Theraputic Communications Flashcards
What are some pre-existing conditions that impact communication
Values, attitudes and beliefs
Cultures or religions
Social status
Gender,
Age or developmental level
Environment in which transaction takes place 
How can values attitudes and beliefs, impact communication?
Learned ways of thinking, can influence communication in numerous ways
How can social status impact communication?
Higher status, person, often convey their high power position with gestures on hands on hips, power dressing, grader, height, and more distance, when communicating
What are the four times of distance in interpersonal interactions
Intimate distance
Personal distance
Social distance
Public distance
What does intimate distance
The closest distance, the individuals allowed between themselves and others
What does personal distance?
Distance for interactions that our personal nature, such as close conversation with friends
What is social distance?
Distance for conversation with strangers or acquaintances
What is public distance?
Distance for speaking in public or yelling at someone some distance away
The unit manager needs to meet with a client who is exhibiting excavating hostility, which of the following is the most appropriate location for the nurse to meet with this client
The clients room with the door shut
Quiet corner of the day room
The nurses station
The units treatment room
A quiet corner of the day room
What are some forms of nonverbal communication?
Physical appearance in dress
Body movement pasture
Touch
Facial expressions
Eye behavior
Vocal cues
What does therapeutic communication encourage?
Exploration of feelings, and fosters understandings of behavioral motivation
Nonjudgmental, discourages, defensiveness and promote trust
How is using silence a therapeutic communication technique?
Allows patient to take control of the discussion if he or she is so desires
How was accepting a therapeutic communication technique
Conveys positive regard
How was giving recognition therapeutic communication technique?
Acknowledges indicating awareness
How is offering self for therapeutic communication technique
Making oneself available
How was giving broad openings therapeutic communication technique?
Allows client to select the topic
How is offering general leads a therapeutic communication technique?
Encourages client to continue
How is placing the event in time or sequence therapeutic communication technique?
Clarifies relationship of events in time
How was making observations a therapeutic communication technique?
Verbalizing what is observed or perceived
How was encouraging description of perception a therapeutic communication technique?
Asking the client to verbalize what is being perceived
How was encouraging comparison, a therapeutic communication
Asking client to compare similarities and differences and ideas experiences or interpersonal relationships
How was restating a therapeutic communication?
Let’s client know whether in Xpress statement has been understood
How was reflecting a therapeutic communication technique?
Direct questions or feelings back to the client, so that they may be recognized and accept it
How is focusing a therapeutic communication text
Taking notice of a single idea, or even a single word
What is exploring in a therapeutic communication technique?
Delving further into a subject idea, experience for a relationship
What is seeking clarification, invalidation and therapeutic communication mean?
Striving to explain what is vegan, searching for mutual understanding
What is presenting reality in a therapeutic communication technique
Clarifying misconceptions that the client may be expressing
What is voicing Doubt in a therapeutic communication technique
Expressing uncertainty as to the reality of the patients perception
What does verbalizing the implied and therapeutic communication
Putting into words with a patient has only implied
What is attempting to translate words into feelings of therapeutic communication techniques?
Putting into words, the feelings, the client has expressed only indirectly
What is formulating a plan of action and therapeutic communication technique
Striving to prevent anger, anxiety from escalating to unmanageable level when stressor reoccurs
Is the move out date to leave the shelter gets closer a battered wife states I’m afraid to leave here I’m afraid for my safety in the safety of my children which nursing statement is most supportive
.
This is a difficult transition. Let’s formulate a plan to keep you all safe in the community.
It’s the policy that the patient can only live here for 30 days maybe we can ask for more time
You’ve had a month to come up with a plan for keeping you and your family safe
Hopefully your husband has been in counseling. I’m sure this will work out fine.
This is a difficult transition. Let’s formulate a plan to keep you all safe in the community.
How was giving false reassurance a nontherapeutic communication technique
May discourage patient from further expression of feeling, if patient believes the feelings will only be downplayed or ridiculed
How is rejecting a non-therapeutic technique?
Refusing to consider patients ideas or behaviors
How was approving or disapproving
A non-therapeutic communication technique
Implies that the nurse has the right to pass judgment on the goodness or badness of a patient behavior
How was agreeing or disagreeing anon, therapeutic communication?
Implies that the nurse has the right to pass judgment on whether the patient ideas or opinions are right or wrong
I was giving advice anon, therapeutic communication technique
Implies that the nurse knows what is best for the patient and that the patient is in capable of any self direction
How is probing a non-therapeutic communication technique?
Pushing for answers the issues that the patient does not wish to discuss cause of the patient feel used in valued for only what is shared with the nurse
How was defending a non-therapeutic communication
To defend what a patient has criticized implies that the patient has no right to express ideas, opinions, or feelings
How is requesting an explanation asking why a non-therapeutic communication
Asking why implies that a patient must defend his or her beliefs or feelings or behavior?
How is indicating the existence of an external source of power a nontherapeutic communication
Encourages patient a Projects blame on his or her thoughts or behaviors and others
How is belittling feelings, anon therapeutic way of components
Causes patient feel insignificant or unimportant
How is making stereotyped commenting on therapeutic communication technique?
Clichés expressions are meaningless in a nurse patient relationship
How was using denial anon therapeutic communication technique?
Blocks discussion with a patient in avoids helping patient identify an explorer areas of difficulty
How is interpreting I use of non-therapeutic communication
 Results in the therapist, telling the patient the meaning of his or her experience
How was introducing an unrelated topic nine therapeutic communication
Causes the nurse to take over the direction of the discussion
The nurse is performing an initial assessment on a newly admitted patient who is oriented times four, which of the following communication techniques would be best facilitate obtaining accurate and complete patient data
Close ended questions
Requesting an explanation
Open ended questions
Interpreting
Open ended questions
What is active listening?
