Therapeutic Communication in Nursing
137 Questions
5 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

  • 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?

  • 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?

<p>Social status (C)</p> Signup and view all the answers

What do Hays and Larson highlight as necessary for the nurse in therapeutic communication?

<p>Understanding the nurse's role and its relation to the patient's illness (C)</p> Signup and view all the answers

What might impact the interpretation of messages in a therapeutic communication setting?

<p>Cultural and religious backgrounds (D)</p> Signup and view all the answers

Which of the following correctly describes interpersonal communication?

<p>It is a transactional process between sender and receiver (A)</p> Signup and view all the answers

What is an example of a preexisting condition that affects communication transactions?

<p>Internalized attitudes and beliefs (D)</p> Signup and view all the answers

Which facial expression is associated with both anger and arousal?

<p>Nostril flare (A)</p> Signup and view all the answers

What emotion is indicated by a 'canine-type snarl'?

<p>Disgust (B)</p> Signup and view all the answers

Which facial expression might convey submission?

<p>Eyes downcast (B)</p> Signup and view all the answers

What vocal cue might suggest anxiety or tension?

<p>Increased pitch and rate (D)</p> Signup and view all the answers

Which technique encourages patients to organize their thoughts by allowing them time to speak?

<p>Using silence (D)</p> Signup and view all the answers

Which lip expression is a sign of unhappiness and disapproval?

<p>Pouted frown (A)</p> Signup and view all the answers

How can broad openings be useful in therapeutic communication?

<p>They allow the patient to direct the focus of interaction. (B)</p> Signup and view all the answers

What does a narrowed eye expression typically indicate?

<p>Threat or fear (B)</p> Signup and view all the answers

What is often conveyed through eye contact in American culture?

<p>Personal interest (D)</p> Signup and view all the answers

Which facial expression shows both contempt and disdain?

<p>Sneer (B)</p> Signup and view all the answers

What is indicated by a raised brow?

<p>Surprise or enthusiasm (B)</p> Signup and view all the answers

What does an emphasis on the word 'YOU' in a sentence often imply?

<p>The specific individual being addressed is emphasized. (B)</p> Signup and view all the answers

Which therapeutic technique involves acknowledging patient accomplishments?

<p>Giving recognition (A)</p> Signup and view all the answers

What does a stare followed by a blink and a look away usually signify?

<p>Dislike or disinterest (D)</p> Signup and view all the answers

Which emotion is communicated by pursing the lips?

<p>Disagreement (D)</p> Signup and view all the answers

Which of the following is a part of the SOLER technique used for attentive listening?

<p>Lean forward toward the patient (D)</p> Signup and view all the answers

What is a better alternative to denying a patient's feelings to encourage them to share more?

<p>Ask them to tell you more (C)</p> Signup and view all the answers

Why can interpreting a patient's statements be detrimental?

<p>It assumes the patient's needs (A)</p> Signup and view all the answers

What does 'R' in the SOLER technique stand for?

<p>Relax (B)</p> Signup and view all the answers

What is an example of introducing an unrelated topic?

<p>Asking about something unrelated after a significant statement (D)</p> Signup and view all the answers

What is a key element of motivational interviewing?

<p>Guide patients to explore their motivation (A)</p> Signup and view all the answers

How can values be communicated according to the transactional model of communication?

<p>Through symbolic behaviors (B)</p> Signup and view all the answers

How is active listening beneficial in nurse-patient relationships?

<p>It fosters trust and openness (D)</p> Signup and view all the answers

In what way can religion influence communication?

<p>Through religious attire (B)</p> Signup and view all the answers

Which nonverbal cue is associated with indicating high social status?

<p>Erect, open posture (B)</p> Signup and view all the answers

Which technique helps to avoid a defensive patient response?

<p>Motivational interviewing (A)</p> Signup and view all the answers

How might cultural values primarily influence communication?

<p>By shaping greeting customs (C)</p> Signup and view all the answers

Which nonverbal cue indicates a closed posture?

<p>Crossed arms (D)</p> Signup and view all the answers

Which example illustrates how social status is communicated nonverbally?

<p>Wearing formal dress and jewelry (C)</p> Signup and view all the answers

Which statement reflects an active listening strategy?

