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20 Cards in this Set

  • Front
  • Back
What is therapeutic communication?
Interpersonal interaction between nurse and patient that focuses on the patient so that the nurse can understand and empathize with the patient
What are the goals of therapeutic communication?
1. Establish therapeutic relationship
2. Identify most important patient concern
3. Facilitate patient's expression of emotions
4. Implement interventions
5. Guide patient toward plan of action
What are 4 factors in therapeutic communication?
1. Privacy
2. Proxemics (distance zones -- cultural considerations)
3. Touch (comforting or invasion?)
4. Active listening and observation
What are 13 types of therapeutic communication techniques?
1. Broad opening
2. Exploring
3. General leads
4. Offering self
5. Reflecting
6. Use of silence
7. Acceptance
8. Confrontation
9. Doubt
10. Interpretation
11. Observation
12. Restatement
13. Validation
What are 8 barriers to communication?
1. Failure to listen
2. Judgmental attitude
3. Disagreement or criticism
4. Asking excessive questions
5. Giving advice
6. Belittling feeligns expressed
7. Changing the subject
8. False reassurance
What type of therapeutic communication technique is: "Where would you like to begin?"
Broad openings
What type of therapeutic communication technique is: "Tell me more about that."
Exploring
What type of therapeutic communication technique is: "And then?" or "Go on."
General leads
What type of therapeutic communication technique is: "I'll sit with you for awhile."
Offering self
What type of therapeutic communication technique is the response, "Do you think you should?" when the patient asks if he should tell the doctor.
Reflecting
What type of therapeutic communication technique is: encouraging and receiving information
Acceptance
What type of therapeutic communication technique is: put to words what the patient is implying.
Interpretation
What type of therapeutic communication technique is: acknowledge what patient has said
Validation
What are 4 types of defense mechanisms?
1. Denial
2. Displacement
3. Idealization
4. Projection
5. Rationalization
6. Reaction formation
7. Undoing
8. Repression
What is the difference between displacement and projection?
Displacement is directing anger toward a substitute, and projection is attributing unacceptable thoughts/feelings to others
What is Self-Awareness?
Understanding one's own beliefs, thoughts, motivations, biases and physical and emotional limitations, and recognizing how they affect others
Why must a nurse strive for self-awareness?
It is necessary for therapeutic communication. It requires an individual to be introspective in order to change learned behaviors. It allows the nurse to recognize her own biases and limitations to better know when to refer a patient to another clinician.
What is transference?
Unconscious displacement or transfer of feelings onto nurse. Set of expectations, beliefs and emotional responses a patient brings to therapeutic relationship.
What is countertransference?
Describes the behavioral and emotional responses a nurse has to a patient; they may be unconscious entirely, or partially in the nurse's awareness
In what phase of the nurse-patient relationship do transference and countertransference occur?
The Working Phase