Week 3 Flashcards
What are the three phases of therapeutic conversation
-Orientation -Working -Termination
What is the main focus of the orientation phase?
Relationship/trust building
What are the two best ways to build trust with a patient?
-Answer questions fully -Listen to client
Why is patient trust important?
If the patient trusts you they will continue to answer your questions
What are some aspects of the orientation phase?
-Trust and relationship are built -Agreement to work together is made -Concerns are identified -Establish Goals
What is the working phase?
-the phase when you are working towards the goals established in orientation phase. -Be self-aware -continue to build trust
When does the termination phase begin?
In the orientation phase
What is done during the termination phase
-Evaluate goals -Share feelings about relationship -discuss followup plans
What is the Attending skill in the orientation phase
Conveying to the client by giving them your total physical and mental attention that you are a person who cares about what concerns him or her
What is the empathy(primary) skill in the orientation phase
Responding to the client in a way which demonstrates that you understand the world from his or her perspective
What is the respect skill in the orientation phase
Communicating the valuing of the clients unique feelings and experiences
What is the genuineness skill in the orientation phase
Your caring and helping must come from your honest, open humanity
What is the concreteness skill in the orientation phase
Helping the client to identify feelings and behaviors very specifically
What is the Empathy (advanced) skill in the working phase
The nurse adds perspective to what the client says by including what may be implied or said non-verbally
What is the Self-disclosure skill in the working phase
The nurse share own experience IF and ONLY IF it will help the client to understand their experience
What is the Immediacy skill in the working phase
The urse shares own reaction to the nurse-client relationship
What is the Confrontation skill in the working phase
The nurse points out discrepancies, distortions, and misinformation in the clients life With the goal of promoting understanding
What is the “offer alternative frames of reference” skill in the working phase
Give new perspectives and opinions * DONT FIVE ADVICE*
Before the nurse used self-disclosure, _____ must be established
Trust
What is an open ended question?
A question that allows for the patient to explain or give information freely.
What is the most controversial term for open ended questions *Explain*
“WHY” It will sound like an accusation and will put the client on the defensive
What is a closed ended question.
A yes or no type question
What is an important consideration in regard to asking alot of closed ended questions?
To ‘Break up the laundry list” meaning find ways to space the questions out so you do not sound like an impersonal robot
What is rephrasing?
Changing the way you communicate a question or statement to allow for better understanding
