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