elements of the process
modes of the process
types of communication
Nurse–Patient Helping Relationship
affecting or helping Patient Communication
: Professional Nursing Communication
special considerations
ADPIE
100

This is the event or thought that initiates communication, such as a patient grimacing in pain prompting the nurse to ask about discomfort.

what is the referent 

100

This mode involves wordless transmission, such as a patient crossing their arms or frowning during teaching.

What is nonverbal communication

100

This is direct interaction between individuals, such as a nurse discussing care goals with a patient.

what is interpersonal communication

100

This involves showing compassion and understanding, such as acknowledging a patient’s fear before surgery.

What is empathy

100

These factors can hinder communication, such as a patient unable to focus on teaching due to severe pain.

nurses should use empathic communication to address these barriers.

what is pain or anxiety

100

This component means acknowledging dignity, such as addressing patients by their preferred name.

what is respect

100

For these patients, strategies include using visual aids and interpreters when needed.

what is hearing impaired patients

100

n this step, the nurse identifies actual or potential health problems by analyzing patient data and creating nursing ________

what is Diagnosis

200

This is the actual information being communicated, such as a nurse teaching about wound care.

what is the message 

200

This nonverbal aspect of speech conveys emotions, such as a nurse’s calm tone reassuring a nervous patient.

what is voice inflection

200

This type involves self-talk, meditation, or prayer — for example, a nurse mentally rehearsing steps before a procedure.

what is intrapersonal communication

200

This foundation of the nurse–patient relationship is built through honesty and consistency, such as always explaining procedures before performing them.

what is trust

200

These improve communication by enhancing clarity, such as asking “Are you in pain?” instead of “How do you feel?”

Utilizing concise and specific questions can help patients focus and respond more effectively, especially in stressful situations.

what are short questions

200

This involves working together for optimal outcomes, such as nurses and dietitians creating a nutrition plan.

what is collaboration 

200

For these patients, strategies include using descriptive language and tactile cues.

what is visually impaired patients 

200

: This first step of the nursing process involves collecting subjective and objective data through patient interview, observation, and physical exam.

what is assessment

300

This is the individual who initiates and encodes the message, such as a nurse clearly explaining medication instructions.

who is the sender

300

This is the study of spatial needs in communication, such as standing too close to a patient and making them uncomfortable.

What is proxemics 

300

This involves group dynamics, such as a nursing team discussing patient assignments during shift report.

what is small-group communication

300

This factor recognizes diverse backgrounds, such as respecting a patient’s preference for same-gender providers.

what is cultural influences

300

This factor influences communication, such as ensuring privacy in a quiet room for sensitive discussions.

minimizing distractions are crucial for effective communication, allowing patients to feel safe and heard.

what is location and distraction

300

This component involves expressing needs confidently, such as telling a physician, “I am concerned about this patient’s low blood pressure.”

what is assertiveness 

300

This strategy keeps families informed and involved in decisions, such as discussing care goals with relatives of a critically ill patient.

what is family involvement 

300

This step involves setting patient-centered SMART goals and selecting appropriate nursing interventions to achieve them.

what is planning

400

This is the person who decodes the message, such as a patient interpreting medication directions.


what is the receiver 

400

This rapid method of sharing information may involve text messages or EHR updates but requires validation for accuracy.

What is electronic communication

400

This type involves collaboration among healthcare professionals, such as nurses and physicians planning treatment together.

interprofessional communication

400

These maintain professionalism, such as avoiding personal disclosures during patient care.

what is boundaries

400

This is the initial meeting where trust is established and goals are set. For example, a nurse introducing themselves and explaining their role.

what is the orientation phase

400

This is assigning tasks while retaining accountability, such as instructing a CNA to record vital signs.

what is delegation

400

For these patients, communication must be adapted, such as using short, simple instructions.

what is cognitively impaired patients

400

: In this action phase, the nurse carries out interventions such as administering medications, teaching, or providing care, and documents actions taken

what is implementation

500

This is the medium through which a message is transmitted, such as verbal instructions, a written handout, or an electronic health record update.

What is the channel

500

This mode uses spoken or written words, such as giving clear discharge instructions.

what is verbal communication

500

This occurs when addressing larger audiences, such as a nurse giving a community health seminar.

what is public communication

500

This is a tailored plan addressing unique patient needs, such as including spiritual care for a patient requesting prayer.

what is a comprehensive care plan 

500

This phase involves active collaboration, such as providing wound care and teaching during hospitalization.

what is the working phase 

500

This involves acting in the patient’s best interest, such as requesting a pain consult when a patient’s discomfort is unresolved.

What is advocacy 

500

In this final step, the nurse determines if patient outcomes were met and decides whether to continue, revise, or discontinue the care plan.

what is evaluation

600

This is the response from the receiver, such as a patient repeating back instructions to confirm understanding.

what is the Feedback 

600

This mode is useful for detailed information, such as a written care plan, but lacks the nuances of spoken interaction.

What is written information

600

This phase concludes the relationship, such as summarizing progress at discharge and providing follow-up instructions.

what is the termination phase

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