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T1-Communication
Syllabus Class Objectives - FI
Question | Answer |
---|---|
List factors that influence the communication process. | Perceptions, Values, Emotions, Knowledge, Roles & relationships |
Explain the basic elements of the communication process. | Referent, Sender, Message, Channel, Receiver, Environment, Feedback |
Differentiate aspects of verbal and non-verbal communication. | VERBAL: involves spoken/written word NONVERBAL: msgs sent through the lang of body s using words, incl facial expressions, eye contact, gestures, posture, touch, odor, physical appearance, silence |
Explain the role of communication in the nursing process. | Use communication to gather, analyze, and transmit info. Used in Assessment, Nursing Diagnosis, Planning, Implementation, and Evaluation |
Identify features and expected outcomes of the nurse-client helping relationship. | Help pts clarify needs & goals, solve problems, & cope c situational or maturational crises. Help clarify & strengthen vlaues, reduce stress & anxiety, & gain insight & self-understanding. |
List the phases of Helping Relationship | Preinteraction, Orientation, Working, Termination |
Discuss the importance of communication in the performance of nursing care measures in various healthcare settings. | |
List therapeutic techniques for communication with the client and family. | Silence, Recognition, Offering self, Broad Openings, General Leads, Making Observations, Restating, Reflecting, Exploring, Giving Info, Clarifying, Verbalizing Implied, Validating |
Explain the therapeutic technique of Giving Recognition | Acknowledges awareness of pt as person. EX: Good Morning, I notice that you've... |
Explain the therapeutic technique of Offering Self | Given s expexpectation of something in return from pt Ex: I'll sit c you awhile |
Explain the therapeutic technique of Giving Broad Openings | Allows the pt to take the initiative and freedom of picking the topic EX. Is there something you'd like to talk about? What are you thinking about? |
Explain the therapeutic technique of General Leads | Encourages the pt to continue EX: Go on, And then, Would you tell me about it |
Explain the therapeutic technique of Making Observations | Verbalizes what is perceived, makes pt aware of behavior of which he may be unaware EX. You appear tense, You seem bewildered, I notice that you are biting your nails, You seem in deep thought |
Explain the therapeutic technique of Restating | Repeats the main idea in different words, gives evidence to pt he is understood EX: Pt: I can't sleep, I stay awake all night. RN: You have difficulty sleeping. Pt: My mate died at war & is pending me yet to marry RN: Were going to marry but he died |
Explain the therapeutic technique of Reflecting | Directs back Q, feelings, & ideas so that they may be recognized & accepted EX: Pt: Do you think I should tell a dr? RN: Do you think you should? Pt: My brother spends all my $ & then has the nerve to ask for more RN: This makes u feel angry |
Explain the therapeutic technique of Exploring | Going in depth to something Pt has said EX: Tell me more about that, Would you describe it more fully, What kind of work? |
Explain the therapeutic technique of Giving Information | Makes available facts pt needs ES: My name is, I'm taking you to the..., I'm going to... |
Explain the therapeutic technique of Clarifying | Seeks to make clear what is vague EX: I'm not sure that I follow, What would you say is the main point of what you said? |
Explain the therapeutic technique of Presenting Reality | Offering view of what is and what is not s arguing c pt EX: I see no one else in the room, That sound was a car backfiring, Your mother is not here but I'm your nurse |
Explain the therapeutic technique of Verbalizing the Implied | Read between the lines of what Pt has implied rather than what they've said, rephrasing pt's words to highlight an underlying msg EX: Pt: I can't talk to u or anyone. It's a wast of time RN: Is it your feeling that no one understand? |
Explain the therapeutic technique of Validating | Serves to confirm what the RN believes us heard or observed, indicates whether the pts' needs have been met EX: RN: At home you have been taking both wather pill and BP pill every day. Did you take them today? Pt: I took one of ea c breakfast |
Explain the therapeutic technique of Encouraging | Asking for pt's views of the meaning or importance of something, asking pts view to evaluate their actions EX: What are your feelings in regard to..., does this contribute to your discomfort? |
