IM1 Exam 1 > Communication > Flashcards

Communication Flashcards

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1
Q

what is communication?

A

basic human function
sending messages back and forth between sender and receiver
contains verbal and nonverbal communication
helps build working relationships

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2
Q

purpose of communication

A

develop a caring relationship
increases patient satisfaction
improves patient safety
positive patient outcomes

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3
Q

communication has the power to

A

hurt and heal

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4
Q

communication is a lifelong

A

learning process

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5
Q

communication is essential for

A

establishing nurse-patient relationships

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6
Q

communication assists the delivery of

A

patient-centered care

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7
Q

communication helps to __ the risk of errors

A

reduce

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8
Q

communication is __ to the nurse-patient relationship

A

key

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9
Q

communication __ patient satisfaction

A

increases

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10
Q

nursing behaviors

A

express sensitivity/kindness
remain present with patients
support the expression of the patient’s feelings
encourage faith and hope
allow spiritual expression in a nonjudgmental manner
promote interactive teaching and learning
deliver nursing care to support the patient’s needs

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11
Q

nurse behaviors facilitate

A

interpersonal relationships

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12
Q

therapeutic relationships are the __ of clinical nursing practice

A

foundation
they protect patient dignity, autonomy and privacy and allow for trust and respect, but there are boundaries

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13
Q

communication is a crucial factor in __

A

nurse-patient relationship

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14
Q

nurse-patient relationship promotes a psychological climate that __

A

facilitates positive change

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15
Q

nurse who develop critical thinking skills make the __

A

best communicators

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16
Q

nurses interpret messages received from others tp

A

obtain new info
correct misinfo
promote patient understanding
plan patient-centered care

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17
Q

communication skills include

A

perseverance, creativity, self-confidence, independent attitude, integrity, communicate responsibly, humility

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18
Q

what are the tendencies the nurse controls and utilizes?

A

perception/thinking
five senses/culture/education
perceptual bias
stereotypes
emotional intelligence**
self-awareness/motivation/empathy/social skills

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19
Q

self-talk can be

A

positive or negative

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20
Q

intrapersonal communication is

A

self-talk

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21
Q

interpersonal communication is

A

between two people
most common: face-to-face
assessment, education, provide comfort and support

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22
Q

small group communication is

A

more than two people
ex: staff meetings, committee meetings, support groups, family teaching

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23
Q

public communication is a

A

unique form of communication
public speaking
ex: education, presentations, lobbying for health legislation

