communicating 26

social distance

4 - 12ft clear visual perception of whole person, eye contact is increased, vocalizations are allowed, more formal limited to seeing and hearing, Out Of Reach of

nurses need to consider what when choosing words to say or write?

Pace and intonation Simplicity, Clarity and brevity, timing and relevance, adaptability, credibility, humor

sbar breakdown

S- situation. what are you calling about, provide name, health agency, client name, brief info about problem B- background. Info on pertinent to current situation, admitting diagnosis, date of admission, important clinical info that relates to the call A- assessment. Refers to current condition of client such as Vital Signs Pain Scale Loc, changes an assessment since previous communication, indicate problem severity R- recommendation. What is your recommendation for resolving the problem, what you need from the healthcare provider to solve the problem, come see the client, transfer to another unit, order for a med

adaptability

alter spoken messages in accordance with behavioral cues from the client, adjustment revert referred to adaptability, what nurse says and how it said should be individualized and carefully considered. Requires astute assessment and sensitivity, may need to modify tone of speech and expressed concern by facial expression while moving toward the client

after being admitted for surgery emergency, 80 year old client just turned returned to the room from par. Which nursing interventions are most likely to facilitate effective communication with this client? SATA

ask the client or support person about visual or learning problems, inform client and support persons by events likely to occur during the next two hours

timing and relevance

being aware of both relevance and timing when communicating with clients because if clear or simple words are stated or written the timing needs to be appropriate to ensure words are heard. Messages need to relate to the person or persons interest and concerns. Involves sensitivity to clients needs and concerns

humor

can be positive and Powerful tool, used with Care, Help clients a just too difficult painful situations, physical act of laughter can be emotional / physical release, reducing tension by providing different perspective and promoting sense of well-being. Using humor is important two clients perception of what is considered humorous, timing is important and may reduce stress and anxiety, feelings of client need to be considered

transcultural nonverbal communication

can vary widely, smiling and hand shaking. Hispanics smile hand shaking are essential to trust.

intimate distance communication

characterized by body contact, heightened sensation of body heat and smell, vocalizations Arlo, Vision intense, restricted to small body part, maybe distorted, frequently used by nurses such as cuddling a baby touching a blind client, positioning, observing an incision, restraining a toddler for a treatment. 0 - 1.5 ft

personal appearance

clothing in a Dorman scan B sources of information about a person, convey social and financial status, culture, religion, group Association, self concept

simplicity

commonly understood words, brevity, completeness. Komplex technical terms become natural to nurses but lay persons Miss understand these terms. Vasoconstriction cholecystectomy are meaningful to nurse but ill-advised when communication with clients. Nurses need to learn appropriate, understandable, simple terms based on age, knowledge, culture, education.

the goal of clarity and brevity

communicate clearly so all aspects of situation or circumstance are understood, also enunciate or pronounce carefully

territoriality

concept of the space and things that an individual considers as belonging to oneself, marked off by people may be visible to others. clients may use curtains, walls,

eye contact is essential element of facial communication,

culturals cultures May recognize I contact as willingness to maintain communication but some will glance, capturing a person's attention prior to communicating week or defenselessness are often observed averting eyes or avoiding eye contact in such situations that may be embarrassing or dominating

Clarity and brevity

direct and simple. Clarity is precisely what is meant. brevity is fewest words necessary. simple and clear, congruence, consistency with behavior or nonverbal communication

electronic communication

electronic medical records, email used in healthcare facilities to schedule and confirm appointments, report normal Labs, conduct client education, follow up with discharged client

observing an interpreting the clients nonverbal behavior is an

essential skill for nurses to develop

electronic communication

evolved with technology, common form is email, individual can send a message by computer to another person or group

nonverbal communication AKA body language

gestures, body movements, touch, physical appearance, unadorned hment, tells others about what person is feeling, nonverbal Behavior is less conscious,.

nonverbal communication

gestures, facial expressions, touch, majority of communication

indicators of boundary issues

gift giving, spending more time than necessary with a client, nurse believing only here she understands the client. Issues need to be addressed

gender communication

girls tend to use language to seek confirmation, minimize differences, establish intimacy. Boys usual English to establish Independence, negotiate status within a group. difference is continuing to adultHood and interpret same Communications differently

gestures

hand and body gestures emphasize and clarify spoken word, occur without words to indicate particular feeling or to give a sign

how a person dresses is often an indicator of

how the person feels, such as tired or ill may not have energy or desire to maintain normal grooming

examples of average distances between people and their interactions

intimate is 0 - 1.5 ft, personal is 1.5 - 4 ft, social is 4 - 12 ft, public is 12 ft +

development and communication

language, psychosocial, intellectual development moves through stages across the lifespan. Knowing development stage allows nurse to modify message accordingly. Dolls and games coupled with simple language help explain the procedure to a child.

personal distance

less overwhelming than intimate, voice is moderate, heat and smell are less noticeable, physical contact such as handshake or shoulder touch, nurses are sitting with client, giving medications establishing IV,

boundaries by Boyd

limits individual objects are relationships, professional boundaries are crucial in context of nurse client relationship. Keeping clear boundaries by focusing on client and avoiding sharing of personal info or meeting all needs through nurse client relationship. Client Macy's friendship outside work thus nurse affirms his or her professional role and declines invitation

email

most common form of electronic communication, advantages include fast, efficient, legible, record of date and time, improve communication and continuity of care, better access, evidence shows clients and health care providers willing to use internet-based Technologies disadvantages are concern for privacy, convened confidentiality, misuse of information, socioeconomics where not everyone has access to a computer, or have necessary computer skills

facial expression

no part of the body is expressive as a face, feelings of surprise, fear, anger, disgust, happiness, sadness can be conveyed by the face. Face May Express person's genuine emotions but possible to control the most muscles so that emotion Express does not reflect what person is feeling.

