Fundamentals of Nursing Chapter 24: Communication

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Questions and Answers

What is a characteristic of competent communication in nursing practice?

  • It only focuses on clinical standards of care
  • It maintains effective relationships within the entire sphere of professional practice (correct)
  • It ignores ethical standards of care
  • It is a one-time learning process

What is at the core of nursing?

  • Clinical judgment
  • Critical thinking
  • Caring relationships (correct)
  • Therapeutic communication

What is essential for nurses to develop in order to become the best communicators?

  • Communication skills only
  • Empathy only
  • Clinical experience only
  • Critical thinking skills and clinical judgment (correct)

What can critical thinking help nurses to overcome during patient interactions?

<p>Perceptual biases or stereotypes (C)</p> Signup and view all the answers

Why is communication a lifelong learning process in nursing?

<p>Because patients' needs change over time (A)</p> Signup and view all the answers

What type of relationship occurs between a nurse and patient during therapeutic communication?

<p>Healing relationship (B)</p> Signup and view all the answers

What is the primary goal of motivational interviewing in professional nursing relationships?

<p>To encourage patients to take responsibility for their health (B)</p> Signup and view all the answers

What is a key aspect of interpersonal communication in nursing?

<p>Being able to relate to others (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of verbal communication?

<p>Personal appearance (C)</p> Signup and view all the answers

What is a benefit of critical thinking in communication?

<p>It helps to overcome perceptual biases or stereotypes (B)</p> Signup and view all the answers

What is a key element of caring relationships in nursing?

<p>Interpersonal relationships (C)</p> Signup and view all the answers

What is the primary function of feedback in the circular transactional model of communication?

<p>To evaluate the effectiveness of the message (A)</p> Signup and view all the answers

Which of the following is an example of a nontherapeutic communication technique?

<p>Giving personal opinions (D)</p> Signup and view all the answers

Why is effective communication essential in nursing practice?

<p>It maintains effective relationships within the entire sphere of professional practice (B)</p> Signup and view all the answers

What is the primary focus of the nursing process in patient care?

<p>Assessment and planning (B)</p> Signup and view all the answers

Which of the following is an example of a small-group communication level?

<p>A nurse communicating with a healthcare team (C)</p> Signup and view all the answers

What is the primary goal of therapeutic communication in nursing practice?

<p>To promote patient autonomy and self-care (B)</p> Signup and view all the answers

Which of the following is an example of a metacommunication skill?

<p>Commenting on the communication process itself (A)</p> Signup and view all the answers

What is the primary benefit of using courtesy in professional nursing relationships?

<p>To build trust and rapport with patients (A)</p> Signup and view all the answers

Which of the following is a sociocultural consideration in communication?

<p>All of the above (D)</p> Signup and view all the answers

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Study Notes

Communication and Nursing Practice

  • Communication is a lifelong learning process that maintains effective relationships within the entire sphere of professional practice, meeting legal, ethical, and clinical standards of care.
  • Caring relationships are at the core of nursing, and being able to relate to others is important for interpersonal communication.
  • Therapeutic communication occurs within a healing relationship between a nurse and patient.

Developing Communication Skills

  • Nurses who develop critical thinking skills and clinical judgment make the best communicators.
  • Critical thinking helps to overcome perceptual biases or stereotypes that interfere with accurately perceiving and interpreting messages from others.

Levels of Communication

  • Intrapersonal communication
  • Interpersonal communication
  • Small-group communication
  • Public communication
  • Electronic communication

Elements of the Communication Process

  • Circular transactional model
  • Referent
  • Sender and receiver
  • Message
  • Channels
  • Feedback
  • Interpersonal values
  • Environment

Forms of Communication

Verbal Communication

  • Vocabulary
  • Denotative and connotative meaning
  • Pacing
  • Intonation
  • Clarity and brevity
  • Timing and relevance

Nonverbal Communication

  • Personal appearance
  • Posture and gait
  • Facial expression
  • Eye contact
  • Gestures
  • Sounds
  • Territoriality and personal space
  • Metacommunication

Professional Nursing Relationships

  • Nurse-patient caring relationships
  • Motivational interviewing
  • Nurse-family relationships
  • Nurse-health care team relationships
  • Lateral violence
  • Nurse-community relationships

Elements of Professional Communication

  • Courtesy
  • Use of names
  • Trustworthiness
  • Autonomy and responsibility
  • Assertiveness

Nursing Process

Assessment

  • Through the patient's eyes
  • Environmental factors
  • Physical and emotional factors
  • Gender
  • Developmental factors

Analysis and Nursing Diagnosis

  • Planning and outcomes identification
  • Outcomes
  • Setting priorities
  • Teamwork and collaboration

Therapeutic Communication Techniques

  • Active listening
  • Clarifying
  • Sharing observations
  • Focusing
  • Sharing empathy
  • Paraphrasing
  • Sharing hope
  • Validation
  • Sharing humor
  • Asking relevant questions
  • Sharing feelings
  • Using touch
  • Using silence
  • Self-disclosure
  • Confrontation
  • Providing information

Nontherapeutic Communication Techniques

  • Asking personal questions
  • Asking for explanations
  • Giving personal opinions
  • Changing the subject
  • Defensive responses
  • Automatic responses
  • False reassurance
  • Sympathy
  • Arguing

Special Communication Considerations

  • Sociocultural considerations: culture influences thinking, feeling, behaving, and communicating.

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