Podcast
Questions and Answers
What is described as the instrument for delivery of care in therapeutic interpersonal relationships?
What is described as the instrument for delivery of care in therapeutic interpersonal relationships?
- Therapeutic use of technology
- Therapeutic use of self (correct)
- Therapeutic use of medication
- Therapeutic use of time
Which of the following is NOT one of the opportunities that the nurse role provides to accomplish effectively in therapeutic communication?
Which of the following is NOT one of the opportunities that the nurse role provides to accomplish effectively in therapeutic communication?
- Identify and explore problems in relating to others
- Discover healthy ways of meeting emotional needs
- Isolate the patient from external influences (correct)
- Experience a satisfying interpersonal relationship
In the context of communication, what does the transactional model emphasize?
In the context of communication, what does the transactional model emphasize?
- Sequential messaging between sender and receiver
- Communication as a one-way flow of information
- Delaying responses for effect
- Simultaneous involvement in creating meaning (correct)
Which of these conditions can influence the intended message in interpersonal communication?
Which of these conditions can influence the intended message in interpersonal communication?
What do Hays and Larson highlight as necessary for the nurse in therapeutic communication?
What do Hays and Larson highlight as necessary for the nurse in therapeutic communication?
What might impact the interpretation of messages in a therapeutic communication setting?
What might impact the interpretation of messages in a therapeutic communication setting?
Which of the following correctly describes interpersonal communication?
Which of the following correctly describes interpersonal communication?
What is an example of a preexisting condition that affects communication transactions?
What is an example of a preexisting condition that affects communication transactions?
Which facial expression is associated with both anger and arousal?
Which facial expression is associated with both anger and arousal?
What emotion is indicated by a 'canine-type snarl'?
What emotion is indicated by a 'canine-type snarl'?
Which facial expression might convey submission?
Which facial expression might convey submission?
What vocal cue might suggest anxiety or tension?
What vocal cue might suggest anxiety or tension?
Which technique encourages patients to organize their thoughts by allowing them time to speak?
Which technique encourages patients to organize their thoughts by allowing them time to speak?
Which lip expression is a sign of unhappiness and disapproval?
Which lip expression is a sign of unhappiness and disapproval?
How can broad openings be useful in therapeutic communication?
How can broad openings be useful in therapeutic communication?
What does a narrowed eye expression typically indicate?
What does a narrowed eye expression typically indicate?
What is often conveyed through eye contact in American culture?
What is often conveyed through eye contact in American culture?
Which facial expression shows both contempt and disdain?
Which facial expression shows both contempt and disdain?
What is indicated by a raised brow?
What is indicated by a raised brow?
What does an emphasis on the word 'YOU' in a sentence often imply?
What does an emphasis on the word 'YOU' in a sentence often imply?
Which therapeutic technique involves acknowledging patient accomplishments?
Which therapeutic technique involves acknowledging patient accomplishments?
What does a stare followed by a blink and a look away usually signify?
What does a stare followed by a blink and a look away usually signify?
Which emotion is communicated by pursing the lips?
Which emotion is communicated by pursing the lips?
Which of the following is a part of the SOLER technique used for attentive listening?
Which of the following is a part of the SOLER technique used for attentive listening?
What is a better alternative to denying a patient's feelings to encourage them to share more?
What is a better alternative to denying a patient's feelings to encourage them to share more?
Why can interpreting a patient's statements be detrimental?
Why can interpreting a patient's statements be detrimental?
What does 'R' in the SOLER technique stand for?
What does 'R' in the SOLER technique stand for?
What is an example of introducing an unrelated topic?
What is an example of introducing an unrelated topic?
What is a key element of motivational interviewing?
What is a key element of motivational interviewing?
How can values be communicated according to the transactional model of communication?
How can values be communicated according to the transactional model of communication?
How is active listening beneficial in nurse-patient relationships?
How is active listening beneficial in nurse-patient relationships?
In what way can religion influence communication?
In what way can religion influence communication?
Which nonverbal cue is associated with indicating high social status?
Which nonverbal cue is associated with indicating high social status?
Which technique helps to avoid a defensive patient response?
Which technique helps to avoid a defensive patient response?
How might cultural values primarily influence communication?
How might cultural values primarily influence communication?
Which nonverbal cue indicates a closed posture?
Which nonverbal cue indicates a closed posture?
