Chapter 10 - Midterm Exam Flashcards
Therapeutic Communication - def
refers to an interactive dynamic process entered into by nurse and client for the purpose of achieving identified health-related goals.
Active Listening - def
a dynamic process in which a nurse listens for a client’s message, decodes its message, and asks questions for clarifications.
Verbal responses - def
refer to the spoken words people use to communicate with each other.
Open-ended questions - What do they encourage the client to do?
encourage the client to take the initiative.
Closed-ended questions - narrow the…
focus of the question to a single answer.
Minimal cues - def
cues transmitted through body actions (like nodding, leaning forward, etc.)
Clarification - example
Could you describe what happened in sequence?
Restatement - example
Are you saying that…… (repeat client’s words) - “You mean…” You repeat it using their words!
Paraphrasing - example
It sounds as though you are saying you have had enough. (You rearrange what they said, in your own words. It’s basically a way to check whether the nurse’s translation of the client’s words is an accurate interpretation of the message.)
Reflection - example
It sounds as though you feel guilty because you weren’t home at the time of the accident. - (Focuses on the emotional implication of the message)
Summarization - example
Before moving on, I would like to go over with you what I think we’ve accomplished thus far.
(Used to review content and process.)
Silence - example
briefly disconnecting but continuing to use attending behaviors after an important idea, thought, or feeling.
Touch - example
gently rubbing a person’s arm during a painful procedure.
Negative Listening Responses - False reassurance - def and example.
Using pseudocomforting phrases in an attempt to offer reassurance. “It will be okay.”
Negative Listening Responses - Giving advice - def and example
Making a decision for a client, offering personal opinions, etc.
“If I were you…”
Negative Listening Responses - False inferences - def and example
Making an ubstantiated assumption about what a client means; interpreting the client’s behavior without asking for validation.
“What you really mean is you don’t like your physician.”
Negative Listening Responses - Moralizing - def and example.
Expressing your own values about what is right and wrong.
“Abortion is wrong.”
Negative Listening Responses - Value Judgments - def and example.
Conveying your approval or disapproval about the client’s behavior or about what the client has said, and it typically uses words like good, bad, etc. “I’m glad you decided to… “That wasn’t a nice way to behave!”
Negative Listening Responses - Social Responses - def and example
Polite, superficial comments that do not focus on what the client is feeling or trying to say. Use of cliche’s! “Isn’t that nice?” “Hospital rules, you know?”
Reframing - def
changing the frame in which a person perceives events in order to change the meaning.
