Flashcards in Psych Therapeutic Communication Deck (40)
What are the goals of therapeutic communication?
-Establish therapeutic relationship
-Identify patient's most important concerns; assess patients' perceptions
-Facilitate expression of emotion
-Teach self care skills
-Recognize needs and implement interventions
When is the space for therapeutic communication most comfortable?
3-6 feet apart
What are the 5 types of touch?
used in examinations or procedures such as when a nurse touches a client to perform an assessment like skin turgor
used in greetings such as handshakes and the "air kisses" some women use to greet acquaintances, or when a gentle hand guides someone in the right direction
involves a hug in greeting, an arm thrown around the shoulder, or the back slapping some men use to greet friends or family
involves tight hugs, kisses between lovers or close relatives
used by lovers
What must the nurse use to evaluate touch?
Touch is based on the client's preference, history, culture, and needs
refraining from other internal mental activities and concentrating exclusively on what the patient says
watching the speaker's nonverbal actions as he or she communicates
What does Active listening and observations help the nurse to do?
-Recognize the client's most important issue
-Know what questions to ask
-Use of therapeutic communication techniques
-Prevents jumping to conclusions
-Objectively respond to message
-words are explicit and need no interpretation
-clear, direct, and easy to understand
-elicit more accurate responses
unclear patterns of words that often contain figures of speech that are difficult to interpret
allowing the client to take the initiative in introducing the topic
concentrating on a single point
making available the facts that the client's need
verbalizing what the nurse perceives
directing the client actions, thoughts, and feelings back to client
repeating the main idea expressed
absence of verbal communication, which provides time for the client to put thoughts or feelings into words, to gain composure, or to continue talking
What are some nontherapeutic communication techniques you should avoid?
Advising, belittling, challenging, probing, reassuring, etc...
telling the client what to do
misjudging the degree of the client's discomfort
opposing the clients ideas
denouncing the client's behavior or ideas
sanctioning the client's behavior or ideas
demanding proof from the client
persistent questioning of the client