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Definition
| being attentive to what the client is saying both verbally and nonverbally; facilitates client communication |
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| conveys a sense of self-assurance while also communicating respect the other person |
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| the ability to be self-directed and independent in accomplishing goals and advocating for others |
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| means of conveying and receiving messages through visual, auditory, and tactile senses |
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| the means to establish caring relationships |
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| ability to understand and accept another person's reality, to accurately perceive feelings, and communicate this understanding to the other |
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Definition
| the setting for sender-receiver interaction |
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| the message the receiver returns |
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Term
| interpersonal communication |
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Definition
| one-to-one interaction b/w the nurse and another person that often occurs face to face |
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Term
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Definition
| factors within both the sender and receiver than influence communication |
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Term
| intrapersonal communication |
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Definition
| powerful form of communication that occurs within an individual; also called self-talk, self-verbilization, and inner thought. |
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| the content of the communication |
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| a broad term that refers to all factors that influence communication |
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| includes all the five senses and everything that does not involve the spoken and written word |
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| human tendencies that interfere with accurately perceiving and interpreting messages from others |
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| interaction with an audience |
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Definition
| person who receives and decodes the message |
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Definition
| motivates one person to communicate with another |
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Definition
| the person who encodes and delivers the message |
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Term
| small group communication |
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Definition
| interaction that occurs when a small group of persons meet together |
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Definition
| the verbal and nonverbal symbolism used by others to convey meaning |
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Definition
| concern, sorrow, or pity felt for the client generated by the nurse's personal identification with the client's needs |
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Term
| therapeutic communication techniques |
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Definition
| specific responses that encourage the expression of feelings and ideas and convey acceptance and respect |
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Term
| transpersonal communication |
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Definition
| interaction that occurs within a person's spiritual domain |
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Definition
| uses spoken or written words |
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Term
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Definition
| 0 to 18 inches; ex. holding an infant crying, physical assessment, ADL's |
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| hands, arms, shoulders, back; permission NOT needed |
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| mouth, wrists, feet; permission needed |
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Definition
| face, neck, front of body; special care needed |
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Term
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Definition
| genitalia and rectum; great sensitivity needed |
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Term
| top contributor to errors in the workplace |
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Definition
| breakdown in communication |
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Term
| what is one of the standards for establishing and sustaining healthy work enviroments indentified by the American Association of Critical-Care Nurses? |
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Definition
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Term
| Nurses with expertise in communication express caring by... |
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Definition
| becoming sensitive to self and others, promoting and accepting the expression of positive and negative feelings, developing helping-trust relationships, instilling faith and hope, promoting interpersonal teaching and learning, providing a supportive environment, assisting with gratification of human needs, allowing for spiritual expression |
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Term
| the nurse's ability to relate to others includes... |
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Definition
| ability to take initiative in establishing and maintaining communication, to be authentic (one's self), and to respond appropriately to the other person |
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Term
| good interpersonal communication requires |
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Definition
| a sense of mutuality, a belief that the nurse-client relationship is a partnership and that both are equal participants |
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Term
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Definition
| a code that conveys specific meaning through combination of words |
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Term
| 5 most important aspects of verbal communication: |
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Definition
1. vocabulary
2. denotative and connotative meaning
3. tone
4. clarity
5. timing |
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Term
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Definition
| shared by individuals who use a common language |
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Term
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Definition
| the shade or interpretation of word's meanings influenced by thoughts, feelings, or ideas people have about the word |
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| effective communication is |
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Definition
| simple, brief, and direct |
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Term
| 7% of meaning is transmitted by |
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Definition
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| 38% of meaning is transmitted by |
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Definition
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| 55% of meaning is transmitted by |
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Definition
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Term
| what is a major influence on the meaning of nonverbal behaviors? |
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Definition
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Term
| personal appearance includes... |
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Definition
| physical characteristics, facial expression, and manner of dress and grooming |
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Term
| posture and gait are forms of |
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Definition
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Term
| an inappropriate affect is a |
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Definition
| facial expression that does not match the content of a verbal message |
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Term
| lack of eye contact may indicate |
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Definition
| anxiety, defensiveness, discomfort, or lack of confidence |
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Term
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Definition
| emphasize, punctuate, and clarify the spoken word |
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Term
