NU 131 Exam 3 - Communication, Culture
(Complete & Includes Practice Questions)
Graded A+ 2026
Communication is a 2 way process
Sender ➜ message ➜ reciever ➜ feedback
Non-verbal communication
Body language, posture, tone, gestures which often reveal true emotions
Verbal communication
Spoken or written words
Active listening and timely feedback are essential to...
Communication
Active listening
Empathetic listening in which the listener echoes, restates, and clarifies. Listening
to respond, not just to reply.
Active listening includes the following:
Pay full attention: no distractions. Make eye contact and show interest through
body language.
Avoid interrupting: let the person finish before responding.
Reflect and clarify: paraphrase or summarize what they said (“so you’re saying…”)
to confirm understanding.
Ask questions: encourage them to explain more or go deeper.
Show empathy: respond with understanding, not judgment.
Factors affecting communication
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- cultural differences
- past experiences
- emotions, mood, environment
- attitude, perceptions, self-concept
Cultural differences include....
- language access is requires by law (medical translator)
- use certified interpreters, not family or friends!!
- always speak directly to the patient
- respect variations in personal space
- patience, compassion, and acceptance
Certified medical interpreter
Helps patients and healthcare providers communicate in different languages.
Key points:
Interprets accurately without adding or omitting information
Maintains confidentiality and neutrality
Requires fluency in english and another language
Must complete training and pass written and oral exams
Certified by nbcmi or cchi
Works in hospitals, clinics, or telehealth.
How do past experiences affect communication?
- shape how messages are sent and recieves
- personal bias can affect judgement
- negative past experiences may cause distrust
- nurses most build trust and stay open-minded
Eye contact
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Considered very normal in the usa, but some cultures avoid direct gaze because it
is considered disrespectful or impolite sometimes especially with the opposite
sex.
Anxiety
The condition of feeling uneasy or worried about what may happen, may distort
message interpretation
Depression
The condition of persistent sadness, loss of interest, and decreased ability to
function in daily life, may lead to minimal responses
Stress
The body's physical and emotional response to pressure, demand, or threat.
Anger
The emotional response to feeling wronged, frustrated, or threatened.
Attitude
A person’s consistent way of thinking, feeling, and behaving toward something or
someone. Shapes body language
Bias
A tendency to favor or judge someone or something unfairly, often influenced
by personal perceptions or experiences.
Self-concept
A person's perception of who they are, including their abilities, values, and self-
worth.
Nonjudmental
Showing acceptance without criticism or personal bias; nurses should be
nonjudgmental and fully present with patients.
Emotional intelligence
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