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NURS 509A
Communication
| Question | Answer |
|---|---|
| what types of human needs does communication meet | physical---psychosocial---emotional---spiritual |
| What are the 4 levels of communication | intrapersonal---interpersonal----group---public speaking |
| Is it possible for people NOT to communicate | no, every word or gesture is a form of communication |
| Both participants of communication (sender/receiver) simultaneously do what during communication process | perceive each other---listen to each other---send messages---are mutually involved in creating the meaning of a relationship |
| Name 4 factors that influence communication | learned ways of thinking (values/attitudes/beliefs/culture/religion)-----gender---age/developmental level----environment of communication |
| Nurse's role in communication | convey information---comfort and space---symptom management---life and death |
| Patient care would likely be done in what environment of communication (space, how many inches away from pt?) | in the intimate space - within 18 inches of pt |
| with respect to environment of communication - how far away from the pt is the nurse when taking a history | In the personal space = 18 - 48 inches away from pt. |
| A social distance, generally for public health nursing, is typically how far | typically 4-12 feet apart from one another |
| And a public speaking environment of communicaiton is how far away | about 12 feet or more |
| communication includes content and process, which are defined as | content = words/gestures/substance-------process is sending ---receiving/interpreting---reacting |
| So, in other words, an effective communication cycle includes what steps | message is encoded---then sent--received---decoded---interpreted---reacted to by giving feedback to sender |
| A nurses job is to interpret my patient's message. If I don't know what a pt means then I could . . . | ask them to 'tell me more' |
| Which typically (but not always) more accurately conveys true meaning of a message---verbal or nonverbal? | nonverbal |
| communication is what % verbal and what % nonverbal | 35% verbal, 65% nonverbal |
| evidence of honesty is when we have congruence of verbal and non-verbal . . .another term for this is | congruence |
| name 4 elements of verbal communication | vocabulary---tempo---clarity---vocal cues/paralanguage |
| name 4 elements of non-verbal communication | facial expression----physical appearance/dress---body movement/posture---touch |
| what is the purpose of a therapeutic relationship? | assist in improving the client's health or to manage health-related issues/problems |
| name the 4 phases of a therapeutic relationship | pre-interaction---orientation---working---termination |
| reviewing medical records, examining my own feares or concerns about working with a client would be done in what phase of a therapeutic relationship | in the pre-interaction phase |
| creating a trusting environment, establishing expectations, gathering assessment info, identifying problems, setting goals and developing a plan of care - - - what phase are these done in? | in the orientation/introductory phase |
| maintaining trust ---problem solving through plan of care---remaining active participant---evaluating progress---clarifying feelings-----these are all done in what phase of therapeutic relationship | in the working phase |
| when goals have been acheived, the pt is discharged or the clinical rotation is over, we conclude the the therapeutic relationship. this is done in what phase? | in the termination phase |
| A professional boundary is expressed as a Venn diagram with these three boundaries | people boundaries---places boundaries---time boundaries |
| We need to be concerned about the integrity of our professional boundary when we observe the following | self-disclosure---gift giving---touch---friendship/romantic |
| warning signs of boundary violations included | favoring one client over another---keeping secret with client---swapping to get that pt for your shift---spending free time with a client |
| other warning signs of boundary violations | frequent thinking of client when away from work---sharing person information---receiving gifts from client---continuing contact after discharge |
| Techniques to assist in therapeutic communicaiton | are client-centered-----goal directed |
| is using silence a therapeutic communication technique? | yes - along with accepting/observing/offering self and asking open-ended questions |
| Is clarifying time or sequence a therapeutic communicaiton technique? | yes, along wtih being encouraging/restating/reflecting/focusing and exploring |
| What about seeking clarification? Is this a therapeutic technique? | Why yes it is (don't you just want to smack me about now???)---along with identifying themes, giving information and summarizing |
| Is agreeing a therapeutic technique? | no, it is classified as a NON-therapeutic technique, along with yes/no/excessive questioning |
| is advising/offering advice a therapeutic technique | nope - neither is challenging, changing the topic or denying |
| What about interpreting or making stereotypical comments? | NON-therapeutic communication ----along with passing judgement/probing/rejecting |
| Is reassuring a therapeutic technique? | NON-therapeutic communication----along with testing, probing or using disrespectful words/tone/body language |
| Where should I check to see if the "Example of Therapeutic Communication Exercise for NURS 509B" has been posted | CON D2L - though we may not need it for this exam, I would take a peek |
Created by:
MEPN 2013
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