| pointing to area of pain is sometimes more ____ than describing the pain's location |
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Definition
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Term
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Definition
| the need to gain, maintain, and defend one's right to space |
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| territory is important because |
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Definition
| it provides people with a sense of identity, security, and control |
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Definition
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Term
| during narrative interactions |
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Definition
| nurses begin to understand the context of others' lives and learn what is meaningful for them from their perspective |
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Term
| phases of the helping relationship |
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Definition
| preinteraction phase, orientation phase, working phase, termination phase |
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Term
| phase before meeting the client |
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Definition
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Term
| phase when nurse and client meet and get to know one another |
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Definition
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| phase when the nurse and client work together to solve problems and accomplish goals |
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Definition
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| phase during the ending of the relationship |
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Definition
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Term
| nurse-family relationships require additional |
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Definition
| understanding of the complexities of family dynamics, needs, and relationships |
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Term
| nurse-health care team relationships focus on |
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Definition
| establishing a healthy work environment and accomplishing the work and goals of the clinical setting |
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Term
| communication in nurse-health care team relationships focus on |
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Definition
| team building, facilitating group process, collaboration, consultation, delegation, supervision, leadership, and management |
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Term
| communication skills necessary for nurse-health care team relationships |
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Definition
| presentational speaking, persuasion, group problem solving, providin performance reviews, and writing business reports |
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Term
| active listening technique: SOLER |
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Definition
Sit facing client
Observe an open posture
Lean toward the client
Establish and maintain intermittent eye contact
Relax |
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Term
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Definition
| restating another's message more briefly using one's own words. Through paraphrasing, the nurse sends feedback that lets the client know she is actively involved in the search for understanding. |
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Term
| The nurse demonstrates active listening by: |
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Definition
| assuming a relaxed position and leaning toward the client |
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Term
| what is an example of orientation phase? |
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Definition
| discussing the cards and flowers in the room |
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Term
| when working with a client with aphasia, the nurse should |
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Definition
| allow extra time for client to respond |
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Term
| what statement best explains the role of collaboration with others for client's plan of care |
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Definition
| the professional nurse collaborates with colleagues and the client's family to provide combined expertise in planning care |
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Term
| when working with an older adult the nurse should remember to avoid |
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Definition
| shifting from subject to subject |
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Term
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Definition
| repeating what the other person said word for word; not as effective as paraphrasing |
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Term
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Definition
| subjectively true, personal experiences about the self that are intentionally revealed to another person; shows that the nurse understands |
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Term
| NONtherapeutic communication techniques |
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Definition
| asking personal questions, giving personal opinions, changing the subject, automatic responses (stereotypes, parroting), false reassurance, sympathy, asking for explanations, approval or disapproval, defensive responses, passive or agressive responses, arguing |
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Term
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Definition
| complaining to a third party rather than confronting the problem or expressing concerns directly to the source |
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Term
| what percent of medicare recipients had some kind of communication disability |
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Definition
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Term
| what to do for clients with aphasia, dysarthria, and muteness |
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Definition
be patient
ask yes or no questions
all time for response
use VISUAL CUES
don't speak too loudly
use communication aids |
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Term
| what to do for clients who are cognitively impaired |
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Definition
reduce distractions
gain pt attention before speaking
use simple sentences
one question at a time
allow time for response
be attentive listener
include fam and friends in conversation |
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Term
| what to do for pt's who are hearing impaired |
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Definition
check for hearing aids/glasses
reduce enviromental noise
face pt w/ mouth visible
don't chew gum
do NOT shout
rephrase - don't repeat
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Term
| what to do for visually impaired pt's |
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Definition
check for glasses/contacts
identify when you enter and notify when leaving
speak in normal tone of voice
don't relly on gestures
use indirect lighting, avoiding glare
use at least 14 pt print
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Term
| what to do for pt's who are unresponsive |
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Definition
call client by name
communicate verbally and by touch
speak to them as though they can hear
explain all procedures and sensations
provide orientation to person, place, and time
avoid talking about pt to others in their presence
avoid saying things pt should not hear |
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Term
| what to do for pt that doesn't speak English |
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Definition
speak in normal tone
establish method for pt to signal desire to comm
provide an interpreter
avoid using family members (esp children)
develop comm board, pictures, or cards
translate words to English list
Have dictionary |
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Term
| Implementing Therapeutic Communication |
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Definition
Active Listening – SOLER
o ______________________________________________________
Sharing Observations
Sharing Empathy
Sharing Hope
Sharing HumorSharing Feelings
Using Touch
Using Silence
Providing Information
Clarifying
Focusing
Paraphrasing
Asking Relevant Questions
Summarizing
Self-Disclosing
Confronting
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Term
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Definition
| use only after you have established trust, and do it gently, with sensitivity |
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