Which example illustrates how social status is communicated nonverbally?
Which example illustrates how social status is communicated nonverbally?
Which statement reflects an active listening strategy?
Which statement reflects an active listening strategy?
In process recordings, what is primarily analyzed?
In process recordings, what is primarily analyzed?
What factor can affect communication by altering the generational language used by adolescents?
What factor can affect communication by altering the generational language used by adolescents?
Gender influences communication by:
Gender influences communication by:
Why is establishing intermittent eye contact important?
Why is establishing intermittent eye contact important?
What role does territoriality play in communication?
What role does territoriality play in communication?
What does a relaxed demeanor convey in patient interactions?
What does a relaxed demeanor convey in patient interactions?
What is a crucial factor for effective motivational interviewing?
What is a crucial factor for effective motivational interviewing?
Which communication factor is suggested to change with developmental level?
Which communication factor is suggested to change with developmental level?
How might men in some European countries typically greet each other compared to men in the U.S.?
How might men in some European countries typically greet each other compared to men in the U.S.?
What is a consequence of changing topics too quickly with patients?
What is a consequence of changing topics too quickly with patients?
What is the implication of wearing symbolic religious items?
What is the implication of wearing symbolic religious items?
What is the primary communicative function of cultural mores?
What is the primary communicative function of cultural mores?
Which factor can influence communication due to changes over one's lifespan?
Which factor can influence communication due to changes over one's lifespan?
How does the environment influence communication in the transactional model?
How does the environment influence communication in the transactional model?
What is the role of distance in communication within a given environmental space?
What is the role of distance in communication within a given environmental space?
What is the primary purpose of using general leads in a patient-nurse conversation?
What is the primary purpose of using general leads in a patient-nurse conversation?
What technique involves encouraging the patient to explore the sequence of events related to their experience?
What technique involves encouraging the patient to explore the sequence of events related to their experience?
Which therapeutic communication technique involves expressing observations about a patient's behavior?
Which therapeutic communication technique involves expressing observations about a patient's behavior?
Which technique is best used when the patient is trying to clarify their perceptions during hallucinations?
Which technique is best used when the patient is trying to clarify their perceptions during hallucinations?
What is the effect of using the technique of restating in patient communication?
What is the effect of using the technique of restating in patient communication?
Which technique is employed when a patient is referred back their own questions and feelings?
Which technique is employed when a patient is referred back their own questions and feelings?
What should the nurse do when a patient with severe anxiety struggles with focusing?
What should the nurse do when a patient with severe anxiety struggles with focusing?
What is the main purpose of 'seeking clarification and validation' in patient communication?
What is the main purpose of 'seeking clarification and validation' in patient communication?
Which technique involves the nurse expressing their perception of reality without challenging the patient's misperceptions?
Which technique involves the nurse expressing their perception of reality without challenging the patient's misperceptions?
What is the goal of the technique 'verbalizing the implied'?
What is the goal of the technique 'verbalizing the implied'?
When is 'attempting to translate words into feelings' most effectively employed?
When is 'attempting to translate words into feelings' most effectively employed?
Which strategy involves exploring a patient’s theme in depth while allowing the patient discretion to withdraw?
Which strategy involves exploring a patient’s theme in depth while allowing the patient discretion to withdraw?
Which technique involves acknowledging and encouraging the patient to recognize recurring experiences?
Which technique involves acknowledging and encouraging the patient to recognize recurring experiences?
How does 'formulating a plan of action' assist the patient?
How does 'formulating a plan of action' assist the patient?
What is an example of the 'voicing doubt' technique?
What is an example of the 'voicing doubt' technique?
What technique did Karyn use when she asked Alan if meetings were helpful before thinking about needing a drink?
What technique did Karyn use when she asked Alan if meetings were helpful before thinking about needing a drink?
What was the challenge of motivational interviewing as described?
What was the challenge of motivational interviewing as described?
Which technique involves the nurse conveying empathy to support connectedness?
Which technique involves the nurse conveying empathy to support connectedness?
Why did Karyn remain silent after Alan listed his reasons for attending meetings?
Why did Karyn remain silent after Alan listed his reasons for attending meetings?
What feeling did the nurse experience when asking about suicidal intent?
What feeling did the nurse experience when asking about suicidal intent?
Which technique did the nurse use when asking about the patient's feelings before taking pills?
