Therapeutic Communication
"Why did you stop your medications" is an example of this.
What is a "Why" question?
What does it mean to culturally competent?
It means you respect the client's cultural practices
During which portion of ISBAR, the nurse should state data pertinent to the moment’s problem such as the past medical history or condition of the patient’s incision.
What is the Background portion of ISBAR?
This communication technique gives the patient time to organize his/her thoughts and think through was he/she is going to say
What is silence?
In the _____ phase, the nurse is preparing to meet with the client by reviewing data and talking with other care providers
What is the preinteraction phase?
The statement, "Everything will be fine"
What is False Reassurance?
What are culturally specific practices
What are shared values, beliefs and behavior for ethnic groups?
Requires nurses to communicate pertinent information within the appropriate context of a situation. Example: smoking cessation education should not be done before an emergency surgery.
What is relevance?
If the nurse makes a comment regarding the way a client looks, what type of therapeutic techniques are they using
sharing observation
In the______ phase, the nurse is preparing the client to end the interaction and transitioning care to other professionals.
What is the termination phase?
The first several encounters with a patient to establish trust and understanding.
what is establishing a rapport?
"Where would you like to begin" is an example.
What is a "Giving Broad Opening"
During which portion of ISBAR the nurse should offer probable solutions or orders that may be implemented.
What is the recommendation portion of ISBAR?
when the patient is misrepresenting reality, the nurse can indicate what is real
What is presenting reality?
In the ______phase, the nurse begins communication that is casual and friendly to build trust and rapport.
What is the orientation phase?
Restating a message, generally in fewer words.
What is paraphrasing.
What is one of the barriers to competent/cultural care?
Not acknowledging your own concerns with cultural competent care
The framework which includes:
Introduction, Situation, Background, Assessment, Recommendation and provides a standardized approach to communication which can be used by nurses.
What is ISBAR?
When the patient is misrepresenting reality, the nurse can indicate what is real
What is reality?
This form of communication involves interaction with a small number of people.
What is small group communication?
Body gestures such as facial expressions and hand movements.
Scowling, sighing, arms across chest and slumped posture
What is Non verbal communication?
Nonverbal communication is unconsciously motivated and more accurately indicates a person’s intended meaning than spoken words
Practices available for a client who does not speak English.
What is a designated interpreter or translator or language line phones
Asking questions to satisfy your curiosity, which can be seen as invasive, nosy, and unnecessary.
What is asking personal questions?
The nurse allows the client to express themselves freely. What type of therapeutic communication technique is being used
Sharing feeling
In the _____ of the therapeutic relationship, the nurse encourages the client through self-exploration and uses therapeutic communication to facilitate successful interactions.
What is the working phase of the therapeutic relationship/communication?
Being respectful and responsive to the health beliefs and practices of diverse populations.
What is Cultural Competence?
What are the two client identifier?
Name and DOB
Reflecting on client's thought and feeling
Asking question
Giving feedback
Evaluating
What is integral part of effective communication?
"I'm not sure that I follow...
What is seeking clarification?
Self-talk is ______?
What is Intra-personal communication?
Some cultures consider this disrespectful and improper.
What is direct eye contact?
Why is it important to know the age of the client?
Age appropaite comptent care
What are the three hallmark of an effective communication?
information is clear
information is accurate
Information is given with great cultural sensitivity.
Recognize and acknowledge a patient’s thoughts, feelings, and needs
What is validation?
Interaction with an audience is also known as _____?
What is public communication?
A technique used for a patient jumping from topic to topic. It concentrates attention to a single point.
What is the therapeutic technique "focusing"
This therapeutic technique is when the nurse repeats patient statements.
What is "restating"
When is the best time to educate a patient?
When the patient is awake, alert, oriented and comfortable.
True personal experiences shared by the nurse that are not therapeutic for the nurse but reveal a commonality or a bond between the nurse and patient
What is self-disclosure?
True or False
It is okay to ask "WHY" questions.
False
Avoid asking the client why questions as it may appear to be confrontational
The reason for approx. 80% of medical errors.
What is Miscommunication during patient handoff
"Tell me more about that" is an example.
What is the Therapeutic technique of "Exploring"
Only sharing patient information with those whom are caring for the patient.
What is patient confidentiality?
The nurse restates what the client has said to them. What type of communication technology is being used?
Paraphrasing
True or False of active listening strategies
1. The nurse’s focus should be on the client.
2. The nurse should establish intermittent eye contact and maintain it during active listening.
3. The nurse should stand facing the client.
4. The nurse should lean toward the client.
1.True
2. True
3. False
4. True