Ch. 8 Flashcards
Effective communication skills
Use of silence
Active listening
Clarifying techniques
Use of silence (Effective communication skills)
Encourages indivs to open up
Silence - Specific channel for transmitting and receiving messages
Sig means of influencing and being influenced by others and if used right can be powerful listening response
Helpful when it serves a func
Therapeutic silence - provide meaningful moments of reflection
Check with pat on understanding of use of silence and if understand importance and if helpful for them
Active listening (Effective communication skills)
Observe nonverbal behaviors, listen to and understand verbal message, listen to and understand in context social and cultural setting, listen for inconsistencies, provide pat with feedback about himself/herself which pat might be unaware
Note what being said verbally and nonverbally
Helps strengthen ability use critical thinking to solve probs
Indicates pat not alone
Clarifying techniques (Effective communication skills)
Verifying interpretation of message
Must request feedback on accuracy of message receive
Identify major differences in frame of reference and give opportunity to celebrity or clarify
Paraphrasing
Restating
Reflecting on feelings
Exploring
Projective questions: What if
Presupposition questions: Miracle question
Paraphrasing (Clarifying techniques (Effective communication skills)
Restating in diff/fewer words basic message
Confirm interpretation before preceding
Validate accuracy of restatement and helpfulness to discussion
Restating (Clarifying techniques (Effective communication skills)
Mirrors overt and covert messages - echo feelings and content
Repeating same key words
Reflecting on feelings (Clarifying techniques (Effective communication skills)
Assisting people better understand own thoughts and feelings
Form question/simple statement sharing observations shows acceptance and the nurse helps make the pat aware feelings and encourage pats to own them
Exploring (Clarifying techniques (Effective communication skills)
Enables nurse to examine imp ideas, experiences, relationships more fully
Projective questions: What if (Clarifying techniques (Effective communication skills)
Help people imagine conflicts, thoughts, values, feelings, and behaviors might have in certain situations
Articulate, explore, and identify thoughts and feelings
Presupposition questions: Miracle question (Clarifying techniques (Effective communication skills)
Identify goals person may be motivated to pursue and get to crux of what might be most imp issues in thinking/life
Nontherapeutic techniques
Asking excessive questions
Giving approval/disapproval
Advising
Asking why questions
Asking excessive questions (Nontherapeutic techniques)
Interrogator and raises the demand for information without respect for willingness/readiness to respond
Conveys lack respect for and sensitivity to needs
Controls range and nature of response
Giving approval/disapproval (Nontherapeutic techniques)
Nothing bad if give person a pat on the back every now and then if no judgment; but in nurse-pat situation more complex
Feel like have to do right thing with nurse and may continue the behavior to please another person and not coming from own conviction
Giving approval stops further communication
Disapproving - implies nurse has the right to judge thoughts and feelings
Should make observations instead
Advising (Nontherapeutic techniques)
Fosters dependency and undermine sense of competence and adequacy
Need info to make informed decision
More constructive to encourage critical thinking
Asking why questions (Nontherapeutic techniques)
Can imply criticism
May be seen as intrusive and judgmental and make person defensive
Much more useful ask what is happening than why
Focus on who, what, where, when - elicits more info and facilitate prob solving and further communication process