I depress client who has not bathed or dressed in clean clothes today's reading the lunch menu but is unable to make a decision. Appropriate nursing diagnosis for this client?

powerlessness

assertive communication

promotes clamps safety by minimizing miscommunication with colleagues, use by those who are honest, direct, appropriate while being open to ideas and respectful of Rights of others. characteristics include I statements versus you statements, you statement places blame and puts listener on defensive. I statements encourage discussion. be concise, clear, organize, fully informed when verbally presenting the client concern

nurse as the client, what do you fear most about your surgery tomorrow? This is an example of which communication technique?

providing General leads

pace and intonation

rate, Rhythm, tone, modifies the feeling and impact. tones can express enthusiasm, sadness, anger, Amusement. Rate indicates interest, anxiety, boredom, fear. such as slow and soft speech May calm an excited client

nonverbal communication can either

reinforce or contradict what is said verbally. Example, I'd be happy to sit here and talk with you for a while, glances nervously at watch every few seconds. client most likely to believe nonverbal Behavior which indicates busyness

public distance

requires loud, clear vocal, careful annunciation Jama faces and forms of people are individually lost

a nurse is a client who is struggling with cancer pain, it is normal to feel frustrated about the discomfort,. Which is the most representative of skills associated with the working phase of the helping relationship?

respect

sbar

situation, background, assessment, recommendation comma. Used by nurses and all form of communication especially when calling PCP about clients condition, shift reports, transfer reports,

examples of facial expression

smile Express his happiness, contempt conveyed by turned down mouth, head tilted back and eyes directed down the nose. No single expression can be interpreted accurately, without considering other reinforcing physical cues, setting which occurs, expression of others in the same setting, cultural background.

proxemics

study of distance between people and their interactions

elderspeak

style of speech similar to Baby Talk gives message of dependence and incompetence, seen as patronizing by older adults. Include an appropriate Terms of Endearment such as honey, grandma, use of pronouns such as we, tag questions such as you want to wear this dress, slow and loud speech

the client made the following statement to the nurse, my doctor just told me that he cannot save my leg and that I need to have above-the-knee amputation. Which response by the nurse is most appropriate?

tell me more...

environment and communication

temperature extremes, excessive noise, poorly ventilated environment interfere with communication. Lack of privacy with client interferes with communication about matters that are private

personal space in communication

the distance before prefer and interactions with others is personal space

place the following descriptions of the helping relationship phase in correct sequence

the nurseries to the medical history that the client was diagnosed with diabetes 1 week ago. After introductions nurse asks, what plans do you have for upcoming holiday weekend? Nurse States is sounds like you were concerned about possible Communications of having diabetes. What would the most helpful for you at this time.? Nurse dates when we meet you knew very little about avt's and now you are able to use your new information and apply it to your own personal situations

client is nonverbal in the nurse is implementing strategies to promote communication. Which of the following would be appropriate for the client in the situation?

use a picture Board to facilitate communication

verbal communication

use of spoken or written words, largely conscious, words are chosen

values and Perceptions in communication

values are standards and employment's behavior and perceptions are personal view of an event. Unique personality traits, values, Life Experiences. perception and interpretation of messages and experiences are different

posture and gate

ways people walk and carry themselves, reliable indicators of self concept, current mood, Health. Erect posture and active, purposeful stride suggest feelings of well-being. Slouched posture and slow shuffling suggest depression or physical discomfort. Tense posture and Rapid determined gate suggest anxiety or anger

credibility credibility credibility, no blowing smoke up the ass

worthiness of belief, trustworthiness, reliability, most important Criterion of effective communication. fostered by consistent, Dependable, honest, knowledgeable, accurate information, convey confidence, certainty, acknowledging of limitations of nurse

the nurse enters the client's room and finds the telephone is lying on the clients left, tissues are wadded up in the bed and the client's eyes are red and watery. What is the best response of the nurse?

you look upset. Is there anything you'd like to talk about?

student nurse is caring for 72 year old client with Alzheimer's disease who is very confused. Which of the most appropriate communication strategies are to be used by the student nurse?

Gentle Touch while providing adl's

nursing positions in mutation

Hughes descriptive verbal and written communication. Physicians are trying to be concise and to the point and focus on the problem, maybe come in patient for nurse to come to the point, sbar

assertive communication is an appropriate approach for nurses to use in the clinical area. Which of the following would be an example of this type of communication technique when a nurse is addressing a physician.?

I am concerned that the client does not have adequate pain management