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68WM6 Communication
| 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!!!! |