<p>It sounds like you're feeling upset. (A)</p> Signup and view all the answers

In process recordings, what is primarily analyzed?

<p>Verbal and nonverbal communication patterns (B)</p> Signup and view all the answers

What factor can affect communication by altering the generational language used by adolescents?

<p>Technological advancements (A)</p> Signup and view all the answers

Gender influences communication by:

<p>Establishing historical roles and social signals (A)</p> Signup and view all the answers

Why is establishing intermittent eye contact important?

<p>It conveys involvement and willingness to listen (C)</p> Signup and view all the answers

What role does territoriality play in communication?

<p>It influences the comfort level of interactions (C)</p> Signup and view all the answers

What does a relaxed demeanor convey in patient interactions?

<p>Genuine comfort and interest (C)</p> Signup and view all the answers

What is a crucial factor for effective motivational interviewing?

<p>Prioritizing the patient's current motivation (A)</p> Signup and view all the answers

Which communication factor is suggested to change with developmental level?

<p>Pattern of language use (C)</p> Signup and view all the answers

How might men in some European countries typically greet each other compared to men in the U.S.?

<p>With hugs and kisses (C)</p> Signup and view all the answers

What is a consequence of changing topics too quickly with patients?

<p>Patient might feel unheard or unimportant (B)</p> Signup and view all the answers

What is the implication of wearing symbolic religious items?

<p>It communicates religious beliefs (D)</p> Signup and view all the answers

What is the primary communicative function of cultural mores?

<p>Providing a basis for thinking (D)</p> Signup and view all the answers

Which factor can influence communication due to changes over one's lifespan?

<p>Age or developmental level (A)</p> Signup and view all the answers

How does the environment influence communication in the transactional model?

<p>By altering interaction outcomes (D)</p> Signup and view all the answers

What is the role of distance in communication within a given environmental space?

<p>It shapes interpersonal dynamics (A)</p> Signup and view all the answers

What is the primary purpose of using general leads in a patient-nurse conversation?

<p>To encourage the patient to continue speaking (D)</p> Signup and view all the answers

What technique involves encouraging the patient to explore the sequence of events related to their experience?

<p>Placing the event in time or sequence (B)</p> Signup and view all the answers

Which therapeutic communication technique involves expressing observations about a patient's behavior?

<p>Making observations (B)</p> Signup and view all the answers

Which technique is best used when the patient is trying to clarify their perceptions during hallucinations?

<p>Encouraging description of perceptions (B)</p> Signup and view all the answers

What is the effect of using the technique of restating in patient communication?

<p>It helps in verifying the nurse's understanding of the patient’s message (A)</p> Signup and view all the answers

Which technique is employed when a patient is referred back their own questions and feelings?

<p>Reflecting (B)</p> Signup and view all the answers

What should the nurse do when a patient with severe anxiety struggles with focusing?

<p>Avoid pursuing focusing until anxiety decreases (A)</p> Signup and view all the answers

What is the main purpose of 'seeking clarification and validation' in patient communication?

<p>To create a mutual understanding of the communication (C)</p> Signup and view all the answers

Which technique involves the nurse expressing their perception of reality without challenging the patient's misperceptions?

<p>Presenting reality (B)</p> Signup and view all the answers

What is the goal of the technique 'verbalizing the implied'?

<p>To simplify and express what the patient has implied (D)</p> Signup and view all the answers

When is 'attempting to translate words into feelings' most effectively employed?

<p>When the patient's feelings are unclear or expressed indirectly (B)</p> Signup and view all the answers

Which strategy involves exploring a patient’s theme in depth while allowing the patient discretion to withdraw?

<p>Exploring (D)</p> Signup and view all the answers

Which technique involves acknowledging and encouraging the patient to recognize recurring experiences?

<p>Encouraging comparison (A)</p> Signup and view all the answers

How does 'formulating a plan of action' assist the patient?

<p>By encouraging the patient to develop coping strategies (D)</p> Signup and view all the answers

What is an example of the 'voicing doubt' technique?

<p>“It’s hard for me to believe that event occurred.” (C)</p> Signup and view all the answers

What technique did Karyn use when she asked Alan if meetings were helpful before thinking about needing a drink?

<p>Focusing (A)</p> Signup and view all the answers

What was the challenge of motivational interviewing as described?

