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Flashcards in Therapeutic relationships Deck (16):

Caregiver verbal and nonverbal techniques that focus on the care receiver's needs and advance the promotion of healing and change.; encourages exploration of feelings and fosters understanding of behavioral motivation; nonjudgmental , discourages defensiveness and promotes trust.

Therapeutic communication


Nurse faces patient, make eye contact, and says, "My name is Mary Day, and I
will be your nurse today."

example of Congruence - (Verbal and nonverbal components match.)


1. Verbal
2. Non-verbal
3. Accuracy
4. Congruency

Concepts of communication


Nurse sits next to patient, makes eye contact, leans forward, and says, "Rosie,
I am glad we have this opportunity to work on some of your problems together."

example of Positive regard - (Verbal and
nonverbal components provide the patient with a message of personal regard.)


Patient shakes nurse's hand very hard. Nurse says, in a normal tone of voice, "Tom, I'm always pleased to shake hands when we meet, but you don't need to squeeze so hard!"

example of acceptance - (lets patient know nurse likes to meet him, but places boundary)


Paraphrasing, restating, reflecting, and exploring are techniques used for the purpose of ...



Is descriptive rather than evaluative and focuses on the behavior rather than on the client ; specific; directed toward behavior that the client has the capacity to modify ; should impart information rather than offer advice; given at earliest appropriate opportunity



expressing uncertainty as to the reality of the clients perceptions; used with clients experiencing delusional thinking

Voicing doubt vs disagreeing


I see you have put on a clean dress and combed your hair.

Giving recognition vs complimenting


" Do you think I should tell my husband about my affair ? - N: " Do you think you should tell him ?

Reflecting vs giving advice


Involves directing the conversation toward specific information but allowing the client provide personal input divulging the needed information; this type of interpersonal communication plays major role in psychiatric nursing

Facilitative communication


The ability to see beyond outward behavior and to understand the situation from the client point of view



Representation of the self and a tool that can be used to increase self-awareness
1. The open or public self (Susan -nurse, adult child of alcoholic - volunteer at AA)
2. The unknowing self ( Susan's detox pts think she is cold and judgmental ; she is unaware)
3. The private self ( Susan prefer not to take care of detox pts , but she doesn't want anyone to know)
4. The unknown self ( Susan and pts are unaware that she is satisfying unfulfilled personal needs)

The Johari Window


Nurse actually shares what the client is feeling and experiences a need to alleviate distress

Sympathy - non therapeutic


1. rapport
2. trust
3. respect
4. genuineness
5. empathy

essential to development of a therapeutic relationship


1. Observe for escalation of anger
2. Ensure that sufficient stuff are available
3. Talking down
4. Physical outlets (punching pillow)
5. Offer client choice of taking medication voluntary
6. Call for assistance
7. Restrains (order within an hour)

Dealing with Aggression