N3362-Foundation: Chapter 20- Communicator

List at least eight ways in which people communicate NON-VERBALLY:

-Facial expressions, touch, eye contact - Posture, gait, gestures - General physical appearance - Mode of dress and grooming - Sounds, silence

Interpersonal communication

-occurs between two or more people with a goal to exchange messages -this level influences your sharing, problem solving, goal attainment, team building, and effectiveness in critical nursing roles

Use a standardized communication technique (SBAR) to communicate with physicians and transfer patient information to other nurses.

Situation, Background, Assessment, and Recommendations

Discuss professional responsibilities when using electronic communication.

When your relationship with a health care institution is apparent, use a disclaimer to verify that any views expressed are yours alone and not your employer's

A female nurse states the following to another nurse who is constantly forgetting to wash her hands between patients: "It looks like you keep forgetting to wash your hands between patients. It's really not safe for your patients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? a) Therapeutic b) Aggressive c) Assertive d) Nonassertive

b) Aggressive

It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy? a) Caring for the client without negative judgment b) Identifying with the client's feelings c) Conveying genuine care to the client d) Experiencing feelings similar to that of the client

b) Identifying with the client's feelings

A nurse is planning care for an adult client with severe hearing impairment and a new diagnosis of cancer. Which nursing action is most appropriate when establishing the plan of care? a) Consult the oncology nurse specialist. b) Talk with the client's children to determine needs. c) Use text-telephone device (TTD) for daily communication. d) Arrange for an interpreter when discussing treatment.

d) Arrange for an interpreter when discussing treatment.

Identifying factors that influence communication

level of development physical gender mental sociocultural differences emotional state roles and responsibilities environment space and territoriality

Intrapersonal

self-talk that happens within the individual.

Describe the communication process

the process of exchanging information and generating and transmitting meanings between two or more people

Factors to Promote Effective Communication

• Demonstrating friendliness (not overly social however) • Showing respect • Expressing empathy • Showing genuine concern and caring behaviors • Displaying competence • Being Patient-Focused and not Task-Focused

Orientation phase

• Establish tone and guidelines for the relationship. • Identify each other by name. • Clarify roles of both people. • Establish an agreement about the relationship. • Provide the patient with orientation to the health care system.

Termination phase

• Examine goals of helping relationship for attainment • Make suggestions for future efforts, if necessary • Encourage patient to express emotions about the termination • If appropriate, help the patient establish a helping relationship with another nurse • Assist the patient transferring from one agency to another or from one unit in an agency to another

Working phase

• Work together to meet the patient's needs • Provide whatever assistance is needed to achieve each goal • Provide teaching and counseling