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NRS 104 Lecture 3


What Is Communication? The process of transmitting messages and interpreting meaning Effective communication is vitally important in nursing. It is the foundation of a therapeutic nurse-client relationship and the medium for implementing the nursing process.; Effective communi
A Communication Model Environment Message; Sender; Receiver; Feedback Environment
Forms of Communication Verbal - spoken or written words. In includes, but is not limited to, vocabulary Nonverbal - messages without words sent through the body’s language
Nonverbal Communication Facial expression; Eye contact; Observable physiological responses; General appearance
Personal Space Zones Public (12’ and up); Social (4’ – 12’); Personal (18” – 4’); Intimate (touch - 18”)
Phases of the Helping (Nurse-Client) Relationship Orientation – initial interaction (ground rules, trust, rapport, goals); Working – What happens all day as trying to meet goals; Termination – Crucial (tell patient in beg. how long you’ll be there that day. Keep pt. updated all day as to how much time yo
Cultural Considerations Three areas of concern when interpreting verbal and nonverbal messages when the nurse and client are from different cultures: communication styles; eye contact; touch
What Is Active Listening? Observing nonverbal behavior; Listening and understanding verbal messages; Listing and understanding the client’s context of life; Listening for “false notes”
Therapeutic (Helpful) Techniques Paraphrasing/restating; Exploring with open-ended statements; Giving recognition; Giving information ; Offering self; Sharing observations; Validating the message; Humor
More Therapeutic Techniques Reflecting; Focusing; Clarifying ; Summarizing
Use of Silence Silence is a useful technique, it is not the absence of communication; Silence communicates the need for support and encouragement; Silence allows the clients time to collect their thoughts and choose their own words
Non-therapeutic (Non-helpful) Techniques Giving false reassurance; Changing the subject; Giving advice, approving/disapproving; Probing or excessive questions; Self-focusing statements; Minimizing feelings; Making stereotypical comments
“Why” Questions Imply criticism; Sounds intrusive and judgmental and sets up a defensive reaction; More useful to ask “What” “Who” “When”
Created by: jenbj