Therapeutic communication Flashcards
Why is it so important to be genuine with our clients?
So the connection/therapeutic relationship between client and nurse can be genuine
What is one point that is defines well genuineness
presenting your true feelings verbally and nonverbally
How to acknowledge your clients?
Look at client
Offer your undivided attention - leave all information that happened
Maintain eye contact
Smile if appropriate
Move towards the client
Determine how the other person likes to be adressed
Call the client
Make contact with a handshake or by gently touching client
Name all therapeutic techniques
Empathy, touch, silence, sharing observation, paraphrasing, clarifying, focusing, perception checking, open and close-ended questions
Define empathy (2)
the ability to emotionally and intellectually understand and accept someone’s reality and to communicate this understanding to the other person
AND
It means sensing meaning from the client w/o being judgemental
What qualities must a nurse have in order to be empathetic?
Sensitive, imaginative, perspective
Define an empathetic response
It reflects factual and emotional content that the person is feeling/ communicating
what does empathy require the nurse to do?
To enter the private world of the client in a respectful manner and becoming comfortable with this connection
What are the steps to an empathetic response?
What are the feelings that the client is feeling
Pay attention to the nonverbal and verbal message
what do they want me to hear
What are my feelings upon hearing this message
Formulate an empathetic response. Connect the emotion to the context
Check your response if it was effective
What are the good things about sharing empathy
Assists the nurse-client relationship demonstrates caring increasing the feeling of being connected with another human being - CLIENT FEELS SEEN/UNDERSTOOD Reduces loneliness Provides comfort and support increases self-esteem increases trust enhances healing and growth and problem-solving enhances client compliance
What is paraphrasing?
Reformulating the message with your own words
What are examples for paraphrasing?
In other words, what i am hearing you say is…
Good things about paraphrasing?
Validates for client that you are actively listening and that client is heard
Reflects ideas back to client for the client’s consideration
How is paraphrasing diff from empathy?
Focus on the main thing and reflects it back
What to not do in paraphrasing?
Do not repeat the same info. word by word
What is perception?
A way that we interpret sensory information to give meaning to an encounter
the 3 parts of perception checking
describe what the client did
give two options on why u think he did it
a request for clarification about how to interpret the behaviour
whats the good thing of perception checking?
To clarify what the client did and avoid any miscommunication
What is sharing observations?
encourages the client to speak up especially if its a quiet/withdrawn client
“i see you are tired today”
Why do we use touch?
Sometimes words are too much, simple touch can have a biggg impact, touch can speak more things that words in difficult times
What does touch convey?
Encouragement, understanding
When to do touch
When lonely, dying, language barriers
when should you not use touch with a client?
when they push away, stiff, not centered in reality= sees things, physical abuse history
What are some cons and pros for close-ended questions
Pros : straight foward, fast
Cons : you dont get to know them
What are cons and pros for open-ended questions
Cons : takes up too much time
Pros : get to know them more and understand mindset
What is pro for active listening?
Enchances trusts and facilates comminucation because client feels respected and accepted
What is Focusing?
Focusing on one main topic to switch a conversation to another and encourages the client to expand on a important topic
what is Clarification for?
an attempt to understand the message from the sender
