NUR 218 Communication Lecture & Practice Questions

referent

event or thought initiating the communication
(ex: patient may initiate a conversation due to pain)

sender

a person who initiates and encodes the communication

receiver

person who receives and decodes, or interprets, the communication

message

information that is communicated

channel

method of communication
(accuracy can be determine by the number of channels used
ex: a patient and a nurse are channels)

feedback

response of the receiver (verification is essential)

- must be interactive and ongoing
- patient asks questions and the nurse must answer any/all questions and communicate clearly
- look for physical cues (how are they acting, who's with them in the room, what they say vs. what they do)

what does the communication process entail?

verbal (mode of communication)

spoken, written, or electronic

nonverbal (mode of communication)

body language, such as gestures, facial expressions, and eye contact (most communication is nonverbal, more accurate mode of conveying information, look for consistencies and inconsistencies of verbal and nonverbal - what they say vs. what they do, ex: patient says he's fine with tears in his eyes)

nonverbal communication

wordless transmission of information
- frequency and value (how frequently do they do or say something)
- effect of own nonverbal communication
- body language
- voice inflection (what does their voice sound like)

nonverbal

therapeutic touch is an example of what communication?

A, C, D, E

A blind patient is in distress because they are confused about what is going on, how should the nurse calm the patient? Select all that apply.
A. gently touching the patients arm
B. aimlessly talk about the care being provided
C. hold the patients hand (therapeutic touch)
D. touch the patients shoulder (therapeutic touch)
E. speak clearly and answer any/all questions

verbal communication

- setting, context, and content: all influence verbal communication
- written communication
- electronic communication
- diversity considerations (culture differences and even age differences have different ways of preferred communication, ex: kids prefer easier vocabulary or upbeat personalities when talking to adults)

SBAR

Situation: What is happening right now?
Background: What led up to the current situation?
Assessment: What is the identified problem, concern, or need?
Recommendation: What actions or interventions should be initiated to alleviate the problem?

1 building trust
2 demonstrating empathy
3 establishing boundaries
4 recognizing and respecting cultural influences
5 developing a comprehensive plan of care

what 5 areas does the nurse-patient relationship focus on?

SHARE

Seek your patient's participation
Help your patient explore and compare treatment options
Assess your patient's values and preferences
Reach a decision with your patient
Evaluate your patient's decision

NO
(Make sure the patient is alert and oriented before conducting a health history or asking the patient to make significant health care decisions.)

should a nurse try to communicate with a patient when they are unconscious or nearly unconscious?

essential components of professional nursing communication

respect, assertiveness, collaboration, delegation, advocacy

SOLER (therapeutic communication)

Sit facing the patient
Open stance/posture while listening
Lean forward toward the patient (shows that you're engaged)
Eye contact
Relax (demonstrating relaxation during a conversation encourages the person sharing to continue, also makes patient relaxed)

denial

defense mechanism, biggest mechanism, refusing to admit the reality of a situation or feeling, "that's not true"

reationalization

defense mechanism, denying true motives for an action by identifying a more socially acceptable explanation, blaming

repression

defense mechanism, storing painful or hostile feelings in the unconscious, causing them to be temporarily forgotten, suppressing thoughts