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Nursing 212 > Therapeutic Communication > Flashcards

Therapeutic Communication Flashcards

1
Q

What are the components of a therapeutic relationship?

A

Trust, Genuine interest, empathy, acceptance, and positive regard

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2
Q

How can trust be given in a therapeutic relationship?

A

By showing interest, caring, understanding, honesty, and consistency

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3
Q

What is empathy? What is sympathy?

A

Empathy: Understanding what the pt feels
Sympathy: Feeling sorry for the patient

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4
Q

Should sympathy be shown in a therapeutic realationship?

A

No, instead empathy should be shown

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5
Q

What is therapeutic self?

A

Just being yourself to help with the relationship and communication with your patient

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6
Q

What is the Johari tool? What do the 4 quadrants represent? What is the end goal?

A

A tool used to learn about oneself
4 Quadrants are: 1. Open/public self, 2. Blind/unaware, 3. Hidden/private self, and 4. Unknown
The goal: to move qualities from quadrants 2,3,4 into quadrant 1

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7
Q

What are the different types of relationships?

A

Social, Intimate, and therapeutic

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8
Q

What is a Social releationship?

A

Used for friendship, to socialize, share ideas. Usually, friends or coworkers

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9
Q

What is in intimate relationship?

A

Emotional commitment to another person. Individual needs are met. Spouse or partner

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10
Q

What is a therapeutic relationship?

A

Focuses on needs, experiences, feelings, ideas of a patient only

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11
Q

What model is used to show how a therapeutic relationship works?

A

Peplau’s model

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12
Q

What are the 3 Phases of Peplau’s model?

A

Orientation, Working (identification and exploration), and Termination

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13
Q

What is the orientation phase of a therapeutic realtionship?

A

First time nurse and pt meet. Roles are established along with trust. Termination phase will begin by discussing goals. pt problems are identified

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14
Q

What is the Working phase of a therapeutic relationship? There is a possibility of what?

A

Broken down into Identification and Exploration:

Identification is where the pt’s issues or concerns are identified.

Exploration is when you examine pts thoughts and feelings, and start working toward goals
There is a possibility for transference or countertransference

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15
Q

What is transference and what is countertransference?

A

Transference is when someone (patient) transfers their feelings onto someone else (nurse)

Countertransference is when a nurse transfers their feelings onto a patient

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16
Q

What is the termination phase in a therapeutic relationship? How may the patient feel?

A

When patient’s problems are resolved, and the relationship ends. Patient may feel a loss and try to avoid termination

17
Q

What types of behaviors should a nurse not have that could ruin a therapeutic relationship with a patient?

A

Inappropriate boundaries, feelings of sympathy, nonacceptance, avoidance

18
Q

What are some roles a nurse may have in a therapeutic relationship?

A

Teacher, Caregiver, Advocate, or possibly a parent surrogate. Relationship must maintain therapeutic no matter the role

19
Q

What is communication? What are the types of communication?

A

Communication is the exchange of information. There is verbal communication and nonverbal communication

20
Q

What is verbal communication? Ex?

A

Anything that is spoken.
Examples would be telling someone about our beliefs, values, understanding, or insult

21
Q

What is nonverbal communication?

A

Nonverbal communication is the all the other ways we use to communicate, like our body language, tone of voice, pitch of voice, posture, facial expressions, eye contact etc

22
Q

What is a congruent message? What is an incongruent message?

A

A congruent message is when the content of the message is the same as the process

An incongruent message is when the message is conflicting

23
Q

What are some goals of therapeutic communication?

A

Identify pts concerns or feelings, teach pt and family, etc

24
Q

What are proxemics? What is that for a nurse?

A

They are distance zones from our patient and for a nurse it should be 3-6 ft apart

25
Q

How can touch be useful in a therapeutic relationship? How can it cause problems?

A

The use of touch can be used as a gesture of supportiveness and friendship. While others may see it has an invasion of privacy or a sign of intimacy. It will differ from pt to pt based on things like cultural factors

26
Q

How can the use of eye contact be useful in a therapeutic relationship? How can it cause problems?

A

The use of eye contact can sometimes be relaxing for a patient and lets them know you are listening. It can also make a patient feel awkward due to cultural differences

27
Q

Active listening is a big part of therapeutic communication, what does it mean to be actively listening?

A

Actively listening is concentrating on just what the patient is saying

28
Q

Active observation is also a big part of therapeutic communication, what does it mean to be actively observing?

A

Active observation is focusing on the nonverbal actions of the patient

29
Q

What are clarifying techniques and what does that consist of?

A

Clarifying techniques are used to reduce the number of misunderstandings between
patient and nurse.
It consists of paraphrasing, restating, reflecting, exploring, and feedback

30
Q

Interpretating of signals or cues can either be overt or covert, what does that mean?

A

Overt is clear messages, direct
Covert is vague messages, indirect

31
Q

What is spirituality?

A

A personal journey to self-discovered and connection with oneself

32
Q

What is assertive communication?

A

Expression of positive and negative feelings in an open, direct, honest way. Does not mean Aggressive

33
Q

What are some factors that can affect communication?

A

Physical (mood), Social (cultural differences), cognitive, environmental, and relationship (if there is an equal or unequal relationship (symmetrical or complementary relationship)

34
Q

What is a symmetrical relationship?

A

participants are equal

35
Q

What is a complementary relationship?

A

difference in power

36
Q

What is some non-effective communication that leads to a nontherapeutic relationship with the patient?

A

Advising, belittling, asking too many questions, asking closed-ended questions, and reassuring

Nursing 212 (3 decks)

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