Therapeutic communication/ relationships

Cards (29)

  • how can you assess data using therapeutic communication?
    • Sit when communicating with a patient.
    • Be alert and relaxed and take your time.
    • Keep the conversation as natural as possible.
    • Maintain eye contact if appropriate.
    • Use appropriate facial expressions and body gestures.
    • Think before responding to the patient.
    • Do not pretend to listen.
    • Listen for themes in the patient’s comments.
    • Use silence, therapeutic touch, and humor appropriately.
  • how can you use self in therapeutic communication?
    • Confident; open body posture
    • Use of clear, concise “I” statements
    • Ability to share effectively one’s thoughts, feelings, and emotions
    • Working to capacity with or without supervision
    • Remaining calm under supervision
    • Asking for help when necessary
    • Giving and accepting compliments
    • Admitting mistakes and taking responsibility for them
  • What are the communication techniques to conduct a client-focused interchange?
    • Open-ended questions or comments
    • Closed questions or comments
    • Validating questions or comments
    • Clarifying questions or comments
    • Reflective questions or comments
    • Sequencing questions or comments
    • Directing questions or comments
  • when might a patient identify immediate issues or concerns?
    During the working phase
  • what are the orientation phase goals?
    • The patient will call the nurse by name.
    • The patient will accurately describe the roles of the participants in the relationship.
    • The patient and nurse will establish an agreement about:
    • Goals of the relationship
    • Location, frequency, and length of the contacts
    • Duration of the relationship.
  • what are the working phase goals?
    • The patient will actively participate in the relationship.
    • The patient will cooperate in activities that work toward achieving mutually acceptable goals.
    • The patient will express feelings and concerns to the nurse.
  • What are the termination phase goals?
    • The patient will participate in identifying the goals accomplished or the progress made toward goals.
    • The patient will verbalize feelings about the termination of the relationship.
  • how does culture affect therapeutic communication?
    The culturally determined context, values, beliefs and practices will strongly influence patient expectations, preferences and behaviours
  • How does spirituality affect therapeutic communication?
    beliefs about life, health, illness, death, and one’s relationship to the universe; involves the essence of a person’s being and their beliefs about the meaning of life and the purpose for living
  • What are the factors that influence communication?
    • Developmental level
    • Gender
    • Sociocultural differences
    • Roles and responsibilities
    • Space and territoriality
    • Physical, mental, and emotional state
    • Values
    • Environment
  • Social media guidelines are regulated
    Both the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN)
  • E-mail and text messages
    The risk for violating patient privacy and confidentiality exists any time a message is sent electronically
  • The Nursing Process:  Assessment
    • Assess for factors that are detrimental to establishing therapeutic communication
    • Accurate data collection
  • The Nursing Process:  Analysis/Diagnosis
    • The statement of the nursing diagnosis must be clear and concise
    • What are some possible NANDA diagnoses?
  • The Nursing Process:  Planning
    • Involves accurate communication among all members of the healthcare team, as well as with the client and the family.
    • Individualized outcomes and goals depends on the nursing diagnosis 
    • Encourage client to explore possibilities and give input regarding solutions to his/her problem.
  • The Nursing Process:  Intervention
    • The nurse communicates with the client and family
    • The nurse communicates his or her impressions and observations to other members of the healthcare team
    • Specific interventions depend on the problem and goals identified
  • The Nursing Process:  Evaluation
    • Did the client receive your messages accurately?
    • How will you assess this?
    • Does Plan of Care need to be revised?
  • What is the therapeutic relationship?
    Trust, genuine interest, empathy, acceptance, and positive regard
  • What is the nurses' role in a therapeutic relationship?
    communication skills, personal strengths, and understanding of human behavior to interact with the client
  • what is the patient's role in a therapeutic relationship?
    the social or intimate relationship in many ways because it focuses on the needs, experiences, feelings, and ideas
  • What is the emotional impact of illness on the client and the family?
    stressed, confused, vulnerable
  • what might be a patient's relationship within their family?
    Supportive or not in any contact
  • what might be a patient's relationship within their occupation?
    Maslow hierarchy
    is needed for the feeling of security
  • what might be a patient relationship within their community?
    may not have resources to help the patient heal
  • What are the psychosocial benefits of the therapeutic nurse-client relationship?
    improvements in patient satisfaction, adherence to treatment, quality of life, levels of anxiety and depression, and decreased healthcare costs
  • What are the physiological benefits of the therapeutic nursing-client relationship?
    Improved outcomes
  • What is the difference between therapeutic and social relationships?
    therapeutic - it focuses on the needs, experiences, feelings, and ideas of the client only
    social - primarily initiated for the purpose of friendship, socialization, companionship, or accomplishment of a task
  • What is the  “Nurse Know Thyself” tenet
    It is about the nurse's self-awareness to prevent prejudice.
    as well as knowing when to leave things at work and not causing themselves compassion fatigue
  • What are some reasons for the confidentiality of information received from the client?
    Privacy, trust, legal requirements.
    allows for a clear boundary