Nursing as an Art in Communication (all)

Question 1

a two-way process involving the sending and the receiving of a message thereby exchanging information or feelings between 2 or more people

Answer 1

Communication (Interpersonal)

Question 2

Process of transmitting thoughts feelings info and other verbal and non verbal communication

Answer 2

Communication in Nursing

Question 3

2 Main purpose of Communication

Answer 3

1. Influence others
2. Obtain Information

Question 4

One of the main purpose of communication that has teaching, express caring and comfort, influencing others mayb be helpful or non helpful

Answer 4

Influence others

Question 5

One of the main purpose of Communicstion that has assessment data, and interview

Answer 5

Obtain Information

Question 6

6 Components of the Communication Process

Answer 6

sender
message
channel
receiver
feedback or response
influence

Question 7

source-encoder. person or group who conveys messages

Answer 7

Sender

Question 8

messages stem from a person’s need to relate to others, create meaning & to understand various situations

Answer 8

sender

Question 9

decides on what language and words to use, arrange the words , tone and gestures

Answer 9

sender

Question 10

is the thought, idea, or emotion one person sends to another person.

Answer 10

message

Question 11

it is the stimulus produced by the sender

Answer 11

Message

Question 12

alteration in the message depends on the person’s perception

Answer 12

Message

Question 13

medium through which a message is transmitted.

Answer 13

Channel

Question 14

Major Channels

Answer 14

visual
auditory
kinesthetic

Question 15

MAJOR CHANNEL

sight, observation, perception - drawing, painting, pictures

Answer 15

Visual

Question 16

MAJOR CHANNEL

spoken words and cues, requires active listening - singing

Answer 16

Auditory

Question 17

experiencing situations, procedural touch, caring touch - gestures (nodding, tapping feet etc), this involves feelings.

Answer 17

Kinesthetic

Question 18

interprets, sort out the meaning of the message
person or group to whom the message is sent

Answer 18

Receiver/ Decoder

Question 19

5 Components of Receiver

Answer 19

physiological
psychological
cognitive
effective communication
ineffective communication

Question 20

Receiver Component

sensory dysfunction (eyes,ears,taste, nose etc…), mental dullness

Answer 20

physiological

Question 21

Receiver Component

emotional character - fear of expressing one’s ideas to others, excitement, emotional instability

Answer 21

Pyschological

Question 22

thinking or social skills , trouble making decisions, reasoning, organization, insight

Answer 22

Cognitive

Question 23

meaning of the decoded message matches the intent of the sender

Answer 23

effective communication

Question 24

occurs when receiver misinterprets the sent message

Answer 24

ineffective communication

Question 25

the response from the receiver that enables the sender to **verify** that the message received was the message sent. allows the sender to **correct or reword a message**

Answer 25

Feedback or Response

Question 26

they are the person’s **frame of reference** involves: culture, age, emotions, education, language and attention

Answer 26

Influence

Question 27

The use of words, either spoken or written, to send a message.

Answer 27

Verbal Communication

Question 28

3 Methods of Verbal Communication

Answer 28

Speaking/ Listening Pace/ Intonation Writing/ Reading

Question 29

use of commonly understood words

Answer 29

simple

Question 30

direct precisely what is meant

Answer 30

clear

Question 31

fewest words necessary

Answer 31

brevity

Question 32

be sensitive to the needs and concerns of the patient, avoid asking several questions at a time

Answer 32

Timing and Relevance

Question 33

the manner of speech modifies the feeling and impact of the message

Answer 33

Pace & Intonation

Question 34

Under Verbal Communication (Pace adn Intonation) indicates interest, anxiety, boredom, or fear.

Answer 34

Rate of Speech

Question 35

Under Verbal Communication (Pace adn Intonation) may be pleasant, sincere, sorrowful, sarcastic, joyful or angry.

Answer 35

tone of voice

Question 36

transmission of message without use of words. **partly learned behavior** and **partly instinct**

Answer 36

Non verbal Communication

Question 37

Can either reinforce or contradict what is said verbally Generally Done **unconsciousy**

Answer 37

Non Verbal Communication

Question 38

7 ways of Communicating Non verbally

Answer 38

Gestures Facial Expressions Posture and Gait Eye Contact Body Position Physical Appearance Touch

Question 39

referred to as **”talking with hands”** sign language pacing back and forth, tapping hands/foot

Answer 39

Gesture

Question 40

generally interpreted as indicating **interest and attention**

Answer 40

Eye contact

Question 41

a simple yet **MOST POWERFUL** means of non verbal communication

Answer 41

Touch

Question 42

Some Purpose of touch (kung ano imo madumduman)

Answer 42

Connects people Provides affirmation (verification/confirmation) Gives reassurance hope & encouragement Shows warmth Communicates caring Provides stimulation (inspiration/motivation) - can be physiological (stimulate baby to cry, contraction) or emotional (moral support) Decreases loneliness Increases self esteem

Question 43

Before Touching the Patient what should you do?

Answer 43

Seek permission

Question 44

type of communication with the use of electronic devices.

