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Mental Health > Chapter 8: Therapeutic Communication > Flashcards

Chapter 8: Therapeutic Communication Flashcards

1
Q

density

A

the number of people within a given environmental space

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2
Q

distance

A

the means by which various cultures use space to communicate.

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3
Q

intimate distance

A

the closest distance that individuals will allow between themselves and others.
0 to 18 inches

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4
Q

paralanguage

A

the gestural component of the spoken word

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5
Q

personal distance

A

reserved for interactions that are personal in nature

18 to 40 inches

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6
Q

public distance

A

Examples include speaking in public or yelling to someone some distance away.
exceeds 12 feet

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7
Q

social distance

A

Interactions at this distance include conversations with strangers or acquaintances, such as at a cocktail party or in a public building
4 to 12 feet

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8
Q

Functional-Professional touch

A

This type of touch is impersonal and businesslike. It is used to accomplish a task.

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9
Q

Therapeutic interpersonal relationship

A

the process by which nurses provide care for clients in need of psychosocial intervention

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10
Q

Friendship-Warmth touch

A

Touch at this level indicates a strong liking for the other person, a feeling that he is a friend.

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11
Q

interpersonal communication

A

a transaction be- tween the sender and the receiver

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12
Q

Sexual Arousal touch

A

Touch at this level is an expression of physical attraction only

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13
Q

Nostril flare

A

Anger; arousal

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14
Q

Wrinkling up nose

A

Dislike; disgust

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15
Q

Grin; smile

A

Happiness; contentment

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16
Q

Grimace

A

Fear; pain

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17
Q

Compressed lips

A

Anger; frustration

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18
Q

Compressed lips

A

Anger; frustration

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19
Q

Canine-type snarl

A

Disgust

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20
Q

Pouted; frown

A

Unhappiness; discontented; disapproval

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21
Q

Pursing

A

Disagreement

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22
Q

Sneer

A

Contempt; disdain

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23
Q

Frown eyebrows

A

Anger; unhappiness; concentration

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24
Q

Raised eyebrows

A

Surprise; enthusiasm

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25
Q

Stick out tongue

A

Dislike; disagree

26
Q

Widened eyes

A

Surprise; excitement

27
Q

Narrowed, lids squeezed shut

A

Threat; fear

28
Q

Eyes downcast; lack of eye contact

A

Submission; low self-esteem

29
Q 
eye contact (generally intermittent, as
opposed to a stare)
A

Self-confidence; interest

30
Q

Stare

A

Threat

31
Q

Stare/blink/look away

A

Dislike; disinterest

32
Q

Therapeutic Communication

A

encourages exploration of feelings and fosters under- standing of behavioral motivation. It is nonjudgmental, discourages defensiveness, and promotes trust.

33
Q

Therapeutic Communication

A

encourages exploration of feelings and fosters under- standing of behavioral motivation. It is nonjudgmental, discourages defensiveness, and promotes trust.

34
Q

Active Listening

A

being attentive to what the client is saying, both verbally and nonverbally.

35
Q

SOLER

A

nonverbal behaviors designated as facilitative skills for attentive listening

36
Q

SOLER

S

A

Sit squarely facing the client. This gives the message that the nurse is there to listen and is interested in what the client has to say.

37
Q

SOLER

O

A

Observe an open posture. Arms and legs remain uncrossed. With a “closed” position, the nurse can convey a somewhat defensive stance, possibly invoking a similar response in the client.

38
Q

SOLER

L

A

Lean forward toward the client. This conveys to the client that you are involved in the interaction, interested in what is being said, and making a sincere effort to be attentive.

39
Q

SOLER

E

A

Establish eye contact. The absence of eye contact or the constant shifting of eye contact elsewhere in the environment gives the message that the nurse is not really interested in what is being said.

40
Q

SOLER

R

A

Relax. A sense of being relaxed and comfortable with the client. Restlessness and fidgetiness communicate a lack of interest and may convey a feeling of discomfort that is likely to be transferred to the client.

41
Q

Process recordings

A

Written reports of verbal interactions with clients.

42
Q

Nonverbal expression

A

is a primary communication system in which meaning is assigned to various gestures and patterns of behavior.

43
Q

Feedback

A

method of communication for helping the client consider a modification of behavior.

44
Q

Feedback

A

method of communication for helping the client consider a modification of behavior.

45
Q

A client states: “I refuse to shower in this room. I must be very cautious. The FBI has placed a camera in here to monitor my every move.” What is a therapeutic response?

A

“I have a hard time believing that is true.”

46
Q

Nancy, a depressed client who has been unkept and untidy for weeks, today comes to group therapy wearing makeup and a clean dress and having washed and combed her hair. What responses by the nurse is appropriate?

A

“Nancy, I see you have put on a clean dress and combed your hair.”

47
Q

Judy has been in the hospital for 3 weeks. She has used Valium “to settle my nerves” for the past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has passed the physical symptoms of withdrawal at this time, but states to the nurse, “I don’t know if I will be able to make it without Valium after I go home. I’m already starting to feel nervous. I have so many personal problems.” What is an appropriate response by the nurse?

A

“We will just have to think about some things that you can do to decrease your anxiety without resorting to drugs.”

48
Q

Carol, an adolescent, just returned from group therapy and 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 will.” What is an appropriate response by the nurse?

A

“You’re feeling pretty down on yourself right now.”

49
Q

The client says to the nurse, “I’ve been offered a promotion, but I don’t know if I can handle it.” The nurse replies, “You’re afraid you may fail in the new position.” This is an example of which therapeutic technique?

A

Restating

50
Q

aspects of environment communication

A

Territoriality, density, and distance

51
Q

Kinesics

A

body movements

52
Q

Proxemics

A

use of personal and social space

53
Q

Appearance

A

use of clothing and other personal objects to communicate a personal image

54
Q

Acceptance

A

favorable reception of the other

55
Q

Interest

A

genuine curiosity

56
Q

Respect

A

showing consideration

57
Q

Honesty

A

sincerity and truthfulness

58
Q

Assistance

A

being present and helping

59
Q

Permission

A

consent to behave in new ways

60
Q

Protection

A

ensuring safety

Mental Health (7 decks)

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