Therapeutic Communication Flashcards
1
Q
therapeutic communication
A
- dynamic, interactive process consisting of words/actions
- entered into by a clinician and client
- purpose is achieving identified health-related goals
- verbal and non-verbal
- metacommunication enhances understanding
2
Q
linear communication models
A
- sender sends message
- receiver gets message and listens
- receiver provides feedback
draw this out, slide #5
3
Q
traditional transactional communication model
A
draw this out
slide #6
4
Q
noise
A
- obstacles to effective communication
- distractions
- smells
- being uncomfortable
- personal stress
- pain
5
Q
text’s transactional communication skill model
A
draw this out slide #7
- emphasis on holistic perspective
- client centered
- rules and boundaries
- individualized strategies
- goal directed
6
Q
4 requirements of dialogue
A
- turn taking
- connecting
- mutual influence
- co-creating outcomes
7
Q
turn taking
A
- interactive
- give and take
- mutual learning vs monologue
- seeking greater understanding
- facing problems ad finding opportunities
8
Q
connecting
A
- each part of the communication needs to be connected
- helpers comments linked to clients statements
- engaged
9
Q
mutual influence
A
- open to being influenced by what the client says (vice versa)
- help clients to be open to new learning
- social influence dimension of counselling
10
Q
co-creating outcomes
A
- helper serves as catalyst for client to fins their own answers
- neither party truly knows what outcomes will be
- effective helpers leave their mark but clients change themselves
11
Q
concepts/outcomes of client-centred communication (6)
A
- fostering healing relationships
- exchanging information
- responding to emotions
- managing uncertainty
- making decisions
- enabling patient self-management
12
Q
the art of listening (5)
A
- listening to clients story
- listening to clients point of view
- listening to clients decisions
- listening to clients intentions and proposals
- hearing opportunities and resources
13
Q
listening to clients story
A
- experiences
- behaviour
- affect
14
Q
listening to clients point of view
A
- persons estimation of something
- those related to problem situations or underdeveloped opportunities are relevant
- when full, includes reasons, illustrations, and the strength it is held
15
Q
listening to clients decisions
A
- implications usually
- may be stated indirectly
- how delivered reflects on the decision
- fully sharing includes the decision, reasons, implications, and how strongly held it is
16
Q
listening to clients intensions and proposals
A
- part of making a case for a course of action
- full understanding includes the course of action, the reasons for doing it, and the implications
17
Q
hearing opportunities and resources
A
- hearing only about problems will lead to further discussion of problems
- every client has something going well
- help to develop these resources
18
Q
demonstrating active listening (8)
A
- minimal cues
- clarification
- reststatement
- paraphrasing
- reflection
- summarization
- silence
- touch*
19
Q
when to clarify
A
- need to consider information as needed
- detail needed
- ambiguity/vague
20
Q
restatement
A
- used as a form of challenge
- can be an approach to clarify to ensure the nurse heard
- addresses an important part of the message so the client can reconsider unhelpful thinking/understanding
21
Q
paraphrasing
A
- normally at cognitive level
- a shorter form
- demonstrates understanding, paying attention, and an opportunity to check understanding
- can be used to focus on a key message
22
Q
reflection
A
- normally at emotional level
- validation of feelings
- check for accuracy
- strategy to see this as offering highlights or empathic highlights
23
Q
key building blocks of emotional accuracy
A
- right family of emotions and right intensity
- mindful of expressed vs discussed feelings
- note non-verbal feelings/emotions
- be sensitive when naming emotions
- use varying approach
- find balance between ignoring vs over-emphasis on feelings
24
Q
key building blocks for empathic highlight
A
- respond to key behaviours and feelings
- communicate understanding of points of view
25
Q
types of questions
A
- statements (request further clarity) “its not clear to me”
- requests “tell me more about”
- open/closed
- single words “can’t?”
26
Q
negative listening responses (7)
A
- false reassurance
- giving advice
- false inferences
- overgeneralization
- moralizing
- value judgments
- social responses
27
Q
verbal responses (5)
A
- matching response (mirror)
- simple, correct language
- establishing focus
- giving feedback
- validation
28
Q
other forms of communication (5)
A
- touch (may comfort)
- metaphors/analogies (may clarify)
- humour (can increase comfort)
- reframing
- technology
29
Q
active listening
A
- intentional form of listening
- results in fewer incidents of misunderstanding
- results in more accurate comprehensive data, and stronger health relationships
