Ch.3 Communication *UEI*
When giving report during shift change, the night nurse should be aware that a patient may hear the information being exchanged. The patient hearing the information would be referred to as the:
Unintended receiver
Communication
Use of words and behaviors to construct send and interpret message
How might a nurse communicate with a patient who is on a ventilator?
Utilizing a communication board
Assertiveness
Your ability to confidently and comfortably express thoughts and feelings while still respecting the legitimate rights of the patient
Closed Question
focused and seeks a particular answer
A patient roughly asks the nurse to bring him some juice. An assertive response by the nurse is:
"I can do that in 10 minutes when I finish my rounds"
In regard to personal space, which zone is considered an intimate zone?
0 to 18 inches
Identify at least 5 nursing techniques for a patient with impaired communication:
1) Get the patients attention before speaking 2) Check for hearing aids and glasses 3) Introduce yourself 4) Do not shout 5) Give the patient a time to ask questions
Restating
A communication technique that involves the nurse repeating to the patient what the nurse believes to be the main point that the patient is trying to convey
Reflecting
A communication technique used in letting the client know that the nurse empathizes with the thoughts, feelings, or experiences expressed
Focusing
A communication technique used when more specific information is needed to accurately understand the patient's message
Altered Cognition
A decrease of lack of cognitive ability to receive, process, and send information
Therapeutic Communication
A form of communication that facilitates the formation of a positive nurse-patient relationship
Two-way Communication
A form of communication that requires that both the sender and the receiver participate equally in the interaction
Closed Posture
A formal, distant stance, generally with the arms and possibly the legs tightly crossed
Expressive Aphasia
A physiologic condition in which an individual is unable to communicate a desired message
Receptive Aphasia
A physiological condition in which an individual cannot recognize or interpret the message being received.
Open-ended Question
A question that does not require a specific response and allows the individual to elaborate freely on a subject
Open Posture
A relaxed stance with uncrossed arms and legs while facing another individual
One-way Communication
A structured form of communication in which the sender is in control
Unassertive Communication
A style of communication in which the sender sacrifices legitimate personal rights to meet the needs of the receiver, often resulting in feelings of resentment
Minimal Encouragement
A subtle communication technique that communicates to the pt that the nurse is interested and wants to hear more
The nurse is aware that providing an opportunity to receiving feedback from the patient is a way of maintaining therapeutic communication. This is an example of which therapeutic communication technique?
Active listening
Which communication technique is always considered appropriate?
Active listening
Jargon
Common place language or terminology unique to people in a particular working setting.
Which method would be most appropriate for communicating with an alert patient on a ventilator with an endotracheal tube in place?
Communication board
Verbal Communication
Communication involving the use of spoken or written words or sounds.
Non-therapeutic Communication
Communication techniques both verbal and nonverbal that hinder the nurse-patient relationship
Denotative Meaning
the commonly accepted definition of a particular word
Identify the types of verbal and nonverbal communication.
verbal uses spoken or written words and symbols. Nonverbal is voice, eye contact, physical appearance, gestures, and posture.
What is a type of non verbal communication?
Eye Contact
During his admission interview, an older patient states, "I can't hear you very well." After determining that the patient does not have a hearing aid, the nurse should:
Face the patient and speak slowly and distinctly
Therapeutic communication:
Facilitates the formation of a positive nurse-patient relationship
Active Listening
Giving full attention and concerted effort to understand the message being sent
Aggressive Communication
Interacting with another in an overpowering and forceful manner to meet one's own needs at the expense of others
Assertive Communication
Interaction that takes into account the feelings and needs of the receiver
Four personal space zones:
Intimate zone: 0 to 18 inches Personal zone: 18 inches to 4 feet Social zone: 4 to 12 feet Public zone: 12 feet or more
Gestures
Movements used to emphasize the idea being communicated
Which is not a requirement for communication?
Narrator
Listening is a form of what type of communication?
Nonverbal
In a nurse-patient relationship, when the nurse is communication with the patient, the type of communication that is least effective is referred to as:
One-way communication
Which of the following physiological factors might hinder communication?
Pain
A nurse actively avoids the use of one-way communication because the major problem is that:
Participation is not equal
Identify the factors that may affect communication.
Posturing and positioning, space and territoriality, environment, level of trust, language barriers, and culture.
A therapeutic communication technique that requires a great deal of skill and is not used as frequently as other communication techniques is:
Silence
The patient is in a coma following a motor vehicle accident. Which statement regarding communication with the patient is most appropriate?
Speak to the patient as if he can hear what is being said
When caring for an unresponsive patient, the nurse should do what?
Talk to the patient and explain every procedure or activity that is to take place
Receive, Receiver
The individual or individuals to whom a message is conveyed
Assertive communication is a form of communication in which:
The nurse takes into account the feelings and needs of the patient.
Send, Sender
The person conveying the message
Nonverbal Communication
The transmission of messages without the use of words.
Posture
The way that an individual sits, stands, and moves
The nurse is providing discharge instructions to a patient. Which action would provide the most accurate assessment of understanding by the patient?
Asking the patient to repeat the instructions
The best method for a literate, English-speaking patient on a ventilator to communicate his or her needs would be:
Magic slate or paper and pencil
Passive Listening
Receiving a message without any response or indication of understanding
This type of aphasia indicates the patient is not able to recognize interpret the message being received.
Receptive aphasia
Connotative Meaning
Reflects individual's perception or interpretation of a given word.
The nurse is talking with the patient about her husband's death 2 yrs ago. Tears form in the patient's eyes, and she stops talking. A therapeutic response by the nurse would be to:
Remain silent and hold the patient's hand
Describe the term "two-way communication", and identify when it would be used in a nurse-patient relationship?
Requires that both the send and the receiver participate in the interaction. Rather than talk at the patient, it allows you to seek and accept the patients input and feedback.
The term "paraphrasing" means:
Restating a phrase in one's own terms to verify what was communicated
Paraphrasing
Restating in your own words
Clarifying
Restating the patient's message in a manner that asks the patient to verify that the message received is accurate