Intro Ch. 6

  1. Feedback
    return message that indicates the message that has been received, processed, and comprehended
  2. Shared Meaning
    The goal of communication which is to establish a mutual understanding of a message
  3. Verbal Communication
    conscious use of words, either spoken or written
  4. Nonverbal Communication
    conveyed by body language
  5. Body Language
    facial expressions, posture, body position, behavior, gestures, touch, and general appearance.

    Less conscious and more indirect than verbal communication, conveys more of what a person feels, thinks, and mean that what is stated in words
  6. Congruent
    When verbal and nonverbal language is in agreement. Meets the goal of shared meaning in communication
  7. Proxemics
    The distance, or personal space, people place between themselves and others
  8. Cultural Sensitivity
    Combines a recognition of and respect for the accepted patterns of communication in a culture
  9. Denotative Meaning
    Literal meaning of the word
  10. Connotative Meaning
    Refers to the emotional associations that can be attached to the word
  11. Active Listening
    use all the senses to interpret verbal and nonverbal messages
  12. Therapeutic Communication
    Patient centered communication
  13. Empathy
    ability to intellectually, not emotionally, identify with or experience the feelings, thoughts, or attitudes of others
  14. Aphasia
    General term for the dysfunction in language
  15. Factors that Affect Communication
    • Personal Space
    • Body Position
    • Language
    • Culture
    • Attitude
    • Emotion
  16. Personal Space
    • Intimate - Ranging from physical contact to 18 inches
    • Casual personal - 18 inches to 4 feet
    • Social Consultative - 4 to 12 feet
    • Public - 12 feet if possible
  17. Culture
    Includes the attitudes, roles, behaviors, and religious or spiritual practices accepted by the group
  18. Attitude
    Attitude is the manner, disposition, feeling, or position toward a person or thing.

    also defined by the position or posture of the body
  19. What could portray a negative attitude when you are speaking with a pt?
    • disinterested verbal language
    • stern expression
    • closed body stance
    • maintaining a greater distance of personal space
  20. Emotionally Charged Words
    words that elicit emotional responses that distract the listener because of past experiences, resulting in a message that is distorted and altered

    EX - love, cancer, death
  21. Styles of Communication
    • passive or avoidant
    • aggressive
    • assertive
  22. Passive Behavior
    characterized by the desire to avoid confrontation and the inability to share feelings or needs with others

    allows others to take advantage of them, resulting in feelings of anger, emotional pain, and anxiety
  23. Aggressive Behavior
    characterized by putting one's own needs, rights, and feelings before those others

    • exhibit a superior attitude
    • communicate in an angry, hostile way that does not acknowledge the feelings of others
  24. Assertive Behavior
    characterized by standing up for one's self without violating the basic rights of others
  25. What is the most effective communication style for nurses to practice?
    Assertive Communication
  26. What is the goal of therapeutic communication?
    Promote a greater understanding of a pts needs, concerns, and feelings

    helps pts explore their own thoughts and feelings, encourages expression of them, and avoids barriers to communications
  27. DESC Method
    • D - Describe the behavior
    • E - Explain the impact of the behavior
    • S - State the desired outcome
    • C - Consequences should grab the person's attention

    - helps promote assertive communication
  28. Humor in Communication
    Research tells us that pts value informal humorous social interaction because it allows them to step out of their sick role, helps establish rapport and trust, and passes time, all while helping to relieve anxiety and tension
  29. When is it appropriate to bring humor into a conversation with a pt?
    you should observe and take your cue from the pt before initiating humorous encounters or backing off from them
  30. Tips for talking with your supervisor
    • Keep supervisor informed
    • If a problem develops, make an apt to talk with her
    • shows that you have important information to share
    • be careful which words you choose
    • do not talk to supervisor when you are angry
    • accept feedback and learn from it
  31. Downward Communication
    Communicating with those you supervise
  32. Times you use downward communication
    • job instruction
    • job rationale
    • practices and procedures
    • feedback
    • role modeling
  33. Shift Report
    Communication of the pts condition and required nursing care by the off going nurse to the oncoming nurse, a necessary step in preparation for the oncoming nurse to receive the pt into his or her care
  34. Rapport
    Relationship with mutual trust and understanding
  35. What is the term that indicates that a message was communicated as intended?
    Shared Meaning
  36. Factors that affect communication would include:
    • Personal Space
    • Culture
    • Attitude
    • Emotions
  37. Active listening involves:
    • Pausing before speaking
    • nodding your head in agreement
  38. An example of nonverbal communication that is congruent to the verbal statement by the pt "i'm having a lot of back pain" would be
    grimacing and rubbing his back
  39. An assertive behavior style includes:
    • standing up for one's own self
    • showing respect for others
    • acting in a consistent manner that enhances self-worth
  40. What are the barriers of communications?
    • closed end questions
    • false reassurance
    • asking too many personal questions
    • giving advice
    • belittling feelings
    • expressing disapproval
  41. Two sides of anger
    • guilt
    • resentment
  42. What do you need to know before calling a physician?
    • Quick assess the pt
    • concise statement of the problem
    • current data
  43. directive interview
    • who
    • what
    • when
    • where
    • how
    • do
    • is
  44. health literacy
    defined as the ability of an individual to obtain, process, and understand basic health information and services to make appropriate health decisions
  45. Expressive Aphasia
    Broca's aphasia
    Disturbance in speech planning and production

    • single word responses
    • inappropriate words
    • hearing, reading abilities intact
  46. Receptive Aphasia
    Wernicke's Apahsia
    • Abnormal language
    • impaired reading and writing skills
    • speech sounds with normal rhythm, rate, and fluency
  47. Global Aphasia
    • Expressive and receptive
    • meaningless speech sounds
    • possibly preservation, or the repetition of a word or thought
Card Set
Intro Ch. 6
Communication and Relationships