Vocational Relations Unit 3


Terms in this set (...)

Something that hinders or separates
Relationships based on harmony and understanding
Acting with force or hostility
Change in pitch or loudness of the voice
Conforming to a general pattern
Opinion formed earlier
To state or declare positively
Relating to treatment of disease information
Exchange of thoughts, feelings or information
verbalizing the implied
Patient: "I don't know what I'll do when I am discharged. My family doesn't trust me."
Nurse: "You can't go home."
Patient: "Dumb nurse. I can't believe she asked me questions about my bowel habits. How personal."
Nurse: "That's her job. You really don't have to be so touchy."
Patient: "I really dread this operation. I've never had surgery before."
Nurse: "I don't blame you, I'd be scared too."
general lead
Patient: "My husband finally called last night."
Nurse: "Go on."
sharing ovservations
Nurse: "You look exhausted."
changing the subject
Patient: "I am so tired of these treatments."
Nurse: "Your flowers need water."
broad opening statement
Nurse: "This is your time, talk about whatever you like."
requesting an explanation
Patient: "I guess you know I overdosed on some tranquilizers."
Nurse: "Why did you want to do that?"
giving information
Patient: "I don't understand why all this therapy is necessary. The strong has left me disabled."
Nurse: "Sometimes this helps restore function to your affected parts"
Patient: "I don't feel like getting up this morning."
Nurse: "I'd be ashamed. Think about people who can't get up and walk. How silly."
sender, message, receiver
3 basic elements to communicate
purpose of communication
share knowledge, gain information, socialization
communication improvement
get the listeners attention, speak loud and clear, talk about one subject at a time
consistent method of communication, speak directly and slowly, obtain a resource person
be patient, obtain an interpreter
large typewritten materials, read to patient, use materials patient is comfortable with
failure to see a patient as an individual, failure to listen
2 barriers to communication
consider these when explaining a procedure to a patient
brief and precise desc of treatment, desired outcome, frequency of treatment, duration of treatment
identify yourself, speak clearly, use pleasant tone of voice
3 rules to remember when communicating by telephone
write legibly, spell correctly, use correct med term
3 rules for written communication
broad opening statement
statement made to begin the conversation if the client doesn't talk spontaneously
asks the client to give more detail so the nurse can understand
general lead
brief statement made to get the client to continue the discussion; encouraging further discussion
giving information
attempts to enlighten the client; can be used to relieve anxiety
repeating a portion of previous statement thus allowing elaboration; focused on particular words
sharing observation
nurse makes a statement about her perception of the clients behavior
an effective means to encourage conversation
used to obtain mutual understanding between the nurse and client that needs have been met
verbalizing implied thoughts and feelings
suggesting or interpreting thoughts or feelings ( stating what has been implied by the client, not something on an unconscious level )
broad opening statement, clarifying, general lead, giving information, reflecting, sharing observation, silence, validating, verbalizing implied thoughts and feelings
advising, agreeing, approval, belittling, changing the subject, defending, disagreeing, disapproval, false reassurance, requesting an explanation, stereotyped comment
giving advice ( nurse may not know all the facts )
concurring with client's statement and or feelings blocks communication
can be interpreted as judgemental - puts a "label" on client's behavior; may foster dependency
implies that client's feelings are not very important
changing the subject
making unrelated statements avoid dealing with client's concern
statements appear to be protecting someone or rejecting what the client said - this limits the nurses ability to learn about or understand others
when the nurse agrees, they contradict what they client said and may cause angry feelings
indicates the client is "bad"
false reassurance
lead to believe something will be "ok" when there is no way to know
requesting an explanation
requires client to analyze actions
stereotyped comments
comments made that are a simplified idea or concept, often one that is prejudicial