Which technique did the nurse use when asking about the patient's feelings before taking pills?
What did the nurse feel towards the patient's husband during the interaction?
What did the nurse feel towards the patient's husband during the interaction?
Which therapeutic technique did the nurse use when providing tissues to the patient?
Which therapeutic technique did the nurse use when providing tissues to the patient?
What did Alan consider important in his recovery process?
What did Alan consider important in his recovery process?
How did the nurse evaluate the use of silence with Alan?
How did the nurse evaluate the use of silence with Alan?
What is the primary purpose of process recording, according to the content?
What is the primary purpose of process recording, according to the content?
What was the nurse’s thought on Alan’s readiness for an action plan?
What was the nurse’s thought on Alan’s readiness for an action plan?
Which characteristic makes feedback most effective in helping the patient modify behavior?
Which characteristic makes feedback most effective in helping the patient modify behavior?
Why did the nurse believe restatement was effective with Alan?
Why did the nurse believe restatement was effective with Alan?
Why should feedback be specific rather than general?
Why should feedback be specific rather than general?
What is the risk of providing advice in feedback, according to the content?
What is the risk of providing advice in feedback, according to the content?
In the process recording, what did the patient express she still wanted?
In the process recording, what did the patient express she still wanted?
What is considered the most powerful way in which communication occurs?
What is considered the most powerful way in which communication occurs?
In the example of feedback regarding a baby, why is mentioning the intellectual disability NOT effective?
In the example of feedback regarding a baby, why is mentioning the intellectual disability NOT effective?
Why might have restating the question led Alan to choose the 'right' answer?
Why might have restating the question led Alan to choose the 'right' answer?
What role do AA meetings play according to Alan?
What role do AA meetings play according to Alan?
How can the nurse's thoughts about 'blacking it out' aid in motivational interviewing with the patient?
How can the nurse's thoughts about 'blacking it out' aid in motivational interviewing with the patient?
What type of distance is used in mainstream American culture for intimate interactions?
What type of distance is used in mainstream American culture for intimate interactions?
What does the nurse's action of not making direct eye contact suggest?
What does the nurse's action of not making direct eye contact suggest?
Which of the following is an example of a functional-professional touch?
Which of the following is an example of a functional-professional touch?
Which technique did Karyn use when she asked Alan about his need for a drink?
Which technique did Karyn use when she asked Alan about his need for a drink?
What distance is associated with social interactions, such as talking to strangers?
What distance is associated with social interactions, such as talking to strangers?
Which aspect of nonverbal communication involves the use of attire and physical appearance?
Which aspect of nonverbal communication involves the use of attire and physical appearance?
What is an example of feedback that cannot be modified by the patient?
What is an example of feedback that cannot be modified by the patient?
How is a 'warm' person typically perceived based on their response behaviors?
How is a 'warm' person typically perceived based on their response behaviors?
Why should feedback be well-timed?
Why should feedback be well-timed?
Which form of touch indicates a strong liking and friendship?
Which form of touch indicates a strong liking and friendship?
What is the effect of using evaluative language in feedback?
What is the effect of using evaluative language in feedback?
What was Karyn’s thought process after Alan mentioned 'blacking it out'?
What was Karyn’s thought process after Alan mentioned 'blacking it out'?
What describes the type of touch that conveys emotional attachment?
What describes the type of touch that conveys emotional attachment?
Which distance is typically associated with public speaking?
Which distance is typically associated with public speaking?
Which of the following is a key factor in reflective techniques according to Karyn's interaction?
Which of the following is a key factor in reflective techniques according to Karyn's interaction?
Which facial expression element primarily reveals an individual's emotional state?
Which facial expression element primarily reveals an individual's emotional state?
What is the optimal way feedback should be framed to prevent patient defensiveness?
What is the optimal way feedback should be framed to prevent patient defensiveness?
Which communication technique was highlighted in Karyn's questioning of Alan's feelings about being 'perturbed'?
Which communication technique was highlighted in Karyn's questioning of Alan's feelings about being 'perturbed'?
What is an example of a social-polite touch?
What is an example of a social-polite touch?
What type of distance includes interactions at a cocktail party?
What type of distance includes interactions at a cocktail party?
What role does posture play in nonverbal communication?
What role does posture play in nonverbal communication?
When using touch as communication, what is considered best practice?
When using touch as communication, what is considered best practice?
