Communication Flashcards

1
Q

Three attributes of communication that form the basis of study in the nursing sciences

A

process of complementary exchange
context
learned skill

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2
Q

what is process of complementary exchange

A

Occurs between people and each participant is either a sender or a receiver.

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3
Q

what is context

A

characteristics of the environment that affect perception and subsequent interpretation of messages

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4
Q

what is learned skill

A

Develops over time and through interactions with others, requiring knowledge of the communication process and awareness of the factors that influence communication.

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5
Q

what are the 5 parts of the communication process

A

Stimulus or referent
Sender or source of message (encoder)
Message itself
Medium or channel of communication
Receiver (decoder)

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6
Q

what is the stimulus or referent

A

what starts the communication (patient need)

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7
Q

what is the sender or source of the message (encoder)

A

person providing the message

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8
Q

what is the medium or channel of communication

A

how the message is sent

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9
Q

what is the receiver

A

person receiving the message

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10
Q

what is decoding

A

taking info and interpreting it

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11
Q

3 levels of communication

A

intrapersonal
interpersonal
group

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12
Q

what is intrapersonal communication

A

Self-talk; communication within a person

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13
Q

what is interpersonal communication

A

Occurs between two or more people with a goal to exchange messages

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14
Q

what are the 3 forms of group communication

A

small-group
organizational communication
group dynamics

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15
Q

what is small-group communication

A

occurs when someone interacts with 2 or more people

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16
Q

what is organizational communication

A

when people/groups within an organization communicate to achieve goals

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17
Q

what are group dynamics

A

how individual group members relate to one another during process of working toward group goals

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18
Q

Characteristics of Effective and Ineffective Groups

A

Group identity
Cohesiveness
Patterns of interaction
Decision making
Responsibility
Leadership
Power

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19
Q

what is group identity

A

group knowing purpose (goals)

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20
Q

what is cohesiveness

A

something sticking together (group working together)

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21
Q

what are patterns of interaction

A

how members of the gorup interact with eachother

22
Q

What is decision making

A

identifying problem and working to solve

23
Q

what is responsibility

A

feeling responsible for what is being accomplished

24
Q

what is leadership

A

helps group meet goals

25
what is power
people with little power still are effective members
26
factors influencing communication
Developmental level Gender Sociocultural differences Roles and responsibilities Space and territoriality Physical, mental, and emotional state Values Environment
27
4 forms of communication
verbal, nonverbal, symbolic, metacommunication
28
what is verbal communication
includes spoken and written word, conveying meaning through a collection of words
29
what is nonverbal communication
includes all communication that is not spoken or written
30
what are examples of nonverbal communication
Facial expressions, touch, eye contact Posture, gait, gestures General physical appearance Mode of dress and grooming Sounds, silence Electronic communication
31
what is symbolic communication
adds to what is understood by incorporating art and music to enhance meaning
32
what is metacommunication
consists of the factors that comprise the context of the message and affect how messages are received and interpreted. internal personal states (e.g., disturbances in mood) environmental stimuli related to the setting of the communication, and contextual variables (e.g., the relationship between the people in the communication episode).
33
the helping relationship of nurse-patient
Does not occur spontaneously Characterized by an unequal sharing of information Built on the patient’s needs The nurse is the helper, and the patient is the person being helped. Communication is the means used to establish rapport and helping–trust relationships.
34
what are the characteristics of the helping relationship
Dynamic- changing, needs of patient might change Purposeful and time limited Person providing assistance is professionally accountable for the outcomes and the means used to attain them
35
what are the phases of the helping relationship
Orientation phase Working phase Termination phase
36
what are the goals of the orientation phase
The patient will call the nurse by name. The patient will accurately describe the roles of the participants in the relationship. The patient and nurse will establish an agreement about: Goals of the relationship Location, frequency, and length of the contacts Duration of the relationship.
37
what are the goals of the working phase
The patient will actively participate in the relationship. The patient will cooperate in activities that work toward achieving mutually acceptable goals. The patient will express feelings and concerns to the nurse.
38
what are the goals of the termination phase
The patient will participate in identifying the goals accomplished or the progress made toward goals. The patient will verbalize feelings about the termination of the relationship.
39
what are the 2 factors that promote effective communication
Dispositional traits Rapport builders
40
what are dispositional traits
the way you present yourself
41
what are some dispositional traits
Warmth and friendliness Openness and respect Empathy Honesty, authenticity, trust Caring Competence
42
what is rapport
feeling of mutual trust
43
what are some rapport builders
Specific objectives Comfortable environment Privacy Confidentiality Patient vs. task focus Utilization of nursing observations Optimal pacing
44
how to develop conversation skills
Control the tone of your voice. Be knowledgeable about the topic of conversation. Be flexible. Be clear and concise. Avoid words that might have different interpretations. Be truthful. Keep an open mind. Take advantage of available opportunities.
45
how to develop listening skills
Sit when communicating with a patient. Be alert and relaxed and take your time. Keep the conversation as natural as possible. Maintain eye contact if appropriate. Use appropriate facial expressions and body gestures. Think before responding to the patient. Do not pretend to listen. Listen for themes in the patient’s comments. Use silence, therapeutic touch, and humor appropriately.
46
what are some interviewing techniques
Open-ended questions or comments Closed questions or comments Validating questions or comments (confirming) Clarifying questions or comments (you are uncertain so you clarify) Reflective questions or comments (using your own words to repeat what they said) Sequencing questions or comments (putting things in order) Directing questions or comments
47
Characteristics of the Assertive Nurse’s Self-Presentation
Confident; open body posture Use of clear, concise “I” statements Ability to share effectively one’s thoughts, feelings, and emotions Working to capacity with or without supervision Remaining calm under supervision Asking for help when necessary Giving and accepting compliments Admitting mistakes and taking responsibility for them
48
what is aggressive behavior
Involves asserting one’s rights in a negative manner that violates the rights of others Can be verbal or physical Communication is marked by tension and anger, inhibiting the formation of good relationships and collaboration. Characteristics include using an angry tone of voice, making accusations, and demonstrating belligerence and intolerance. Focus is usually “winning at all costs.”
49
Blocks to communication
Failure to perceive the patient as a human being Failure to listen Nontherapeutic comments and questions Using clichés Using closed questions Using questions containing the words “why” and “how” Using questions that probe for information Using leading questions (leading patient to answer you want) Using comments that give advice Using judgmental comments Changing the subject Giving false assurance Using gossip and rumors Using disruptive interpersonal behavior
50
what is disruptive interpersonal behavior
Incivility Bullying Horizontal violence Nurse bullying Negative communication between nurse and physician Organizational response to disruptive behaviors