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Fundamentals Ch. 8
Communication & the Nurse-Patient Relationship
| Question | Answer |
|---|---|
| active listening | mind & senses concentrated & focused on what's being said |
| aphasia | difficulty expressing or understandin language |
| body language | nonverbal communication |
| What are some forms of nonverbal communication | gesture, expression, body posture, intonation, & general appearance |
| communication | when 1 person sends a message & it is received, processed, & indicated that it's been interpreted |
| confidentiality | keeping all information private & not discussing patient info with anyone not involved in the patient's care |
| congruent | in agreement |
| delegate | authorize another person to do something |
| empathy | ability to understand by seeing the situation from another's perspective |
| feedback | responding |
| incongruent | does not agree |
| input | put in information |
| nonverbal | without words |
| perception | recognition & interpretation of sensory stimuli |
| rapport | a relationship of mutual trust or affinity |
| SBAR | situation, background, assessment, trecommendation |
| shift report | verbal communication on the details of a patient's condition & treatment |
| therapeutic | effective/curative |
| therapeautic communication | communication that is focused on the needs of the patient |
| verbal | in words |
| 4 elements necessary for communication | sender, message, reciever, feedback |
| nonverbal communication can convey | anxiety, fear, pain |
| Factors affecting communication | culture, past experiences, emotions & moods, attitude, self-concept, physical problems |
| an example of a past experience | level of education |
| How emotions & moods effect communication | anxious: may not hear/interpret correctly, upset: speak louder, depressed: communicate minimally |
| How attitude effects communication | affects how message is recieved |
| The acceptable distance in American culture in regards to personal space | 18 inches to 4 feet |
| Acceptable distance in American culture in regards to personal space in a social environment | 4 feet to 12 feet |
| Factors for communication breakdown | lack of active listening, failure to give feedback of message recieved, wrong assumptions of nonverbal messages |
| What does active listening require? | concentration & focused listening |
| Body language that conveys aqctive listening | leaning forward, nodding slightly, open body posture |
| 4 most common Thearapeutic Communication techniques | Silence, Open-ended questions, Restate, Touch (SORT) |
| Blocks to effective communication | Changing subject, Offering false reassurance, Defensive comments, Asking probing questions, Giving advice, Using Cliches, Not listening attentively |
| difference between empathy & sympathy | empathy is understanding, sympathy is sorrow felt for the person |
| What can nonverbal communication be? | gesture, body position, intonation, general appearance |
| Where does the nurse-patient relationship take place? | healthcare setting |
| Boundaries of the nurse-patient relationship | patient's problems, help needed, nurse's professional role |
| Communication with school age children | simple explanations, show how equipment works, allow child to handle equipment, loisent to fear/concerns |
| Communication with elderly | speak slowly, allow more time for processing, face patient so lips can be seen, hearing aid in place and turned on |
| information needed when phoning physician | patient data, chart, allergies, concise statement/reason for calling, |
| What should you do at the end of the call with physician | document call & physician's response |
| What patient data will physician need during call? | vitals, labs, meds, urinary output |
| What should you do before calling physician | make a quick assessment of patient & document in chart |
| End of shift report needs to contain what info? | name, date admitted, diagnosis, tests, teratments, meds, changes in condition, lab values, pain, concerns |
| What is a good tecnique to use for end of shift reports? | SBAR |
| When delegating, be: | clear, concise, include time restraints, get feedback |
| an essential component of communication | feedback |
| What does therapeutic communication promote? | understanding between the sender & reciever |
| ____ must be kept for all communication between the patient & the nurse | confidentiality |
| 2 aspects of culture that vary from one culture to another are | eye contact & personal space |
| characteristics of the nursr that facilitatea therapeutic nurse-patient relationship | shows empathy, non-judgemental, has desire to help, genuiness, honest, respect, effective communication skills, confidentiality |
| 3 specific actions to increase communication with the aphasic person | assume they can understand, give time to answer, give directions with shortphrases & simple terms |
| 4 specific actoins to take when speaking with a hearing impaired patient | get the person's attention, be at eye level, speak distinctly, speak slowly with short simple questions |