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fundamentals of nursing lec > Therapeutic Communication > Flashcards

Therapeutic Communication Flashcards

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1
Q

A critical nursing skill to gather data, teach, persuade, and express care and comfort

A

Communication

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2
Q
  • An interaction between 2 or more
    people
  • A process to……
    Influence
    Obtain info
  • includes verbal and nonverbal methods
  • includes self talk
A

Communication

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3
Q

Components of Communication

A

Sender
Message
Channel
Receiver
Response

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4
Q

Different modes of communication

A

Verbal
Nonverbal
Electronic

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5
Q

Identify Different modes of communication
- spoken or written

A

Verbal Communication

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6
Q

Verbal Communication Considerations

A

Pace and intonation
Simplicity
Clarity and brevity
Timing and Relevance
Adaptability
Credibility
Humor

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7
Q

Identify Different modes of communication
- uses gestures, facial expressions, and touch
- conveys meaning more effectively than words

A

Nonverbal Communication

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8
Q

Considerations for Nonverbal Communication

A

Posture and Gait
Personal Appearance
Facial Expression
Gestures depending on ones culture

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9
Q

Identify Different modes of communication
- uses technology

A

Electronic Communication

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10
Q

Advantages of Email

A

Fast, efficient
Provides record
can improve comms and continuity of care

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11
Q

Disadvantages of Email

A

Risk to client confidentiality
Socioeconomics or lack of funds
May not enhance comms skill with all

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12
Q

Guidelines for email

A
  • avoid use if info is urgent to clients health, highly confidential, or potentially distressing or confusing
  • agency standards
  • Email consent form
  • part of clients med records
  • professional judgement
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13
Q

Factors Influencing Communication

A

Development
Gender
Values and Perception
Personal Space
Territoriality
Roles and Relationship
Environment
Congruence
Interpersonal Attitudes

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14
Q

Identify Factors Influencing Communication
- knowledge of clients stage of development

A

Development

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15
Q

Identify Factors Influencing Communication
- girls seek confirmation, minimize differences, and establish intimacy
- boys establish independence and negotiate state within group

A

Gender

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16
Q

Identify Factors Influencing Communication
- standards that influence behavior
- personal view of an event

A

Values and Perception

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17
Q

Identify Factors Influencing Communication
- Intimate: 1 to 1.5 feet
- Personal: 1 to 4 feet
- Social: 4 to 12 feet
- Public: 12 to 15 feet

A

Personal Space

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18
Q

Identify Factors Influencing Communication
- things that individual considers as belonging to self including space

A

Territoriality

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19
Q

Identify Factors Influencing Communication
- between the sender and reciever

A

Roles and Relationships

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20
Q

Identify Factors Influencing Communication
- privacy
- effective comms only occur in comfortable environments

A

Environment

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21
Q

Identify Factors Influencing Communication
- verbal and nonverbal aspects of the message match

A

Congruence

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22
Q

Identify Factors Influencing Communication
- caring and warmth
- respect
- Elder Speak
- acceptance
- boundaries

A

Interpersonal Attitudes

23
Q

Importance of Therapeutic Communication

A

Promotes Understanding
Establishes Constructive relationships
Attentive Listening
Visibility Tuning In

24
Q

Communication Techniques

A

Using Silence
Provides General Needs
Being Specific and Tentative
Using Open-Ended Questions
Using Touch
Restating or Paraphrasing
Seeking Clarification
Perception Checking
Offering Self
Giving Info
Acknowledging
Clarifying Time or Sequence
Presenting Reality
Focusing
Reflecting
Summarizing and Planning

25
Q

Identify Communication Techniques
- accepting pauses or silence for few minutes or seconds
- allow client to verbalize more
- allow client to talk

A

Using Silence

26
Q

Identify Communication Techniques
- use statements or questions to promote client verbalization
- to facilitate conversation

A

Providing General Needs

27
Q

Identify Communication Techniques
- provide specific Statements but are not absolute

