Communication Flashcards

1
Q

“Do No Harm”

A
  • don’t damage the patient with mouth and words

* everything that comes out of mouth, went through brain 1st

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2
Q

Essential Components of Communication

A

*knowledge
*Skills:
Open Ended Question: can give any answer
Close Ended Question: what one answer (yes or no)
*Attitudes:most important! always smile and talk to the patient and family

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3
Q

Effective Communication

A
  • intended message is the received message

* patient interprets what we intend to say

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4
Q

Nonverbal expressions that influence communication

A
  • physical appearance and dress
  • body posture and movement
  • touch
  • facial expression
  • eye behavior
  • smile!
  • nodding head=general lead
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5
Q

Relationship between verbal and nonverbal communication

A
  • need to be congruent messages
  • consistent with cultural norms
  • convey the intended information
  • always validate your perceptions with the client
  • body language is most truthful form of communication
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6
Q

Therapeutic Relationship

A
  • Client will be helped
  • Goal directed and will end will goal is met
  • Structured around helping client
  • client is accepted as he/she is
  • client may express thoughts, feelings and actions
  • honesty and integrity at all times
  • do not judge patients
  • nurse refrains from insincere praise, false reassurance, and superficiality
  • interaction is professional and confidential
  • nurse is self aware and examines effects of own behavior on client
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7
Q

Social Relationship

A
  • expect mutually pleasant exchange
  • may be brief or long lasting
  • both parties share stories and concerns equally
  • socially accepted codes of conduct and expression limit behavior
  • no obligation to be therapeutic or helpful to each other
  • no obligation to be honest and free to give advice or urge solutions
  • discussion of problems and important personal issues is optional
  • no obligation to be self aware
  • may be useful at the beginning of a conversation with a client to help the client feel more at ease
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8
Q

Failure to listen

A
  • biggest inhibitor of effective communication
  • result of self-absorption and lack of presence
  • anxiety
  • 99% of conversation should be about the patient in a therapeutic relationship
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9
Q

Goals of Therapeutic Interaction

A
  • gather/provide information
  • promote client self-awareness of feelings, thoughts and behaviors
  • client understand role played by him/herself and other significant people that contribute to problems
  • client helped to take action toward resolving problems
  • client is helped to become better at helping her/himself
  • client possess ability to resolve own problems
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10
Q

Sociocultural Stressors to Effective Communication

A
  • both client and caregiver bring pre-existing values, attitudes, and beliefs to the exchange
  • can result in stereotyping individuals
  • cultural differences/language barriers
  • social roles and relationships
  • gender differences
  • education and different life experiences
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11
Q

Physiological Stressors to Effective Communication

A
  • pain- shortness of breath
  • impaired hearing
  • impaired speech
  • brains ability to relay information, interpret it or respond to it
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12
Q

Nurse’s Role

A
  • To help client recognize and reduce anxious feelings and increase effective coping skills. To empower patients to take charge of their own health and quality of life.
  • The ultimate goal is to get to the patients feelings and give patient the power to take control of life.
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13
Q

Judging

A
  • we do not judge-regardless!
  • even if we don’t say anything, our patient will know if we are judging.
  • even if you don’t like a patient, you must treat each patient with respect and dignity
  • never be demanding of a patient
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14
Q

Self awareness on the part of the Nurse

A
  • a pre-requisite to effective communication
  • be aware of one’s own communication style
  • how others perceive us
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15
Q

Physical attending skills needed to communicate caring

A
  • listen (most important skill)
  • lean slightly forward
  • open posture
  • appropriate eye contact
  • sit when able
  • acknowledge client (nod, hmm)
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16
Q

Psychological attending skills that communicate caring

A
  • listen with intention/presence
  • don’t be more anxious than client
  • remain focused on client not yourself
  • don’t socialize
  • listen to the whole message verbal and nonverbal
  • identify themes and patterns
17
Q

Facilitative/Therapeutic Response

A
  • Summarizing
  • offering general leads
  • placing event in time or sequence
  • sharing your observations
  • reflecting thoughts/feelings
  • seeking clarification
  • effective use of silence
18
Q

Non-facilitative/Non-Therapeutic Responses

A
  • giving approval or disapproval
  • sharing advice or an opinion (ex: “I wouldn’t have that surgery”)
  • asking why questions
  • false reassurance
  • changing the subject
  • close-ended questions
  • defensivenss
19
Q

Skills of compassion (from video)

A
  • attention
  • acknowledgement
  • affection
  • acceptance