<p>Accepting the patient’s current stage (C)</p> Signup and view all the answers

Which technique involves the nurse conveying empathy to support connectedness?

<p>Empathizing (C)</p> Signup and view all the answers

Why did Karyn remain silent after Alan listed his reasons for attending meetings?

<p>To allow Alan to reflect (B)</p> Signup and view all the answers

What feeling did the nurse experience when asking about suicidal intent?

<p>Uncomfortable (D)</p> Signup and view all the answers

Which technique did the nurse use when asking about the patient's feelings before taking pills?

<p>Exploring (A)</p> Signup and view all the answers

What did the nurse feel towards the patient's husband during the interaction?

<p>Anger (D)</p> Signup and view all the answers

Which therapeutic technique did the nurse use when providing tissues to the patient?

<p>Empathizing (D)</p> Signup and view all the answers

What did Alan consider important in his recovery process?

<p>Attending AA meetings (D)</p> Signup and view all the answers

How did the nurse evaluate the use of silence with Alan?

<p>Effective (C)</p> Signup and view all the answers

What is the primary purpose of process recording, according to the content?

<p>To aid in professional development and learning (A)</p> Signup and view all the answers

What was the nurse’s thought on Alan’s readiness for an action plan?

<p>He is not ready (A)</p> Signup and view all the answers

Which characteristic makes feedback most effective in helping the patient modify behavior?

<p>Feedback that is descriptive and focused on behavior (A)</p> Signup and view all the answers

Why did the nurse believe restatement was effective with Alan?

<p>It clarified his thoughts (C)</p> Signup and view all the answers

Why should feedback be specific rather than general?

<p>Specific feedback more effectively promotes behavior change (D)</p> Signup and view all the answers

What is the risk of providing advice in feedback, according to the content?

<p>It fosters dependence and undermines patient autonomy (C)</p> Signup and view all the answers

In the process recording, what did the patient express she still wanted?

<p>Her husband to return (C)</p> Signup and view all the answers

What is considered the most powerful way in which communication occurs?

<p>Nonverbal communication (B)</p> Signup and view all the answers

In the example of feedback regarding a baby, why is mentioning the intellectual disability NOT effective?

<p>It addresses an unchangeable characteristic (B)</p> Signup and view all the answers

Why might have restating the question led Alan to choose the 'right' answer?

<p>The question included answer hints (B)</p> Signup and view all the answers

What role do AA meetings play according to Alan?

<p>A support system (C)</p> Signup and view all the answers

How can the nurse's thoughts about 'blacking it out' aid in motivational interviewing with the patient?

<p>By exploring the patient's meaning and feelings (C)</p> Signup and view all the answers

What type of distance is used in mainstream American culture for intimate interactions?

<p>0 to 18 inches (B)</p> Signup and view all the answers

What does the nurse's action of not making direct eye contact suggest?

<p>Acknowledgment of the sensitivity surrounding the discussion (B)</p> Signup and view all the answers

Which of the following is an example of a functional-professional touch?

<p>A tailor measuring a customer (B)</p> Signup and view all the answers

Which technique did Karyn use when she asked Alan about his need for a drink?

<p>Exploring (D)</p> Signup and view all the answers

What distance is associated with social interactions, such as talking to strangers?

<p>4 to 12 feet (A)</p> Signup and view all the answers

Which aspect of nonverbal communication involves the use of attire and physical appearance?

<p>Physical appearance and dress (D)</p> Signup and view all the answers

What is an example of feedback that cannot be modified by the patient?

<p>Feedback about unchangeable genetic conditions (A)</p> Signup and view all the answers

How is a 'warm' person typically perceived based on their response behaviors?

<p>By making direct eye contact (B)</p> Signup and view all the answers

Why should feedback be well-timed?

<p>To connect feedback to behavior while it's still fresh (D)</p> Signup and view all the answers

Which form of touch indicates a strong liking and friendship?

<p>Friendship-warmth (B)</p> Signup and view all the answers

What is the effect of using evaluative language in feedback?

<p>It triggers defensive reactions (C)</p> Signup and view all the answers

What was Karyn’s thought process after Alan mentioned 'blacking it out'?

<p>To delve deeper into that statement for better understanding (D)</p> Signup and view all the answers

What describes the type of touch that conveys emotional attachment?

