Nursing Final

Front 1

what patient says

Back 1

subjective data

Front 2

anything you collect, measurable like BP and temp

Back 2

objective data

Front 3

sending, receiveing, internal an external factors

Back 3

process of communication

Front 4

the liking of other people. the patient must feel that he or she is accepted unconditionally. help them be increasingly responsible for themselves

Back 4

liking others (internal factors)

Front 5

means viewing the world from the other persons inner frame of reference while remaining yourself. feel with the person rather than like them

Back 5

empathy (internal factors)

Front 6

active and demanding reqiures complete attention active listening is the route to understanding.

Back 6

ability to listen (internal factors)

Front 7

ensure privacy- aim for geographic privacy, a private room in the hospital psychological privacy- curtained area so patient feels no one can overhear or interupt.

Back 7

external factors

Front 8

refuse interruptions. physical environment- 4-5 feet ( twice arms length) between patient and you. arrange equl status seating both should be seated at eye level. never stand it communicated your haste and assumes supperiotirty

Back 8

external factors

Front 9

dress, note- taking- keep it to a minimum, tape and video recording- help improve your skills cal also detect richer detail in nonverbal behavior

Back 9

external factors

Front 10

impedes eye contact, attention shifting interruption of patients narrative flow, impedes observation of nonverbal behavior, and can be threatening.

Back 10

challanges of not-taking

Front 11

asks for more narrative inforamtion

Back 11

open ended questions

Front 12

ask speficic yes or no questions

Back 12

closed ended

Front 13

responses encourage patient to say more to continue with the story. show person interested and will isten further. "yes go on im with you " encourage the person to contniue talking

Back 13

facilitation

Front 14

good for open end questions. communicates patient has time to think to organize what he or she says.

Back 14

silence

Front 15

echoes patients words repeating part of what the person has just said. can also help express feeling behind a persons words helps elaborate on the problem

Back 15

reflection

Front 16

use when the persons word choice is ambiguous or confusig used to summarize the persons words, simplify them to make the cleareer than ask if you are on the right track is that correct.

Back 16

clarification

Front 17

include your own thougsh and feelings. you have observed a certain action feeling, or statement and you now focus the persons attention on it. give your honest feeback

Back 17

confrontation

Front 18

based on your inference or conclusion. it links events, makes assocaitions or implies cause. cause and effect

Back 18

interpretation

Front 19

inform person you share factual and objective info. ex: the reason you can not eat or before
your bloos test is that the food will change the tes restults.

Back 19

explanation

Front 20

final review of what you understand that the person has said. condeses facts and presents a survey of how you perceive the health problem or need. both you and patient should participate

Back 20

summary

Front 21

now dont worry i am sure youll be fine. closes of communication it. it denies any further talk of it.

Back 21

providing false assurance

Front 22

some situations could be basedon a hunch or feeling - your personal opinion. dont anser if I were you id.

Back 22

giving unwanted advice

Front 23

your doctor and nurse knows best is a response that promotes dependency and inferiority avoid using authority. you and patient can not have equality of professional skills and experience you do have equally worthy rolse in the health process, respecting each other.

Back 23

using auntority

Front 24

not talking about the fear does not make it go away it just suppresees the fear and makes it worse. use dirrect language it is a better way to deal with scary topics

Back 24

using avoidance laguage

Front 25

the use of impersonal speech to put space between a threat and the self. "my friend has a problem deny association to he issue

Back 25

engaging in distance

Front 26

adjust vocab to patient about avoid sounding condescending

Back 26

using professional jargon

Front 27

you dont smoke do you implies that one answer is better than another.

Back 27

using leading or biased questions

Front 28

some examiners postively associate helpfulnee with verbal productivity listen more than talk

Back 28

talking to much

Front 29

know what person will say you interrupt and cut the person off. aim for a second of silence between the person statement and your next response

Back 29

interuppting

Front 30

dont ask what took you do long to come to my emergency room instead say i see you started to have chest pains early in the day what was happening between the time the pain started and the time you came to the emergency department

Back 30

using "why" questions

Front 31

phsyical appearance, posture - open or closed, gestures, facial espression, eye contact voice, touch- do not use during the interview but when used appropriatley touch communicates effectively

Back 31

nonverbal skills

Front 32

good time you give your summary or recopitulation of what you have learned during the interview. what you and the patient agree the health state to be.

