Nursing Week 6: Therapeutic Communication

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Questions and Answers

What is a key element of establishing and maintaining a therapeutic nurse-client relationship?

Using medical jargon to convey professionalism

Tailoring communication style to client needs (correct)

Self-disclosure by the nurse to build trust

Avoiding all personal conversations

Which of the following is NOT a responsibility of a nurse regarding confidentiality?

Maintaining privacy during communications

Sharing client information with colleagues freely (correct)

Ensuring that the client understands their rights

Listening attentively to client concerns

What should a nurse refrain from unless it has therapeutic value?

Listening to the client

Engaging in self-disclosure (correct)

Using effective communication strategies

Collaborating with the client in decision-making

Which principle emphasizes understanding that all behavior has meaning in therapeutic communication?

Reflective practice Signup and view all the answers

What is one of the legal responsibilities of nurses regarding communication?

To ensure clarity in exchanges with clients Signup and view all the answers

What does the standard of practice related to confidentiality require from a nurse?

Protect client information rigorously Signup and view all the answers

Which of the following actions illustrates attending to the needs of the client in therapeutic communication?

Listening actively to client's concerns Signup and view all the answers

What is an effective communication strategy used by nurses?

Collaborating and seeking client choice Signup and view all the answers

Which type of question encourages more elaborate responses during an interview?

Open-ended questions Signup and view all the answers

What strategy should be avoided when communicating with clients?

Offering unwanted advice Signup and view all the answers

Which of the following non-verbal communication techniques involves relaxing one's body posture?

Uncrossing legs and arms Signup and view all the answers

What is the term used to describe the interactive nature of culture from an Indigenous perspective?

Emergent properties Signup and view all the answers

Which method is an effective way to ensure clarity during client interviews?

Using one question at a time Signup and view all the answers

What is an example of a probing question?

How did that make you feel? Signup and view all the answers

Which of the following statements aligns with the principle of unconditional positive regard?

Showing acceptance regardless of the client's situation Signup and view all the answers

At what developmental stage are children considered to be preschoolers?

3 to 5 years of age Signup and view all the answers

What is a primary requirement of a Therapeutic Nurse-Client Relationship?

Legal obligation to maintain professional boundaries Signup and view all the answers

Which of the following is a key component in preparing for a client interview?

Reviewing the client record Signup and view all the answers

According to privacy regulations, what rights do clients have regarding their health information?

Clients have the right for their personal health information to be kept private Signup and view all the answers

What should a nurse consider in self-reflection before an interview?

Their own emotional state and physical expression of feelings Signup and view all the answers

When beginning a client interview, which statement exemplifies effective introduction?

Hello, I'm Jennifer Lapum, your registered nurse. How would you like me to refer to you? Signup and view all the answers

Who is responsible for disclosing personal health information in cases of child abuse or elder abuse?

Any nurse who suspects possible abuse Signup and view all the answers

Which source of data is considered primary in the client interview?

The client's verbal communication of their experiences Signup and view all the answers

What role does the environment play in preparing for a client interview?

It should be a comfortable and private space. Signup and view all the answers

Study Notes

Week 6: Therapeutic Communication and Interviewing

Therapeutic communication and interviewing are crucial skills for nurses and nursing students.
Two key standards of practice are:
- The College of Nurses of Ontario's "therapeutic nurse-client relationship" (2019, revised 2006)
- The College of Nurses of Ontario's "confidentiality and privacy" (2019)
Nurses and nursing students have a legal responsibility regarding confidentiality and privacy, as well as communication.

Therapeutic Communication Strategies

Nurses use various strategies and interpersonal skills to build, maintain, and end nurse-client relationships.
These strategies include:
- Introducing oneself as a nurse
- Attending to the client and family, adjusting communication styles to be appropriate.
- Collaborating with the client, and acknowledging that client behavior has a meaning
- Refraining from self-disclosure unless it has therapeutic value
- Practicing self-reflection

The Client Interview

Interviews are used to gather subjective data from the client.
Primary and secondary sources of information may be used in the interview.
This can include the client's family or care partners, depending on the need.

Preparing for the Interview

Review the client's medical record before the interview.
Consider the interview environment and how it can support effective communication.
Understand the client's privacy and confidentiality rights, per PHIPA (2004).
Understand who owns the data, who has access, and disclosure of personal health information.
- Child abuse and neglect
- Elder abuse (retirement or long-term care in Ontario)
- Nurse posing a risk to a patient (must be reported to the College of Nurses of Ontario, CNO)

Self-reflection Before the Interview

Recognizing and managing personal emotions and thoughts.
Reflect on how personal feelings/thoughts might influence the interview, and consider how the environment impacts the interview.

Beginning the Interview

Introduce oneself and address the client.
Define the purpose of the visit
Get clarification on preferred pronouns, and respect their choices.
Explain that the interview will take approximately 20 minutes.

Types of Interview Questions

Use closed-ended questions.
Use open-ended questions
Use Probing questions

Communication Strategies

Clear and simple language
Active listening (facilitation and paraphrasing)
Silence
Empathetic responses
Honest responses (avoid false reassurance)

Nonverbal Communication

Important non-verbal cues to consider are facial expressions, hand gestures, eye contact, body language, positioning, aligning nonverbal cues with verbal behaviors, and physical touch.

Cultural Considerations

Consider culture as a major factor in interactions.
Use a relational, inquiry-based approach to learn about the client's culture.
Ask open-ended questions like "Tell me about your culture" to enable the client to define their culture for you.

Developmental Considerations

Assess the client's stage of development when planning the communication.
Young Children (under 5 years of age)
Older children and adolescents (6-17 years)
Adults (18 years and older)
Older Adults (65 years and older)

Additional Considerations

Language differences
Emotions and trauma
Hearing and/or visual impairment
Intellectual impairment
Substance use
Escalation
Inappropriate communication from the client

Concluding the Interview

Summarize the key information gathered.
Outline the next steps.

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Description

Explore the key concepts of therapeutic communication and interviewing essential for nurses and nursing students. This quiz covers the standards of practice set by the College of Nurses of Ontario, focusing on the development of effective nurse-client relationships while maintaining confidentiality and privacy.