communication Flashcards

1
Q

Preinteraction phase

A

Organize data
Identify areas of concern
Plan the orientation

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2
Q

Orientation phase

A

Acknowledge
Introduce
Duration
Explanation
Thank you

AIDET

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3
Q

Working phase

A

Develop and implement plan of care
Communicate and collaborate
Emotional-facilitate clients’ awareness of their thoughts and feelings
Mutually develope goals

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4
Q

Termination phase

A

Let them know the relationship is coming to an end evaluate
transition to another HCP.

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5
Q

Positive self-talk

Interpersonal

A

Motivation and encouragement for self-esteem and self-confidence.
Persevere
make tolerable
overcome anxiety and discomfort.

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6
Q

Negative self talk

Interpersonal

A

Harmful and destructive
Increases the perception of pain and anxiety

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7
Q

Meditation

A

Mindful reflection or contemplation.
Encourages reassurance and self-encouragement

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8
Q

Interpersonal communication

A

Two or more people
May be formal or informal.
Must be effective for PATIENT SAFETY
If ineffective leads to sentinel events or adverse events.

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9
Q

Small group communication
What makes small groups effective

A

Small number of people
* Goal oriented and must understand group dynamics.
* workable size and have an appropriate meeting
* place.
* suitable seating arrangements, and cohesiveness and commitment among group members.
* Group participants need to feel accepted, feel able to communicate openly and honestly
* and actively listen to others in the group.

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10
Q

Public communication

A

AUDIENCE
Patient and community education.
Education, preparation, openness to diverse opinions, and communication skills that encourage acceptance and dialogue.

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11
Q

Elements of verbal communication

A

Spoken
Electronic
Written

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12
Q

Intonation in verbal communication

A

Tone of voice affects meaning.

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13
Q

Timing

A

Pain
privacy
anxiety

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14
Q

Pacing

A

Speak slowly and enunciate properly

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15
Q

Clarity and brevity

A

Simple, brief, and direct

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16
Q

Disadvantages of written communication

A

lacks nuances of voice inflection and interaction

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17
Q

Importance aspect of electronic communication

A

Maintain confidentiality

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18
Q

Explain non-verbal communication

A

Wordless
Body language
Voice inflection

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19
Q

Body language
Relaxed
Crossed legs
Assistive devices
Slowly with bowed headEye contact

A

Posture, stance and gait
 Relaxed- openness.
 Crossed legs or arms: Lack of openness.
 Assistive devices: Ambulation is temporally impaired.
 Slowly with bowed head- Exhausted, hopeless
 Eye contact- Interest

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20
Q

Facial expressions and eye movements

A

Inappropriate facial expressions are offensive.
Maintain a neutral facial expression.

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21
Q

Gently touching a blind patient’s arm before providing care

A

alert the patient to the nurse’s presence

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22
Q

Therapeutic touch

A

holding the patient’s hand or touching the patient’s shoulder, can provide comfort and may alleviate pain.

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23
Q

Proxemics

A

Intimate: 0-1-5
Personal: 1.5-4
Social: 4-12
Public: >12

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24
Q

Voice inflection

A

Emphasis placed by tone, rhythm, volume, and rate.

