Nursing Communication Exam Guide

Nursing Communication Exam Guide - Nursing Communication...

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Nursing Communication Exam Guide *Effective Communication Techniques: (8) *Silence: Remaining quiet, yet showing interest in interaction Patient: “I am angry” (silence) “My wife had an affair on me” Gives patient time to express ideas *Broad openings: Allows client to pick the topic of conversation “What would you like to talk about?” “What are you thinking about?” “Where would you like to begin?” “What brings you here today?” *Accepting: Encouraging the information in a non-judgmental manner “Yes. Uh hum, I follow what you said.” (Nodding) Used in establishing trust and development “It’s okay to discuss it with me. I would like to hear about it.” *Offering general leads: “Go on” “And then?”
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“Tell me about it.” Encourages continuation of conversation *Offering self: I’ll sit with you awhile I’ll stay here with you I’m interested in your comfort Encourages open communication; makes oneself available *Placing the time or event in sequence: What seemed to lead up to…? Was this before or after…? When did this happen? Focuses the patient; helpful in full data collection; clarifying the relationship of events in time *Making observations: You appear tense Are you uncomfortable when you…? I notice that you’re biting your lips The HP verbalizes what they perceive *Encouraging description of perceptions: Tell me when you feel anxious What is happening? What does the voice seem to be saying?
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Was this something like…? Have you had similar experiences? Ask the patient to verbalize what he/she perceives *Reflecting: Patient: “Do you think I should tell the doctor?” Nurse: “Do you think you should?” Directing back to the patient words or feelings (Think of a mirror) *Giving information: My name is… Visiting hours are… My purpose in being here is… I’m taking you to the… Making available the facts that the patient needs *Seeking clarification: I’m not sure that I follow What would say is the main point of what you said? Seeking to make clear information that seems vague *Paraphrasing: Repeating an encapsulated form of the patient’s primary words and thoughts A way of seeking clarification and encouraging continued communication
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“I know I should give up smoking and get more exercise…What I’m doing now isn’t helping my heart” - You are aware that making some lifestyle changes will be better for your heart *Summarizing: Have I got this straight? You’ve said that… During the past hour you and I have discussed… Clarification technique; helps to organize and summarize *Exploring: Tell me more about that! Would you describe it more fully?
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Nursing Communication Exam Guide - Nursing Communication...

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