Herzing Therapeutic Communication RN and LPN

Offering self

Therapeutic "I'll sit with you for awhile . I'm interested in helping you."

facial expression

Which nonverbal communication expresses one's emotions?

mindful listening

Another name for active listening is?

What is advising

NON-therapeutic "What you should do is.....I think you should do..."

sparing

Debating or disagreeing with the client is what communication mistake

reflecting content

Speaker: "I just don't understand my boss. One minute he says one thing and the next minute he says the opposite." Listener: "You feel very confused by him?" this is what communication tool?

"Tell me somethings you would like to discuss today" Is which communication technique

open ended

What is rapport?

the ability to establish a meaningful connection with clients

validation

"I know you are feeling angry because I was 15 minutes late coming home. It was not my intention to anger you; I was stuck in traffic. But I can see that waiting for me made you upset" This would be what communication tool?

Barriers to communication include:

-Beliefs about what the listeners want to hear -Prejudice -Poor listening -Strained sender/receiver relationships failure to listen giving advice giving false reassurance being defensive

confrontation

Nurses should only apply this technique after they have established trust. It can be vital to the care of patients to disagree with them, present them with reality, or challenge their assumptions. When used correctly, can help patients break destructive routines or understand the state of their situation.

Restating

Patient: "I won't ever be able to use this electric wheelchair!" Nurse: "You're concerned that you won't be able to use the devices on your new wheelchair." Which comm. tech is this?

Reflecting content

Reflecting is the process of paraphrasing and restating the words of the speaker, allowing the speaker to 'hear' their own thoughts

open-ended question

The nurse says "What kind of relationship did you have with your mother?" Patient: "She was horrible to me but good to my brother and I was the one who tried to please her." the therapeutic tool used by the nurse is?

closed-ended

The nurse says, "Did you have a good relationship with your mother?" Patient: "It was all right." Is what communication tech?

Seeking clarification

Therapeutic Used when the client is vague or incomprehensible. "I'm not sure that I understand." "What would you say is the main point?" Bring reality into consideration.

reflecting feelings

When the nurse determines the feelings and emotions in a person's verbal and body language and stating (or reflecting) those feelings back to the person or client. it is almost as if the nurse is acting as a mirror, or reflection, of the client's feelings.

empathy

the ability to feel with another person

empathy

the ability to understand the thoughts feelings or emotions of someone else

interrogating

the nurse is asking the patient a barrage of questions, one after the other. This is what type of communication?

linking

the nurse responds to the client by tying together two events, or feelings or people is what communication tech?

clarification

the nurse says, "Am I correct that you told me that you plan on having home health care after your discharge?" this is which communica. tech?

Reflecting Feelings

the nurse says, "It sounds like you are very angry with your husband" this is which communca. tech?

using silence

this therapeutic tool gives both nurses and patients an opportunity to think through and process what comes next in the conversation. It may give patients the time and space they need to broach a new topic.

What is false reassuring?

Non-therapeutic "I wouldn't worry about that, everything will be fine

What is Dissaproving

Non-therapeutic "That's bad. I rather you wouldn't"

What is defending?

Non=therapeutic "This is a fine hospital, everyone knows their job well"

using silence

The nurse is silent or says, "I will sit quietly with you; I can tell you have something serious on your mind." is what therapeutic tech?

imparting information

The nurse says, "Your test will be tomorrow at 9AM" this is which communication tech?

Restating

The patient says "I am ready to do some walking" and the nurse says, "Did I hear you say that you are now ready to do some walking?" which communica. tool is this?

whispering, smiling, laughing, joking could be seen as dangerous

What behaviors should the nurse avoid around paranoid patients?

Rehearsing

When the nurse is too busy thinking about what they want to say back to the client and are not listening to the client. this is called?

mindful listening

a way of listening without judgment, criticism or interruption, while being aware of internal thoughts and reactions that may get in the way of people communicating with each other effectively.

anxious, paranoid, psychosis, cognitively impaired, intubated patients

closed ended communication is good with which types of patients?

respectful and showing interest

remaining silent while the client expresses themselves is a sign the nurse is being?

respect and empathy

responding with warmth is reflected by communicating?

incongruent communication

speech and non-speech do not match. Also known as a mixed message

empathy contains no elements of condolence, or pity

the difference between empathy and sympathy is?

Overload

the nurse is explaining the procedure for tomorrows test to a patient and the patient says, "I hear what you are saying but I just cant's think straight right now" the patient is experiencing?

closed ended

the nurse says, "Are you in pain today?" this is which communica. Tech?

sympathy, so sorry means sympathy

the nurse says, "I am so sorry this has happened to you" The nurse is exhibiting?

clarification

the nurse says, "I'm not sure I understand. Can you explain it to me?" this is which communica. tool?

clarification

the nurse says, "I'm not sure what you mean could you say that again" is which communca. tech.?

Validation

the nurse says, "It sounds like you have a lot of feelings about this. That makes sense to me." The nurse is using what tool?

focusing

the nurse says, "Let's go back and discuss you thought about wanting to kill your mother". this is which communca. tech?

linking

the nurse says, "So are saying that every fall you become very depressed" is what communication tech?

open-ended

the nurse says, "Tell me how things went this weekend" is what communication tech?

focusing

the nurse says: "Mr. Burke, your family is very interesting and successful. Thank you for sharing this information with me. Now, let's discuss your diabetes and the insulin that you will be taking after you leave the hospital". this therapeutic comm. tool is?

False reassurance

the patient states, "I am worried about surgery tomorrow and the nurse says, "Don't worry, you are in good hands" and "Everything will be fine". This is which block to communication?

facial expression

the single most important source of nonverbal communication is?

Empathy allows the nurse to

walk a mile in the client's shoes enter in to the life of another empathy is demonstrated verbally, nonverbally and behaviorally

assuming

when the nurse thinks they know what the client really means without asking is called

mixed message

when what a person says and what their face reflects does not match this is called a ?