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WORK IMMERSION > LESSON 3: THERAPEUTIC COMMUNICATION > Flashcards

LESSON 3: THERAPEUTIC COMMUNICATION Flashcards

1
Q
  • Interchange of information between two or more people; exchange of ideas or thoughts.
  • Thoughts expressed to others
    (spoken, written, gestures, actions)
  • Transmission of feelings or personal/social interaction between people.
  • Basic component of human relationships, including health professions and other disciplines
A

Communication

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2
Q

Encoder

A

Sender

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3
Q
  • Person who communicates a message (source)
  • Use of specific signs and symbols, arrangement of words, and gestures
A

Sender

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4
Q

Medium

A

Message

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5
Q
  • What is said/ written, body language and how it is transmitted
  • Method used to convey message can target any of the receiver’s senses.
A

Message

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6
Q

Decoder

A

Receiver

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7
Q
  • listen, observe, attend
A

Receiver

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8
Q

perceive what the sender intended (interpretation).

A

Decode

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9
Q

Verbal, nonverbal, both
- Allows sender to correct or reward message

A

Feedback

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10
Q

Body language: gestures, touch, physical appearance

A

NONVERBAL COMMUNICATION

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11
Q

To observe nonverbal behavior requires _____ assessment of person’s overall physical appearance, posture, gait, facial expressions, and gestures

A

systematic

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12
Q

Clothing and adornments can be sources of information about a person. May convey social and financial status, culture, religion, group, etc.

A

Personal Appearance

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13
Q

Ways people walk and carry themselves are
often reliable indicators of self-concept,
current mood, and health.

A

Posture and Gait

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14
Q

Feelings can be conveyed by facial
expressions, but it is possible to control
theses muscles to suppress emotion.

A

Fascial Expression

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15
Q

Hand and body gestures which emphasizes
the spoken word or may occur without
words to indicate a particular feeling

A

Gestures

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16
Q

Use of verbal and nonverbal techniques that
are focused on client’s needs. Requires
avoidance of unhelpful or nontherapeutic
techniques.

A

THERAPEUTIC COMMUNICATION

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17
Q
  • Promotes understanding and can
    help establish a constructive
    relationship between client and and
    HCP.
  • Client and goal directed
A

THERAPEUTIC COMMUNICATION

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18
Q

Accepting pauses or silence that may extend for several seconds or minutes without interjecting any
verbal response.

A

Silence

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19
Q

Sitting quietly (or walking with
client) and waiting attentively until
the client is able to put thoughts and
feelings into words

A

Silence

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20
Q

Using statements or questions that:
■ Encourage the client to verbalize
■ Choose a topic of conversation

A

Provide general leads

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21
Q

● Ask broad questions that lead client
to explore or specify.

A

Using Open-ended questions

22
Q

● specify only the topic to be discussed and invite
answers that are longer than one or two words.

A

Using Open-ended questions

23
Q

● Appropriate forms of touch to
reinforce caring feelings.
● Must be sensitive to differences in
attitudes and practices of clients
and self.

A

Touch/ Tactile contacts

24
Q

● Actively listening client’s message
and repeating these thoughts or
feeling with similar words.
● HCP conveys that they have listened
and understood.

A

Restating or rephrasing

25
Q

● When paraphrasing is difficult or
when the communication is rambling
or garbled.
● HCP can restate the basic message
or repeat message in similar words
or confess confusion and ask client
to repeat or restate message.

A

Seeking clarification

26
Q

Suggesting one’s presence, interest or wish to understand the client without making any demands or
attaching conditions that the client must comply to to receive the HCP’s attention.

A

Offering self

27
Q

● Provide in a simple direct manner, specific factual info that the client may or may not request.

● When info is unknown, HCP states this and indicates who has it or when the HCP will obtain it.

