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Chapter 10

Chapter 10. Communication and the Clinical Interview. The Communication Process. Stimulus for information, comfort, or advice Sender – initiates contact Message – sent or expressed Variety of media – hearing, visual, touch, smell Feedback received. Factors That Affect Communication.

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Chapter 10

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  1. Chapter 10 Communication and the Clinical Interview

  2. The Communication Process Stimulus for information, comfort, or advice Sender – initiates contact Message – sent or expressed Variety of media – hearing, visual, touch, smell Feedback received

  3. Factors That Affect Communication • Personal factors • Environmental factors • Relationship factors

  4. Nonverbal Communication • Tone of voice • Emphasis on certain words • Physical appearance • Facial expressions • Body posture • Amount of eye contact • Hand gestures

  5. Verbal Communication • All words a person speaks • Communicates • Beliefs and values • Perceptions and meaning • Can convey • Interest and understanding • Insult and judgment • Double or mixed messages

  6. Therapeutic Communication Techniques • Tools for enhancing communication • Using silence • Active listening • Listening with empathy

  7. Clarifying Techniques Paraphrasing Restating Reflecting Exploring

  8. Asking Questions and Eliciting Patient Responses • Open-ended questions • Closed-ended questions

  9. Nontherapeutic Communication Techniques Excessive questioning Giving approval or disapproval Giving advice Asking “why” questions

  10. Cultural Considerations Communication style Eye contact Touch Cultural filters – form of bias or prejudice

  11. Preparing for the Interview Pace Setting Seating Introductions Initiating the interview

  12. Attending Behaviors • Foundation of the interview • Eye contact • Body language • Vocal quality • Verbal tracking

  13. Process Recording Written record of a segment of the nurse-patient session that reflects as closely as possible the verbal and nonverbal behaviors of both patient and nurse Useful tool for identifying communication patterns

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