Communication
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| what types of human needs does communication meet | physical---psychosocial---emotional---spiritual
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| What are the 4 levels of communication | intrapersonal---interpersonal----group---public speaking
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| Is it possible for people NOT to communicate | no, every word or gesture is a form of communication
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| 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
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| Name 4 factors that influence communication | learned ways of thinking (values/attitudes/beliefs/culture/religion)-----gender---age/developmental level----environment of communication
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| Nurse's role in communication | convey information---comfort and space---symptom management---life and death
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| 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
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| 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.
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| A social distance, generally for public health nursing, is typically how far | typically 4-12 feet apart from one another
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| And a public speaking environment of communicaiton is how far away | about 12 feet or more
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| communication includes content and process, which are defined as | content = words/gestures/substance-------process is sending ---receiving/interpreting---reacting
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| 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
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| 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'
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| Which typically (but not always) more accurately conveys true meaning of a message---verbal or nonverbal? | nonverbal
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| communication is what % verbal and what % nonverbal | 35% verbal, 65% nonverbal
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| evidence of honesty is when we have congruence of verbal and non-verbal . . .another term for this is | congruence
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| name 4 elements of verbal communication | vocabulary---tempo---clarity---vocal cues/paralanguage
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| name 4 elements of non-verbal communication | facial expression----physical appearance/dress---body movement/posture---touch
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| what is the purpose of a therapeutic relationship? | assist in improving the client's health or to manage health-related issues/problems
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| name the 4 phases of a therapeutic relationship | pre-interaction---orientation---working---termination
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| 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
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| 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
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| 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
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| 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
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| A professional boundary is expressed as a Venn diagram with these three boundaries | people boundaries---places boundaries---time boundaries
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| We need to be concerned about the integrity of our professional boundary when we observe the following | self-disclosure---gift giving---touch---friendship/romantic
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| 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
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| 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
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| Techniques to assist in therapeutic communicaiton | are client-centered-----goal directed
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| is using silence a therapeutic communication technique? | yes - along with accepting/observing/offering self and asking open-ended questions
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| Is clarifying time or sequence a therapeutic communicaiton technique? | yes, along wtih being encouraging/restating/reflecting/focusing and exploring
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| 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
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| Is agreeing a therapeutic technique? | no, it is classified as a NON-therapeutic technique, along with yes/no/excessive questioning
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| is advising/offering advice a therapeutic technique | nope - neither is challenging, changing the topic or denying
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| What about interpreting or making stereotypical comments? | NON-therapeutic communication ----along with passing judgement/probing/rejecting
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| Is reassuring a therapeutic technique? | NON-therapeutic communication----along with testing, probing or using disrespectful words/tone/body language
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| 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
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Created by:
MEPN 2013
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