositonal traits that encourage effefective communication | warmth,respect,empathy,caring, comptetence |
| rapport builders | speciic objectives, comfortable enviornment, privacy, confidentiality, patient focus, provide personal space, pacing, evaluation of non-verbal |
| conversational skills | control tone, knowledge of subject,be clear and concise, be truthful |
| examples of listening skills | sit when communicating, be alert, maintian eye contact, listen for themes |
| interviewing techiniques | open endede questions, closed ended questions, validation quesitons, clarifying questions, reflective quesitons, directing questions |
| open ended questions | allows pt to expand, allows pt to direct conversation |
| closed ended questions | helps to focus interview. helps to gather specific data from pt. |
| sequencing comments | helps to "timeline" events |
| clarifying comments | gives understanding of what pt has said |
| reflective comments | the nurse will repeat what is said - allows pt to elaborate |
| directing comments | directs a pt to a topic |
| purpose of the interview | to obtain accurate and thorough information |
| blocks to communication | failure to: listen, treat pt as human being, inapproapirate comments, using cliches, using questions that containg "why" and "how",the nurse not being focused on the pt. |
| block to communication | using gossip, giving false reassurance, changing the subject, using comments that give advice, aggression |
| closed ended question | answers question specifically. no elaboration is given. |
| what are some examples of caring behavior? | listening, touch, addresses pt appropiately, shows repsect for pt privacy |
| nursing goal of helping relaltionship | pt will id and achieve goals they have set for themselves |
| empathy | empathy is pt centered. It ackknowledges pt's feelings and being sensitive to those feelings |
| ways to promote self worth in the pt | address them by prefeered name, provide privacy, allow pt to id and make goals, keep pt center of nurse/pt relationship |
| communication is evaluated to be sucessful when | the message sent by the sender is similar to the message decoded by the receiver. |
Created by:
N119
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