PNUR 101 Chapter 4: Communication
communication - ANS-can be described simply as the exchange of information
sender
receiver - ANS-two requirements for communication
sender - ANS-one who conveys the message
receiver - ANS-person or people to whom the message is conveyed.
one-way communication - ANS-sender is in control
little response from receiver
two-way communication - ANS-sender and receiver participate equally in the interaction
verbal communication - ANS-involves the use of spoken or written words or symbols
connotative meaning - ANS-is subjective and reflects the individual's perception or
interpretation.
denotative meaning - ANS-refers to the commonly accept-ed definition of a particular word.
jargon - ANS-is commonplace "language" or terminology unique to people in a particular work
setting, such as a hospital, or to a specific type of work, such as nursing.
nonverbal communication - ANS-Messages transmitted without the use of words (either oral or
written); tone and rate of voice, volume of speech, eye contact, physical appearance, and use of
touch
gestures - ANS-are movements people use to emphasize the idea they are attempting to
communicate.
posture - ANS-The way that an individual sits, stands, and moves
open posture - ANS-conveys a willingness to communicate with another person.
closed posture - ANS-does not convey a willingness to communicate.
assertiveness - ANS-one's ability to confidently and comfortably express thoughts and feelings
while still respecting the legitimate rights of the patient.
, assertive communication - ANS-interaction that considers the feelings and needs of the patient
yet honors the nurse's rights as an individual; makes interactions more even and has positive
benefits for all involved
aggressive communication - ANS-occurs when an individual interacts with another in an
overpowering and forceful manner to meet one's own personal needs at the
expense of the other; is destructive and nontherapeutic.
unassertive communication - ANS-In this style, the nurse agrees to do what the patient
requests, even though doing so creates additional problems for the nurse
therapeutic nurse-patient relationship - ANS-interaction in which the nurse demonstrates caring,
sincerity, empathy, and trustworthiness.
therapeutic communication - ANS-consists of an exchange of information that facilitates the
formation of a positive nurse-patient relationship and actively involves the patient in all areas of
care.
non-therapeutic communication - ANS-usually blocks the development of a trusting and
therapeutic relationship.
listening
silence
touch - ANS-nonverbal therapeutic communication techniques
active listening - ANS-requires full attention to what the patient is saying.
passive listening - ANS-listening to the speaker is indicated either nonverbally through eye
contact and nodding, or verbally through encouraging phrases such as "Uh-huh" and "I see"
silence - ANS-Allows time to organize thoughts and formulate an appropriate response; often
conveys respect, understanding, caring, and support; allows observation of patient's nonverbal
responses
touch - ANS-Often conveys warmth, caring, comfort, support, and understanding
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