1 Therapeutic Communication Flashcards
core concepts of pt+family centered care
- dignity + respect
- info sharing
- pt + fam participation
- collab in policy + program dvlpt
therapeutic nurse-pt relations has specific goals + functions such as…
- facilitating communication of distressing thoughts + feels
- assist pt w problem solving to help facilitate activities of daily living
- help pt examine self-defeating behaviors + test alternatives
- promote self care + independence
T/F we want our patient to depend on us
false
types of boundaries to establish
- physical boundaries (gen environmt, office space, etc)
- the contract
- personal space
the contract
-set time, confidentiality, agreement bw nurse as to roles, money, + involvement w licensed therapist
personal space
- physical space
- emo space
- space set by roles
most experienced psych MH staff monitor the atmosphere of the unit + have a 6th sense for…
behaviors that indicate escalating tension
preorientation consists of prepping for ur assignment by…
- research pt condition
- learn prescribed meds
- understand lab results
orientation phase
- intro
- establish rapport
- specify contract
- explain confidentiality
transference vs countertransference
T: pr to therapist
CT: therapist to pt
termination phase
- summarize goals + objectives achieved
- discuss ways to incorp into daily life new coping mechnsm
- review situations that occured in working relationship
- exchanging memories
things to discuss in termination process
- reinforc eplan of care
- emphasize understanding of meds
- recognize when sympt are out of control
- encourage self help groups
which characteristic should nurses have? empathy/sympathy
EMPATHY
-we understand others
sympathy is r/t pity
therapeutic communication is…
- professional
- pt centered
- goal directed
- science/evidence based
examples of therapeutic techniques
- silence
- accepting
- offering self
- giving broad openings
- open-eneded questions
- restating
- reflecting
- exploring
- giving info
- summarizing