Back 32

closing hte interview

Front 33

recognized by clues such as staring at your mouth and face not attending unless looking at you or speaking in a voice unusually lod or with garble sounds. ask for perferred way to communicate by singing or lip reading or writing complete health history requires an interpretor. if lip reading be sure to face him or her squarely and have a good lighting on your face speak slowly and supplement your voice with appropriate hand gestures or pantomime.

Back 33

hearing impaired people.

Front 34

family and friends can provide important info. interview them as much as possible abbreviate questioning indentify main area of distress and question about that.

Back 34

acutley ill

Front 35

ask simple and direct questions make sure manor and questions are not threatening avoid confrontation find out the time of the persons last drink and how much he r she drank

Back 35

people under the influence of street drugs or alcohol

Front 36

personal questions, sexually aggressive people- make it clear that you are a health professional who can best care for the person by maintaining a professional relationship communicate you accept needs to be self assertive but you do not tolerate sexual advances

Back 36

people with special needs

Front 37

crying- if you say something that makes them cry do not go on to a new subject just let the person cry and express his or her feelings fully if they are holding it back say you look sad.
anger- ask about anger and hear them out. if you are angry tell the patient so they dont think ur angry with them

Back 37

people with special needs

Front 38

trust your instinces if you sense any suspicious or threatening behavior act immediatley to defuse the situation. position self between person and the door. act interested and unhurried. anxiety- let them calm hearly all sick people have some anxiety

Back 38

people with special needs

Front 39

build rapport with the parent. them interview parent and child together occupy child with toys while you and parent talk. nonverbal communication is important to child do not maintain constant eye contact with child

Back 39

parent

Front 40

nonverbal communication respond best to firm gentle handeling and quite and calm voice is comforting

Back 40

the infant

Front 41

communication is direct, concrete, literal, and set in the present. use short simple sentences with concrete explanation. explain an unfamiliar equipment using on child

Back 41

preschooler

Front 42

more objective than realistic wants to know functional aspects how things work and why things are done

Back 42

school age child

Front 43

want to be adults, be honest stay in character do not use words to bond with them, use icebreakers, keep questions short and simple. avoid silent periods avoid reflection sensitive to nonverbal communication take every opportunity to give postive reeinforcement

Back 43

adolescent

Front 44

address as mr or mrs. may fatigure early and require that the interview be broken up into shorter segments. hard of hearing hoh, and physical limitations

Back 44

older adult

Front 45

cultural perspectives on professional interactions- your professional interaction depends to a large extent on the patients cultural percepion of health care providers and the degree of fomality and informality that is considered appropriate, space and distance- culturally appropriate distance zones varying widley.

Back 45

cross culatural communication

Front 46

cultural considerations on gender and sexual orientation - be careful of heterosexist bias and communication of these biases during the interview and physical examination

Back 46

cross cultural communication

Front 47

refers to the conventional code of good manors that governs behavior and varies cross-culturally.

Back 47

etiquette

Front 48

interviweing a nonenglish speaking person requires a bilingual interpreter for full communication. the trained interpreter also is knowledgeable about cultural beliefs and health practices. ask the interpreter to meet the patient before hand to establish rapport and to go over the patients age, occupation, educational level and attitude toward health care.

Back 48

working with an interpretor

Front 49

such as pitch, tone, and quality of voice, including moaning, crying and groaning

Back 49

vocal cues

Front 50

posture, facial, expressions and gestures

Back 50

action cues

Front 51

such as clothes jewelery and hairstyles

Back 51

object cues

Front 52

in interpersonnal transactions and care of belongings

Back 52

use of personal and territoral space

Front 53

which involves the use of person space and action

Back 53

touch (nonverbal cross cultural communication )