Nursing Foundations - Unit 1 (Therapeutic Communication)

olanjones's version from 2016-04-12 14:30

Section 1

Question Answer
What is the purpose of therapeutic communication?to help identify and meet the patient's needs, help client to recognize their own insights, control, and healing
What are the characteristics of therapeutic communication?by being Observant of the client, environment, and of self; remember that Listening is a combination of what we hear, understand, and remember; and by using Response techniques that illustrate active listening
When is communication successful?when the meaning of the message is verified by both the source and the receiver
What elements should you listen for when communicating?content themes, communication patterns, incongruency, feeling, what is not being said, your inner response
What are disconfirming responses?responses that fail to recognize the client's individuality, deny them equal partnership, or are judging (good or bad). Examples: challenging/probing, changing topic/subject, unwarranted reassurance, giving common advice

Section 2

Question Answer
How do contextual factors affect client-centered communication?client may be distracted, nurse may be preoccupied, semantics (uncommon language/terms), or environmental noise may inhibit full attention to the communication
How does interpersonal space and timing affect client-centered communication?culture, personal preference, and topic may change the proxemics needed by the client and may differ depending on circumstance
How can professional self-reflection facilitate client-centered communication?awareness of one's biases or values can help to allow one to value the client as a person rather than their circumstance or behavior
How does active listening facilitate client-centered communication?it allows one to listen for understanding and allows the accurate communication of information

Section 3

Question Answer
Minimal cues and leadsbrief verbal or non-verbal prompts that encourage the client to continue sharing. "go on" nodding, smiling
Clarificationused to ask client for more information, stated as a question or restatement followed with "can you tell me more about..."
Paraphrasingfocuses on the cognitive part of client's message, presenting it back to client in shorter form but not losing original meaning
Reflectionfocuses on the emotional part of client's message, allows client their feelings and helps uncover underlying feelings
Summarizationrestates client's ideas and feelings in succinct manner, may allow for transitioning

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