To listen, actively is to be attentive to what a patient is saying, both verbally and nonverbally
What is the pneumonic for nonverbal behaviors to facilitate attentive, listening?
Soler
What does soler stand for
S: Sit squarely facing the patient
O: observer an open posture
L: lean forward toward the patient
E: establish eye contact
R: relax
The client who is angry with a psychiatrist, says to the nurse he doesn’t know what he’s doing. That medication isn’t helping a thing the nurse respond. He has been a doctor for many years and has helped many people. This is an example of what non therapeutic technique.
rejecting
Disapproving
Probing
Defending
Defending
A clients as a nurse. I’ve been offered a promotion, but I don’t know if I can handle it. The nurse replies, you are afraid you might fail in the new position. This is an example of which therapeutic technique.
Restating
Making observations
Verbalizing the implied
Restating
The environment in which communication takes place influences, the outcome of the interaction which of the following are aspects of the environment that influence communication select
Territoriality
Density
Dimension
Distance
Intensity
Territoriality
Density
Distance
A nurse says to the client you were being re-admitted to the hospital why did you stop taking your medication? What communication technique does this represent?
Disapproving
Requesting an explanation
Disagreeing
Probing
Replacing an explanation
A client who has been in rehabilitation for alcohol dependence, returns from a visit to his home and tells the nurse we are having a celebration and I did not have one drink, but it really wasn’t a problem. The nurse notices that his breath smells of alcohol which of the following responses by the nurse, demonstrates a motivational interviewing style of communication
You’re obviously not motivated to change, so perhaps we should discuss your discharge from the treatment program
You need to abstain from alcohol in order to recover, so let me talk to the doctor about the consequences of your behavior
Why would you destroy everything? You worked so hard to achieve
What do you mean when you say it really wasn’t a problem
What do you mean when you say it really wasn’t a problem?
A client who has been diagnosed with schizophrenia. It has been on medication for several months states I am not taking that stupid medication anymore which of the following response by the nurse demonstrates a motivational interviewing style communication.
Don’t you know that if you don’t take your medication, you will never recover
Why won’t you cooperate with the treatment your doctor prescribed
the medication is not stupid
Tell me more about why you don’t wanna take the medication
Tell me more about why you don’t want to take the medication
Client states I refuse to shower in this room. I must be very cautious the FBI, his place a Camera in here to monitor my every move which of the following is the most therapeutic response.
That’s not true
I have a hard time believing that is true
Surely you don’t really believe that
I will help you search this room so that you can see there is no camera
I have a hard time believing that is true
Depressed client who has been unkept and untidy for weeks comes to group therapy today wearing make up in a clean dress with her hair washed in cold which of the following responses by the nurse is most appropriate
I see that you have put on a clean dress and comb your hair
You look wonderful today
I’m sure everyone will appreciate that you’ve cleaned up for the group today
Know that you see how important it is. I hope you will do this every day.
I see that you have put on a clean dressing, combed your hair
The client was involved in an automobile accident, while under the influence of alcohol, she swerved her car into a tree and nearly missed hitting a child on a bicycle. She’s in the hospital with multiple abrasions and contusions. She was talking about the accident with the nurse which of the following statements by the nurse is most appropriate.
Now that you know what can happen when you drink and drive, I’m sure you won’t let this happen again
You know that that was a terrible thing you did that child could’ve been killed
I’m sure everything is going to be OK now that you have an understanding the possible consequences of such behavior
How are you feeling about what
How are you feeling about what happened?
A client who has been in the hospital for three weeks, has used Val him to settle her nerves for the past 15 years she was admitted by her psychiatrist for safe withdrawal from the drug she’s as pass the physical symptoms of withdrawal at this time, but stay to the nurse I don’t know if I will be able to make it out without volume after I go home I’m already starting to feel nervous. I have so many personal problems, which is the most appropriate response by the nurse
Why do you think you need drugs to deal with your problems?
Everybody has problems, but not everybody uses drugs to deal with them. You’ll just have to do the best you can.
Let’s explore some things that you can do to decrease your anxiety without resorting to drugs
Just hang in there I’m sure everything’s gonna be OK
Let’s explore some things you can do to decrease your anxiety without restarting to drugs
The client asked the nurse do you think I should tell my husband about my affair with my boss which is the most appropriate response by the nurse
What do you think would be best for you to do?
Of course you should marriage has based on truth
Of course, not, that would only make things worse
I can’t tell you what to do you have to decide for yourself
What do you think would be best for you to do?
An adolescent who has just returned from group therapy is crying. She says to the nurse all the other kids laughed at me. I try to fit in, but I always seem to say the wrong thing I’ve never had a close friend I guess I never well which of the following is the most appropriate response by the
What makes you think that you’ll never have any friends?
You’re feeling pretty down on yourself right now
I’m sure they didn’t mean to hurt your feelings
Why do you feel this way about yourself?
You’re feeling pretty down about yourself right now
What should the nurse remember when assessing the clients number for communications for meaning
Culture impacts interpretation
Why is therapeutic communication the purposeful use of communication?
To build and maintain, helping relationships with clients families in significant others
What is a good thing to incorporate and therapeutic communication of children
Incorporate play in interactions
What do you want to make sure there is enough of when you are using therapeutic communication techniques with a patient
Time
What is communication?
Interactive process of transmitting information between two or more entities
What is territoriality
Is the initiate tendency to own space individuals lay claim to areas around them as their own when an interaction takes place in the territory, owned by one or the other, it off an influence his communication
What is density referred to in communication?
Refers to the number of people within a given environment space it has shown to influence in a personal interaction. Some studies indicate a correlation between prolonged identity situation in certain behaviors.
What is the distance in communication?
It means by which various cultures you space to communicate