<p>Love-intimacy (A)</p> Signup and view all the answers

Which distance is typically associated with public speaking?

<p>Over 12 feet (D)</p> Signup and view all the answers

Which of the following is a key factor in reflective techniques according to Karyn's interaction?

<p>Facilitating the processing of thoughts and emotions (A)</p> Signup and view all the answers

Which facial expression element primarily reveals an individual's emotional state?

<p>Facial expressions (C)</p> Signup and view all the answers

What is the optimal way feedback should be framed to prevent patient defensiveness?

<p>By centering on specific behaviors and circumstances (D)</p> Signup and view all the answers

Which communication technique was highlighted in Karyn's questioning of Alan's feelings about being 'perturbed'?

<p>Reflecting (D)</p> Signup and view all the answers

What is an example of a social-polite touch?

<p>A handshake (C)</p> Signup and view all the answers

What type of distance includes interactions at a cocktail party?

<p>Social distance (A)</p> Signup and view all the answers

What role does posture play in nonverbal communication?

<p>Communicates self-esteem and status (C)</p> Signup and view all the answers

When using touch as communication, what is considered best practice?

<p>Ask for permission before touching (C)</p> Signup and view all the answers

Which behavior might indicate low self-esteem based on posture?

<p>Slumped posture with downward gaze (D)</p> Signup and view all the answers

Why is giving false reassurance considered a nontherapeutic communication technique?

<p>It conveys that the nurse knows the outcome, minimizing concerns. (B)</p> Signup and view all the answers

What is an alternative response to rejecting a patient's ideas?

<p>&quot;Tell me more about what you're experiencing.&quot; (A)</p> Signup and view all the answers

What does approving or disapproving imply in a nurse-patient interaction?

<p>The nurse has the right to evaluate the patient's ideas as good or bad. (D)</p> Signup and view all the answers

Which statement best reflects the issue with giving advice in a therapeutic setting?

<p>Advice implies that the nurse knows what is best, discouraging independent thinking. (B)</p> Signup and view all the answers

How does probing affect the therapeutic nurse-patient relationship?

<p>It can make the patient feel used and place them on the defensive. (D)</p> Signup and view all the answers

What is a therapeutic alternative to defending someone the patient has criticized?

<p>&quot;Tell me more about these concerns you’ve expressed.&quot; (D)</p> Signup and view all the answers

Why is requesting an explanation from a patient generally considered a poor communication technique?

<p>It encourages a defensive posture from the patient. (D)</p> Signup and view all the answers

What effect does indicating an external source of power have on a patient?

<p>It leads the patient to blame others for their actions or feelings. (D)</p> Signup and view all the answers

Why is belittling or minimizing feelings a problematic communication technique?

<p>It suggests the patient’s feelings are unimportant. (D)</p> Signup and view all the answers

What message does making stereotyped comments send in a nurse-patient interaction?

<p>It can lead to a superficial and non-meaningful connection. (A)</p> Signup and view all the answers

What is an effective alternative to indicating agreement or disagreement with a patient's opinion?

<p>&quot;Tell me more about why you feel this way.&quot; (D)</p> Signup and view all the answers

Which nontherapeutic technique involves pressuring the patient for answers?

<p>Probing (C)</p> Signup and view all the answers

What does the 'defending' communication technique involve?

<p>Minimizing or ignoring the patient's expressed concerns. (D)</p> Signup and view all the answers

Which technique involves attributing the source of thoughts or behaviors to external influences?

<p>Indicating external power source (C)</p> Signup and view all the answers

What would be a nontherapeutic response to a patient feeling overwhelmed?

<p>&quot;Why do you feel like this?&quot; (B)</p> Signup and view all the answers

What does SOLER stand for in active listening?

<p>Sitting facing the patient, Open posture, Leaning forward toward the patient, Establishing eye contact, Relaxed (B)</p> Signup and view all the answers

Which preexisting condition does NOT influence interpersonal communication, according to the text?

<p>Current mood (C)</p> Signup and view all the answers

What is the primary purpose of therapeutic communication?

<p>To focus on the patient's needs and promote healing (C)</p> Signup and view all the answers

Which communication technique should nurses avoid?

<p>Offering unsolicited opinions with every topic (D)</p> Signup and view all the answers

What is the purpose of process recordings?

