NUR 134 Test 1

NUR 134 Test 1
Open-ended

Question/comment which allows patients to express what they understand to be true, yet is specific
enough to prevent digressing from the issue at hand; allows the patient a wide range of possible
responses

closed

Question/comment used to gather specific information from a patient to focus on a particular area;
provides receiver with limited choices of possible responses which may simply be limited to "yes" or
"no"; often a barrier to effective communication

validating (restating/paraphrasing)

question/comment which serves to validate what the nurse believes they have heard or observed;
overuse may lead the patient to believe the nurse is not listening

clarifying

question/comment which allows the nurse to gain an understanding of a patient's comment; can
prevent possible misconceptions which could lead to an inappropriate nursing diagnosis; overuse may
lead patient to think nurse is not knowledgable or not listening

reflecting

question/comment technique which involves repeating what the person has said or describing the
person's feelings; it encourages patients to elaborate on their thoughts and feelings

sequencing

question/comment which is used to place events in a chronologic order or to investigate a possible
cause-and-effect relationship between events

directing (exploring)

question/comment that might become necessary at times to obtain more information about a topic
brought up earlier in the interview or to introduce a new aspect of the current topic

assertive

behavior which is the hallmark of professional nursing relationships; the key is expressing and beliefs in
a nondefensive manner; "I" statements play an important role; they communicate feelings and
preferences without expressing a judgement or blaming another person

agressive

,behavior which involves asserting one's rights in a negative manner that violates the rights of others;
can be verbal or physical; communication which is marked by tension and anger; inhibits the formation
of good relationships

sender (source/encoder)

a person or group who initiates or begins the communication process

message

the actual communication product from the sender

channel

the ________ of communication is thee medium the sender has selected to send the message; may
target any of the receiver's senses

receiver (decoder)

the person who decodes a message; must then make a decision about an accurate response

confirmation (feedback)

the response to a message provides _________ (i.e., evidence) that the receiver has understood the
intended message

noise

factors that distort the quality of a message and interfere with the communication process; may be from
the TV, or from pain/discomfort experienced by the patient

intrapersonal communication

self-talk; communication within a person; the internal discussion when thinking but not outwardly
verbalizing thoughts

interpersonal communication

occurs between two or more people with a goal to exchange messages

group communication

Communication among members of a team or a collective about topics such as goals, strategies, and
conflict.

small-group communication

occurs when nurses interact with two or more individuals; examples include staff meetings, teaching
sessions, and support groups

,organizational communication

occurs when people and groups within an organization communicate to achieve established goals

group dynamics

involve how individual group members relate to one another during the process of working toward
group goals

distractions, privacy

the goal of creating an environment conducive to communication is to minimize __________ and ensure
__________

situation, background, assessment, recommendation

SBAR

S, B

parts of SBAR which provide objective data

A, R

parts of SBAR which allow for the presentation of subjective information

helping relationship

exists among people who provide and receive assistance in meeting human needs; used to refer to such
relationships between nurses and patients

one-way

which type of communication is very structured, sender controlled, and involves little, if any, expected
response?

two-way

which type of communication is unstructured, involves equal contribution between the sender/receiver,
& feedback is expected & respected?

empathy

identifying with the way another person feels; nurse is sensitive to patient's feelings and problems but
remains objective enough to help the patient work to obtain positive outcomes

sympathy

, feelings of pity and sorrow for someone else's misfortune; shifts the emphasis from the patient to the
nurse

facial expressions

convey emotions or mask emotions; make up 1/2 of the feeling message; may send a message the
person is unaware of conveying

eye contact

can signal readiness to communicate, interest, and respect (often used to gain attention, sign of respect
in some cultures/disrespect in others, shows openness)

lack of eye contact

can signal anxiety, defensiveness, discomfort, lack of confidence in communicating or avoidance

acceptance and respect

the nurse provides services unrestricted by consideration of social and economic status, personal
attributes, or the nature of the problem

clarifying

asking the client to restate, explain further to validate whether you interpreted the message accurately

focusing

keeping attention on what is being said or read; this helps the client focus on what is important

assertive communication

promotes self esteem, upholds personal and professional rights; characterized by feelings of security,
competence, power, and professionalism

assertive

________ responses are honest, open, and direct

evidence based practice

The integration of the best knowledge (clinical expertise, research, and patient values)--the proven
latest and greatest for a particular patient; provides evidence-based data to allow you to provide
effective patient care to improve patient outcomes

communication

effective _________ is essential to developing a relationship