ANSWERS
Define communication and explain why it is important. - ANS Communication is an
interactive sharing of information and requires a sender, a message, and a receiver. It is
important because nurses must be able to communicate with patients, family members,
physicians, and peers in an effective and constructive manner to achieve their goals.
Define the three communication styles. - ANS Nonassertive communication is submissive
and is when people allow their rights to be violated by others. Their requests and demands are
surrendered to others without regard to their own feelings and needs.
Assertive communication involves interpersonal behaviors that permit people to defend and
maintain their legitimate rights in a respectful manner that does not violate the rights of others.
It is honest and direct and accurately expresses the person's feelings, beliefs, ideas, and
opinions.
Aggressive communication strongly asserts the speaker's legitimate rights and opinions with
little or no regard or respect for the rights and opinions of others.
List 5 assertive communication suggestions. - ANS Maintain appropriate eye contact, convey
empathy, keep body position erect, speak clearly and audibly, be comfortable with silence, use
gestures and facial expressions, use appropriate location, use appropriate timing, focus on
behaviors and issues.
Differentiate between verbal, nonverbal, and paraverbal communication. - ANS Verbal
communication is either written or spoken.
Nonverbal communication includes body language, facial expressions, gestures, physical
appearance, touch, and personal space.
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, Paraverbal communication is the tone, pitch, volume, and diction used when delivering a verbal
message.
Name 3 verbal communication builders and 3 blockers. - ANS Builders- encouraging words,
asking open-ended questions, use "I" messages, asking clarification questions, reflecting
feelings and emotions, repeating what was just said, limit interruptions, reviewing what was
said and verifying understanding, acknowledging what was said
Blockers- automatic defensiveness, asking closed-ended questions, accusing or blaming, using
sarcasm, constant interruptions, judging, name calling and diagnosing, stating opinions as
proven facts, making generalizations, being patronizing, offering vague reassurance, telling
people how they should feel, changing the subject, expecting mind reading, shaking or pointing
a finger while speaking, walking away
Name 3 nonverbal communication builders and 3 blockers. - ANS Builders- eye contact, stop
what you are doing, nod the head, positive facial expressions, sitting or standing in close
proximity, open posture (directly facing), listening empathetically, light touch
Blockers- eye rolling, arm and leg crossing, slouching, hunching, turning away, fidgeting, deep
and loud sighs, multiple watch or clock checks, continuing with an activity while the other
person is talking, failure to make eye contact, tuning out or failing to pay attention
Name 2 paraverbal communication builders and 3 blockers. - ANS Builders- silence, tone
Blockers- threatening, ordering or menacing, yelling, calling names, hurling insults, nonstop and
rapid talking
Describe some situations that could cause anger. - ANS Patients angry at nurses- serving
cold/poorly cooked meals to patients, not answering call lights in a timely manner, waking up
sleeping patients to give meds, taking many attempts to start an IV line
Nurses angry at management- unilateral changes in work schedule, additional paperwork,
reductions in staff levels, refusal of requests for vacation/time off
Differentiate between positive and negative ways to express anger. - ANS Positive anger can
promote change, release tension, increase others' attention, initiate communication, problem-
solve, and energize the process.
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