Intrapersonal Communication Show
Communication that occurs within an individual. In nursing this allows the nurse to assess clients and/or situation and critically think about the clients/situations before verbally communicating Interpersonal Communication Communication that occurs between two people. The exchange of information occurs with an individual or a small group Public Communication Communication that occurs within large groups of people. This most commonly occurs when the nurse is teaching a large group of people or engaging the community. Transpersonal Communication Addresses spiritual needs and provides interventions to meet these needs Small Group Communication Communication within a group of people Referent The incentive or motivation for communication to occur between one person and another Sender The person who initiates the message is referred to as the Message The verbal and/or nonverbal information that is expressed by the sender and intended for the receiver Channel The method of transmitting and receiving a message. (Sight, Hearing, Touch) Receiver The person whom the message is aimed at and received by. Environment The emotional and physical climate in which the communication takes place Feedback The message that is returned to the sender by the receiver that indicated that the message was received; an essential component of ongiong communication. May be verbal or nonverbal, positive or negative Interpersonal Variables Variables that influence communication between the sender and the receiver Vocab, Meaning (Denotative/Connotative), Clarity/Brevity, Timing/Relevance, Pacing, Intonation What are the 6 variables of the "Content of a Message" Denotative A word that has distinct meanings in many fields is considered to be
Connotative A word with subjective cultural or emotional meaning is considered to be Vocabulary CONTENT OF A MESSAGE: Theses are the words used to communicate either a written or spoken message. Use of medical jargon may decrease client understanding. Denotative/Connotative Meaning CONTENT OF A MESSAGE: When communicating, participants must share meanings. Word that have multiple meanings may cause miscommunication if interpreted differently. Clarity/Brevity CONTENT OF A MESSAGE: The shortest, simplest communication is usually most effective. Long a complex communications may be difficult to understand Timing/Relevance CONTENT OF A MESSAGE: Knowing when to communicate allows the receiver to be more attentive to the message. Communicating with a client who is in physical discomfort/distracted will make it difficult to convey a message. Pacing CONTENT OF A MESSAGE: The rate of speech can communicate a meaning to the receiver. Speaking rapidly may communicate the impression that you are in a rush and don't have time. Intonation CONTENT OF A MESSAGE: The tone of voice can communicate a variety of feelings. The nurse can communicate feelings such as acceptance, judgement, and dislike through tone of voice. Nonverbal Communication Appearance, Posture, Gait, Facial Expression, Eye Contact, Gestures, Sounds, Territoriality, Silence. These would all be considered forms of? A (The connotative meaning of the word is different to the client and the nurse.) A nurse is bathing an older adult client and says to him, "Turn to your side now, honey." The nurse believes she is demonstrating warmth and caring by calling the client "honey." However, the client finds the term offensive. What has caused this miscommunication to occur? A. The connotative meaning of the word is different to the client and the nurse. B. The client was unable to hear the nurse's message. C. The nurse's verbal communication was not congruent with her nonverbal communication. D. It is not the appropriate time for performing the client's bath. B (encourages the client to express his thoughts and feelings.) A nurse recognizes that a helping relationship is established with a client if the communication A. is equally reciprocal between the nurse and the client. B. encourages the client to express his thoughts and feelings. C. has no time limits. D. occurs spontaneously throughout the nurse-client relationship. B (sit at eye level with the child.) When communicating with a child who is seated, the nurse should A. touch the child. B. sit at eye level with the child. C. stand facing the child. D. stand with a relaxed posture. A, C, E (Having an open posture and leaning forward, establishing and maintaining eye contact, and responding positively when giving feedback are ways the nurse can demonstrate Which of the following are behaviors of active listening? (Select all that apply.) A. Maintaining an open posture B. Writing down what the client says so that details are not forgotten C. Establishing and maintaining eye contact D. Nodding in agreement with the client throughout the conversation E. Responding positively when giving feedback Situation, Background, Assessment, Recommendation SBAR stands for: Sit (facing the client), Observe (an open posture), Lean (towards the client), Eye-Contact, Relax SOLER is the acronym for Active Listening and stands for: Quality and Safety Education for Nurses QSEN stands for: Assessment Relate these methods of communication to a single element of the nursing process: • Verbal interviewing and history taking Diagnosis Relate these methods of communication to a single element of the nursing process: • Intrapersonal analysis of assessment findings Planning Relate these methods of communication to a single element of the nursing process: • Interpersonal or small group health care team planning sessions Implementation Relate these methods of communication to a single element of the nursing process: • Delegation and verbal discussion with healthcare team Evaluation Relate these methods of communication to a single element of the nursing process: • Acquisition of verbal and nonverbal feedback D (Feedback) (Feedback is the message the receiver returns that indicates understanding. By summarizing what the patient has said, the nurse can determine if the message was received accurately.) The nurse summarizes the conversation with the patient to determine if the patient has understood him or her. This is what element of the communication process? A) Referent B (Coach her to give herself positive messages about her ability to do this) (Intrapersonal communication is self-talk. The other options may help her better understand insulin administration or deal with her anxiety, but they do not involve intrapersonal communication.) Mrs. Jones states that she gets anxious when she thinks about giving herself insulin. How do you use your understanding of intrapersonal communication to help with this? A) Provide her the opportunity to practice drawing up insulin C (The patient is short of breath) (Using the acronym SBAR, the nurse should begin with "S," which is Situation. The situation is that the patient is short of breath. The