Therapeutic Communication

Question 1

What is therapeutic communication

Answer 1

• a purposeful, face to face interactions between care professional and a patient
• involves the use of specific techniques that encourage the patient to express feelings and ideas in a way that mutally conveys acceptance and respect

Question 2

what are the aims of therepeutic communication

Answer 2

• enhance patient safety, confort, trust, or health and wellbeing

Question 3

how to establish therapeutic communication (6 points)

Answer 3

• introduce yourself to the patient
• give patient opportunities to express themselves
• be aware of your verbal and nonverbal communication style, modifying it as necessary
• recognize that all behaviour has meaning
• respect the patient beliefs and values
• integrate patients belief and values into the care plan

Question 4

5 components of therapeutic communication

Answer 4

• trust
• respect
• professional intimacy
• empathy
• power

Question 5

how to relate and respond to patients (6 points)

Answer 5

• respecting the dignity and privacy of the patient and family
• explain who you are and what you are doing
• listen to what the patient is really saying
• ask questions to clarify what you have heard
• try to be flexible and offer alternatives
• empathize with the stress that accompanies illness

Question 6

5 components of relate and respond

Answer 6

• restate
• recognize patients perspective
• establish rapport with the complainant
• single out the complainants real issue
• verbalizing the implied into words

Question 7

4 therapeutic communication techniques

Answer 7

• empathy
• therapeutic touch
• information sharing
• asking relevent questions

Question 8

Active listening involves

Answer 8

showing interest in what the patients have to say, acknowledge that your listening and understanding

Question 9

active listening involves ________ and ________ cues

Answer 9

verbal
nonverbal

Question 10

focusing

Answer 10

• sometimes the patient may not have an objective perspective on what is relevant to their case, but as impartial observers, you can more easily pick out the topics which to focus on
• focus on important statement and promoting patient to discuss it further

Question 11

voicing doubt

Answer 11

• can be a gentler way to call attention to incorrect or delusional perception of patients
• can guide patients to examine their assumptions

Question 12

using silence

Answer 12

• can be uncomfortable; but useful
• may give patients the time and space they need to broach a new topic

Question 13

deliberate silence can

Answer 13

can give opportunity to think through and process what comes next in conversations

Question 14

accepting

Answer 14

• important to acknowledge a patients message and affirm that they have been heard
• can be simply making eye contact

Question 15

when patients know that you are listening and taking them seriously, they are more likely

Answer 15

to be receptive to care

Question 16

Giving recognition

Answer 16

• acknowledges a patients behaviour and acknowledges it
• draw attention to the action and encourage patient to talk about it

Question 17

Giving broad openings / open ended questions

Answer 17

• let patient direct the flow of converstation and decide what to talk about
• allows patient to discuss what is on their mind

Question 18

examples of broad questions

Answer 18

• whats on your mind today
• what would you like to talk about

Question 19

offering self

Answer 19

• being present with patients shows that you value them and are willing to give them time and attention
• offering to simply sit with patients for a few minutes is powerful and a way to create a caring connection

Question 20

therapeutic use of self

Answer 20

• the ability to use one personality consciously and in full awareness in an attempt to establish related\ness and to structure nursing interventions

Question 21

presence

Answer 21

• mindfulness
• being present moment without judgement or analysis

Question 22

making observations

Answer 22

• apperance, demeanor, or behaviour of patietns can help draw attention to areas that may indicate a problem

Question 23

Placing the event in time or sequence

Answer 23

• asking questions about when certain events occurred in relation to there help us get a clearer sense of the whole picture

Question 24

seeking clarification

Answer 24

• asking patients for clarification when they say something confusing or ambiguous is important

Question 25

Confronting

Answer 25

• can be vital to the care of patients to disagree with them, present them with reality, or challenge their assumptions
• when used correctly can help patents break destructive routines of understanding the state of the current situation.

Question 26

the technique of confronting should only be used after

Answer 26

establishing trust with the patient

Question 27

encouraging descriptions of perception

Answer 27

• for patients experiencing sensory issues of hallucinations, can be helpful to ask in a nonjudgemental way

Question 28

encouraging comparisons

Answer 28

• making comparisons to past situations can be helpful for patient to discover solutions to their problems

Question 29

summarizing means you are _______

Answer 29

listening

Question 30

summarizing allows

Answer 30

• you to verify information
• lets patients make corrections

Question 31

reflecting

Answer 31

• helps patients come up with solutions themselves

Question 32

non therapeutic techniques

Answer 32

• asking for explanations “why are you so upset”
• demonstrating approval or disapproval
• defensivness
• passive argessive responses
• arguing
• automatic responses
• sympathy