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| Any means of exchanging information or feelings between two or more people. |
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| Interpersonal communication that you have with yourself; involves thinking about the message before it is sent, while it is being sent, and after it is sent, and it occurs constantly. |
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| A person or group who wishes to convey a message to another, also can be considered the source-encoder. |
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| Involves the selection of specific signs or symbols (codes) to transmit the messafe, such as which language and words to use, how to arrange the words, and what tone of voice and gestures to use. |
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| What is actually said or written, the body language that accompanies the words, and how the message is transmitted. |
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| The third component of the communication process, is the listener, who must listen, observe, and attend. This person is also known as the decoder; who must perceive what the sender intended. |
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| Means to relate the message perceived to the receiver's storehouse of knowledge and experience and to sort out the meaning of the message. |
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| Ineffective/effective communication: |
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| If the meaning of the decoded message matches the intent of the sender, then the communication has been effective. Ineffective communication occurs when the message sent is misinterpreted my the receiver. |
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| The message that the receiver returns to the sender. (Also called feedback) |
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| The order of communication process: |
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| Sender, Message, Receiver, and Response |
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| Uses the spoken or written word |
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| Non-verbal communication: |
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| use other forms, such as gestures or facial expressions, and touch. (Nonverbal is the majority of communication) |
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| The manner of speech, as in the pace or rhythm and intonation. |
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| Includes the use of commonl understood workds, brevity, and completeness. |
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| A message that is direct and simple will be more effective. Clarity is saying precisely what is meant, and brevity is using the fewest words necessary. |
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| No matter how clearly or simply words are stated or written, the timing needs to be appropriate to ensure that words are heard. This includes asking one question at a time. |
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| Spoken messages need to be altered in accordance with behavioral cues from the client. |
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| Worhiness of belief, trustworthiness, and reliability. |
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| Humor can be used to help clients adjust to difficult and painful situations, and can be used as a positive and powerful tool in the nurse-client relationship, but needs to be used with care. |
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| Nonverbal communication is also called: |
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Definition
| Body language, it includes gestures, body movements, use of touch, and physical apperance, including adornment. |
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Definition
| The ways people walk and carry themselves are often reliable indicators of self-concept, current mood, and health. |
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| No part of the body is as expressive as the face. Feelings of suprise, fear, anger, disgust, fappiness, and sadness can be conveyed by facial expressions. |
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| Hand and body gestures may emphasize and clarify the spoken word, or they may occur without words to indicate a particular feeling or to give a sign. |
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| Most common form of electronic communication. It also is fast, legible, and provides a date and time of the message. |
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| Risks client confidentiality, and not everyone owns a computer. |
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| Communication considerations for Infants: |
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Definition
Communicate nonverbally, often in response to body feelings THeir perceptions are related to sensory stimuli, so a gentle voice is soothing, with tension may create distress. |
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| Communication considerations for Toddlers and Preschoolers: |
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Definition
-They gain skills in both expressive and receptive ways. -Allow time form them to complete verbalizing their thoughts without interruption. -Provide a simple response to questions -Drawing pictures can provide another way for a child to communicate. |
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| Communication Considerations for School-Age Children: |
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Definition
-Talk to the child at his or her eve level to decrease intimidations. -Include the child in the conversation when communicating with the parents. |
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| Communication considerations with Adolescents: |
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Definition
-Take time to build rapport with the adolescent -Project nonjudgemental attitude and nonreactive behaviors -Play, draw, tell stories, word games, read bookds, and writing are excellent ways for nurses to communicate with children and their families. |
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| How do females communicate? |
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Definition
| Use language to seek confirmation, minimize differences, and establish intimacy. |
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| Use language to establish independence and negotiate status within a group. |
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| Values are the standards that influence behavior, perceptions are the personal view of an event. |
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| The study of distance between people in their interactions. |
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| Touching to one and a half feet |
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| Peronal space is how far? |
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| What is intimate distance communication? |
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Definition
| Characterized by body contact, heightened sensations of body heat and smell, and vocalizations that are low. It is important for nurses to be aware when they are going to be in a patients intimate space, and forewarn their patient. |
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| What is personal distance? |
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Definition
| Voice tones are moderate, and bdy heat and smell are noticed less. Physical contact such as a handshake or touching a shoulder is possible. |
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Definition
| Characterized by a clear visual perception of the whole person, eye contact is increased, and vocalizations are loud enough to be heard by others. Communication is more formaland is limited to seeing and hearing. |