Describe various barriers to effective communcation | Pts that have: 1. Hearing and seeing difficulties 2. Mute or can't speak clearly 3. Cognitively Impaired 4. Unresponsive 5. Do not speak english |
Describe aspects of critical thinking that are important to communication process | |
Name the 2 levels of communication | Intrapersonal and Interpersonal |
Explain Intrapersonal Communication | Self talk, poistive self talk as tool to imporve health and self-esteem |
Explain Interpersonal Communication | Communication between at least 2 ppl |
List forms of Verbal Communication | Vocabulary, Denotation, Connotation, Pacing, Intonation, Clarity/Brevity, Timing/Relevance |
Explain the Vocabulary form of Verbal Communication | Using layman's terms and everyday words to communicate |
Explain the Denoation form of Verbal Communication | Defines word so it means the same thing to everyone |
Explain the Connotation form of Verbal Communication | Meaning word assumes, thoughts and ideas a person has about a word |
Explain the Pacing form of Verbal Communication | How fast or slow or using pauses can convey an unintended msg |
Explain the Intonation form of Verbal Communication | How the tone of voice can affect the meaning of your msg |
Explain the Clarity/Brevity form of Verbal Communication | Keep short, simple, and to the point |
Explain the Timing/Relevance form of Verbal Communication | Timing is critical, make sure nothing else is going on so pt hears your msg |
Explain the Personal Appearance form of Nonverbal Communication | First impression, Pt looks at you to see if you take care of yourself so you can take care of the pt |
Explain the Facial Expression form of Nonverbal Communication | Most expressive & revealing contracdict or suppress true emotions, avoid showing showck, disgust, dismay |
Explain the Eye Contact form of Nonverbal Communication | Be assertive but don't stare |
Explain the Space & Territoriality form of Nonverbal Communication | If space becomes threatened, ppl can respond defensively and can communicate less effectively. You must freaquently move into pt personal space, so communication what you are doing |
Explain Symbolic Communication | Use of image, objects, or action to rep/convey meaning. EX: turning pillows, offering cold cloths, giving them water |
Define how Perceptions can influence communication | Personal views of things happening around them |
Define how Values can influence communication | What one reasures or highly regards, don't let pts values or your values interfere c how you care or communicate c pt |
Define how Emotions can influence communication | Be aware c your emotions, don't talk about your d c pt or pts family |
Define how Knowledge can influence communication | Use words c level of pt's understanding, their level of education |
Define how Roles and Relationships influence communication | You talk to peers one way, you talk to bosses/instructors another way, you talk to pts another way |
Describe the Preinteraction Phase of Nurse-Client Helping Relationships | Before meeting the pt, Review data, Talk to other caregivers, Anticipate health concerns, Identify a location & setting that will be comfortable, Plan enough time |
Describe the Orientation Phase of Nurse-Client Helping Relationships | When you meet Pt to get to know one another: Set the tone, Expect pt to test your competence & commitment, Prioritize pt probs & identify pt goals, Form contracts, Let pt know when you will terminate relationship |
Describe the Working Phase of Nurse-Client Helping Relationships | Longest. When you & Pt work together 2 solve probs & accomplish goals: Encourage/help pt to express feelings about health, self-exploration, Provide info needed, Encourage/help pt to set goals, take actions to meet goals set, Use Therapeutic commun skills |
Describe the Termination Phase of Nurse-Client Helping Relationships | During end of relationship: Remind pt that termination is near, Eval goal achievement c pt, Reminisce about relationship c pt, Separate frm pt by relinquishing responsibility for their care, Transition smoothly for pt to other caregivers as needed |
How should you communicate within Caring Relationship | Professional, Courteous, Keep Confidentiality, Trust, Available |
List the Therapeutic Communication techniques used during Implementation | Empathy, Sympathy, Listening & Responding (Active Listening), Acceptance & Respect, Silence, Hope & Encouragement, Socializing, Assertiveness & Autonomy, Humor, Touch, Cultural Sensitivity |