Therapetic communication Flashcards
What’s the 1st encounter w/ the pt where the nurse explores their own self-perceptions & get to know the pt. Through their chart, progress notes, etc. before actually meeting them?
The pre-interaction phase of therapeutic nurse-pt. relationship
What is the successful adaptation to stressors from internal/external environment, evident by thoughts, feelings, & behaviors that are age-appropriate & congruent w/ local cultural norms?
Mental Health
What is it called when the pt. unconsciously transfers their behavioral/emotional response to the nurse bc the nurse reminds the pt. of someone from their past & triggers bad feelings or anger?
Transference
What is the gestural component of the spoken word?
Paralanguage
What does the attentive listening acronym SOLER stand for?
Sit squarely facing the pt. Observe an open posture Lean forward toward the pt. Establish eye contact Relax
What does SOAPIE stand for?
Subjective data "said" Objective data "observed" Assessment Plan Intervention Evaluation
What is a disability severe enough to warrant hospitalization, continued treatment, or monitoring & may involve loss of contact w/ reality & non-psychotic disorders that cause significant impairment in function & emotional distress?
Mental Illness
What is it called when the nurse’s behavioral/emotional response transfers to the pt. bc the nurse thinks of someone from their past?
Countertransference
What are the 5 boundaries to a nurse-pt. relationship?
Material- a fence
Social- how expected to act bc of culture
Personal- how close people will allow them in their bubble or reveal info
Professional-limit/outline expectations for appropriateness
Paralanguage
What is it when problem solving occurs & the nurse tries to promote pt. change?
Working phase of therapeutic nurse-pt. relaltionship
What is it when the nurse & pt. become acquainted, establish trust & formulate contract for intervention?
The orientation (introduction) phase of therapeutic nurse-pt. relationship
What is it when therapeutic closure occurs when the pt. is either discharged/transferred, their goal is reached or the student or nurse leaves for the day?
Termination phase of therapeutic nurse-pt. relationship
The pt. says “The doctor hasn’t spoken with me since I’ve been here.” What is the best response to the pt.?
A. He must be busy with other pt’s
B. You’re not the only pt. on this floor he has a lot of people to attend to
C. Is there anything I can do to help you?
D. I can see why that’s frustrating, how can I help you until he comes?
D. I can see why that’s frustrating, how can I help you until he comes?
The pt. says “I don’t need to be here. I’m not sick. You guys are sickos.” What is the best response by the nurse?
A. You’re not sick?
B. How are we sickos?
C. Obviously you’re sick if you’re in here
D. Is there something else you would like to know as to why you’re here?
A. You’re not sick?
The pt. says “My husband thinks I should quit my job, that it’s causing me too much stress. What do you think?” What is the best response by the nurse?
A. Why does your husband think it is causing too much stress?
B. Do you think you should quit?
C. What are the benefits of quitting your job?
D. Does that make you upset?
C. What are the benefits of quitting your job?