Which behavior might indicate low self-esteem based on posture?
Which behavior might indicate low self-esteem based on posture?
Why is giving false reassurance considered a nontherapeutic communication technique?
Why is giving false reassurance considered a nontherapeutic communication technique?
What is an alternative response to rejecting a patient's ideas?
What is an alternative response to rejecting a patient's ideas?
What does approving or disapproving imply in a nurse-patient interaction?
What does approving or disapproving imply in a nurse-patient interaction?
Which statement best reflects the issue with giving advice in a therapeutic setting?
Which statement best reflects the issue with giving advice in a therapeutic setting?
How does probing affect the therapeutic nurse-patient relationship?
How does probing affect the therapeutic nurse-patient relationship?
What is a therapeutic alternative to defending someone the patient has criticized?
What is a therapeutic alternative to defending someone the patient has criticized?
Why is requesting an explanation from a patient generally considered a poor communication technique?
Why is requesting an explanation from a patient generally considered a poor communication technique?
What effect does indicating an external source of power have on a patient?
What effect does indicating an external source of power have on a patient?
Why is belittling or minimizing feelings a problematic communication technique?
Why is belittling or minimizing feelings a problematic communication technique?
What message does making stereotyped comments send in a nurse-patient interaction?
What message does making stereotyped comments send in a nurse-patient interaction?
What is an effective alternative to indicating agreement or disagreement with a patient's opinion?
What is an effective alternative to indicating agreement or disagreement with a patient's opinion?
Which nontherapeutic technique involves pressuring the patient for answers?
Which nontherapeutic technique involves pressuring the patient for answers?
What does the 'defending' communication technique involve?
What does the 'defending' communication technique involve?
Which technique involves attributing the source of thoughts or behaviors to external influences?
Which technique involves attributing the source of thoughts or behaviors to external influences?
What would be a nontherapeutic response to a patient feeling overwhelmed?
What would be a nontherapeutic response to a patient feeling overwhelmed?
What does SOLER stand for in active listening?
What does SOLER stand for in active listening?
Which preexisting condition does NOT influence interpersonal communication, according to the text?
Which preexisting condition does NOT influence interpersonal communication, according to the text?
What is the primary purpose of therapeutic communication?
What is the primary purpose of therapeutic communication?
Which communication technique should nurses avoid?
Which communication technique should nurses avoid?
What is the purpose of process recordings?
What is the purpose of process recordings?
What type of communication is feedback?
What type of communication is feedback?
What does nonverbal communication include?
What does nonverbal communication include?
What is a defining characteristic of interpersonal communication?
What is a defining characteristic of interpersonal communication?
How is the meaning of nonverbal communication determined?
How is the meaning of nonverbal communication determined?
Flashcards
Therapeutic Interpersonal Relationship
Therapeutic Interpersonal Relationship
The process by which nurses provide care for psychosocial needs.
Therapeutic Use of Self
Therapeutic Use of Self
The nurse's use of their personality and skills in patient care delivery.
Interpersonal Communication Techniques
Interpersonal Communication Techniques
Methods used to facilitate effective communication between nurse and patient.
Goals of Therapeutic Communication
Goals of Therapeutic Communication
Help patients identify problems, meet emotional needs, and form satisfying relationships.
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Transactional Model of Communication
Transactional Model of Communication
A model where sender and receiver mutually create meaning in communication.
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Preexisting Conditions
Preexisting Conditions
Factors that influence how messages are sent and received.
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Verbal Communication
Verbal Communication
Use of words to convey messages in interpersonal exchanges.
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Nonverbal Communication
Nonverbal Communication
Communication without words, using body language and gestures.
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Values, Attitudes, and Beliefs
Values, Attitudes, and Beliefs
Learned ways of thinking adopted from parents or society.
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Cultural norms
Cultural norms
Learned behaviors and customs varying by society.
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Prejudice
Prejudice
Negative stereotyping communicated verbally.
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Social Status
Social Status
Communicated through body language and symbols of power.
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Gender Roles
Gender Roles
Socially influenced behaviors indicating masculinity or femininity.
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Changing Gender Signals
Changing Gender Signals
Evolving communication styles as gender roles blur.
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Age and Communication
Age and Communication
Variations in communication styles across generations.
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Text Messaging Language
Text Messaging Language
A new language with acronyms developed by adolescents.