<p>To serve as learning tools for professional development (B)</p> Signup and view all the answers

What type of communication is feedback?

<p>A method for suggesting behavior modification (B)</p> Signup and view all the answers

What does nonverbal communication include?

<p>Physical appearance, body language, and vocal cues (B)</p> Signup and view all the answers

What is a defining characteristic of interpersonal communication?

<p>It is a transaction between sender and receiver (C)</p> Signup and view all the answers

How is the meaning of nonverbal communication determined?

<p>Culturally (A)</p> Signup and view all the answers

Flashcards

Therapeutic Interpersonal Relationship

The process by which nurses provide care for psychosocial needs.

Therapeutic Use of Self

The nurse's use of their personality and skills in patient care delivery.

Interpersonal Communication Techniques

Methods used to facilitate effective communication between nurse and patient.

Goals of Therapeutic Communication

Help patients identify problems, meet emotional needs, and form satisfying relationships.

Signup and view all the flashcards

Transactional Model of Communication

A model where sender and receiver mutually create meaning in communication.

Signup and view all the flashcards

Preexisting Conditions

Factors that influence how messages are sent and received.

Signup and view all the flashcards

Verbal Communication

Use of words to convey messages in interpersonal exchanges.

Signup and view all the flashcards

Nonverbal Communication

Communication without words, using body language and gestures.

Signup and view all the flashcards

Values, Attitudes, and Beliefs

Learned ways of thinking adopted from parents or society.

Signup and view all the flashcards

Cultural norms

Learned behaviors and customs varying by society.

Signup and view all the flashcards

Prejudice

Negative stereotyping communicated verbally.

Signup and view all the flashcards

Social Status

Communicated through body language and symbols of power.

Signup and view all the flashcards

Gender Roles

Socially influenced behaviors indicating masculinity or femininity.

Signup and view all the flashcards

Changing Gender Signals

Evolving communication styles as gender roles blur.

Signup and view all the flashcards

Age and Communication

Variations in communication styles across generations.

Signup and view all the flashcards

Text Messaging Language

A new language with acronyms developed by adolescents.

Signup and view all the flashcards

Developmental Level

Physical and cognitive changes affect communication.

Signup and view all the flashcards

Environment's Influence

Physical location affects communication outcomes.

Signup and view all the flashcards

Territoriality

Innate tendency to claim personal space.

Signup and view all the flashcards

Density in Interaction

Number of people in a space affects behavior.

Signup and view all the flashcards

Religious Symbolism

Religious beliefs conveyed through clothing or symbols.

Signup and view all the flashcards

Nonverbal Cues

Body language that expresses feelings or status without words.

Signup and view all the flashcards

Communication Models

Frameworks to understand how communication occurs.

Signup and view all the flashcards

Intimate Distance

The closest distance allowed between individuals, ranging from 0 to 18 inches.

Signup and view all the flashcards

Personal Distance

Distance of 18 to 40 inches used for personal interactions, such as conversations with friends.

Signup and view all the flashcards

Social Distance

About 4 to 12 feet, utilized in interactions with acquaintances or strangers.

Signup and view all the flashcards

Public Distance

Exceeds 12 feet, used during public speaking or addressing groups.

Signup and view all the flashcards

Physical Appearance

Influence of one's look and attire on interpersonal responses.

Signup and view all the flashcards

Body Movement

Posture and positioning convey messages about self-esteem and status.

Signup and view all the flashcards

Touch

A powerful communication tool that varies in meaning across cultures.

Signup and view all the flashcards

Functional-Professional Touch

Impersonal touch used to accomplish a task, like a doctor examining a patient.

Signup and view all the flashcards

Social-Polite Touch

Impersonal but affirming touch, such as a handshake.

Signup and view all the flashcards

Friendship-Warmth Touch

Touch that indicates strong liking, like a hand on the shoulder.

Signup and view all the flashcards

Love-Intimacy Touch

Touch conveying deep emotional attachment, like a hug.

Signup and view all the flashcards

Facial Expressions

Key to emotional communication, revealing feelings like happiness or anger.

Signup and view all the flashcards

Vocal Cues

Elements of paralanguage such as intonation, pitch, and speed that convey meaning.

