Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
52 Cards in this Set
- Front
- Back
|
a complex, ongoing dynamic process in which meaning is generated and transmitted?
|
communication
|
|
|
Name 10 factors that influence communication?
|
1.developmental stage
2.perceptions 3.values 4.emotions 5.sociocultural background 6.gender 7.knowledge 8.roles/relationships 9.environment 10.space/territory |
|
|
Name communication techniques?
|
1.attentive listening
2.physical attending 3.silence 4.touch 5.restating/paraphrasing 6.clarifying 7.offering self 8.giving information 9.acknowledging 10.clarifying sequence 11.presenting reality 12.focusing 13.reflecting 14.summarizing |
|
|
Name 2 communication barriers?
|
1.stereotyping
2.agreeing or disagreeing |
|
|
Why is communication important?
|
1. assess and meet client needs
2. builds relationships |
|
|
the use of both the spoken an written word?
|
verbal communication
|
|
|
body language is the exchange of information without using words(e.g.,touch,facial expression,posture, gait, gestures, sounds voice tone, silence)?
|
Non verbal communication
|
|
|
goal directed and client centered. the nurse need to respond not only to the content of the client's communication but also to the feelings?
|
Therapeutic communication
|
|
|
the originator or source of the idea?
|
Sender
|
|
|
the idea
|
message
|
|
|
a means of transmitting the idea, which can be verbal or nonverbal
|
Medium or channel
|
|
|
the person who receives and interprets the message?
|
Receiver
|
|
|
the receivers response to the message through feedback?
|
interaction
|
|
|
Means listening actively, using all the senses paying attention to both the verbal and nonverbal message and noting whether the two are congruent. being sensitive to the feeling the person in conveying and not slectively listening only to what the nurse wants to hear?
|
Attentive listening
|
|
|
a way of being present while listening. Name the 5 actions which indicate involvement?
|
1.facing the other person
2.open posture(do not cross arms or legs) 3. leaning toward the person 4. eye contact 5. relaxed(use natural gestures) |
|
|
accepting silences of several minutes without making any verbal response?
|
Silence
|
|
|
Provide an example of providing general leads?
|
perhaps you would like to talk about...
encourages pt to verbalize and choose the topic of conversation |
|
|
Being specific and tentative:
give an example of specific statement?tentative statement? |
-you spilled the water, not youre clumsy
-You seem upset about...not youre upset today! |
|
|
using open-ended questions:give an example?
|
-tell me about? , How are you feeling?,leads client to elaborate
|
|
|
using touch:
give an example: |
-placing hand over the client hand
|
|
|
restating or paraphrasing: give an example
|
client"i didnt sleep a wink all night"
nurse "you had trouble sleeping" |
|
|
seeking clarification:
this a way to make the clients broad overall menaing more understandable, give an example? |
"im not sure I understand"
or "would you say that again" |
|
|
offering self: conveys caring , give an example:
|
"I'll stay with you until you feel better"
|
|
|
Giving information: provides info client may need or requested, give example:
|
"your surgery is schedule for 9 am"
|
|
|
acknowledging:give recognition, non judgemental
give and example? |
"you walked twice as far today"
|
|
|
clarifying time sequence: give an example
|
client:"I took my pills already"
Nurse: "was that before or after lunch?" |
|
|
Presenting reality: clients need help differentiating from real and unreal, give and example?
|
"that is not an elephant, its your television"
|
|
|
Focusing: Helping the client expand on a topic of importance
|
"lets look more closely at">>>>
|
|
|
reflecting:directs ideas, feeling,or questions back to clients to enable them to explore their own ideas and feelings, give an example?
|
client: what should i do?
nurse: what do you think might help? |
|
|
summarizing: stating main points of conversation helps clarigy any necessary points and introduce future planning, give an example?
|
We've talked about...."
|
|
|
Name 10 non-therapeutic communication?
|
1.asking personal questions
2.giving personal opinions 3.changing the subject 4.automatic responses 5.false reassurance 6.asking for explanations 7.approval or disapproval 8.defensive response 9.passive or aggressive response 10.arguing |
|
|
self-talk , self verbalization?
|
Intrapersonal communication
|
|
|
one to one interaction
|
interpersonal communication
|
|
|
interaction that occurs within a persons spiritual domain
|
transpersonal communication
|
|
|
interaction that occurs when a small number of persons meet together
|
small group communication
|
|
|
2 main principles to ensure effective communication in a group?
|
1. respect people as partners
2. listen actively to other people in the group |
|
|
interaction with the audience
|
public communication
|
|
|
motivates one person to communicate with another
|
referent
|
|
|
Nurse should focus on what areas during the nurse-client relationship?
|
1.clients needs
2.comfort 3.goal-directed 4.trust 5.consistent and competent 6.respect confidentiality 7.consider family/culture |
|
|
Name client health states that contribute to impaired communication
|
1.hearing or visual impairments
2.facial trauma 3.laryngeal CA 4.Intubation 5.SOB 6.Aphasia after stroke or late stage Alzheimer's disease 7.psychoses 8.depression 9.anxiety 10.unresponsive,heavily sedated |
|
|
Nursing care measures for clients with special communication needs
Aphasia, mute, dysarthria |
yes or no answers
sign language visual cues, objects,pics communication board use blinks or finger movements |
|
|
Nursing care measures for cognitive impaired pts?
|
-decrease distractions
-get clients attention prior to speaking -allow client time to respond -use simple sentences -ask one question at a time -include fam/friends |
|
|
Nursing measures for clients who are unresponsive?
|
-call by name and speak to client
-explain all procedures and sensations -avoid saying things pt should not hear -provide orientation |
|
|
Nursing measures for clients who are non english speaking?
|
-speak in normal tone of voice
-use an interpreter -provide aids for communication |
|
|
communicate with infants?
|
-use firm touch and gentle physical contact(cuddling,patting,rocking)
-hold infant so he or she can see the parents- -talk softly |
|
|
communicating with toddlers and preschoolers?
|
-interact with parents before approaching the child
-use simple words or short sentences -assume a position at the child eye level -allow child to touch and manipulate objects |
|
|
communication with children of school age?
|
-talk to parent if child is shy
-allow to express concerns and fears, allow time for questions -use comm.tech(drawing,playing) |
|
|
communication with adolescents?
|
-give undivided attention
-listen,listen,listen -praise good points and tolerate differences -encourage expressions of ideas and feelings -make expectations clear -be courteous kind open minded |
|
|
Before meeting the client the nurse
1.reviews data, med/nurs history 2.anticipates health concerns 3.id comfort for private interaction 4.plans enough time for intial interaction |
Preinteraction phase
|
|
|
When the nurse and client meet and get to know one another, the nurse:
1.has warm empathetic manner 2.expects client to test for compentence and commitment 3.closely observes client and vise-versa 4.begins to make inference on clients behavior and messages 5.assess client health status 6.prioritize problems, id goals |
Orientation phase
|
|
|
When the nurse and client work together to solve problems and accomplish goals, the nurse:
1.encourages client to express feelings about health 2.provides education 3.helps client set goals 4.takes action to meet goals 5.use therapeutic comm skills 6.appropriate confrontation |
working phase
|
|
|
During the end of relationship the nurse:
1.remind termination is near 2.evaluate goal achievement |
termination phase
|
