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Arts and Humanities
Chapter 6: Communication and Relationships
Terms in this set (58)
Patient Centered Communication
Communication that encourages and empowers patient to participate in their care
Communication of patient condition and required nursing care by the off going nurse to the oncoming nurse
The distance, or personal space, that people place between themselves and others
The exchange of information, feelings, needs, and preferences between two people
__________ is defined as the ability of an individual to obtain, process, and, understand basic health info and services to make appropriate decisions
Facial expressions, posture, body position, behavior, gestures, touch, and general appearance
The _____________ is structured and conducted to find out specific info
Two things that are in agreement
A return message, sent by the receiver of information, that completes the communication process. It indicates that there original message has been received, processed, and comprehended.
Communication that is conveyed by body language. It is less conscious and more indirect than verbal communication in therefore often conveys more of what a person feels, thinks, and means than what is stated in words.
A goal of communication which mutual understanding of the meaning of the message between two people is established
A conscious use of words, either spoken or written. This type of communication is more direct than nonverbal communication and is often used to give or receive specific information
____________ is the inability to speak or understand language
The ability identify intellectually (not emotionally) w/ the experience, feelings, thoughts, or attitudes of others is called _________.
Words can have two layers of meaning, _____________ refers to the literal meaning, whereas _____________ refers to the emotional associations attached to a word.
Two people are said to have a __________ when their relationship is characterized by mutual trust and understanding.
___________ is patient centered and promotes a greater understanding of a patient's needs, concerns, and, feelings.
Uses all senses to interpret verbal and nonverbal messages is called ________.
Ranging from physical contact to 18 inches (Personal space question)
18 inches to 4ft
(Personal space question)
(Personal space question)
12ft if possible
(Personal space question)
Canada, U.S, and Great Britain
Require the most personal space, approx. 20in; tend to be physically reserved and do not touch others unless they have a close relationship.
Germany and Northern Europe
Require a significant amount of personal and environmental space
Caribbean and Latin American
Prefer less personal space, 14-15in; also more touch friendly; stepping back from a person talking with you is considered insulting
Prefer less personal space and do not mind crowded public places
Require least amount of personal space; two Saudi men in conversation may stand only 9-10in apart; same-sex people stand close while opposite-sex do not
Most touch oriented; acceptable for two men to hold hands in public, but not two women
Most touch avoidance in eastern and north northeastern Asia; considered quite rude to touch another person's head. In Japan, women may hold hands, but not men
Barriers to communication
What are the following?
• Yes or no questions
•too many personal questions
•belittling a patients feeling
•unable to share feelings or needs w/ others
•puts one's needs, rights, and feelings before those of others
Stands up for one's self without violating the basic rights of others
In case of a crisis use SBAR.
To help promote assertive communication use DESC.
•Describe the behavior
•Explain the impact of the behavior
•State desired outcome
•Consequences should grab the persons attention
Providing general leads
Encourage initiation or elaboration of a conversation
EX: " I see what you are saying, and then what happened?"
"Tell me what treatment Dr. Smith talked to you about yesterday."
Utilizes pauses or silence for up to several minutes without verbalizing
EX: Let then explore thoughts and feelings
Show concern and willingness to help
EX: "What can I do to help you?"
Open ended questions/statements
Encourages elaboration and discourages answering with one or two words
EX: "Tell me more about...."
Restates in different words the heart of what a patient said
Patient: "my daughter made me so mad yesterday."
Nurse: "Your daughter upset you yesterday?"
Helps to verify that the message sent was what it intended
EX: "Are you saying..."
Provides relevant info
EX: "You will need to report to the X-ray department at 8:00 am"
Reflects the same words back to the patient
Patient: "I'm so anxious about what my tests will show."
Nurse: "You are anxious about your test results?"
Helps patient explore options when making decisions about care
EX: "Have you thought about..."
Sums up the important points
EX: "It looks like you covered everything..."
Trouble processing language output
Difficulty understanding speech
Receptive and expressive aphasia
Broca's motor speech (Left frontal lobe)
Controls the movements involved in speaking
General sensitivity to touch
Patient on mechanical ventilation
•place patient in comfy position
• call light in reach
•hearing aid/ glasses if needed
Patient who is unresponsive can still hear.
•get their attention
• listen patiently
What helps create better communication with?
•patients first and last name
•date order received
•time order received
•what is to be done?
•when is it to be done?
•TO or VO?
•your name/ credentials
•physician giving the order
Required data for TO (telephone order) or VO (verbal order)
An interview is used to get info.
-3 major parts
•Opening: introduce self
•Body: ask questions and obtain answers
•Closing: offer patient to ask questions
Close-ended questions begin with:
Open-ended questions are used in _________.
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