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Communication
Study Questions
| Question | Answer |
|---|---|
| Define Communication | The process of transmitting messages and interpreting meaning. |
| List and define 7 basic elements of the communication process | Referent: motivates communication, Sender: delivers msg, Message: verbal/nonverbal info. channel: conveying and receiving msg thru auditory, visual, tactile senses, Receiver: receiver of msg, Environment: physical/emotional climate, Feedback: returned msg |
| Name 3 levels of communication and define | Intrapersonal - self talk Interpersonal - b/n people/groups Public - person with lg groups |
| Define meta-communication | exploration of all factors that influence communication, the deeper msg. verbal/nonverbal |
| What does Imogene King say about the nurse-client relationship? | "learning exp that two people interact to face an immediate health prob, to share, in resolving and discover way to adapt to the situation |
| what are comforting stratgies in therapeutic env.? | humor, physical comfort, emotionally supportive statements, touch |
| Name 2 things that can harm nusing's image? | Inappropriate appearance and behavior |
| Why is self introduction important? | Give name, status, acknowledge pxt, creates uncertainty and conveys lack of commitment/caring |
| How can nurse foster trust with client? | Comm. warmth and caring. Demon. consistency, reliability, honesty,competence. |
| How does a nurse listen attentively? | Active listening: providing info helps decision making, paraphrasing, clarifying, focusing, summarizing |
| SOLER | S sit facing pxt O observe open posture L Lean to pxt E eye contact R relax |
| pseudolistening | pretending to listen, break eye contact, daydreaming, fidgeting |
| When can silence be effective? | useful when decision need thought. Helpful during grief/sadness |
| What are the 5 steps in ASSERT formula? | Action: describe action that bothers Subjective: interpretation of it Sensation: ur feelings effcts: effects of action request: make it of other person tell: ur intentions if req. not met |
| Give 2 examples of focused questions | directs conversation to specific issues |
| What role does family play in planning client care? | Very important role |
| How does collaboration help interventions succeed? | Use collaboration and pxt r more likely to comply with plans. Promotes relationships. encourage ideas, gives others chance to express, strengths problem solving |
| what type of comm when giving instructions to young children is best? | use simple direct language and be honest. Give toys |
| what is sensory overload? | too much information and the client is not retaining or listening anymore. |
| What can affect verbal comm good or bad? | vocab, denotative/connotative meaning, pacing,intonation,clarity/brevity,timeing/relevance |
| zones of personal space intimate | 0-18 in, holding crying infant, physical assess., bathing, change pxt dressing |
| Personal Zone | 18in - 4ft, sit at bedside, teaching pxt, exhange info at change of shift |
| Social Zone - Personal Space | 4-12ft, make rounds, sit at head of table, teach class, conduct family support group |
| public zone | 12 ft>, speak at forum, legislative hearing, lecture in class |
| Zones of Touch Social Zone | permission not needed hands,arms,shoulders,back |
| Consent Zone | permission needed mouth,wrists,feet |
| vulnerable zone | special care needed face,neck front of body |
| intimate zone | great sensitivity needed genitalia |
| In Nurse Health team relationship, what is comm. geared toward? | team building, collaboration, consultation, delegation, supervision, leadership, mgmt. |
| How to convey acceptance and respect | be nonjudgemental, ask for explanations, avoid arguing, avoid being defensive, allow silence, avoid false reassurance |
| How do males use communication? | to achieve goals, establish ind status, authority, compete for attention/power |
| how do females use communication? | discuss feelings and personal issues, downplay achievements |
| Should you touch the head of a person from Africa or SE Asia? | No, it's the seat of life. May predispose person to lose spirit and power. |
| communications tips for pxts with difficulty hearing | avoid shouting, simple sentences, facial expressions/gestures |
| communications tips for pxts with difficulty seeing | comm. verbally before touch, announce self upon entering, inform when leave |
| communications tips for pxts who cannot speak | listen, do not finish sentences, yes/no questions, visual cues, only one person to speak at a time, let know if not understand, use aids |
| communications tips for cognitely impaired | reduce distractions, get attention before speaking, avoid long explanations, avoid shift subjects, |
| communications tips for pxts unresponsive | call pxt by name, verbal and touch, speak like can hear, explain all procedures and sensations |
| communications tips for pxt not speak English | no shouting, call light, interpreter, imagaes, dictionary |
| communications tips for older adults | quiet env. free of bckgrd noise, avoid shifting subjects, use explorative questions "How do you feel?" short, allow reminisce, let know not understand |
| Which cultures do not like eye contact? | Asian, Indochinese, Native American, Appalachian |
| Gender insensitivity | mininterpret or reacts to msg differently. use direct/indirect comm. |