NURS1032 Lecture Notes - Lecture 13: Active Listening, Anxiety, Colostomy
Test in alternate location
Therapeutic verbal responses Oct 11
Client centered communication will help you understand: what it is like to be this
person in this situation with this illness/problem
Ex: I wonder if you could tell me what this experience has been like for you
Active listening
Listening to understand
Interference
Noise: any factor that interferes with being able to pay full attention to the
discussion
Clients noise:
oPreoccupied with pain/worry/contradictory personal beliefs
oUnable to understand terminology/ language used
oFeeling attacked, judged, defensive or insecure
oToo many messages, to much information coming at once
oLack of privacy, factor of embarrassment
oHave sensory/cognitive deficits that hinder receiving messages
oEmotional state, fearful, anxious
Nurses noise
oCultural stereotypes and bias
oMaking assumptions about client motivations
oThinking ahead to next question
oEmotional overreaction to certain client behaviours
oNervousness, defensiveness, insecurity, skills
oPreoccupation with personal agendas
oTime constraints, being in a hurry to complete care
Using appropriate vocabulary
Educational level
Experiential frame of reference
oEx: catheter story
Enable full understanding
Minimal cues
Thinking od cues you look for when talking to someone
Encouraging cues
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Client centered communication will help you understand: what it is like to be this person in this situation with this illness/problem. Ex: i wonder if you could tell me what this experience has been like for you. Noise: any factor that interferes with being able to pay full attention to the discussion. Experiential frame of reference: ex: catheter story. Thinking od cues you look for when talking to someone. Encouraging cues: eye contact, open posture, nodding head, don"t always need something to say, silence is good sometime. Discouraging cues: breaking eye contact, bad posture, checking the time. Closes-ended: yes or no answers, simple answers with no elaboration, example: did you have breakfast , how was school today . Open-ended: elaborate answers, what did you do at school today? what was the funniest thing you did at school today? , give client flexibility with their answers.
