Chapter 9: Therapeutic Communication Flashcards
What are the benefits of therapeutic communication?
feeling safe and protected, being more satisfied with the care, increased recovery rates, and improved adherence to treatment
What are examples of personal factors that can affect communication?
difficulty communicating due to a psychiatric disorder, language barriers, and cognitive factors
What are examples of environmental factors that can affect communication?
background noise, lack of privacy, and uncomfortable accomodations
What are 7 examples of non-verbal behaviors?
body behaviors, facial expressions, eye expression/gaze behavior, voice-related behaviors, observable autonomic physiological responses, personal appearance, physical characteristics
What are 4 useful techniques for nurses to use during therapeutic communication?
silence, active listening, clarifying techniques, and questions
How can silence be a positive tool in communication?
it provides the opportunity to contemplate thoughtfully what has been said and felt, weigh alternatives, and gain a new perspective
How is active listening beneficial for the patient?
enhances self-esteem and encourages the patient to direct energy toward finding ways to deal with problems.
What does congruence mean in terms of communication?
verbal and non-verbal communication is consistent with one another
What is a double-blind message?
two or more mutually contradictory messages given by a person in power
4 types of clarifying techniques?
paraphrasing, restating, reflecting, and exploring
4 types of questions used during therapeutic communication
open-ended questions, closed-ended questions, projective questions, and the miracle question
What is the miracle question?
a goal-setting question that helps patients to see what the future would look like if a particular problem were to vanish
What do projective questions normally start with?
“what if”
What are 4 types of non-therapeutic communication?
excessive questioning, giving approval or disapproval, giving advice, and asking “why” questions
What are 4 areas of communication perception that differs amongst cultures?
communication style, use of eye contact, perception of touch, and cultural filters
