Relationship Development And Therapeutic Communication Flashcards
Nurse therapeutic role and relationship to patients illness.
Identify sand explore problems in relating to others.
Discovery healthy ways of meeting emotional needs.
Experience a satisfying interpersonal relationship.
An interaction between two people and which input from both participants contributes to a climate of healing, growth promotion and illness prevention
Therapeutic relationship
The ability to use one’s personality consciously and in full awareness and an attempt to establish relatedness and to structure nursing interventions
Therapeutic use of self
The process by which nurses provide care for patients and need of psychosocial intervention
Therapeutic interpersonal relationship
Feelings from both patient and the nurse based on acceptance, warmth, friendliness, common interest, sense of trust, and a non-judgmental attitude
Rapport
Feeling confident in that a person’s presence, relatability, integrity, ferocity, and sincere desire to provide assistance when requested
Trust
Must be earned and cannot be presumed
Trust
When things discussed will not be repeated outside the boundaries of the healthcare team
Confidentiality
To believe in the dignity and words of an individual regardless of his or her unacceptable behavior
To show respect
The nurses ability to be open, honest, and real in interactions with the patient
Genuineness
The ability to see beyond outward behavior and to understand the situation from the patient’s point of view the nurse can accurately perceive and understand the meaning and relevant of the patient’s thoughts and feelings
Empathy
When the nurse can’t actually share what the patient is feeling and experiences a need to alleviate distress
Sympathy
Before phases of relationship development
Pre-interaction, orientation, working, and termination
Nursing goal for pre-interaction phase
Explore self perceptions
Nursing goal for orientation phase
Established trust and formulate contract for intervention
Nursing goal for working phase
Promote patient change
Nursing goal for termination phase
Evaluate goal attainment and ensure therapeutic closure
When the patient unconsciously displaces or transfers to the nurse feelings formed towards a person from his or her past
Transference
Refers to the nurses behavioral and emotional response to the patient this response may be related to unresolved feelings towards significant others from the nurses past
Counter transference
A border or a limit that determines the extent of acceptable limits
Boundary
These are physical property that can be seen such as fences that border land
Material boundaries
these boundaries are established within a culture and defined how individuals are expected to behave in social situations
Social boundaries
Boundaries that individuals define for themselves can include physical distance and emotional boundaries
Personal boundaries
Limit and outline expectations for appropriate professional relationships with patients
Professional boundaries
Professional boundaries are commonly related to the following four issues
Self-disclosure, gift giving, touch, and friendship or romantic association
An interactive process of transmitting information between two or more entities
Communication
Pre-existing conditions influence the intended message and the way it is interpreted. Pre-existing conditions include
Values, attitudes, and beliefs. Culture and religion. Social status. Gender. Age or developmental level. And environment in which the transaction takes place
Nonverbal communication is composed of the following
Physical appearance and dress. Body movements and posture. Touch. Facial expressions. I behavior. Vocal clues or paralanguage period
Type of touch that is interpersonal and business like. It is used to accomplish a task
Functional professional touch
Type of touch that conveys an affirmation or acceptance of the other person
Social polite touch example a handshake
Touch at this level indicates a strong liking to the other person a feeling that he or she is a friend
Friendship warmth example is laying one’s hand on the shoulder of another
This type of touch conveys an emotional attachment or attraction to another person
Love intimacy touch. Example engaging in a strong mutual embrace
Touch at this level is an expression of physical attraction only
Sexual arousal. Example caressing or touching other with intent to create sexual arousal
Vocal component of the spoken word. Consist of pitch, tone, and loudness of spoken message, the rate of speaking, expressively place pauses, and emphasis assigned to certain words
Paralanguage
To be attentive and to really desire to hear and understand what the patient is saying both verbally and nonverbally
Active listening
What does acronym s o l e r stand for
S, sits squarely facing the patient. O, observe an open posture L, lean forward toward the patient. E, established eye contact. R, relax weather sitting or standing during the interaction.
A method of communication that helps the patient consider a modification of behavior by providing information about how he or she is perceived by others
Feedback
When a person’s physical symptoms are attributed to his or her mental illness
Diagnostic overshadowing
Devaluing of a person because of a particular characteristic or illness
Stigmatization
An aspect of stigma that refers to the tendency of healthcare workers and others to avoid people with mental illness or addictions
Social distancing
