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Chapter 23

Communication

QuestionAnswer
Perceptions are based on: information recv'd from the 5 senses
Perceptual bias human tendencies that interfere with accurately percieving and interpreting messages from others. People assume how others would react/behave/think
Intrapersonal communication is: a powerful form of communication that occurs w/in an individual. Also called self-talk, inner-thought, self verbalization
Interpersonal communication is: one-to-one interaction btwn. the RN and another person that often occurs face to face
Transpersonal Communication is: interaction that occurs w/in a person's spiritual domain
Small-group communication is: interaction that occurs when a sm. # of persons meet together; usually goal directed and requires an understanding of grp. dynamics
Public communication is: interaction with an audience
Referent motivates one person to communicate with another
Sender & Reciever S: person who encodes and delivers the message R: person who recieves and decodes the message
Message the content of the communication
What type of language may a message contain? verbal, nonverbal, symbolic language
Channels means of conveying and recieving messages through visual, auditory, and tactile senses
Feedback message returned by the reciever. It indicates whether the sender's msg. was understood.
Interpersonal variables factors w/in both the sender and receiver that influence communication.EX: perception
Environment setting for the sender-receiver interaction. Should have physical and emotional comfort and safety
Connotative meaning shade or interpretation of a word's meaning influenced by the thoughts, feelings, or ideas people have about the word
Intimate zone of personal space 0-18 inches
Personal zone of personal space 18 inches to 4 feet
Social zone of personal space 4 to 12 feet
Public zone of personal space 12 feet and greater
Social zone of touch permission not needed, hands, arms, shoulders, back
Consent zone of touch permission needed; mouth, wrists, feet
Vulnerable zone of touch special care needed; face, neck, front of body
Intimate zone of touch great sensitivity needed; genitalia, rectum
Symbolic communication verbal and nonverbal symbolism used by others to convey meaning
Metacommunication important to effective interpersonal interaction; It is "communication about communication" so that the deeper "msg. w/in a msg" can be uncovered and understood
Autonomy ability to be self-directed and independent in accomplishing goals and advocating for others
Assertiveness conveys a sense of self-assurance while also communicating respect for the other person
active listening to be attentive to what the client is saying both verbally and nonverbally
empathy ability to understand and accept another person's reality, to accurately percieve feelings, and to communicate this understanding to the other
Sympathy concern, sorrow, or pity felt for the client generated by the RN's personal identification with the client's needs. Its a subjective look at the person's world that prevents a clear perspective of the issues confronting that person
Communication is not the msg. that was intended but rather the msg. that was recv'd. The statement that best helps explain this is: Contextual factors, such as attitudes, values, beliefs, and self-concept, influence communication
The nurse demonstrates active listening by: assuming a relaxed posture and leaning toward the client
The RN builds helping, caring relationships by: establishing trust and demonstrating empathy
Gender influences how a person thinks, acts, feels, and communicates. In Western culture it is important for RN to remember when he is trying to be sensitive to gender in communicating that: males communicate to achieve goals, establish individual status and authority, and compete for attn. and power
The statement that best explains the role of collaberation with others for the client's plan of care is the professional RN: collaberates with colleagues and client's family to provide combined expertise in planning care
"I'm not sure what you mean by sicker than usual.' What is different now?" The nurse is using the therapeutic technique: clarifying
"We've talked a lot about your medications, but lets look more closely at the trouble you're having in taking them on time." The nurse is using what therapeutic technique? focusing
"If I were you, I'd put your mother in a nusing home." The nurse is using what nontherapeutic technique? Giving personal opinions
When working with an older adult, the nurse should remember to avoid: shifting from subject to subject
A nurse should consider zones of personal space and touch when caring for clients. If a RN is taking the client's nursing hx, she should: be 18 inches to 4 feet from the client
Created by: rschoengold