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NCM 117: Psychia > Therapeutic Communication > Flashcards

Therapeutic Communication Flashcards

1
Q

It is a statement of the client’s nursing problem that includes both the adaptive or maladaptive health response and contributing stressors

A

NURSING DIAGNOSIS

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2
Q

2 types of nurse-client interaction:

A
  1. Nonverbal communication
  2. Verbal communication
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2
Q

A dynamic, collaborative, therapeutic, interactive process between the nurse and the client

A

NURSE-CLIENT RELATIONSHIP

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2
Q

An intervention that involves self-awareness, empathy, acceptance, self-disclosure, and other means of facilitating a therapeutic relationship

A

THERAPEUTIC USE OF SELF

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3
Q

The ability to respond honestly

A

GENUINENESS

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3
Q

Defined as face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient

A

THERAPEUTIC COMMUNICATION

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3
Q

Key characteristics of therapeutic communication

A

ERGCC

  1. Empathy
  2. Respect
  3. Genuineness
  4. Concreteness
  5. Confrontation
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3
Q

The desire to understand and be sensitive to feelings, beliefs, and situation of another person

A

EMPATHY

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3
Q

It is an act of being open and honest with the other party about how you feel, seeks to resolve feelings, and problems instead of hiding or suppressing them

A

CONFRONTATION

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3
Q

4 phases of nurse-client relationship

A
  1. Orientation
  2. Identification
  3. Exploitation
  4. Resolution
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4
Q

Phase where it is the foundation of the nurse-client relationship.
> Client recognizes a need and seeks help

A

ORIENTATION

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4
Q

Personal distance

A

1 1/2 to 4 ft

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4
Q

Being specific, definite, and vivid rather than vague and general

A

CONCRETENESS

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4
Q

Valuing the client and being flexible to meet the client’s needs

A

RESPECT

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4
Q
  • Emerges after client clarifies and recognizes interventions that facilitate adaptive changes
  • Client optimistic and ready for problem solving
  • Exploration of distressful feelings
  • Process encourages growth and adaptive coping patterns
A

IDENTIFICATION

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5
Q
  • Influenced by client’s ability to use nurse-client relationship to develop adaptive coping behaviors
  • Explores feelings about major aspects of relationship
  • Mutually planned and previous stages determine its success
A

RESOLUTION

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5
Q

Social distance

A

4 to 12 ft

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5
Q

It is a complex, dynamic process that involves a sender and a receiver

A

COMMUNICATION

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5
Q
  • Emerges as client appreciates importance of nurse-client relationship
  • Client learns how to satisfy his needs through these interactions
  • Anxiety emerges as client struggles with dependence and independence factors of relationship
A

EXPLOITATION

5
Q

Intimate distance

A

6 to 18 inch

5
Q

Major components of therapeutic communication

A
  1. Occurs anywhere
  2. Can be used to promote independence
  3. Natural part of being human
  4. Relies on spontaneous expression of feelings and thoughts
5
Q

2 types of questioning

A
  1. Open-ended
  2. Close-ended
5
Q

Define length of each spaces

  1. Intimate distance
  2. Personal distance
  3. Social distance
  4. Public distance
A
  1. Intimate distance - 6 to 18 in
  2. Personal distance - 1 & 1/2 to 4 ft
  3. Social distance - 4 to 12 ft
  4. Public distance - 12-25 ft
6
Q

Technique in active listening

A

SOLER

  1. S - sit squarely facing the patient
  2. O - observe an open posture
  3. L - lean forward toward the client
  4. E - establish eye contact
  5. R - Relax
6
Public distance
12-25 ft
6
Valuable tool that nurses use to encourage expression of feelings and self-disclosure and to gain insight into meaning of the present stressor
QUESTIONING
6
Basis of all nurse-client interaction
ACTIVE LISTENING
6
Barriers to therapeutic communication
1. Lack of privacy 2. Noises 3. Seating arrangement 4. Use of jargon 5. Countertransference 6. Anxiety in the nurse 7. Pain in the client 8. Perceptual and sensory distortions in clients
7
Use of certain methods to clear up or make messages understandable
CLARIFYING TECHNIQUES
8
Refers to the healing power of touch
THERAPEUTIC USE OF TOUCH
9
An effective communication technique that requires skill to master. It helps to: - Explore meaning of feelings and thoughts - Allow nurse to collect thoughts and formulate responses
SILENCE
10
Clarifying a perception or spotlighting communication
FOCUSING
11
Helps clients explore key points of a nurse-client interaction
SUMMARIZING
11
Examples of Nontherapeutic techniques
1. Giving reassurance 2. Rejecting 3. Giving approval or disapproval 4. Agreeing/disagreeing 5. Giving advice 6. Probing
12
Give examples of therapeutic communication techniques (9)
1. Active listening 2. Questioning 3. Clarifying techniques 4. Therapeutic use of touch 5. Silence 6. Humor 7. Focusing 8. Confrontation 9. Summarizing
13
May discourage client from further expression of feelings if client believes the feelings will only belittled
GIVING REASSURANCES
14
Refusing to consider client's ideas or behavior
REJECTING
15
Implies that the nurse has the right to pass judgment on the "goodness" or "badness" of client's behavior
GIVING APPROVAL OR DISAPPROVAL
16
Implies that the nurse knows what is best for client and that client is incapable of any self-direction
GIVING ADVICE
16
Implies that the nurse has the right to pass judgment on whether client's ideas or opinions are "right" or "wrong"
AGREEING/DISAGREEING
17
Pushing for answers to issues the client does not wish to discuss causing client to feel used and valued only for what is shared with the nurse
PROBING
18
To defend what client has criticized implies that client has no right to express ideas, opinions, feelings
DEFENDING
18
Results in the therapist's telling the client the meaning of his or her experience
INTERPRETING
18
Asking "why" implies that the client must defend his or her behavior or feelings
REQUESTING AN EXPLANATION
18
Used to either continue interventions and continuously monitor client responses in major nursing role
EVALUATION
18
Blocks discussion with client and avoids helping client identify and explore areas of difficulty
USING DENIAL

NCM 117: Psychia (3 decks)

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