Nursing Chapter 24: Communication
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Nursing Chapter 24: Communication

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Questions and Answers

Which type of communication occurs within a healing relationship between a nurse and patient?

  • Therapeutic communication (correct)
  • Intrapersonal
  • Small-group communication
  • Interpersonal
  • What are the elements of the communication process in the circular transactional model?

    Referent, Sender and receiver, Message, Channels, Feedback, Interpersonal values, Environment

    Nonverbal communication includes the use of vocal sounds.

    True

    _________ relationships are at the core of nursing.

    <p>Caring</p> Signup and view all the answers

    Match the following therapeutic communication techniques with their descriptions:

    <p>Active listening = Engaged listening to understand the patient's perspective Sharing empathy = Expressing understanding and compassion towards the patient Paraphrasing = Rephrasing the patient's words to confirm understanding Using silence = Allowing space for reflection and processing by remaining quiet</p> Signup and view all the answers

    What are the levels of communication discussed in the text?

    <p>Interpersonal</p> Signup and view all the answers

    List three forms of nonverbal communication mentioned in the text.

    <ol> <li>Personal appearance</li> <li>Posture and gait</li> <li>Facial expression</li> </ol> Signup and view all the answers

    Sociocultural factors do not influence communication.

    <p>False</p> Signup and view all the answers

    A core aspect of nursing is ________________ communication.

    <p>therapeutic</p> Signup and view all the answers

    Match the following professional communication elements with their descriptions:

    <p>Courtesy = Politeness and respect Trustworthiness = Reliability and dependability Autonomy and responsibility = Independent decision-making and accountability Assertiveness = Confident and direct communication</p> Signup and view all the answers

    Study Notes

    Communication in Nursing Practice

    • Communication is a lifelong learning process that maintains effective relationships within the entire sphere of professional practice and meets 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 applied during any patient interaction helps to overcome perceptual biases or stereotypes that interfere with accurately perceiving and interpreting messages from others.

    Levels of Communication

    • Intrapersonal
    • Interpersonal
    • 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
    • Summarizing
    • Using touch
    • Using silence
    • Providing information
    • Self-disclosure
    • Confrontation

    Nontherapeutic Communication Techniques

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

    Special Communication Considerations

    • Sociocultural considerations:
      • Culture influences thinking, feeling, behaving, and communicating.
    • Speech and language considerations:
      • Use appropriate interventions based on patient needs to adapt your communication techniques.

    Evaluation

    • Through the patient’s eyes
    • Patient outcomes:
      • If expected outcomes for the patient’s plan of care are not met or if progress is unsatisfactory, you determine which factors influenced the outcomes and modify the plan of care.

    Communication in Nursing Practice

    • Communication is a lifelong learning process that maintains effective relationships within the entire sphere of professional practice and meets 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 applied during any patient interaction helps to overcome perceptual biases or stereotypes that interfere with accurately perceiving and interpreting messages from others.

    Levels of Communication

    • Intrapersonal
    • Interpersonal
    • 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
    • Summarizing
    • Using touch
    • Using silence
    • Providing information
    • Self-disclosure
    • Confrontation

    Nontherapeutic Communication Techniques

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

    Special Communication Considerations

    • Sociocultural considerations:
      • Culture influences thinking, feeling, behaving, and communicating.
    • Speech and language considerations:
      • Use appropriate interventions based on patient needs to adapt your communication techniques.

    Evaluation

    • Through the patient’s eyes
    • Patient outcomes:
      • If expected outcomes for the patient’s plan of care are not met or if progress is unsatisfactory, you determine which factors influenced the outcomes and modify the plan of care.

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    Description

    This quiz covers the fundamentals of communication in nursing practice, including its importance in maintaining effective relationships and meeting legal, ethical, and clinical requirements.

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