therapeutic communication Flashcards
Carefully attending to the patient during an interaction, including being alert to patient cues and demonstrating interest in what the patient communicates, both verbally and nonverbally.
active listening
Decision to deviate from a boundary for a therapeutic purpose, such as appointment changes, disclosing personal bits of information, or exchanging small gifts.
boundary crossing
Decision to deviate from a boundary for a purpose that is other than therapeutic; this might include holding dual roles with a patient, inappropriate self-disclosure or touching, or sexual misconduct.
boundary violation
A technique nurses use to acknowledge a feeling or reaction that is occurring and to set aside the reaction for examination and reflection on how it might be interfering with the actual relationship developed with the patient.
bracket
A technique that involves attending to the events of the day and identifying the feelings associated with them; it allows nurses to acknowledge their feelings and set them aside to concentrate on the work of patient care.
centering
Phenomenon that occurs when the nurse attributes feelings regarding someone within the nurse’s life to the patient and responds unconsciously based on these feelings.
countertransference
Understanding and experiencing the feelings, thoughts, and experience of another from the other’s perspective—feeling what the other person is feeling.
empathy
The context in which communication occurs, including those involved in the interaction (e.g., who is sending the message and who is receiving it), how the message is sent (e.g., in person, over the telephone, or through email), the context of the message (e.g., nurse and patient in a clinical setting, supervisor and employee in a workplace, friends in a restaurant), and other factors.
meta communication
(MI) A collaborative, person-centered, prescribed set of interviewing strategies used to help patients identify their readiness for change and to facilitate change in health-related behaviors.
motivational interviewing
Gestures, posture, appearance, and other types of personal communication other than verbal.
nonverbal communication
The phase of the therapeutic relationship that corresponds with the initial meeting of the patient and the nurse.
orientation phase
A way of caring for patients in which patients determine the direction of their treatment and goal identification starts with the individual patient.
patient-centered care
A written record of an interaction between two or more individuals.
process recording
Initial phase of the nursing relationship that occurs prior to the first meeting of the patient and nurse, in which the patient and nurse may have some information about each other (e.g., prehospital report, observations) but have not yet met.
pre orientation phase
The phase of the therapeutic relationship in which the goals that could be attained in the setting have been met and, and as the patient moves forward toward discharge or the next stage of care, the relationship with the nurse comes to an end.
resolution phase