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Developmental Level
Developmental Level
Physical and cognitive changes affect communication.
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Environment's Influence
Environment's Influence
Physical location affects communication outcomes.
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Territoriality
Territoriality
Innate tendency to claim personal space.
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Density in Interaction
Density in Interaction
Number of people in a space affects behavior.
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Religious Symbolism
Religious Symbolism
Religious beliefs conveyed through clothing or symbols.
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Nonverbal Cues
Nonverbal Cues
Body language that expresses feelings or status without words.
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Communication Models
Communication Models
Frameworks to understand how communication occurs.
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Intimate Distance
Intimate Distance
The closest distance allowed between individuals, ranging from 0 to 18 inches.
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Personal Distance
Personal Distance
Distance of 18 to 40 inches used for personal interactions, such as conversations with friends.
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Social Distance
Social Distance
About 4 to 12 feet, utilized in interactions with acquaintances or strangers.
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Public Distance
Public Distance
Exceeds 12 feet, used during public speaking or addressing groups.
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Physical Appearance
Physical Appearance
Influence of one's look and attire on interpersonal responses.
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Body Movement
Body Movement
Posture and positioning convey messages about self-esteem and status.
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Touch
Touch
A powerful communication tool that varies in meaning across cultures.
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Functional-Professional Touch
Functional-Professional Touch
Impersonal touch used to accomplish a task, like a doctor examining a patient.
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Social-Polite Touch
Social-Polite Touch
Impersonal but affirming touch, such as a handshake.
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Friendship-Warmth Touch
Friendship-Warmth Touch
Touch that indicates strong liking, like a hand on the shoulder.
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Love-Intimacy Touch
Love-Intimacy Touch
Touch conveying deep emotional attachment, like a hug.
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Facial Expressions
Facial Expressions
Key to emotional communication, revealing feelings like happiness or anger.
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Vocal Cues
Vocal Cues
Elements of paralanguage such as intonation, pitch, and speed that convey meaning.
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Body Adornments
Body Adornments
Jewelry, tattoos, and other body modifications convey specific messages.
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General Leads
General Leads
Encouragements that prompt patients to continue speaking.
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Sequencing Events
Sequencing Events
Helping patients organize their thoughts by identifying event order.
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Making Observations
Making Observations
Verbalizing a patient's behaviors to increase awareness.
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Describing Perceptions
Describing Perceptions
Encouraging patients to talk about their sensory experiences.
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Encouraging Comparison
Encouraging Comparison
Asking patients to compare past and present experiences.
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Restating
Restating
Repeating a patient's words for clarification.
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Reflecting
Reflecting
Returning questions or feelings to the patient for self-exploration.
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Focusing
Focusing
Concentrating on a specific idea or thought.
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Exploring
Exploring
Encouraging patients to delve deeper into relevant issues.
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Seeking Clarification
Seeking Clarification
Requesting explanations to enhance mutual understanding.
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Presenting Reality
Presenting Reality
Defining reality for patients with misconceptions.
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Voicing Doubt
Voicing Doubt
Expressing uncertainty about a patient's perception.
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Verbalizing the Implied
Verbalizing the Implied
Expressing what the patient has indirectly communicated.
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Translating Words into Feelings
Translating Words into Feelings
Helping patients express their underlying feelings.
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Formulating a Plan of Action
Formulating a Plan of Action
Assisting a patient in creating a change strategy.
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Nostril flare
Nostril flare
Facial expression indicating anger or arousal.
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Wrinkling up
Wrinkling up
Facial expression showing dislike or disgust.
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Grin; smile
Grin; smile
Facial expression conveying happiness and contentment.
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Grimace
Grimace
Facial expression associated with fear or pain.
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Eye contact
Eye contact
Form of nonverbal communication indicating interest or confidence.
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Paralanguage
Paralanguage
The vocal aspects of communication, including tone and pitch.
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Using silence
Using silence
Therapeutic technique allowing patients time to process thoughts.
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Accepting
Accepting
Conveying respect and acknowledgment to patients.
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Offering self
Offering self
A therapeutic technique showing unconditional support to patients.
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Giving broad openings
Giving broad openings
Encouraging patients to express their thoughts and feelings.
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Frown
Frown
Facial expression showing anger, unhappiness or concentration.
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Sneer
Sneer
Facial expression indicating contempt or disdain.