Answer 44

Electronic Communication

Question 45

Examples of Electronic Commu

Answer 45

telephone, cellphone, computers, televisions, and emails

Question 46

simplest form of telecommunication system

Answer 46

telephone

Question 47

– load information to be synchronized with the hospital’s IT system

Answer 47

cellphone

Question 48

schedule and confirm appointments, report lab results, conduct client education

Answer 48

email

Question 49

sometimes called **EFFECTIVE COMMUNICATION**

Answer 49

therapeutic Communication

Question 50

A purposeful & goal-directed communication creating a beneficial outcome for the client -> **“helping relationship”**

Answer 50

Therapeutic Communication

Question 51

4 Goals of Therapeutic Communication

Answer 51

1. Develop trust 2. Obtain and Provide Information 3. Explore Feelings 4. Show caring

Question 52

7 Elements of Therapeutic Communication

Answer 52

Warmth Caring Genuineness Empathy Acceptance & Respect Self Disclosure Active Listening

Question 53

makes the patient feel relaxed, welcomed & unjudged

Answer 53

warmth

Question 54

makes the patient feel relaxed, welcomed & unjudged

Answer 54

warmth

Question 55

makes client feel important

Answer 55

caring

Question 56

lets clients know that they can be themselves, comfortable

Answer 56

acceptance and respect

Question 57

encourages a reciprocal trust between nurse and client - when patient discloses life story, the nurse can do the same to show that they trust thw patient

Answer 57

Self Disclosurr

Question 58

4 Phases of a Therapeutic Relationship

Answer 58

Preinteraction Phase (Planning Stage) Orientation Phase (Introductory Phase) Working Phase Termination Phase

Question 59

Goal of Orientation phase

Answer 59

develop trust and security within N-P rs

Question 60

9 TECHNIQUES OF THERAPEUTIC COMMUNICATION

Answer 60

Clarifying/ Validating Open-ended Questions Giving Informations Reflecting Paraphrasing/ Restating Summarizing Focusing Silence

Question 61

A method of making the client’s broad overall meaning of the message more understandable.

Answer 61

Clarifying/Validating

Question 62

the nurse can restate the basic message or confess confusion and ask the client to repeat or restate the message.

Answer 62

Clarifying/Validating

Question 63

Asking broad questions that lead or invite the client to explore thoughts or feelings. (not answerable by yes or no)

Answer 63

Open Ended Questions

Question 64

Therapeutic Comm technique specify only the topic to be discussed and invite answers that are longer than one or two words.

Answer 64

Open ended Questions

Question 65

Providing, in a simple and direct manner, specific factual information the client may or may not request.

Answer 65

giving information

Question 66

**Directing ideas, feelings, questions, or content back to clients to enable them to explore their own ideas and feelings about a situation**

Answer 66

Reflecting

Question 67

the **MOST EFFECTIVE** element of therapeutic communication

Answer 67

Active Listening

Question 68

Actively listening for the client’s basic message and then **repeating those thoughts and/or feelings** Because tactile contacts vary considerably among individuals, families and cultures, the nurse must be sensitive to the differences in attitudes and practices of clients and self.

Answer 68

Paraphrasing/ Restating

Question 69

Stating the **main points of a discussion** to clarify the relevant points discussed. This technique is **useful at the end of an interview** or to review a health teaching session. It often acts as an *introduction to future care planning.*

Answer 69

summarizing

Question 70

Helping the client expand on and develop a topic of importance. It is important for the nurse to wait until the client finishes stating the main concerns before attempting to focus.

Answer 70

Focusing

Question 71

accepting pauses or silences that may extend for several seconds or minutes without interjecting any verbal response.

Answer 71

Silence

Question 72

The process of listening attentively while someone else speaks, paraphrasing, and reflecting back what is said and withholding judgment and advice.

Answer 72

Active Listening

Question 73

the **MOST EFFECTIVE** communication technique

Answer 73

Listening

Question 74

Barriers to Communication

Answer 74

Cliche False Reassurance Judgmental Response Giving Common Advice Stereotyping Belittling Being Defensive Probing Changing the Subject

Question 75

phrases or statements used without thinking of the impact on the other person we use phrases that are common, sometimes in the form of expressions but it already mean something to a person

Answer 75

Clichè

Question 76

assurances which are not founded in reality.

Answer 76

False Reassurance

Question 77

giving opinions based on the nurse’s personal value system & imply right or wrong

Answer 77

Judgmental Response

Question 78

offering personal rather than professional opinion. Telling the client what he should do which may not be an expert advice. compliments “reflecting” as therapeutic communication first thing nurses invest is TRUST so if our advice fails, this trust fails too

Answer 78

Giving Common Advice

Question 79

categorizing the client & ignoring individual differences

Answer 79

stereotyping

Question 80

conveying to the person that his thoughts or feelings really have no value your idea is wrong!” - indirectly correcting the information

Answer 80

Belittling

Question 81

**attempt to protect self or another person from negative comments** patient: nurse, ka mga tamaran gid d bala sila, kagina pa ko ga panawag wala gid sila ga abot nurse: maam sir im very sorry what can i do to help you? - Do not justify your wrongdoings!!! - “if you need something please just call me”

Answer 81

Being Defensive

Question 82

asking for information chiefly out of curiosity rather than with the intent to assist the client.

Answer 82

Probing

Question 83

directing the communication into areas of self-interest rather than client’s concerns

Answer 83

changing the subject