NP 1, Unit 1 Communication Lecture
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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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| show | Through:
Movements
Facial expressions
Appearance
Posture
Behavior
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| T or F - You can choose not to communicate. | show 🗑
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| show | The message received is the same as the message that was intended.
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| What should you do when a patient raises his or her voice? | show 🗑
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| show | Intrapersonal
Interpersonal
Social/Public
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| What are the two modes of communication? | show 🗑
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| Verbal Communication includes: | show 🗑
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| Non-verbal communication includes | show 🗑
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| Ways to make verbal communication most effective? | show 🗑
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| Nonverbal expressions that influence verbal communication? | show 🗑
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| show | Social
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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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| May be brief or long conversation with or without a goal - therapeutic relationship or social relationship? | show 🗑
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| show | Therapeutic
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| Both parties share concerns equally - therapeutic relationship or social relationship? | show 🗑
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| Mutual - therapeutic relationship or social relationship? | show 🗑
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| Client-centered - therapeutic relationship or social relationship? | show 🗑
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| show | Social
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| show | Therapeutic
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| show | Therapeutic
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| show | Social
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| Honesty and integrity maintained at all times - therapeutic or social? | show 🗑
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| show | Social
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| No obligation for honesty - therapeutic or social? | show 🗑
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| Reassurance (i.e. "It's going to be OK") is offered - therapeutic or social? | show 🗑
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| show | Therapeutic
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| show | Therapeutic
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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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| T or F - A nurse should never use social communication. | show 🗑
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| What is the biggest inhibitor of effective communcation? | show 🗑
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| show | Often the result of self-absorption, lack of presence, or anxiety.
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| Stressors that can impede effective communication | show 🗑
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| Proxemics/Distance | show 🗑
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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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| Social Space | show 🗑
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| Public Space | show 🗑
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| show | Fear, Anxiety, Anger, Depression
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| show | The fact that they're in the hospital, which is not a normal environment.
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| Spiritual Stressors to effective communication | show 🗑
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| Carl Rogers | show 🗑
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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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| T or F People are often not aware that their negative thoughts are making them feel poorly. | show 🗑
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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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| show | "What makes you think you shouldn't feel that way?"
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| show | True.
Example - "I don't know, maybe it's for the best"
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| show | What do you think is best?
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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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| If a client says, "When you go into the room and you are treat like you are not even there" the nurse should respond by saying... | show 🗑
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| show | True.
Example - Client says, "I feel like no one listens."
This is a thought, not a feeling.
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| If a client says, "I feel like my sister doesn't love me," the nurse should respond with... | show 🗑
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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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| show | Listening.
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| show | Listening
Lean slightly forward
Open posture
Appropriate eye contact
Sit when able
Acknowledge client (nod, hmm, etc.)
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| T or F - If you are anxious, the client probably won't notice as long as you try to hide it. | show 🗑
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| Listen with ______ and ______. | show 🗑
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| Facilitative or Non-Facilitative? Summarizing | show 🗑
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| show | Non
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| show | Facilitative
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| Facilitative or Non-Facilitative? Giving Approval or Disapproval | show 🗑
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| Facilitative or Non-Facilitative? Asking "Why" Questions | show 🗑
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| show | Non
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| show | Facilitative
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| show | Non
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| show | Facilitative
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| show | Non
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| show | Facilitative
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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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| Facilitative or Non-Facilitative? Effective use of silence | show 🗑
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| show | Facilitative
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| show | Preinteraction
Introductory/Orientation
Working Phase
Termination Phase
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| Preinteraction Phase | show 🗑
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| Introductory/Orientation Phase | show 🗑
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| Working Phase | show 🗑
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| Termination phase | show 🗑
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| T or F - It's OK to ask a few closed-ended question as long as you follow those up with open-ended questions. | show 🗑
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| T or F - The goal of therapeutic communication is to fix or cure the problem. | show 🗑
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| How can you begin an interview? | show 🗑
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| show | Placing event in time or sequence.
Getting specific information
Making observations
Clarifying important, relevant content.
Restating
Reflecting thoughts and feelings
Focusing
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| How can you look at thoughts, feelings, and behaviors objectively? | show 🗑
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Created by:
christyness
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