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24
Q

electronic communication provide an opportunity for

A

frequent and timely communication with a provider or nurse through internet

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25
what contribute to the message seen and heard?
subject matter, words, body language, substance of message (open for interpretation)
26
body language makes up
55% of communication
27
tone of voice makes up
38% of communication
28
words make up
7% of communication
29
what is a referent?
stimulus that motivates communication triggers are sights, sounds, sensations, perceptions, ideas, subject matter
30
the sender does what?
encodes and delivers message
31
the receiver does what?
receives and decodes the message
32
the closer the relationship, the perceived meaning is __
more accurate
33
transmission is
words, gestures, tone of voice, signs/symbols
34
the message description can be
vernal and nonverbal
35
channels for messages are
auditory, visual and tactile
36
methods for messages are
face-to-face written audiovisual telephone text e-mail
37
effective messages are
complete clear concise organized timely understood by the receiver
38
feedback indicates the receiver __
understood the sender's message
39
interpersonal variables are
perceptions - affected by culture, expectations and experiences - affects communication
40
goal of communication is
the receiver will understand the words and meaning of message
41
verbal communication is
speaking or writing words to send a message
42
vocab - be careful with _ terms
medical
43
vocab - consider receiver's
age knowledge education primary language
44
use _ and _ not we
I, you
45
denotative means
literal
46
connotative means
implied or emotional
47
the rhythm of delivery affects __
the receiver, if it's too slow or too fast
48
what is tone?
feeling behind words
49
what is cadence?
rhythmic change in pitch
50
what is brevity?
use as few words as possible
51
relevance means
both parties value the interaction, pertinent information
52
credibility of the sender is helped by
congruence between verbal and nonverbal messages
53
non-verbal communication is
without using words, messages are communicated
54
personal appearance may be indicative of
feelings and attitudes of the sender
55
posture and gait reveal
attitude and self-concept
56
facial expression communicates
feelings behind a message
57
eye contact shows
respect and willingness to listen
58
absence of eye contact may indicate
anxiety, defensiveness, discomfort or lack of confidence
59
eye contact may need to be
intermittent - remember cultural influences when interpreting eye contact
60
gestures emphasize
and clarify spoken words can have different meanings in different cultures
61
sounds signify
feelings and thoughts can assist with meaning of message
62
territoriality means
space and things that an individual identifies as belonging to that person visible to others defined by the individual in a way not noticeable to others
63
amount of physical space varies from
person to person
64
influential factors for personal space are
relationship of individuals nature of conversation setting culture**
65
intimate distance is
less than 18 inches area immediately surrounding a person that is private space during conversations where body contact occurs
66
personal distance is
from 18 inches up to 4 feet interactions with clients and healthcare team members sitting at the bedside proving patient education talking with patient
67
social distance is
4 to 12 feet common for formal interaction or with a group giving directions or report to a group of nurses
68
public distance is
beyond 12 feet group or community communication
69
aggressive and assertive
high openness of communication
70
assertive and passive
high consideration for others
71
passive-aggressive and passive
low openness of communication
72
passive-aggressive and aggressive
low consideration for others
73
passive
other's rights and needs take precedence over mine avoids conflict, allows others to take lead submissive/helpless, indecisive, overly apologetic, whining
74
aggressive
I boldly insist that my rights and needs prevail forces others to lose, goal is to win and be in with each encounter bossy/arrogant, opinionated, sarcastic/manipulative, intolerant/overbearing
75
assertive
I clearly express that we both have rights and needs direct and open, rights of speaker and others respected, strives for compromise, asks for more info clear and decisive, positive, professional, uses I statements, asks questions openly and honestly, accepts criticism, focuses on issue, effective nonverbals
76
passive-aggressive
emotionally dishonest, backhanded compliments, indirectly expresses anger, inhibited self-denying, feigns cooperation, blaming, apologetic
77
phases of helping relationship
pre-interaction introductory or orientation working termination
78
pre-interaction phase
assigned a patient, gather info prior to meeting patient receive report, anticipate health concerns, plan for first interaction
79
orientation phase
introductions to patient/family, establish rapport and trust, communicate the work to be done set the tone, assess patient's health status, clarify roles, prepare patient and family
80
working phase
active part of the relationship, use techniques that support therapeutic communication provide info to assist patient to modify behavior, encourage patient to set goals, take action to meet patient's goals
81
termination phase
conclusion of the relationship, evaluate goals, relinquish responsibility for patient's care
82
motivational interviewing encourages patients to share
thoughts, beliefs, fears, concerns to assist patient in goal of changing behavior
83
it is most important to _ cultural beliefs and attitudes
be aware of
84
when talking about other cultures
use short words and sentences, give small amounts of info
85
for a translation use a
certified medical interpreter when needed
86
when communicating with people who are impaired with speech/hearing
be positive and patient use hand gestures, picture board, white board, family
87
with people with impaired cognition
don't rush be patient use multiple modalities address the patient slowly, face-to-face
88
verbal communication with people with impaired cognition
short sentences yes/no questions one question at time be concrete and specific avoid slang, jargon
89
when communicating with older adults
quiet environment face pt check if they use hearing aids wait for pt to respond give pt chance to ask questions
90
SBAR
standardizes the process of communication
91
SBAR stands for
situation background assessment recommendation
92
when could SBAR be used?
hand-off RN-healthcare provider communication anytime there is important communication
93
situation includes
patient's details reason for communication nurse's concern
94
background includes
significant history with patient - meds, labs, studies, treatments
95
assessment includes
nurse's assessment of patient/situation - clinical impression/concerns, vital signs, early warning score
96
recommendations include
what is needed, suggestions, expectations, actions
97
report at the bedside is
between shifts allows for patient and family communication improves communication reduces patient injuries and nursing errors
IM1 Exam 1
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