Therapeutic Communication

Question 1

What is the nurse-client relationship

Answer 1

• “A mutually significant experience”

- nurse and client view each other as unique human beings

Question 2

What is therapeutic use of self?

Answer 2

The ability to use ones personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions

Question 3

Phases of the nurse client relationship

Answer 3

• preinteraction phase
• orientation (introductory) phase
• working phase
• termination phase

Question 4

Preinteraction phase

Answer 4

• the RN obtains info about pt from the chart, family or other members of the healthcare team
• RN examines own feelings, fears, anxieties about working with this particular patient

Question 5

Orientation (introductory) phase

Answer 5

• RN creates environment of trust and support
• RN meets pt, develops rapport
• gathers assessment data
• identifies pt strengths and limitations
• formulates diagnoses
• sets mutually agreeable goals
• develops plan of action

Question 6

Working phase

Answer 6

• works to maintain trust and rapport
• promote pt insight and perception of reality
• sets boundaries
• uses problem solving
• working toward goals
• continuously evaluating progress

Question 7

Termination phase

Answer 7

Therapeutic conclusion of RN/pt relationship

Question 8

Boundaries in the nurse/client relationship

Answer 8

• a boundary indicates a border or limit. It determines the extent of acceptable limits.
• concerns regarding professional boundaries: self-disclosure, gift giving, touch, friendship, romantic association

Question 9

Therapeutic communication

Answer 9

• caregivers verbal and non-verbal techniques that focus on the care receivers needs and advance the promotion of healing and change
• encourages exploration of feelings and fosters understanding of behavioral motivation
• non-judgemental, discourages defensiveness, promotes trust

Question 10

Non-therapeutic communication

Answer 10

Barriers to communication

Question 11

Therapeutic communication techniques

Answer 11

• acceptance
• being non-judge mental
• respect
• open-ended questions
• giving recognition
• active listening

Question 12

Role of active listening

Answer 12

• to listen actively is to be attentive to what the client is saying, both verbally and non verbally

Question 13

Giving feedback

Answer 13

• a method of communication that helps the pt consider a change in behavior
• gives pt info about how they’re being perceived by others
• present in a manner that discourages defensiveness from pt.
• be constructive, not destructive
• descriptive, specific

Question 14

SOLER

Answer 14

S: sit squarely facing client
O: observe an open posture
L: lean forward toward the client
E: establish eye contact
R: relax

Question 15

What is milieu therapy

Answer 15

A scientific structuring of the environment to affect behavioral changes and improve the physiological health and functioning of the individual

Question 16

Milieu therapy assumptions

Answer 16

• the health in each pt is to be realized and the pt is to be encouraged to grow
• every interaction is an opportunity for therapeutic intervention
• pt owns his/her own environment, behavior
• inappropriate behaviors are dealt with as they occur
• restrictions and punishments are to be avoided

Question 17

Role of the RN in milieu therapy

Answer 17

• manage the therapy
• ADPIE
• ensuring physiological needs are met
• reality orientation for disoriented pt’s
• med admin
• maintaining good nurse-client relationship
• setting limits
• client teaching