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Flashcards in Psych Therapeutic Communication Deck (40)
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1

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

2

When is the space for therapeutic communication most comfortable?

3-6 feet apart

3

What are the 5 types of touch?

-Functional/professional
-Social/polite
-Friendship/warmth
-Love/intimacy
-Sexual/arousal

4

Functional/Professional Touch

used in examinations or procedures such as when a nurse touches a client to perform an assessment like skin turgor

5

Social/Polite Touch

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

6

Friendship/Warmth Touch

involves a hug in greeting, an arm thrown around the shoulder, or the back slapping some men use to greet friends or family

7

Love/Intimacy Touch

involves tight hugs, kisses between lovers or close relatives

8

Sexual/Arousal Touch

used by lovers

9

What must the nurse use to evaluate touch?

Touch is based on the client's preference, history, culture, and needs

10

Active Listening

refraining from other internal mental activities and concentrating exclusively on what the patient says

11

Active Observation

watching the speaker's nonverbal actions as he or she communicates

12

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

13

Concrete Messages

-words are explicit and need no interpretation
-clear, direct, and easy to understand
-elicit more accurate responses

14

Abstract Messages

unclear patterns of words that often contain figures of speech that are difficult to interpret

15

Broad Openings

allowing the client to take the initiative in introducing the topic

16

Focusing

concentrating on a single point

17

Giving Information

making available the facts that the client's need

18

Making Observations

verbalizing what the nurse perceives

19

Reflecting

directing the client actions, thoughts, and feelings back to client

20

Restating

repeating the main idea expressed

21

Silence

absence of verbal communication, which provides time for the client to put thoughts or feelings into words, to gain composure, or to continue talking

22

What are some nontherapeutic communication techniques you should avoid?

Advising, belittling, challenging, probing, reassuring, etc...

23

Advising

BAD
telling the client what to do

24

Belittling

BAD
misjudging the degree of the client's discomfort

25

Disagreeing

BAD
opposing the clients ideas

26

Disapproving

BAD
denouncing the client's behavior or ideas

27

Giving Approval

BAD
sanctioning the client's behavior or ideas

28

Challenging

BAD
demanding proof from the client

29

Probing

BAD
persistent questioning of the client

30

Reassuring

BAD
indicating there is no reason for anxiety or other feelings of discomfort