Therapeutic Communication Flashcards
1
Q
What is therapeutic communication
A
- a purposeful, face to face interactions between care professional and a patient
- involves the use of specific techniques that encourage the patient to express feelings and ideas in a way that mutally conveys acceptance and respect
2
Q
what are the aims of therepeutic communication
A
- enhance patient safety, confort, trust, or health and wellbeing
3
Q
how to establish therapeutic communication (6 points)
A
- introduce yourself to the patient
- give patient opportunities to express themselves
- be aware of your verbal and nonverbal communication style, modifying it as necessary
- recognize that all behaviour has meaning
- respect the patient beliefs and values
- integrate patients belief and values into the care plan
4
Q
5 components of therapeutic communication
A
- trust
- respect
- professional intimacy
- empathy
- power
5
Q
how to relate and respond to patients (6 points)
A
- respecting the dignity and privacy of the patient and family
- explain who you are and what you are doing
- listen to what the patient is really saying
- ask questions to clarify what you have heard
- try to be flexible and offer alternatives
- empathize with the stress that accompanies illness
6
Q
5 components of relate and respond
A
- restate
- recognize patients perspective
- establish rapport with the complainant
- single out the complainants real issue
- verbalizing the implied into words
7
Q
4 therapeutic communication techniques
A
- empathy
- therapeutic touch
- information sharing
- asking relevent questions
8
Q
Active listening involves
A
showing interest in what the patients have to say, acknowledge that your listening and understanding
9
Q
active listening involves ________ and ________ cues
A
verbal
nonverbal
10
Q
focusing
A
- sometimes the patient may not have an objective perspective on what is relevant to their case, but as impartial observers, you can more easily pick out the topics which to focus on
- focus on important statement and promoting patient to discuss it further
11
Q
voicing doubt
A
- can be a gentler way to call attention to incorrect or delusional perception of patients
- can guide patients to examine their assumptions
12
Q
using silence
A
- can be uncomfortable; but useful
- may give patients the time and space they need to broach a new topic
13
Q
deliberate silence can
A
can give opportunity to think through and process what comes next in conversations
14
Q
accepting
A
- important to acknowledge a patients message and affirm that they have been heard
- can be simply making eye contact
15
Q
when patients know that you are listening and taking them seriously, they are more likely
A
to be receptive to care
16
Q
Giving recognition
A
- acknowledges a patients behaviour and acknowledges it
- draw attention to the action and encourage patient to talk about it
17
Q
Giving broad openings / open ended questions
A
- let patient direct the flow of converstation and decide what to talk about
- allows patient to discuss what is on their mind
18
Q
examples of broad questions
A
- whats on your mind today
- what would you like to talk about
19
Q
offering self
A
- being present with patients shows that you value them and are willing to give them time and attention
- offering to simply sit with patients for a few minutes is powerful and a way to create a caring connection
20
Q
therapeutic use of self
A
- the ability to use one personality consciously and in full awareness in an attempt to establish related\ness and to structure nursing interventions
21
Q
presence
A
- mindfulness
- being present moment without judgement or analysis
22
Q
making observations
A
- apperance, demeanor, or behaviour of patietns can help draw attention to areas that may indicate a problem
23
Q
Placing the event in time or sequence
A
- asking questions about when certain events occurred in relation to there help us get a clearer sense of the whole picture
24
Q
seeking clarification
A
- asking patients for clarification when they say something confusing or ambiguous is important
25
Confronting
- can be vital to the care of patients to disagree with them, present them with reality, or challenge their assumptions
- when used correctly can help patents break destructive routines of understanding the state of the current situation.
26
the technique of confronting should only be used after
establishing trust with the patient
27
encouraging descriptions of perception
- for patients experiencing sensory issues of hallucinations, can be helpful to ask in a nonjudgemental way
28
encouraging comparisons
- making comparisons to past situations can be helpful for patient to discover solutions to their problems
29
summarizing means you are _______
listening
30
summarizing allows
- you to verify information
- lets patients make corrections
31
reflecting
- helps patients come up with solutions themselves
32
non therapeutic techniques
- asking for explanations "why are you so upset"
- demonstrating approval or disapproval
- defensivness
- passive argessive responses
- arguing
- automatic responses
- sympathy
