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Intro to Nursing > Therapeutic Communication > Flashcards

Flashcards in Therapeutic Communication Deck (28):
1

Any means of exchanging information and feelings between two people

Communication

2

What two things does communication have?

-Sender
-Receiver

3

Supports quality, safety and enhances patient satisfaction

Good communication

4

Purpose of communication

-To influence others
-Obtain information

5

-Sender
-Receiver
-Message
-Feedback
-Channel
-Intrapersonal variables
-Environment

Communication Process

6

-Increases liability
-Threatens professional credibility
-Delays in health care delivery
-Medical errors
-Increased cost to the patient, facility, and society

Poor communication

7

1. Social
2. Structured
3. Therapeutic

3 Kinds of Communication

8

-Used by “helping persons”
-To overcome stress
-To get along with others
-To adjust to unchangeable
-To overcome “psychological blocks”

Therapeutic Communication

9

Tone of voice

Rate of speech

Quality of voice

Volume of voice

Verbal content

Considerations in Communicating

10

“self-talk” – the communication that occurs within an individual

Intrapersonal communication

11

Interaction between two people or within a small group

Interpersonal communication

12

Interaction of one individual with large groups of people

Public communication

13

Values, attitudes, and beliefs
Culture or religion
Social status
Gender
Age or developmental level
Environment

Conditions Affecting Communication

14

The deeper message within a message
Personal appearance
Posture and gait
Facial expression
Eye contact
Gestures
Territoriality and space

Non-verbal communication

15

1. Intimate zone: 0-18 inches
2. Personal zone 18 in – 4 feet
3. Social zone: 4 – 12 feet
4. Public zone: 12+ feet

Zone of Personal Space

16

Performing hygiene and assessment
(0-18 inches)

Intimate zone

17

-Sitting at patient’s bedside
-Taking a history
(18" - 4 feet)

Personal zone

18

-Receiving report
-Teaching a group
(4-12 feet)

Social zone

19

Speaking to groups
(12+ feet)

Public zone

20

-Emotional involvement with others alters relationship

-Objectivity can best be maintained with a professional distance

-Allows nurse to maintain a professional relationship

-Patients that want a more personal relationship – politely and truthfully direct the client to your role and redirect conversation to client needs

Maintaining a Professional Distance

21

Similarities of Helping vs. Social Relationships

Care, concern, trust, growth

22

Differences of Helping vs. Social Relationships

-Occurs due to client specific needs

-Unequal sharing of information

-Build on client needs, not nurse needs

-Professionalism by the nurse in appearance, demeanor, and behavior develop trust of the client

23

-Client’s goals are what the relationship is all about
Improved well-being and increased independence for the client

-Greater feelings of worth and improved health

-As client’s needs change the goals change

-The nurse may have needs, but these are to be set aside and the focus is on the client’s needs

Goals of the Nurse-Client Relationship

24

1. Pre-interaction

2. Orientation

3. Working phase

4. Termination

Phases of Therapeutic Relationship

25

- Obtain client information

-Examine own fears and feelings

Pre-interaction phase

26

-Establish trust and rapport

-Establish intervention

-Assess

Orientation phase

27

-Maintain

-Use problem solving

-Overcome resistance

-Continuous evaluation

-Longest phase of the relationship

Working phase

28

-Goals achieved

-Plan for continuity

-Feelings regarding termination explored

Termination phase