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25
What is active listening
What is the patient saying verbally or non-verbally?
26
Aspects of active listening
* S- Sit at eye level with patient, if possible. * O- Maintain an open stance. * L- Lean toward the patient, keeping body in open stance * E- Maintaining eye contact without staring. * R- Relax
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barriers for effective communication.
Timing Educational levels Mode of communication used Physical and emotional factors Medical jarhons may be foreign
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Referent Examples
Event or though initiating communication. Sensation, thoughts, concern, pain
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Sender What is encoding
Person who initiates or encodes (translate thoughts and feelings into communication)
30
Message
Content transmitted during communication.
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Channel
Visual, auditory, kinesthetic
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Receiver Decode
Sending message to Sort out meaning
33
Feedback How do you ensure understanding
Has the message been understood? Restate Teach back
34
Rationale for offering self. Example | T
Increases self worth, compassion and care “I’ll stay with you until your family member arrives.”
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Calling patient by name | T
Individual Respect and care
36
Sharing observations Example
Verbalize what is observed for client to recognize behavior and validate nurse perceptions You look tense
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Giving information
Facts about a specific situation
38
Open ended questions
Opportunity to share freely
39
Focused questions
Specific data Area of concern
40
General leads
Encourage them to keep talking show interest
41
Convey acceptance Yes, nodding
Acknowledges the importance of the patient’s thoughts, feelings, and concerns
42
Use of humor eg “You are really walking well this morning. I’m going to have to run to catch up!”
* Provides encouragement * May lighten heavy moments * Focus on positive progress
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Verbalize the implied Patient: “I can’t talk to anyone about this.” Nurse: “Do you think others won’t understand?”
Elaborate
44
Paraphrasing
* Encourages patients to describe situations more fully * Demonstrates that the nurse is listening
45
Seeking clarification Best tool for clarification
Expand on a confusing topic. Ask for an example
46
Summarize
* Reduces the interaction to three or four points identified by the nurse as being significant * Allows the patient to agree or add additional concerns
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Validating “Did I understand you correctly that…?”
Allows clarification of ideas that the nurse may have interpreted differently than intended by the patient
48
How does acctive listening convey therapeutic communication
* Conveys interest in the patient’s needs, concerns, or problems * Provides the patient with undivided attention * Sends a clear message of concern and interest
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How does silence convey therapeutic communication
* Provides the patient time to think or reflect * Communicates concern when there is really nothing adequate to say in difficult or challenging situations
50
How does therapeutic touch help in communication
* Conveys empathy * Provides emotional support, encouragement, and personal attention * Relaxes the patient
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Value judgements and opinion
giving one’s own opinion, evaluating, moralizing or implying one’s values by using words such as “nice”, “bad”, “right”, “wrong”, “should” and “ought”. “You shouldn’t do that, its wrong”.
52
Incongruence
sending verbal and non-verbal messages that contradict one another. The nurse tells the patient “I’d like to spend time with you” and then walks away.
53
False reassurance
Using cliché to reassure client. “It’s going to be alright”.
54
Giving advice
telling the client what to do, giving opinions or making decisions for the client, implies client cannot handle his or her own life decisions and that the nurse is accepting responsibility. “If I were you… Or it would be better if you do it this way…”
55
Approval /disapproval
You should not do those things.
56
Defending Asking for explanations Sypmathy Automatic responses
Your doctor is very good Why did you do that I am so sorry about.... Stereotypes, cliches, parroting, repeating
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**Defense mechanisms** Compensation Denial Displacemet Introjection Projection
* Compensation- Using personal strengths or abilities to overcome feelings of inadequacy. * Denial- Refusing to admit the reality of a situation or feeling. * Displacement- Take out our feelings on another person or object. * Introjection- Taking on certain characteristics of another individual’s personality. * Projection- Assigning your own unacceptable feelings or qualities to others. You cheat and think they are cheating.
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Defense mechanisms Rationalization Regression Repression Sublimation Suppression
* Rationalization- Justifying an unacceptable feeling or behavior with logic. * Regression- Reverting to behaviors consistent with earlier stages of development. * Repression- Storing painful or hostile feelings in the unconscious, causing them to be temporarily forgotten. * Sublimation- Rechanneling unacceptable impulses into socially acceptable activities. * Suppression-Choosing not to think consciously about unpleasant feelings
59
To improve communication with a person with hearing loss, you can
attract their attention before starting a conversation face them when you speak reduce any background noise or try to find a quieter place to have a conversation speak slowly and clearly use visual cues and gestures be patient ask the person what helps them.
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Visually impaired
* Visually impaired or blind patients is that they are rarely hearing impaired. * Typically, blind patients have heightened auditory and olfactory senses. * anticipatory, meaning that the nurse should alert visually impaired patients of potential hazards or object locations to provide necessary information and safe care. * The position of numbers on an analog clock is often used as a reference when communicating the location of food on the plate of a blind patient.  For example, the nurse may inform the visually impaired patient that the meat entrée is in the 6 o’clock position and the coffee cup is at 2 o’clock on the tray. * Large-print, Braille, audio, or e-books may be helpful in communicating effectively with visually impaired or blind patients. * Gentle physical contact, such as a light touch on the arm, alerts the blind patient that someone is present. This is especially important if the patient has been sleeping, is in a noisy environment, or is hearing impaired.
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Respiratory difficulties
 Nonverbal cues, such as head nodding or hand squeezing, to communicate their needs. A whiteboard with erasable markers or a computer tablet could be particularly helpful.
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Dementia
Consulting with the family members of these patients often provides helpful hints and insights AVOIDING CONFRONTATION IS IMPORTANT.
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Empathy
understand and accept another persons reality, to accurately perceive feelings, and to communicate this understanding to others.
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Clients with aphasia
visual cues (e.g. words, pictures, and objects) not shout or speak too loudly to ask simple questions that require yes or no answers
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_______________skills make the best communicators.
Critical thinking skills
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How can a nurse a nurse to overcome personal biases?
Allow others to express their feelings and emotions
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Explain assertiveness
Express ideas while respecting other people’s opinions. contain I messages, such as I want, I need, I think, or I feel
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How do these critical thinking attitudes contributes to an effective nurse-client relationship? Fairness Guarded Curiosity Creativity Perseverance Self-confidence
* Curiosity motivates the nurse to communicate and know more about a person. * Perseverance and creativity are also attitudes conducive to communication because they motivate the nurse to communicate and identify innovative solutions. * A self-confident attitude is important because the * nurse who conveys confidence and comfort while communicating more readily establishes an * interpersonal, helping-trust relationship. * Risk-taking rather than a guarded attitude is important because colleagues sometimes question the suggested nursing interventions. * At the same time, an attitude of fairness goes a long way in the ability to listen to both sides of any discussion.