A

Giving Information

28
Q

● Giving recognition in a nonjudgemental way, of a change in behavior, an effort the client has made, or a contribution

A

Acknowledging

29
Q

● Helping clients to differentiate the
real from the unreal.
● Presents assurance especially to
clients with schizophrenia or
hallucinations

A

Presenting reality

30
Q

● Helping client expand on and
develop a topic of importance.
Important for HCP to wait until the
client finishes stating the main
concerns before attempting to focus.
● may be an idea or feeling;
however, the HCP often emphasize a
feeling to help the client recognize
an emotion disguised behind words.

A

Focusing

31
Q

● Directing ideas, questions, and
feelings to enable them to explore
their own ideas

A

Reflecting

32
Q

● State main points to clarify relevant
points discussed. This is useful at the end of an interview or to review a health teaching session.
● Often acts as an intro to future care planning

A

Summarizing or Planning

33
Q

Offering generalized oversimplified beliefs about groups of people that are based on experiences too limited to be valid

A

STEREOTYPING

34
Q
  • Judgemental response imply that client is either right or wrong and HCP is in a position to judge this.
  • Deter clients from thinking through their position and may cause a client become defensive.
A

AGREEING AND DISAGREENG

35
Q
  • Attempting to protect a person/ health care service form negative comments.
  • Clients have the right to grieviances. protect HCP
    from admitting weakness.
A

BEING DEFENSIVE

36
Q
  • Giving response that makes clients prove their statement or POV.
  • These responses indicate that the HCP is failing to consider the client’s feelings, making the client feel it necessary to defend a position
A

CHALLENGING

37
Q
  • Asking info out of curiosity or not in good faith. May violate client’s privacy.
  • Asking “why” is often probing and places the client in a defensive position
A

PROBING

38
Q
  • Asking questions that make the
    client admit to something.
  • Responses permit the client only
    limited answers.
A

TESTING

39
Q
  • Refusing to discuss certain topics.
  • These responses often make clients
    feel that the HCP is rejecting not
    only their communication but also
    the clients themselves.
A

REJECTING

40
Q

Directing communication into areas of self-interest rather than considering client’s concerns is often
a self-protective response to a topic that causes anxiety.

A

CHANGING TOPICS

41
Q
  • Using cliche or comforting
    statements of advice
  • These responses block the fears,
    feelings, and other thoughts of the
    client.
A

UNWANTED REASSURANCE

42
Q
  • Giving opinions and approving
    response, moralizing, or implying
    one’s own values
  • These responses imply that the client
    must think as the HCP thinks,
    fostering client dependency.
A

PASSING JUDGEMENT

43
Q
  • Telling client what to do. This denies
    clients right to be an equal partner.
  • Giving expert advice rather than
    common advice is therapeutic
A

GIVING COMMON ADVICE

44
Q

is similar to the planning stage before an interview

A

Pre-interaction Phase

45
Q

In most situations, the HCP has information about
the client before the first face-to-face meeting. Such information may include the client’s name, address, age, medical history, and/or social history.

A

Pre-interaction Phase

46
Q

also referred to as the orientation phase

is important because it sets the tone for the rest of the relationship.

A

Introductory Phase

47
Q

During this initial encounter, the client and the HCP closely observe each other and form judgments about the other’s behavior.

A

Introductory Phase

48
Q

The HCP helps the client to explore thoughts, feelings, and actions and helps the client plan a program of action to meet pre-established goals.

A

Working Phase

49
Q

The working phase has two major stages:

A
  1. exploring and understanding thoughts and feelings, 2. facilitating and taking action.
50
Q

Often expected to be difficult and filled with
ambivalence.

If the previous phases have
evolved effectively, the client generally has
a positive outlook and feels able to handle
problems independently.

A

Termination Phase (Resolution)

51
Q

Method used to terminate relationships

A

Summarizing or reviewing

52
Q

This may include reminiscences of how things were at the beginning of the relationship and comparing them to how they are now.

can produce a sense of accomplishment

A

Summarizing or reviewing

WORK IMMERSION (3 decks)

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