Communication in Nursing

Question 1

is a Critical skill in nursing

Answer 1

Communication

Question 2

Process which humans meet their survival needs, builds relationship, and experience emotions

Answer 2

Communication

Question 3

It is a dynamic process used to gather data, to teach and persuade, and to express caring and comfort

• It is an integral part of the helping relationship

Answer 3

Communication

Question 4

Is any means of exchanging information or feelings between two or more people

Answer 4

Communication

Question 5

It is a basic component of human relationships, including nursing

Answer 5

Communication

Question 6

What is the purpose of Communication?

Answer 6

To obtain response

Question 7

Can be helpful or unhelpful

Answer 7

Communication …?

Question 8

Nurses who communicate effectively are able to:

Answer 8

• Collect assessment data
• Initiate interventions
• Evaluate outcomes of intervention
• Initiate changes
• Promote health; and
• Prevent the safety and legal problems associated with the nursing practice

Question 9

is built on a trusting relationship with a client and support people.

Answer 9

COMMUNICATION PROCESS

Question 10

is essential for the establishment of a nurse-client relationship

Answer 10

EFFECTIVE COMMUNICATION

Question 11

COMMUNICATION PROCESS:

Answer 11

• Sender
• Message
• Receiver
• Feedback

Question 12

Modes of Communication:

Answer 12

• Verbal Communication
• Nonverbal Communication
• Electronic Communication

Question 13

Things to Consider for Verbal Communication:

Answer 13

• Pace and Intonation
• Simplicity
• Clarity and brevity
• Timing and Relevance
• Adaptability
• Credibility
• Humor

Question 14

Things to Consider for Non-Verbal Communication:

Answer 14

• Personal Appearance
• Posture and Gait
• Facial Expression
• Gestures

Question 15

Advantages of Electronic Communication

Answer 15

• Fast and efficient
• Legible
• Has record of time and date when message was sent and received
• Improves communication and continuity of care

Question 16

Disadvantages of Electronic Communication

Answer 16

• Privacy and confidentiality
• Potential use of miscommunication
• Socio-economics (not everyone has access to computers or the internet and not everyone has the skills to use such techs)
• Limitation in reading, writing and comprehension

Question 17

Factors Influencing the Communication Process:

Answer 17

• Development (Language, psychosocial and intellectual)
• Gender
• Values and Perceptions
• Personal Space or Proxemics (Intimate (0-1.5); Personal (1.5-4); Social (4-12); Public (12 and above))
• Territoriality
• Roles and Relationships
• Environment
• Congruence (Congruent Communication (V-NV match)
• Interpersonal attitudes – Caring and warmth and respect

Question 18

Promotes understanding and can help establish a constructive relationship between the nurse and the client.

Answer 18

THERAPEUTIC COMMUNICATION

Question 19

Goal directed

Answer 19

THERAPEUTIC COMMUNICATION

Question 20

Nurses need to respond not only to the content of a clients verbal message but also for the feelings expressed.

Answer 20

THERAPEUTIC COMMUNICATION

Question 21

Listening attentively and with mindfulness, using all the senses and paying attention to what the client says, does and feels.

Answer 21

ATTENTIVE LISTENING

Question 22

Probably MOST IMPORTANT technique in nursing and is basic to all nursing techniques

Answer 22

ATTENTIVE LISTENING

Question 23

Is a highly developed skill

Answer 23

ATTENTIVE LISTENING

Question 24

IT CAN BE LEARNED WITH PRACTICE!!!

Answer 24

ATTENTIVE LISTENING

Question 25

BLOCKS TO LISTENING?

Answer 25

• Rehearsing • Being concerned with yourself • Assuming • Judging • Identifying • Getting off track • Filtering

Question 26

Expression that tells the clients that “YOU ARE WITH THEM and it puts the nurse in a position to listen carefully to their concerns.”

Answer 26

VISIBLY TUNING IN

Question 27

• THIS SKILLS CAN BE LEARNED • They must be driven by attitudes and values such as respect and empathy.

Answer 27

VISIBLY TUNING IN

Question 28

Guidelines for visibly tuning in to clients?

Answer 28

• S – face the other person Squarely • O – adopt and Open posture • L – Lean towards the person • E – maintain good Eye contact • R – try to be relatively Relaxed or neutral

Question 29

Therapeutic Communication Techniques is used? May extend for several seconds or minutes without interjecting any verbal response.

Answer 29

USING SILENCE

Question 30

Ex. Sitting quietly and waiting attentively until the client is able to put thoughts and feelings into words

Answer 30

Using Silence

Question 31

Therapeutic Communication Techniques is being used? Using statements or questions that: • A. encourage the client to verbalize • B. choose a topic for conversation; and • C. facilitate continued verbalization

Answer 31

PROVIDING GENERAL LEADS

Question 32

• Ex. “Can you tell me how is it for you?” • “Perhaps you would like to talk about?” • “Would it help to discuss your feelings?” • “Where would you like to begin?” • “And then what?”

Answer 32

PROVIDING GENERAL LEADS

Question 33

What Therapeutic Communication Techniques is being used? Making statements that are specific rather than general, and tentative rather than absolute.

Answer 33

BEING SPECIFIC and TENTATIVE

Question 34

EX: “Rate your pain on a scale from 0-10.” (Specific) • “Are you in pain?” (General Statement) • “You seem unconcerned about your diabetes?” (Tentative)

Answer 34

BEING SPECIFIC and TENTATIVE

Question 35

Asking broad questions that lead or invite the client to explore (elaborate, thoughts and feelings.

Answer 35

USING OPEN-ENDED QUESTIONS

Question 36

What Therapeutic Communication Techniques is being used? EX: “I’d like to hear more about that..” • “Tell me more….” • “How have you been feeling lately?” • “What brought you to the hospital?” • “What is your opinion?” • “You said you were frightened yesterday, how about now?”

Answer 36

USING OPEN ENDED QUESTIONS

Question 37

Providing appropriate forms of touch to re-enforce care feelings. However, the nurse must be sensitive to the differences in attitudes and practices of clients and self.

Answer 37

USING TOUCH

Question 38

• Actively listening to the clients message and repeating those thoughts and/or feelings in similar words. • This conveys that the nurse has listened and understood the client’s basic message and also offers clients a clearer idea of what they have said.

Answer 38

RESTATING or PARAPHRASING

Question 39

What Therapeutic Communication Techniques is being used? Ex: Client: “I couldnot manage to eat any dinner last night-not even the dessert.” Nurse: “You had difficulty eating yeaterday.” Client: “Yes, I was very upset after my family left.”

Answer 39

RESTATING or PARAPHRASING

Question 41

• Making the client’s overall meaning of the message more understandable. • This is used when paraphrasing is difficult or when the communication is rambling or garbled. • To clarify the message, the nurse can restate the basic message or confess confusion and ask the client to repeat or restate the message. • Nurses can also clarify their own message with statements.

Answer 41

SEEKING CLARIFICATION

Question 42

What Therapeutic Communication Techniques is being used? • EX: “I’m puzzled.” • “I’m not sure I understand that.” • “Would you please say that again?” • “Would you tell me more?” • “I meant this rather than that.” • “I’m sorry that wasn’t very clear. Let me try to explain another way.”

Answer 42

SEEKING CLARIFICATION