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Chapter 23
Communication
| Question | Answer |
|---|---|
| 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 |