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mental health/psych > therapeutic communication and groups (halter ch 8, 9, 34) > Flashcards

therapeutic communication and groups (halter ch 8, 9, 34) Flashcards

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1
Q

transmission of
feelings, attitudes, ideas, and
behaviors using a set of mutually
understood rules

A

communication

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2
Q

5 responsive dimensions

A
  • genuineness
  • respect
  • empathy
  • concreteness
  • immediacy
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3
Q

4 phases of relationship

A
  • pre-interaction
  • introductory/orientation
  • working phase
  • termination
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4
Q

therapeutic communication technique: focusing on what pt is saying

A

active listening

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5
Q

therapeutic communication technique: using different words for same meaning

A

paraphrasing

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6
Q

therapeutic communication technique: using same words

A

restating

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7
Q

therapeutic communication technique: conveys back pts thoughts or feelings

A

reflecting

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8
Q

therapeutic communication technique: narrow conversation to important topics

A

exploring/focusing

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9
Q

therapeutic communication technique: helps pt think hopefully

A

projective question

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10
Q

therapeutic communication technique: provides options (not advice)

A

suggestion

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11
Q

therapeutic communication technique: verifying meaning is understood

A

clarification

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12
Q

therapeutic communication technique: pointing out discrepancies in pts behavior

A

confronting

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13
Q

therapeutic communication technique: reorienting pt to here and now

A

presenting reality

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14
Q

therapeutic communication technique: explaining expectations and consequences

A

limit setting

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15
Q

therapeutic communication technique: comments that will increase likelihood of pt behaving positively

A

positive reinforcement

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16
Q

therapeutic communication technique: highlighting main points

A

summarizing

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17
Q

non-therapeutic comment: gives unrealistic expectations

A

false reassurance

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18
Q

non-therapeutic comment: limits pt internalization

A

advice

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19
Q

non-therapeutic comment: devalues pt emotions and needs

A

discounting/belittling

20
Q

non-therapeutic comment: puts pt on defensive

A

“why?”

21
Q

non-therapeutic comment: stereotyping

A

cliche

22
Q

examples non-therapeutic comments

A
  • false reassurance
  • advice
  • discounting/belittling
  • why?
  • cliche
  • changing topics
  • closed-ended questions
  • leading comments
23
Q

examples therapeutic communication

A
  • active listening
  • paraphrasing
  • restating
  • reflecting
  • exploring/focusing
  • projective question
  • suggestion
  • clarification
  • confrontation
  • presenting reality
  • limit setting
  • positive reinforcement
  • summarizing
24
Q

yalom’s therapeutic group factors

A
  • imparting information
  • instillation of hope
  • universality
  • altruism
  • corrective reenactment
  • development of social skills
  • imitative behaviors
  • existential/spiritual factors
  • catharsis
  • group cohesion
25
Q

occurs when the patient unconsciously and inappropriately displaces (transfers) onto the nurse feelings and behaviors related to significant figures in the patient’s past.

A

transference

26
Q

occurs when the nurse unconsciously displaces feelings related to significant figures in the nurse’s past onto the patient

A

countertransference

27
Q

goal of task group

A

accomplish task (decision making, problem solving, etc)

28
Q

optimal number of people for group

A

7-10

29
Q

goal of process group

A

deal with emotional stress, explore group interactions, focus on thoughts, behaviors, feelings

30
Q

“rules” that describe the actions/behaviors that “should” be exhibited by group members

A

norms

31
Q

phases of being in a group

A
  • orientation
  • working
  • termination
32
Q

challenging behavior: pt who wants to take up all of time

A

monopolizer

33
Q

challenging behavior: pt who wants sympathy from everyone/fix their problems

A

complainer/victim

34
Q

challenging behavior: pt changes topic from important conversation

A

distractor

35
Q

challenging behavior: pt always being discouraging

A

demoralizer

36
Q

challenging behavior: pt not contributing to group

A

silent member

37
Q

how to deal with monopolizer in group meeting

A
  • remind them everyone has to contribute

- ask them to limit contributions

38
Q

how to deal with disruptive member in group meeting

A
  • ask them how their body is physically feeling
  • ask for feedback from other group members
  • talk to pt privately and empathize
39
Q

how to deal with silent member in group meeting

A
  • allow person to have extra time to gather thoughts

- have everyone respond to certain question/topic

40
Q

yalom’s therapeutic group factor: The leader shares optimism about the successes of group treatment, and members share their improvements.

A

instillation of hope

41
Q

yalom’s therapeutic group factor: Members realize that they are not alone with their problems, feelings, or thoughts

A

universality

42
Q

yalom’s therapeutic group factor: Participants receive formal teaching by the leader or advice from peers.

A

imparting of information

43
Q

yalom’s therapeutic group factor: Members gain or profit from giving support to others, leading to improved self-esteem

A

altruism

44
Q

yalom’s therapeutic group factor: Members may copy the behavior of the leader or peers and thus can adopt healthier habits

A

imitative behavior

45
Q

yalom’s therapeutic group factor: A genuine expression of feelings that can be interpreted by both the patient and the group.

A

catharsis

mental health/psych (14 decks)

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