4 Professional Core Beleifs - Answers CARC: communication, assertiveness, responsibility,
caring
Define Communication - Answers vehicle for establishing therapeutic relationships
Communication... - Answers -critical to outcome of nursing intervention
-is the relationship itself
-has to exist to have a therapeutic nurse/client relationship
2 Types of relationships (discuss each) - Answers -social relationship: talk about SOCIAL issues,
personal items, weather ,etc
-therapeutic relationship: not personal, positive interactions which lead to improved health for
the client, FOCUS is on CLIENT
Factors affecting exchange of messages (6- discuss each) - Answers E.T.A.NV.IP.I (Elephants
take apples. NV IP I)
1. Environmental: privacy, familiarity, warmth, mood
2. Territory/ Personal Space: seating arrangements, roles, status, 18 in (arms length)
3. Physical Appearance: body shape, race, hair, gender, body adornments, posture, age, etc
4. Non-Verbal Cues: facial expressions, body language, eye movement
5. Intrapersonal factors: developmental stages, mastery of language, diff. perspectives, diff.
values, self-concept
6. "I" messages: ownership, "you" messages are blaming
Communication:
Function? Real Purpose? Objective? - Answers Function: transmit
Real purpose: create meaning/ build relationship
Objective: transmit clear & understandable message/ establish therapeutic relationship
Define assertiveness - Answers "express thoughts & feelings without undue anxiety & without
expense to others"
Assertiveness is... - Answers -key to successful relationships
-a life-long learning skill
, -a matter of choice
Criteria for success in assertiveness (3- discuss each) - Answers T.A.R.
1. Timing: appropriate for both parties
2. Approach: phrase to show respect
3. Receptivity: ability to focus on issue versus with other busy tasks
Passive Communication (non-assertiveness) - Answers -disregard own needs
-let others choose
-apologetic
-incongruence
-low self esteem
-weak voice
Aggressive Communication - Answers -rights and needs of others disregarded
-chooses for others
-usually provokes anger
-treats others as objects, not people
-superiority, accusatory, demanding
-puts others down
Anatomy of Assertive Responses - Answers D.E.S.C.
Describe situation
Express what you want
Specify exact wishes
Consequences of what you will do in return
Responsible Communication is... - Answers -logical, based on knowledge
-taking accountability
-using nursing process*