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Mental Health > Chapter 9: Therapeutic Communications > Flashcards

Chapter 9: Therapeutic Communications Flashcards

1
Q

active listening

A

nurses focus, respond, and remember what the patient is saying verbally and nonverbally

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2
Q

close ended questions

A

Questions that can be answered in short or single word responses

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3
Q

cultural filters

A

in the process of socialization through which we listen to the world around us

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4
Q

debriefing

A

a critical conversation and reflection regarding an experience that results in growth and learning

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5
Q

double bind messages

A

-they are characterized by two or more mutually contradictory messages given by a person in power

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6
Q

information communication technology

A

is a valuable tool for consumers and practicioners to access current psychiatric and medical breakthroughs, diagnoses, and treatment options

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7
Q

mobile medical applications

A

-apps as tools to monitor, diagnose, treat, and communicate with patients

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8
Q

nontheraputic communication

A

the tone of voice, emphasis on certain words, and the manner in which a person paces speech

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9
Q

nonverbal behaviors

A

human actions that have the potential to form meaningful messages

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10
Q

open ended questions

A

encourage patients to share information about experiences, perceptions, or responses to a situation

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11
Q

patient centered

A

refers tl the patient as a full partner in care whose values, preferences, and needs are respected

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12
Q

Telehealth technologies

A

include video conferencing, the internet, phone consultation and counseling, image transmission, and interactive video sessions

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13
Q

therapeutic communication techniques

A

include words and actions that help to achieve health related goals

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14
Q

verbal communication

A

consists of all the words a person speaks

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15
Q

communicator

A

senders and recievers are both considered to be communicators

role is fluid
independent
“communication is not occurring if the receiver is not listening”

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16
Q

message

A

content and the ideas that are being exchanged

also be nonverbal

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17
Q

channel

A

the method by which the communication takes place

in person or phone

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18
Q

feedback

A

the messaging takes place with constant feedback being given by both parties

feedback for one is the message for another

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19
Q

encoding/decoding

A

individuals encode messages and send to the other and decode messages received from other

encode: develop
decode: determine meaning

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20
Q

context

A

frames and influences our interactions

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21
Q

environmental noise

A

serve as a barrier to interaction
disturbs message flow

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22
Q

3 types of context

A

social
realtional
cultural

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23
Q

social context

A

stated or unstated rules or norms that guide communicaiton

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24
Q

relational context

A

interpersonal history
less scripted

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25
Q

cultural context

A

influence that our culutural identities have on communication

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26
Q

3 types of environmental noise

A

physical
physiological
psychological

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27
Q

psychical noise

A

actual noise

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28
Q

physiological noise

A

biological factors
EX: headache

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29
Q

psychological noise

A

factors within a persons mind such as not wanting to converse or being preoccupied about finances

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30
Q

guiding principles in communicaiton

A

clarity
continuity
non directive listening

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31
Q

clarity

A

ensures that the meaning of the message is accurately understood by both parties

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32
Q

continuity

A

promotes connections among ideas, feelings, events and themes

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33
Q

non directive listening

A

allows nurses to provide reflective and nonjudgemental feedback and thereby enables patients to clarify their thoughts

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34
Q

verbal communication

A

all words a person speaks

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35
Q

nonverbal

A

how you said it
tone
empasis
pshycial apperance
expressions
posture

36
Q

be aware of nonverbal cues

A

how you sit and stand

37
Q

how is silence benefical

A

gives person a chance to collect thoughts and response

38
Q

verbal messages can be called the

A

content

39
Q

nonverbal messages are called the

A

process

40
Q

double bind messages

A

mutually contradictory messages, usually given by a person in power

41
Q

active listening

A

focus
respond
remember verbal and nonverbal

42
Q

clarifying techniques

A

paraphrasing
restating
reflecting
exploring

43
Q

open ended questions

A

enourages patients to share info

44
Q

close ended questions

A

yes no

good for initial assessment
non therapeutic if used outside of initial assessment