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Surprise (Raised Brows)
Surprise (Raised Brows)
Facial expression associated with surprise or enthusiasm.
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Widened Eyes
Widened Eyes
Facial expression showing surprise or excitement.
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Disinterest (Eyes Downcast)
Disinterest (Eyes Downcast)
Facial behavior indicating submission or low self-esteem.
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Active Listening
Active Listening
A communication technique that involves fully focusing and understanding the speaker's message.
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Attentive Listening
Attentive Listening
Listening with the intent to understand and accept the patient's messages, both verbal and nonverbal.
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Open Posture
Open Posture
A nonverbal cue characterized by uncrossed arms and legs, showing receptiveness to communication.
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Leaning Forward
Leaning Forward
A nonverbal behavior that indicates interest in what the patient is saying by leaning slightly closer.
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Relaxed Body Language
Relaxed Body Language
Nonverbal behavior that conveys ease and comfort, encouraging open communication with the patient.
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Denial in Communication
Denial in Communication
When a nurse dismisses a patient's concerns, hindering open discussion and support.
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Interpreting Patient Statements
Interpreting Patient Statements
Attempting to explain the meaning behind a patient's feelings or experiences, which can lead to misunderstanding.
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Instead of Changing the Subject
Instead of Changing the Subject
Avoiding premature topic changes during a patient conversation, allowing full expression.
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Motivational Interviewing
Motivational Interviewing
A patient-centered communication style that encourages exploration and change regarding the patient’s motivations.
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Process Recordings
Process Recordings
Verbal accounts of interactions used to analyze and improve communication techniques between nurse and patient.
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Therapeutic Communication
Therapeutic Communication
A style of communication aimed at improving nurse-patient relationships and fostering understanding.
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Verbal Communication Techniques
Verbal Communication Techniques
Methods used to facilitate effective dialogue in therapeutic settings with patients.
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Giving false reassurance
Giving false reassurance
Minimizing a patient's expressed concerns, implying certainty about outcomes.
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Approving or disapproving
Approving or disapproving
Judging a patient's ideas makes acceptance conditional on their behavior.
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Agreeing or disagreeing
Agreeing or disagreeing
Indicating consent or opposition prevents patient viewpoint changes.
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Giving advice
Giving advice
Implying the nurse knows best reinforces patient dependence.
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Probing
Probing
Persistent questioning may lead to patient defensiveness and discomfort.
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Defending
Defending
Minimizing patient concerns by defending others can alienate them.
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Requesting an explanation
Requesting an explanation
Asking 'why' can intimidate patients and prompt defensiveness.
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Indicating external sources of power
Indicating external sources of power
Blaming others for feelings avoids personal responsibility.
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Belittling or minimizing feelings
Belittling or minimizing feelings
Dismissing a patient's feelings reduces empathy and connection.
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Making stereotyped comments
Making stereotyped comments
Using trite expressions can make interactions meaningless.
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Patient engagement
Patient engagement
Encouraging patients to share their thoughts improves care outcomes.
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Empathy in nursing
Empathy in nursing
Understanding and sharing patients' feelings enhance therapeutic relationships.
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Feedback
Feedback
A method to help patients modify their behavior through communication.
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Cultural Determination in Communication
Cultural Determination in Communication
Meaning of nonverbal cues is influenced by culture.
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Descriptive Feedback
Descriptive Feedback
Focuses on specific behaviors rather than personal judgments.
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Evaluative Feedback
Evaluative Feedback
Judges a person’s character rather than describing behavior.
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Specific Feedback
Specific Feedback
Gives detailed insight into behavior, promoting effective change.
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General Feedback
General Feedback
Vague information that lacks detail, making it less effective.
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Modifiable Feedback
Modifiable Feedback
Focuses on behaviors patients can change, reducing frustration.
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Imparting Information
Imparting Information
Provides knowledge without dictating or advising, allowing patient choice.
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Well-Timed Feedback
Well-Timed Feedback
Given soon after the behavior, increasing its effectiveness.
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Exploring Technique
Exploring Technique
Encourages patients to discuss their feelings and actions in depth.
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Reflecting Technique
Reflecting Technique
Mirrors back the patient’s feelings and thoughts for clarity.
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Perception of Safety
Perception of Safety
Patients feel secure discussing feelings when they trust the communicator.
