Block 5 Therapeutic Communication Flashcards
the reciprocal exchange of information, ideas, beliefs, feelings, and attitudes between two persons or among a group of persons=
communication
those who work with mentally ill or emotionally troubled individuals become highly skilled…
listeners
saw communication as a circular process in which messages traveled from within one person to another person and back again=
J. Ruesch
Therapeutic communication is distinguished from ordinary communications by the intent of one of the participants to bring about a positive change. (who came up with this theory of communication?)
J. Ruesch
this theorist used transactional analysis
Dr. Eric Berne
Believed that three ego states exist within all of us=
Dr. Eric Berne
the three ego states of Eric Berne=
The parent(focuses on rules and values.) the child(focuses on emotions and desires.) the adult(bases his or her approach to the world on previous observations.)
the parent focuses on
rules and values
the child focuses on
emotions and desires
the adult focuses on
basing his or approach to the world on precious observations
this has a strong influence on communications…
human behaviors
intrapersonal=
take place within oneself and commonly are referred to as our “self-talk” or “self-dialogue”.
interpersonal=
interactions that occur between two or more persons
feedback=
the response of the person to the message
what five elements must be present for successful communication?
a sender. a receiver. perception. evaluation. and transmission.
five factors that influence communication
culture. social class. relationships. perceptions. and values.
this factor can color or influence communication…
perception
context=
the environment of communication
this relates to anything associated with spoken word…
verbal communication
this is only a small part of an entire communication…
verbal communication
nonverbal communication=
messages sent and received without the use of words.
four examples of nonverbal communication=
appearance. body motions. use of language. and non-language sounds.
what happens if verbal and nonverbal communication do not match?
then the communication is incongruent(not effective.)
all person to person communication includes…
verbal and nonverbal
four way how cultural communication can differ…
communication styles. nonverbal communications. values. and language.
what is the goal of therapeutic communications?
to focus on the client and foster the therapeutic relationship.
another goal of the therapeutic communications=
help the client to make a positive change.
this best represents a therapeutic communication…
objectively listening
verbal and nonverbal responses should encourage the client to communicate in a way that…
encourages growth
two parts of being a good listener are…
taking notes and making eye contact
nontherapeutic communication=
messages that hinder effective communication
barriers to communication=
behaviors used when one feels threatened.
when caring for the mentally ill how should a nurse promote therapeutic communication?
observe verbal and nonverbal communication. encourage drawing, writing, and praise efforts to communicate.
this is a common feature in many forms of mental illness when it comes to communication=
problems with communication
to communicate effectively with mentally and emotionally troubled clients these three things needs to be done…
realize that every interaction is a part of the total therapeutic process. a climate of trust and respect must be established. clients need a routine.
what is the most important tool for communicating with mentally ill clients?
therapeutic listening
loose association=
speaks constantly between loosely related topics
neologism=
makes new words and definitions
7 therapeutic techniques=
protection. clarify. focusing. perception. respect. interest. acceptance.
example of protection=
“lets look at your pain”
example of focusing=
“lets talk more about the subject”
example of perception=
“I sense you are sad”
3 nontherapeutic techniques=
reassurance. approval. advice
example of reassurance=
“everything will be alright”
example of approval=
“yes, leave your husband”
a male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. according to Ruesch’s theory of communication, this unsuccessful interaction is what kind of communication?
disturbed
the theorist Eric Berne theorized that an individuals three ego states of parent, child, and adult make up ones…
personality
While the nurse is talking with a female client, the client becomes silent for several seconds. what is a good response by the nurse?
to remain silent and be attentive to the clients nonverbal communication.
the nurse is talking with a male client with a diagnosis of schizophrenia who often experiences auditory hallucinations. for this communication to be most effective, the nurse should:
use simple concrete language.
the nurses ability to interpret communication effectively in the mental health setting depends mostly on…
the nurses ability to listen to and observe the clients verbal and nonverbal messages.
a female client is being discharged from an inpatient mental heath unit after receiving treatment for bipolar disorder. se has responded well to treatment but voices concern about going home and maintaining balance in her life. the client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of…
protection
a client has difficulty in communicating as a result of his illness. he displays a rapid, confusing delivery of speech patterns. what is he experiencing?
speech cluttering.
when the adolescent client is asked about the magazine she is reading, she responds, “it’s an article about my favorite movie star. Did you see al the stars out last night? I used to be afraid of the dark at night” which speech pattern is this an example of?
loose association
