Communication Module 1 Flashcards
What are the Phases of the Nurse-client Relationship?
Preorientation Phase
Orientation
Working Phase
Termination
What is the Preorientation Phase?
Review information from the client’s chart regarding mental and physical evaluation, progress notes, and patient orders.
What is the Orientation Phase?
Can last for a few meetings or extend over a longer period. The first time the nurse and patient meet. The nurse conducts the initial examination.
INCLUDE TERMS OF TERMINATION
What is the Working Phase?
Maintain trust and rapport, gather further data, identify problem-solving and self-esteem, provide education about the disorder, promote symptom management, provide medication education, and evaluate progress. The nurse and patient identify and explore areas that are causing problems in the patient’s life.
What is the Termination Phase?
You discuss termination during the first meeting and then during the working phase. This may occur when the patient is discharged or when the student’s clinical rotation ends. Summarizing the goals and objectives achieved.
What is the Concept of setting boundaries?
Setting firm limits with the patient.
What is Transference?
Occurs when the patient unconsciously and inappropriately transfers onto the nurse feelings and behaviors related to significant figures in the patient’s past.
What is Positive Transference?
The patient opening up and willing to cooperate
What is Negative Transference?
The patient expressing anger or painful feelings towards you.
What is Countertransference?
When the nurse unconsciously displaces feelings related to significant figures in the nurse’s past onto the patient. This can lead to overinvolvement and impairs the therapeutic relationships.
What is the purpose of Group Therapy?
Multiple members can get treated at the same time.
Benefit the patients with knowledge, insights, and life experiences.
Safe setting to learn new ways to relate to others and practice new communication skills.
What is “Offering General Leads”?
Allows the other person to take direction in the discussion. Indicates that the nurse is interested in what comes next.
What is “Offering self”?
Offers presence, interest, and a desire to understand. Is not offered to get the person to talk or behave in a specific way.
What is the BEST therapeutic communication technique?
The use of silence is an effective way of sending and receiving messages.
What is Milieu?
Refers to a physical and social environment