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Self-Sufficiency
Self-Sufficiency
The right of patients to solve problems independently.
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Clarifying Technique
Clarifying Technique
A method used to ensure understanding by asking clear questions.
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Restating Technique
Restating Technique
Rephrasing what the patient said to demonstrate understanding.
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Silence in Therapy
Silence in Therapy
Strategic pauses allowing patients to reflect on their thoughts.
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Behavior Change
Behavior Change
Modification of behaviors often discussed in therapy sessions.
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SOAP Note
SOAP Note
A method for documenting patient interactions (Subjective, Objective, Assessment, Plan).
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Plan of Action
Plan of Action
A strategy developed collaboratively with a patient for behavior change.
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Cognitive Reflection
Cognitive Reflection
Deliberation on one's thoughts and behaviors for deeper understanding.
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Reconnecting with Support
Reconnecting with Support
Re-establishing contact with sources of encouragement, like sponsors.
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Identifying Emotions
Identifying Emotions
Recognizing and labeling one's feelings during interactions.
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Expressing Honesty
Expressing Honesty
Being truthful about feelings and situations in therapy.
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Facilitating Reflection
Facilitating Reflection
Encouraging patients to think deeply about their experiences.
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Therapeutic Interpersonal Relationships in Nursing
- Nurses facilitate psychosocial intervention through therapeutic interpersonal relationships.
- Therapeutic use of self is the instrument for providing care.
- Interpersonal communication techniques (verbal and nonverbal) are vital for care delivery.
Therapeutic Communication
- Nurses must understand their role's impact on the patient's illness.
- Goals of therapeutic communication include identifying and exploring relationship problems, discovering healthy emotional responses, fostering satisfying relationships.
- Communication is a two-way interactive process where both sender and receiver create meaning simultaneously.
Factors Influencing Communication
- Pre-existing factors like values, attitudes, beliefs, culture, religion, social status, gender, background, age, and environment affect communication.
- Value systems, attitudes, beliefs learned from early life may influence communication in different ways.
- Culture influences communication styles; e.g., greetings vary.
- Religion communicates through symbols like clothing.
- Social status influences communication through nonverbal cues (dress, posture, voice).
- Gender roles influence communication, although these are evolving.
- Age and developmental stages influence communication styles.
- Environment (territory, density, distance) impacts communication.
Nonverbal Communication
- Nonverbal communication (e.g., appearance, posture, touch) is often more impactful than verbal communication.
- Physical appearance (dress, hair, adornments) sends messages.
- Body posture and movement communicate self-esteem, gender, status, warmth/coldness.
- Touch can be functional-professional, social-polite, friendship-warmth, love-intimacy, or sexual.
Facial Expressions
- Facial expressions convey various emotions (happiness, sadness, anger, surprise, fear).
- Facial expressions can communicate intensity and nuance within emotions.
Eye Behavior
- Eye contact often indicates an interest in others.
- Cultural norms regulate eye contact duration and appropriateness.
Vocal Cues (Paralanguage)
- Tone, pitch, volume, rate of speech, and pauses influence the interpretation of verbal messages.
Therapeutic vs. Nontherapeutic Communication
- Therapeutic communication techniques focus on patient needs, promote healing, and build trust.
- Nontherapeutic techniques are barriers to open communication and should be avoided. (See Tables 7-2 & 7-3 for specific examples.)
Active Listening
- Active listening is crucial in creating a trusting environment.
- The acronym SOLER (Sit squarely, Open posture, Lean forward, Establish eye contact, Relax) guides active listening skills.
- Active Listening involves paying attention to both verbal and nonverbal cues.
Motivational Interviewing
- Patient-centered approach to communication promoting behavior change.
- Motivational interviewing focuses on patient motivation and exploring the pros & cons of decisions.
- Originally developed for substance use disorders, widely used across health care.
Process Recordings
- Process recordings are detailed accounts of interactions, analyzing communication.
- Provides a framework for learning from interactions.
Feedback
- Feedback should be descriptive (not evaluative), specific, focused on modifiable behavior, and well-timed.
- Feedback should focus on the behavior—not the person—and should not offer advice.
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Description
Test your understanding of therapeutic communication in nursing. This quiz covers key concepts and models that influence interpersonal relationships in a healthcare setting. Explore how communication impacts care delivery and the role of nurses in facilitating effective therapeutic interactions.