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Intro to Nursing > Therapeutic Communication > Flashcards

Therapeutic Communication Flashcards

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1
Q

Any means of exchanging information and feelings between two people

A

Communication

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2
Q

What two things does communication have?

A
  • Sender

- Receiver

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3
Q

Supports quality, safety and enhances patient satisfaction

A

Good communication

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4
Q

Purpose of communication

A
  • To influence others

- Obtain information

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5
Q
  • Sender
  • Receiver
  • Message
  • Feedback
  • Channel
  • Intrapersonal variables
  • Environment
A

Communication Process

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6
Q
  • Increases liability
  • Threatens professional credibility
  • Delays in health care delivery
  • Medical errors
  • Increased cost to the patient, facility, and society
A

Poor communication

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7
Q
  1. Social
  2. Structured
  3. Therapeutic
A

3 Kinds of Communication

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8
Q
  • Used by “helping persons”
  • To overcome stress
  • To get along with others
  • To adjust to unchangeable
  • To overcome “psychological blocks”
A

Therapeutic Communication

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9
Q

Tone of voice

Rate of speech

Quality of voice

Volume of voice

Verbal content

A

Considerations in Communicating

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10
Q

“self-talk” – the communication that occurs within an individual

A

Intrapersonal communication

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11
Q

Interaction between two people or within a small group

A

Interpersonal communication

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12
Q

Interaction of one individual with large groups of people

A

Public communication

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13
Q 
Values, attitudes, and beliefs
Culture or religion
Social status
Gender
Age or developmental level
Environment
A

Conditions Affecting Communication

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14
Q 
The deeper message within a message
Personal appearance
Posture and gait
Facial expression
Eye contact
Gestures
Territoriality and space
A

Non-verbal communication

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15
Q
  1. Intimate zone: 0-18 inches
  2. Personal zone 18 in – 4 feet
  3. Social zone: 4 – 12 feet
  4. Public zone: 12+ feet
A

Zone of Personal Space

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16
Q

Performing hygiene and assessment

0-18 inches

A

Intimate zone

17
Q

-Sitting at patient’s bedside
-Taking a history
(18” - 4 feet)

A

Personal zone

18
Q

-Receiving report
-Teaching a group
(4-12 feet)

A

Social zone

19
Q

Speaking to groups

12+ feet

A

Public zone

20
Q
  • Emotional involvement with others alters relationship
  • Objectivity can best be maintained with a professional distance
  • Allows nurse to maintain a professional relationship
  • Patients that want a more personal relationship – politely and truthfully direct the client to your role and redirect conversation to client needs
A

Maintaining a Professional Distance

21
Q

Similarities of Helping vs. Social Relationships

A

Care, concern, trust, growth

22
Q

Differences of Helping vs. Social Relationships

A
  • Occurs due to client specific needs
  • Unequal sharing of information
  • Build on client needs, not nurse needs
  • Professionalism by the nurse in appearance, demeanor, and behavior develop trust of the client
23
Q

-Client’s goals are what the relationship is all about
Improved well-being and increased independence for the client

  • Greater feelings of worth and improved health
  • As client’s needs change the goals change
  • The nurse may have needs, but these are to be set aside and the focus is on the client’s needs
A

Goals of the Nurse-Client Relationship

24
Q
  1. Pre-interaction
  2. Orientation
  3. Working phase
  4. Termination
A

Phases of Therapeutic Relationship

25
Q
  • Obtain client information

- Examine own fears and feelings

A

Pre-interaction phase

26
Q
  • Establish trust and rapport
  • Establish intervention
  • Assess
A

Orientation phase

27
Q
  • Maintain
  • Use problem solving
  • Overcome resistance
  • Continuous evaluation
  • Longest phase of the relationship
A

Working phase

28
Q
  • Goals achieved
  • Plan for continuity
  • Feelings regarding termination explored
A

Termination phase

Intro to Nursing (2 decks)

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