45
Q

projective questions

A

“what if”
help people articulate, explore, and identify thoughts and feelings

46
Q

miracle question

A

“if you woke up tomorrow and a miracle happened that this issue affecting you went away…”

goal setting question
helps patient see future

47
Q

broad openings

A

general
allows patient to take control and give direction to where they want the conversation to go

48
Q

“what are you thinking about”
“what would you like to talk about”
“where would you like to begin”

A

broad openings

49
Q

giving recognition

A

acknowledging something in patient
recognizing

50
Q

“I noticed that you dressed and put make up on today”
“you’ve really been participating in groups today”
“it looks like you have put a lot into your journal assignments”

A

giving recognition

51
Q

minimal enourgaement

A

paying attention to what they are saying

52
Q

“yes”
“I see”
“go on”

A

minimal encouragement

53
Q

offering self

A

offering of yourself/presence

54
Q

“I would like to spend some time with you”
“ill stay here and sit for awhile”
“you seem upset, would you like to talk”

A

offering self

55
Q

accepting

A

I understand what you are saying
I can imagine how that made you feel

56
Q

making observations

A

precursor to giving recognition
saying what you see
noticing behavior and acknowledge it

57
Q

“you appear anxious”
“I notice you are biting your lips”
“you seem restless”

A

making observations

58
Q

validate perceptions

A

validate that you understand

59
Q

“you are smiling but I sense you are very angry with me”
“it sounds like that was a really hard time for you, is that correct?”

A

validate perceptions

60
Q

exploring

A

additional detail
specific

61
Q

“tell me more about that”
“help me understand what that felt like”
“id like to know more about that”

A

exploring

62
Q

clarifying

A

helping to understand
seeking understanding

63
Q

“im not sure what you mean. could you tell me about that again”
“did these feelings start after the incident happened or were you feeling this way before?”
“give me an example of a time you thought everyone hated you”

A

clarifying
2nd one is also time and sequencing

64
Q

“when did you do this?”
“what led up to…”
“how old were you when this happened”
“what happened before”

A

event in time or sequence

65
Q

focusing

A

you have broad topic but you want to focus on something more specific

66
Q

“lets talk more about your relationship with your father”
“what happens when you feel this way”
“you’ve talked about many things, lets go back to…”

A

focusing

67
Q

encouraging the development of a plan

A

you are giving patient the power to come up with a strategy on their own

68
Q

“what could you do to let the anger out harmlessly?”
“what do you think you could do next time you feel this way”

A

encouraging the development of a plan

69
Q

suggesting collaboration

A

showing rapport and nurse is on patient side

70
Q

“perhaps together we can discover what makes you anxious”
“lets try to work through what you are feeling together”

A

sugesting collaboration

71
Q

restatment

A

lets patient hear what they are saying
allows for clarification

72
Q

“I love my father but I hate him for what he did”
- “you really have mixed feelings about your father because of the abuse”

A

restatement

73
Q

summarizing

A

wrap it up

74
Q

“during the past hour we have discussed”
“so far we have talked about”
“you have said”

A

summarizing

75
Q

types of nontheraptic communication

A

excessive questioning
giving approval or disapproval (do not pass judgment)
giving advice (not our place to give)
asking why (makes patient defensive)

76
Q

other tactics to avoid

A

arguing, challenging
giving false reassurance
interpreting or speculating
probing into sensitive areas pt doesn’t want to talk abt
“sell” patient on accepting treatment
patient attacks
criticizing other staff

77
Q

barriers to communication

A

stereotype comments
parroting (mimicking)
changing topic when in depth on another
disagreeing
challenging

78
Q

what should we do about touch

A

always ask and use sparingingly

79
Q

eye contact is based on culture so we should not

A

use eye contact as a basis to assess for attentiveness

80
Q

you can sit face to face with patient with or with out table but what should you always do

A

be eye level with patient

81
Q

attending behaviors

A

kinetic communicaiton
vocal quality
proxemics

82
Q

kinetic communication

A

nonverbal communication based on body movement

83
Q

vocal quality is also called

A

paralanguage

84
Q

proxemics

A

study of personal space

85
Q

levels of proxemics

A

intimate
personal
social
public

86
Q
A

Mental Health (82 decks)

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