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chapter 21

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
communication   dynamic - critical thinking is used so process is effective  
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stimulus   motivates one person to communicate with another  
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examples of a stimulus   sights, sounds, odors, ideas, perceptions  
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sender   person who encodes and delivers the message  
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what makes it easier to have message decoded correctly   the more sender and receiver have in common  
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message   content of communication  
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what is contained in message   verbal and non-verbal  
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channel of communication   means of conveying the message:visual, auditory, tactile senses (kinesthestic)  
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what helps the message to be understood   the more channels that are used  
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receiver   decodes message  
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feedback   message is returned to sender and indicates if message was understood  
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levels of communication   intrapersonal, interpersonal, group  
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intrapersonal   "self talk" - can be positive or negative  
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interpersonal   one to one communication. most frequent in nursing care.  
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group communication   group dynamics must be considered  
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roles of group members   task oriented, maintenance, self-serving  
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task oriented group member   will focus on work to be done  
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maintenance group member   will be active listener, supporter and help to harmonize group  
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self-serving group member   attention seeker, dominator, agressor  
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factors influencing communication   developmental, gender, socioculteral, physical,environment  
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forms of communication   verbal and non-verbal  
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verbal communication   language (written or spoken)  
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non-verbal communication   body language (transmission of informaation without words)  
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examples on non-verbal communication   facial expressions, gestures, mode of dress, sounds, posture, gait  
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the helping relationship   foundation of nursing practice  
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the nurse is the ___________ helper   professional  
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the helping realtionship is   theraputic  
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_____________ is the key in the helping relationship   communication  
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___________ is the priority in the helping relationship   client's needs  
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what the helping relationship is built on   patient's trust in the nurse  
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characteristics of helping realtionship   does not occure spontanously, unequeal sharing of information,dynamic, purposeful, time limited, uses the nurisng process  
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phases of the helping relationship   orientation, working, termination  
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goals of orientation phase   establish guidleines, assess patient needs, prioritize problems, id goals  
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goals of working phase   work together to meet patient needs  
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goals of termination phase   evaluation of working phase, separate from patient, achieve smooth transition  
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factors that promote effective communication   dipositional traits and rapport builders  
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dispositonal traits that encourage effefective communication   warmth,respect,empathy,caring, comptetence  
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rapport builders   speciic objectives, comfortable enviornment, privacy, confidentiality, patient focus, provide personal space, pacing, evaluation of non-verbal  
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conversational skills   control tone, knowledge of subject,be clear and concise, be truthful  
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examples of listening skills   sit when communicating, be alert, maintian eye contact, listen for themes  
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interviewing techiniques   open endede questions, closed ended questions, validation quesitons, clarifying questions, reflective quesitons, directing questions  
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open ended questions   allows pt to expand, allows pt to direct conversation  
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closed ended questions   helps to focus interview. helps to gather specific data from pt.  
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sequencing comments   helps to "timeline" events  
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clarifying comments   gives understanding of what pt has said  
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reflective comments   the nurse will repeat what is said - allows pt to elaborate  
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directing comments   directs a pt to a topic  
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purpose of the interview   to obtain accurate and thorough information  
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blocks to communication   failure to: listen, treat pt as human being, inapproapirate comments, using cliches, using questions that containg "why" and "how",the nurse not being focused on the pt.  
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block to communication   using gossip, giving false reassurance, changing the subject, using comments that give advice, aggression  
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closed ended question   answers question specifically. no elaboration is given.  
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what are some examples of caring behavior?   listening, touch, addresses pt appropiately, shows repsect for pt privacy  
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nursing goal of helping relaltionship   pt will id and achieve goals they have set for themselves  
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empathy   empathy is pt centered. It ackknowledges pt's feelings and being sensitive to those feelings  
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ways to promote self worth in the pt   address them by prefeered name, provide privacy, allow pt to id and make goals, keep pt center of nurse/pt relationship  
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communication is evaluated to be sucessful when   the message sent by the sender is similar to the message decoded by the receiver.  
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