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27 Cards in this Set
- Front
- Back
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What is therapeutic communication?
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-Different from social communication
-foundation of nurse-client relationship -Planned, directed toward a goal, client-focused, information sharing is unequal, nurse guides the conversation |
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What are the elements of communication?
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-source (encoder)
-message -channel (auditory, visual, touch) -receiver (decoder) -feedback -variables |
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What are the phases of the helping relationship?
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orientation
working termination |
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What is the nurses role during therapeutic communication?
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To provide a helping relationship between the nurse and paient
To utilize interviewing techniques to gather information (assessing) |
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What are some factors that influence communication?
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-developmental stgae
-gender -sociocultural -role/occupation -time & setting -personal space -physical ability -mental state -emotional state |
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What does the patients developmental stage have to do with communication?
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You don't talk to a 3 year old the way you talk to a 40 year old, or an 80 year old; you have to know a little about where they are in their psychosocial states
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What is verbal communication?
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-Transmitting a message using the spoken word or written word
-Nurses speaking to patients/nurses/doctors or writing progress notes/ nursing care plans (interprofessional communication) |
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What is nonverbal communication?
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-Transmission without using words ex: gestures
-Body language -Touch -Eye contact -Facial expressions -Posture -Gait -Physical appearance -dressing/grooming -Sounds -Silence |
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What is a major nursing diagnosis related to communication?
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Impaired verbal communication
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What planning should the RN do related to communication?
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-client will use alternative methods of communication effectively by...
-client will demonstrate understanding even if not able to speak... |
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What are the fundamental components of implementing communication?
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-start with unconditional acceptance of client and non-judgmental attitude
-empathy and caring -openness, respect, honesty -trust, confidentiality, competence -genuine presence -active listening |
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How should the RN convey empathy to the patient?
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-verbal and non-verbal congruency
-touch -eye contact -silence -supportive statements -active listening |
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What are the steps to active listening?
(soler) |
Sit
Open posture Lean in Eye contact Relax |
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What techniques facilitate communication?
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active listening
silence clarity/brevity confidence flexible pacing timing avoid semantics control of tone listen for themes/cues touch humor attention to body language non-judgmental |
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What is an example of am open ended question?
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What brings you to the clinic today?
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What is validation?
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Yes, it can be hard waiting for test results
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What would be a good supportive statement?
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This must be very difficult for you...
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How would you use clarification?
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Do I understand you correctly when you say...?
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What is the difference between paraphrasing and reflection?
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Reflection= simply re-tating
Paraphrasing= putting into own words |
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What is focusing?
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refocusses or brings conversation back to topic
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What is summarizing?
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It reminds the patient of the important points at the end of the conversation before you leave the room
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What is self-disclosure?
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It gives the patient a tidbit of personal information that you relate to about their experience
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What is confrontation?
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sharing observations
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What are some barriers to communication?
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-not listening
-false reassurance -minimizing feelings -giving advice -asking "why" -excessive questioning -use of cliches -asking yes/no questions (closed-ended) -changing the subject -approving or disapproving -being defensive |
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What patients may require special communication needs?
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-hearing impaired
-visually impaired -language barriers -physical barriers -cognitively impaired -unconscious -older adult |
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When would interprofessional collaboration between the healthcare team members be essential?
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-Exchange of patient information between healthcare givers must be efficient, precise, and complete
-doctor phone calls, change-of-shift report, pharmacy calls,transfer to another unit or facility, etc |
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SBAR is useful in interprofessional collaboration when communication with healthcare team. What does SBAR mean?
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Situation
Background Assessment Recomendation |
