NP 1, Unit 1 Communication Lecture
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | Because the person may become defensive.
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| show | Skills, compassionate, and respectful care.
Understandable information concerning his or her diagnosis, treatment, prognosis, the risks, benefits and alternatives to care, and financial implications of care.
To make decisions about own care.
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| Communication (definition) | show 🗑
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| Ways in which communication occurs, besides verbally or in writing? | show 🗑
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| T or F - You can choose not to communicate. | show 🗑
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| What is meant by effective communication? | show 🗑
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| show | Lower your voice.
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| show | Intrapersonal
Interpersonal
Social/Public
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| show | Verbal
Non-verbal
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| Verbal Communication includes: | show 🗑
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| show | Gestures, facial expressions, nonword vocalizations, etc.
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| Ways to make verbal communication most effective? | show 🗑
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| show | Physical appearance and dress
Body posture and movement
Touch
Facial Expression
Eye behavior
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| An expectation of a mutally pleasant exchange: therapeutic relationship or social relationship? | show 🗑
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| show | Therapeutic
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| Goal directed, ends when goal is met - therapeutic relationship or social relationship? | show 🗑
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| show | Social
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| show | Therapeutic
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| show | Social
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| show | Social
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| Client-centered - therapeutic relationship or social relationship? | show 🗑
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| show | Social
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| Other person accepted as he/she is - therapeutic or social? | show 🗑
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| Other person expresses thoughts, feelings, actions as long as he or she isn't self-destructive or harmful to others - therapeutic or social? | show 🗑
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| Socially accepted codes of conduct and expression guide conversation and behavior - therapeutic or social? | show 🗑
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| show | Therapeutic
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| show | Social
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| show | Social
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| show | Social
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| Reassurance (i.e. "it's going to be OK") is not offered - therapeutic or social? | show 🗑
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| Conversation is confidential - therapeutic or social? | show 🗑
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| show | Social
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| Dicussion of problems and important personal issues is optional - therapeutic or social? | show 🗑
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| Self-awareness employed - therapeutic or social? | show 🗑
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| No obligation of self-awareness - therapeutic or social? | show 🗑
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| show | False. Social communication can be useful to put client at ease and develop rapport in the beginning of a conversation. However, once rapport is established the conversation quickly moves to areas of concern for the client.
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| show | Failure to listen.
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| What causes a person to fail to listen? | show 🗑
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| show | Environment, territoriality, proxemics.
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| show | How close you are to another person
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| show | Up to 18 inches away. (Trust)
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| show | 18 inches to 4 feet (comfortable handshake)
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| show | 4 to 12 feet (no touching possible)
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| show | Beyond 12 feet (with no privacy)
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| Psychological Stressor to Effective Communication | show 🗑
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| What is the most obvious stressor when dealing with a client in a hospital? | show 🗑
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| show | Loss of Hope
Loss of Meaning
Feelings of Helplessness
Loss of Purpose in Life
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| show | Humanistic Theorist
Believed people are capable of change.
Individuals are "wired" to strive for self-actualization (Maslow), but sometimes need help along the way from professional "helpers".
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| show | The quality of the relationship results in growth and healing.
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| Carl Rogers basic factors to forming a therapeutic relationship: | show 🗑
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| Other factors to forming a therapeutic relationship: | show 🗑
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| show | Thoughts influence feelings, which influence actions.
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| T or F People are nearly always aware of their own thoughts. | show 🗑
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| show | True.
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| T or F People are often aware of their patterns of behavior ("responses" to negative thoughts and feelings) | show 🗑
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| show | Feeling described as uneasiness or tension that occurs in response to a perceived threat to one's self-concept or safety.
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| Goal of therapeutic communication | show 🗑
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| T or F - The nurse should listen for use of vague references or responses and the use of cliches. These indicate possible anxious feelings. | show 🗑
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| show | To ask who is meant by "they".
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| show | False. When a client says things like, "I shouldn't feel this way", the nurse should notice this statement and respond.
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| If a client says, "I know I shouldn't feel this way," the nurse should respond with... | show 🗑
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| show | True.
Example - "I don't know, maybe it's for the best"
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| If a client says, "I don't know, maybe it's for the best," how should the nurse respond? | show 🗑
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| show | False. This is called depersonalization, and the nurse should help the client recognize that these are their own thoughts and feelings.
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| show | "When you say, "you", who do you mean?"
Or
"Are you saying YOU felt ignored?"
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| The nurse should respond if the client confuses thoughts with feelings. | show 🗑
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| show | Sounds like you think your sister doesn't love you. How does that make you feel?
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| show | "No, I don't know, tell me what you mean."
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| show | False. Self-awareness is a pre-requisite to effective communication.
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| What is the most important skill needed to communicate caring? | show 🗑
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| What actions communicate caring? | show 🗑
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| show | False. Anxiety is contagious.
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| Listen with ______ and ______. | show 🗑
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| Facilitative or Non-Facilitative? Summarizing | show 🗑
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| Facilitative or Non-Facilitative? Sharing Advice | show 🗑
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| show | Facilitative
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| show | Non
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| show | Non
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| show | Non
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| Facilitative or Non-Facilitative? Sharing Observations | show 🗑
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| Facilitative or Non-Facilitative? Changing the subject | show 🗑
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| Facilitative or Non-Facilitative? Open Ended Questions | show 🗑
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| show | Non
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| Facilitative or Non-Facilitative? Reflecting Thoughts/Feelings | show 🗑
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| Facilitative or Non-Facilitative? Seeking clarification | show 🗑
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| Facilitative or Non-Facilitative? Defensiveness | show 🗑
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| show | Facilitative
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| show | Facilitative
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| What are the four phases of a facilitative communication relationship? | show 🗑
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| show | Obtain patient information
Examine own feelings and ability
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| show | Open the relationship
Structure and formulate the contract
Help the client clarify the problem and set goals
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| show | Maintain trust and rapport and develop caring
Help client explore thoughts and feelings associated with problem
Support client as he/she takes action
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| Termination phase | show 🗑
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| show | True.
Example -
"Are you feeling anxious?"
"Yes"
"Tell me what is making you feel that way."
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| T or F - The goal of therapeutic communication is to fix or cure the problem. | show 🗑
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| show | Start with a broad opening, encouraging client to share anxiety, the use of relief behaviors, or times when they took notice of a thought or feeling.
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| How can you dig deeper after the beginning of an interview? | show 🗑
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| How can you look at thoughts, feelings, and behaviors objectively? | show 🗑
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Created by:
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