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Foundations of Psychiatric Mental Health Nursing Chapter 9
Communication and the Clinical Interview
21
Nursing
Undergraduate 2
12/05/2013

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Term
Active Listening
Definition
Observing the patient's nonverbal behaviors, understanding and reflecting on the patient's verbal message, understanding the patient in the context of the social setting, detecting inconsistencies, and providing feedback are all active listening techniques that a nurse should be aware of.
Term
Closed-Ended Questions
Definition
Questions that can be answered with a yes or no answer. These can be helpful to determine specific information. Some patients will not give up information unless you specifically seek it out during questioning.
Term
Cultural Filters
Definition
A filter through which we listen to the world. Form of cultural bias or prejudice that determines what we pay attention to and what we ignore.
Term
Double Messages
Definition
Conflicting messages, also known as mixed messages. This can occur when verbal and non-verbal cues do not coincide. If someone is crying and visibly upset, but they say they are fine and happy, this is a mixed message.
Term
Double-Blind Messages
Definition
Characterized by two or more mutually contradictory messages given by a person in power. Opting for either choice will result in the displeasure or anger of the person in power. Feeling like you "can't win for losing."
Term
Feedback
Definition
A response from the receiver of a message back to the original sender.
Term
Non-therapeutic Communication Techniques
Definition
Giving premature advice, minimizing feelings, falsely reassuring, making value judgments, asking why questions, asking excessive questions, giving approval, agreeing, disapproving, disagreeing, and changing the subject.
Term
Nonverbal Behaviors
Definition
Messages can be sent just by the way you say something, such as your tone of voice or body language. It is important to remember cultural influences in pitch and tone of voice. In some cultures, being loud and boisterous may convey happiness rather than anger.
Term
Nonverbal Communications
Definition
Tone of voice, emphasis on certain words, and the manner in which a person paces speech. Posture, eye contact, hand gestures, sighs, fidgeting, and yawning all communicate a message without using verbal pathways.
Term
Open-Ended Questions
Definition
Encourage further explanation of the situation. An open-ended question cannot be answered properly with yes or no. It encourages a patient to share information about experiences, perceptions, or responses.
Term
Patient Centered
Definition
Care that refers to the patient as a full partner in his/her care whose values, preferences, and needs are respected.
Term
Therapeutic Communication Techniques
Definition
Silence, active listening, clarifying techniques, and asking questions are all tools that nurses can use to engage in therapeutic communication. Theses tools allow for clarity and further communication between the patient and nurse, and this can make a huge difference in the patient care process.
Term
Verbal Communication
Definition
Consists of all the words a person speaks. Talking is the most common activity, and it is our public link with one another. When we speak we communicate our beliefs and values, perceptions and meanings, interest and understanding, insult and judgment, messages, and feelings.
Term
Describe the Communication Process
Definition
1.) One person has a need to communicate with another
2.) The sender initiates interpersonal contact
3.) The message is the information sent or expressed to another
4.) The message can be sent through a variety of media
5.) The person receiver then interprets the message and responds to the sender.
Term
Personal Factors that can Affect Communication
Definition
Include emotional factors, social factors, and cognitive factors. Includes mood, personal bias, previous experience, cultural differences, and language use.
Term
Environmental Factors that can Affect Communication
Definition
Includes physical factors and societal determinants such as background noise, lack of privacy, expectations of others, economic factors.
Term
Relationship Factors that can Affect Communication
Definition
Refers to the status of individuals in terms of social standing, power, relationship type, and age. You speak to a friend very differently than you speak to an authority figure.
Term
Clinical Supervision
Definition
Therapeutic process for the nurse in which feelings and concerns are ventilated as they relate to the development nurse-patient relationship.
Term
Clarifying Techniques
Definition
Paraphrasing
Restating
Reflecting
Exploring
Term
Steps to Preparing for a Patient Interview
Definition
Pace
Setting
Seating
Introductions
Initiating the interview
Term
Process Recording
Definition
Written record of a segment of the nurse patient session that reflects as closely as possible the verbal and nonverbal behaviors of both patient and nurse. Identifies communication patterns.
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