AND ANSWERS 100% VERIFIED
What is communication? - ANSWER-behavior, conscious and unconscious, verbal
and nonverbal
What is nonverbal communication? - ANSWER-A way of communicating that may be
reflective of true feelings; less under conscious control
What are the 5 types of nonverbal communication? - ANSWER-vocal cues, action
cues, object cutes, personal space and touch
Examples of vocal cues - ANSWER-pitch, tone, quality of voice--moaning, crying and
groaning
Examples of action cues - ANSWER-posture, facial expression, and gestures
Examples of object cues - ANSWER-clothing, jewlery, and hairstyles
What internal factors influence communication? - ANSWER-liking others, empathy,
ability to listen, self-awareness (setting aside your biases)
External factors influencing communication: - ANSWER-dress, privacy,
attentiveness, physical environment (if room is comfortable, has equal status
seating, low noise/distraction)
What does SOLER stand for? - ANSWER-S=sit squarely facing client
O=observe an open posture
L=lean forward toward client
E=establish eye contact
R=relax
What is active listening? - ANSWER-silent attentiveness to what the pt is expressing
both verbally and non verbally
Why is active listening important? - ANSWER-gives the patient time to think of what
to say without interruption; gives you a chance to observe them unobtrusively and
note nonverbal cues
Example of active listening - ANSWER-two ears/one mouth to sit quietly and listen
What is facilitation? - ANSWER-provides general leads for pt to say more
Example of facilitation - ANSWER-"uh huh, go on..."
What is reflection? - ANSWER-echoes pt's words, repeats what they just said
,Why is reflection important? - ANSWER-focuses further attention on a specific
phrase and helps person continue on their way
Example of reflection - ANSWER-patient states: i am worried i need a blood
transfusion
nurse states: you feel worried about needing to get a blood diffusion?
What is the sharing observations strategy? - ANSWER-Observing the client by
making comments on how they look, sound or act
Why is sharing observations important? - ANSWER-eliminates need for extensive
questioning, focusing, or clarification
example of sharing observations - ANSWER-"you look like you are uncomfortable"
What is empathy - ANSWER-Recognizing a feeling and putting it into words
Why is empathy important? - ANSWER-names the feeling and allows expression of
it without judgements
Example of empathy - ANSWER-Pt: "I don't have strength to brush my hair"
Nurse "This must be very hard for you"
What is sharing hope and why is it important? - ANSWER-provides positive feedback
and encouragement; essential for healing
Example of sharing hope - ANSWER-"although you don't have enough strength to
comb your hair right now, I can see that you're getting more muscle strength each
day"
Sharing humor - ANSWER-must be appropriately used but can reduce stress and
help with positive interactions
What to use clarification - ANSWER-when person's words are ambiguous or
confusing to simplify
example of clarification - ANSWER-nurse: are you saying your pain is interfering with
your ability to get out of bed?
pt: yes that is correct
What is focusing - ANSWER-centers on key elements or concepts of a message;
guides the direction of the conversation on the more important aspects
example of focusing - ANSWER-"let's talk more about your pain"
Describe explanation - ANSWER-sharing factual and objective info, offering reasons
for requirements or actions
, example of explanation - ANSWER-"it will take about 15 min for pain meds to start
working"
what is the importance of using summary technique - ANSWER-gives final review of
what pt has said and gives a chance for pt to agree with or correct you
Example of summary - ANSWER-"from what you have said, your back pain has
gotten worse over the past 2 days and now radiates to your hips. your pain meds
aren't working and that's why you have come to the clinic"
Asking relevant questions - ANSWER-provides further exploration into a subject
matter
example of relevant questions - ANSWER-"describe where your pain radiates to"
(open-ended)
What is confrontation - ANSWER-making pt aware of inconsistencies in their
behavior, use this only after trust has been established
example of confrontation - ANSWER-pt: i dont have any pain in my feet
nurse: when i press your feet to check for swelling you grimace but you said your
feet don't hurt
barriers to therapeutic communication - ANSWER--providing false assurance
-giving unwanted advice
-using authority
-using avoidance language
-engaging in distancing
-professional jargon
-talking too much
-interrupting
-using "why" questions
"don't worry everything will be okay" - ANSWER-false assurance or reassurance
"nurse knows best" - ANSWER-using authority
"there is a lump in the breast" vs. "your breast" - ANSWER-distancing
"you don't smoke, do you" - ANSWER-leading/biased questioning
developmental competence in interviewing infants - ANSWER-nonverbal: handle
gently, use quiet calm voice, face directly
developmental competence in interviewing toddlers - ANSWER-developing
communication with 1-2 word sentences