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| Concept of the space and things that an individual considers belonging to self. |
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Definition
| Verbal and nonverbal aspects of the message match. |
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| Speech style similar to babytalk, that fives the message of dependence and incompetence to older adults. It does not communicate respect. |
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Definition
| Neither approval or disapproval, the nurse willingly receives the patients honest feelings. |
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| Listening actively, using all the senses, as opposed to listening passively with just the ear. |
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| What are the five actions of physical attending? |
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Definition
1. Face the other person squarely 2. Adopt an open posture. 3. Lean toward the person. 4. Maintain good eye contact. 5. Try to be relatively relaxed. |
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| Lood at table 26-2, starting on page 469 for Therapeutic Communication Techniques. |
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Definition
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| What are two goals of a helping relationship? |
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Definition
1. Help clients manage their problems in living more effectively and develop underused or unused opportunities more fully. 2. Help clients become better at helping themselves in their everyday lives. |
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| What are the four phases of the Helping Relationship? |
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Definition
1. Preinteraction phase 2. Introductory phase 3. Working phase 4. Termination phase |
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Definition
| Planning for the initial visit to meet the patient. |
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Definition
| The nurse and the client begin to view eachother as uniques individuals, and start to care about eachother. |
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Definition
| Also referred to the orientation or prehelping phase, is important because it sets the tone for the rest of the relationship. |
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| Empathetic listening and responding: |
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Definition
| Nurses must listen attentively and communicate in ways that indicate they have listen to what was said and understand how the client feels. |
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Definition
| "Can be seen as an intellectual process that invilves understaning correctly another person's emotional state and point of view. |
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Definition
| The nurse must show respect for the client's willingness to be available, desire to work with the client, and a manner that conveys the idea of taking the client's point of view seriously. |
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| Personal statements can be helpful in solidifying the rapport between the nurse and the client. |
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Definition
| The nurse must assist the client to be concrete and specific rather than to speak in generalities. |
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| The nurse points out discrepancies between thoughts, feelings, and actions that inhibit the client's self-understanding or exploration of specific areas. Note: this is done empathetically, not judgementally. |
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| The trick to the Termination Phase: |
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Definition
| If the previous phases in the Helping Relationship has evolved effectively, the patient usually has a positive outlook and feels able to handle problems independently. Thus, making it easier for the nurse and the client to say goodbye. |
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| Group Dynamics is any communication that takes place between members of any group. |
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| What is the main purpose of the self-awareness/growth groups? |
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Definition
| To improve the person's functioning in the group to which they return, whether job, family, or community. |
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| What are therapy groups for? |
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Definition
| They work toward self-understanding, more satisfactory ways of relating or handling stress, and changing patterns of behavior toward health. |
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Term
| Work-Related Social Support does what? |
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Definition
| Many nurses such as hospice, emergency, and acute care nurses, experience high levels of vocational stress. Various types of group support can buffer such stress. |
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| What is an appropriate Nursing Diagnosis for someone who's impaired communication problem is caused by psychiatric illness, or a coping problem? |
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Definition
| Impaired Verbal Communication is NOT useful for a patient that has communication problems caused by a psychiatric illness or coping problem. Fear or Anxiety are more appropriate. |
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| What does the nurse do in the Planning stage in the Nursing Process for a patient that cannot communicate effectively? |
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Definition
| The nurse and the client determine outcomes and begin planning ways to promote effective communication. |
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Term
| What can the nurse do during an implementing stage for a person who's communication is impaired? |
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Definition
-Manipulate the Environment, i.e making a quiet environment so that it increases the possibility of effective communication -Provide support, convey encouragement to the patient as well as provide nonverbal communication -Employ measures to enhance Communication, determine how the client can best receive messages; listening, looking, touch, or through an interpreter. After that, use and facilitate the way that the patient effectively communicates with. -Educate the client and support persons, sometimes clients and support people can be prepared in advance for an intubation or throat surgery. By explaining anticipated problems, the patient may feel less anxious when problems arise. |
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| How does the nurse evaluate if the clients outcomes have been met in relation to communication? |
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Definition
The nurse must actively listen, observe non-verbal cues, and use therapeutic communication skills to determine if communication was effective. Ex. "Using picture board effectively to indicate needs." |
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| Fun Fact: More than 60% of medication errors are caused by mistakes in interpersonal communication. |
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Definition
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Term
| Situational Briefing or SBAR for a framework for nurse-physician communication. |
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Definition
-Information about the client's current situation -Background for the current clinical situation -Assessment of the current problem -Recommendation that addresses the client's needs |
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| What are the two types of Nonassertive Communication? |
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Definition
| Submissive and aggressive |
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