history of lung cancer is Background, the respiratory rate is Assessment, and the request for an order is a Recommendation.) The nurse has a patient who is short of breath and calls the health care provider using SBAR (Situation-Background-Assessment-Recommendation) to help with the communication. What does the nurse first address? A) The respiratory rate is 28. D (Talk with him about his favorite hobbies) (Socializing is used during the orientation phase of a relationship to get acquainted and help establish trust.) You are caring for Mr. Smith, who is facing amputation of his leg. During the orientation phase of the relationship, what would you do? A) Summarize what you have talked about in the previous sessions B (Clarifying) (The nurse is not sure what the patient means by living up to expectations and is clarifying the patient's concern.) The nurse states, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" The nurse is using which therapeutic communication technique? A) Providing information B ("Why do you always put so much salt on your food?") (Avoid asking "why" questions. They tend to imply an accusation and can build resentment.) Which of the following statements would be most likely to block communication? A)
"You look kind of tired today." C (Move to her bedside, get her attention, and repeat the question while facing her) (You do not want to assume that she is hard of hearing because she is 80, but it is more likely. She may have not responded because you were across the room and water was running. Don't jump to conclusions, but instead try again to communicate with her as you would with someone who is hard of hearing.) You are caring for an 80-year-old woman, and you ask her a question while you are across the room washing your hands. She does not answer. What is your next action? A) Leave the room quietly since she evidently does not want to be bothered right now B ("When you brush me off like that, it takes me even longer to do my job.") (Lateral violence can be dealt with by using assertive communication. Simple assertive statements include referencing the person you are addressing, the behavior that is a problem, and its effect. Avoiding the situation, becoming defensive, or making sarcastic remarks does not help to resolve the problem.) You ask another nurse how to collect a laboratory specimen. The nurse raises her eyebrows and asks, "Why don't you figure it out?" What would be the best response? A) Say nothing and walk away. Find a different nurse to help you. C (18 inches to 4 feet from the patient.) (The personal zone is 18 inches to 4 feet. This distance allows for easy communication without invading the person's personal space.) When the nurse takes the patient's nursing history, he or she sits: A) Next to the patient. C (Shifting quickly from subject to subject.) (Shifting quickly from subject to subject may be difficult for an older person to follow, especially if the person is hard of hearing. Focusing on the patient's feelings and encouraging reminiscence help the person process changes or loss.) When working with an older adult, the nurse remembers to avoid: A) Touching the patient. D (The professional nurse works with colleagues and the patient's family to provide combined expertise in planning care.) (Collaboration involves everyone working together to best meet the needs of the patient. A care plan that incorporates the expertise of professionals from varied disciplines best addresses patient needs.) The statement that best explains the role of collaboration with others for the patient's plan of care is which of the following? A) The professional nurse consults the health care provider for direction in establishing goals for patients. ADE (Consistency, courtesy, competency, and honesty build trust. Rushing and avoiding spending time with the patient may decrease or slow the development of trust.) Identify behaviors that foster the development of trust. (Select all that apply.) A) Answer the call light promptly. C (Obtains an interpreter to facilitate communication of medication information) (It is essential that patients understand discharge instructions to safely care for themselves at home. If a patient has limited ability to speak or understand English, he or she has a legal right to an interpreter to ensure understanding of essential information.) A patient with limited English proficiency is going to be discharged on new medication. How does the nurse complete the discharge teaching? A) Uses a dictionary to give directions for medication administration BCE (Privacy and lack of distraction create an environment conducive to therapeutic communication. Nursing presence and touch convey caring and compassion and allow the patient to collect her thoughts. Providing information tells people what they need or want to know. "Why" questions may seem intrusive and block communication.) Your patient has just been told that she has cancer, and she is crying. Which actions facilitate therapeutic communication? (Select all that apply.) A) Turning on the television to her favorite show C (Deflect your eyes downward to show respect) (Many cultures, especially the eastern cultures, view direct eye contact as rude. Deflecting your eyes downward indicates respect.) Mr. Sakda emigrated from Thailand. When taking care of him, you note that he looks relaxed and smiles but seldom looks at you directly. How do you respond? A) Use
therapeutic communication to assess for increased anxiety Which strategy would the nurse use when communicating with a patient who has difficulty speaking because of injuries caused by facial trauma?Face the patient, be sure that your face/mouth is visible to him or her, and do not chew gum or talk while chewing. Speak clearly but do not exaggerate lip movement or shout. Speak a little more slowly but not excessively slow. Check whether patient uses hearing aids, glasses, or other adaptive equipment.
Which action would the nurse take when communicating with a patient with aphasia quizlet?The nurse is caring for a patient with aphasia. Which precautions should the nurse take when communicating with this patient? Ask simple questions. Avoid using visual clues.
Which communication technique would the nurse use when communicating with a patient who has a hearing impairment?When communicating with the patient who has hearing impairment, the nurse should communicate at normal volume rather than shouting. The nurse should rephrase rather than simply repeat statements if the patient misunderstands.
Which action would the nurse perform during the working phase of a helping relationship?The working phase of a helping relationship involves nurses working together with clients to set their goals, and encourage them to solve their problems and express their feelings. This phase also involves helping the clients take actions to meet their goals.
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