Signup and view all the flashcards

Body Adornments

Jewelry, tattoos, and other body modifications convey specific messages.

Signup and view all the flashcards

General Leads

Encouragements that prompt patients to continue speaking.

Signup and view all the flashcards

Sequencing Events

Helping patients organize their thoughts by identifying event order.

Signup and view all the flashcards

Making Observations

Verbalizing a patient's behaviors to increase awareness.

Signup and view all the flashcards

Describing Perceptions

Encouraging patients to talk about their sensory experiences.

Signup and view all the flashcards

Encouraging Comparison

Asking patients to compare past and present experiences.

Signup and view all the flashcards

Restating

Repeating a patient's words for clarification.

Signup and view all the flashcards

Reflecting

Returning questions or feelings to the patient for self-exploration.

Signup and view all the flashcards

Focusing

Concentrating on a specific idea or thought.

Signup and view all the flashcards

Exploring

Encouraging patients to delve deeper into relevant issues.

Signup and view all the flashcards

Seeking Clarification

Requesting explanations to enhance mutual understanding.

Signup and view all the flashcards

Presenting Reality

Defining reality for patients with misconceptions.

Signup and view all the flashcards

Voicing Doubt

Expressing uncertainty about a patient's perception.

Signup and view all the flashcards

Verbalizing the Implied

Expressing what the patient has indirectly communicated.

Signup and view all the flashcards

Translating Words into Feelings

Helping patients express their underlying feelings.

Signup and view all the flashcards

Formulating a Plan of Action

Assisting a patient in creating a change strategy.

Signup and view all the flashcards

Nostril flare

Facial expression indicating anger or arousal.

Signup and view all the flashcards

Wrinkling up

Facial expression showing dislike or disgust.

Signup and view all the flashcards

Grin; smile

Facial expression conveying happiness and contentment.

Signup and view all the flashcards

Grimace

Facial expression associated with fear or pain.

Signup and view all the flashcards

Eye contact

Form of nonverbal communication indicating interest or confidence.

Signup and view all the flashcards

Paralanguage

The vocal aspects of communication, including tone and pitch.

Signup and view all the flashcards

Using silence

Therapeutic technique allowing patients time to process thoughts.

Signup and view all the flashcards

Accepting

Conveying respect and acknowledgment to patients.

Signup and view all the flashcards

Offering self

A therapeutic technique showing unconditional support to patients.

Signup and view all the flashcards

Giving broad openings

Encouraging patients to express their thoughts and feelings.

Signup and view all the flashcards

Frown

Facial expression showing anger, unhappiness or concentration.

Signup and view all the flashcards

Sneer

Facial expression indicating contempt or disdain.

Signup and view all the flashcards

Surprise (Raised Brows)

Facial expression associated with surprise or enthusiasm.

Signup and view all the flashcards

Widened Eyes

Facial expression showing surprise or excitement.

Signup and view all the flashcards

Disinterest (Eyes Downcast)

Facial behavior indicating submission or low self-esteem.

Signup and view all the flashcards

Active Listening

A communication technique that involves fully focusing and understanding the speaker's message.

Signup and view all the flashcards

Attentive Listening

Listening with the intent to understand and accept the patient's messages, both verbal and nonverbal.

Signup and view all the flashcards

Open Posture

A nonverbal cue characterized by uncrossed arms and legs, showing receptiveness to communication.

Signup and view all the flashcards

Leaning Forward

A nonverbal behavior that indicates interest in what the patient is saying by leaning slightly closer.

Signup and view all the flashcards

Relaxed Body Language

Nonverbal behavior that conveys ease and comfort, encouraging open communication with the patient.

Signup and view all the flashcards

Denial in Communication

When a nurse dismisses a patient's concerns, hindering open discussion and support.

Signup and view all the flashcards

Interpreting Patient Statements

Attempting to explain the meaning behind a patient's feelings or experiences, which can lead to misunderstanding.

Signup and view all the flashcards

Instead of Changing the Subject

Avoiding premature topic changes during a patient conversation, allowing full expression.

Signup and view all the flashcards

Motivational Interviewing

A patient-centered communication style that encourages exploration and change regarding the patient’s motivations.

Signup and view all the flashcards

Process Recordings

Verbal accounts of interactions used to analyze and improve communication techniques between nurse and patient.