A

Being Specific and Tentative

28
Q

Identify Communication Techniques
- asking broad questions
- invites client to explore more to give right statement to describe situation
- not answerable with yes or no
- answered only by statements

A

Using Open Ended Questions

29
Q

Identify Communication Techniques
- provide appropriate forms of care
- be sensitive to differences of attitude and culture of client when in use

A

Using touch

30
Q

Identify Communication Techniques
- shows active listening
- repeating the same thoughts and emotions in a similar way
- gives patient time to reflect on what he or she said

A

Restating Or Paraphrasing

31
Q

Identify Communication Techniques
- making clients broad statements more understandable
- used when paraphrasing is useless and comms garbled
- ask to client to restate message
- nurse clarify own statements with statements

A

Seeking Clarification

32
Q

Identify Communication Techniques
- verifies specific meaning of word/s

A

Perception Checking

33
Q

Identify Communication Techniques
- suggesting one’s presence, interest, or wish to understand client
- done without making any demands or attaching conditions that client must comply

A

Offering Self

34
Q

Identify Communication Techniques
- simple direct specific factual info the client may or may not request
- if info not known, state who has this info

A

Giving Info

35
Q

Identify Communication Techniques
- giving recognition in nonjudgmental way to clients efforts
- done verbally or nonverbally

A

Acknowledging

36
Q

Identify Communication Techniques
- help clarify event, situation, or happening in monitoring time

A

Clarifying Time and Sequence

37
Q

Identify Communication Techniques
- helping client differentiate real from the unreal

A

Presenting Reality

38
Q

Identify Communication Techniques
- helping client expand or develop topic of importance
- nurse must first wait for client to state main concern before attempting it
- may be idea or feeling

A

Focusing

39
Q

Identify Communication Techniques
- directing ideas, feelings, questions, or content back to the client
- enables client to explore their own ideas and feelings

A

Reflecting

40
Q

Identify Communication Techniques
- stating main points to clarify relevant points of discussion
- useful at the end of an interview or review health teaching session
- act as introduction to future care planning

A

Summarizing and Planning

41
Q

Guidelines for visibly tuning in to Clients
LOSER

A

Lean towards person
Open Stance
Squarely Face person
maintain Eye contact
Relaxed

42
Q

Barriers to Communication

A

Failure to listen
Improper decoding
Nurse place own needs first
Stereotyping
Agreeing and disagreeing
Being Defensive
Challenging
Probing
Testing
Rejecting
Changing topics and subjects
False reassurance
Passing Judgement
Giving Common Advice

43
Q

Identify Barriers to Communication
- generalizing and oversimplified beliefs about a group

A

Stereotyping

44
Q

Identify Barriers to Communication
- not neutral
- nurse acts like a judge
- may cause client to be defensive
- will limit clients options

A

Agreeing and Disagreeing

45
Q

Identify Barriers to Communication
- attempting to protect person or health care services from negative comments
- prevent client from expressing true concerns

A

Being Defensive

46
Q

Identify Barriers to Communication
- giving response that makes client prove their statement
- makes client defend their position
- nurse fails to consider clients feelings

A

Challenging

47
Q

Identify Barriers to Communication
- asking info out of curiosity
- prying into client’s privacy
- uses why questions
- places client in defensive situation

A

Probing

48
Q

Identify Barriers to Communication
- use questions that make client admit to something
- meets nurse’s needs rather than client
- permits limited answers client can give

A

Testing

49
Q

Identify Barriers to Communication
- rejecting client’s concerns

A

Rejecting

50
Q

Identify Barriers to Communication
- directing communication into areas of self interest

A

changing topics and subjects

51
Q

Identify Barriers to Communication
- use cliche or comforting statements as means to reassure client
- blocks fears, feelings, and other thoughts of client

A

False reassurance

52
Q

Identify Barriers to Communication
- giving opinions and advice in clinical setting
- disapproving or approving responses
- giving directions

A

Passing Judgement

53
Q

Identify Barriers to Communication
- what is true for you, may not be true for others
- any statement not backed up by any research

A

Giving Common Advice

fundamentals of nursing lec (11 decks)

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