Signup and view all the flashcards

Therapeutic Communication

A style of communication aimed at improving nurse-patient relationships and fostering understanding.

Signup and view all the flashcards

Verbal Communication Techniques

Methods used to facilitate effective dialogue in therapeutic settings with patients.

Signup and view all the flashcards

Giving false reassurance

Minimizing a patient's expressed concerns, implying certainty about outcomes.

Signup and view all the flashcards

Approving or disapproving

Judging a patient's ideas makes acceptance conditional on their behavior.

Signup and view all the flashcards

Agreeing or disagreeing

Indicating consent or opposition prevents patient viewpoint changes.

Signup and view all the flashcards

Giving advice

Implying the nurse knows best reinforces patient dependence.

Signup and view all the flashcards

Probing

Persistent questioning may lead to patient defensiveness and discomfort.

Signup and view all the flashcards

Defending

Minimizing patient concerns by defending others can alienate them.

Signup and view all the flashcards

Requesting an explanation

Asking 'why' can intimidate patients and prompt defensiveness.

Signup and view all the flashcards

Indicating external sources of power

Blaming others for feelings avoids personal responsibility.

Signup and view all the flashcards

Belittling or minimizing feelings

Dismissing a patient's feelings reduces empathy and connection.

Signup and view all the flashcards

Making stereotyped comments

Using trite expressions can make interactions meaningless.

Signup and view all the flashcards

Patient engagement

Encouraging patients to share their thoughts improves care outcomes.

Signup and view all the flashcards

Empathy in nursing

Understanding and sharing patients' feelings enhance therapeutic relationships.

Signup and view all the flashcards

Feedback

A method to help patients modify their behavior through communication.

Signup and view all the flashcards

Cultural Determination in Communication

Meaning of nonverbal cues is influenced by culture.

Signup and view all the flashcards

Descriptive Feedback

Focuses on specific behaviors rather than personal judgments.

Signup and view all the flashcards

Evaluative Feedback

Judges a person’s character rather than describing behavior.

Signup and view all the flashcards

Specific Feedback

Gives detailed insight into behavior, promoting effective change.

Signup and view all the flashcards

General Feedback

Vague information that lacks detail, making it less effective.

Signup and view all the flashcards

Modifiable Feedback

Focuses on behaviors patients can change, reducing frustration.

Signup and view all the flashcards

Imparting Information

Provides knowledge without dictating or advising, allowing patient choice.

Signup and view all the flashcards

Well-Timed Feedback

Given soon after the behavior, increasing its effectiveness.

Signup and view all the flashcards

Exploring Technique

Encourages patients to discuss their feelings and actions in depth.

Signup and view all the flashcards

Reflecting Technique

Mirrors back the patient’s feelings and thoughts for clarity.

Signup and view all the flashcards

Perception of Safety

Patients feel secure discussing feelings when they trust the communicator.

Signup and view all the flashcards

Self-Sufficiency

The right of patients to solve problems independently.

Signup and view all the flashcards

Clarifying Technique

A method used to ensure understanding by asking clear questions.

Signup and view all the flashcards

Restating Technique

Rephrasing what the patient said to demonstrate understanding.

Signup and view all the flashcards

Silence in Therapy

Strategic pauses allowing patients to reflect on their thoughts.

Signup and view all the flashcards

Behavior Change

Modification of behaviors often discussed in therapy sessions.

Signup and view all the flashcards

SOAP Note

A method for documenting patient interactions (Subjective, Objective, Assessment, Plan).

Signup and view all the flashcards

Plan of Action

A strategy developed collaboratively with a patient for behavior change.

Signup and view all the flashcards

Cognitive Reflection

Deliberation on one's thoughts and behaviors for deeper understanding.

Signup and view all the flashcards

Reconnecting with Support

Re-establishing contact with sources of encouragement, like sponsors.

Signup and view all the flashcards

Identifying Emotions

Recognizing and labeling one's feelings during interactions.

Signup and view all the flashcards

Expressing Honesty

Being truthful about feelings and situations in therapy.

Signup and view all the flashcards

Facilitating Reflection

Encouraging patients to think deeply about their experiences.

Signup and view all the flashcards

Study Notes

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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

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.

More Like This

Use Quizgecko on...
Browser
Browser