therapeutic comm
tone, volume, speed, and pitch
What is vocalization?
folded arms and or crossed legs. shows defensive, guarded, not open to conversation, not trusting
What is closed body posture?
provides info to the pt, should be clear concise, not giving advice.
What is offering information?
Repeating what nurse believes is the main point patient said.
What is restating?
sudden improvement in mood, giving away personal items, saving/hoarding meds, preoccupied with death/suicide, sleep disturbance, non lethal self destructive behaviors would indicate a patient is at risk for what?
What is suicide?
allows time to organize thoughts and formulate a response.
What is silence?
using face to communicate concern and interest, smile- positive reinforcement. frown-may close communication.
What is facial expression?
requesting additional info to understand, encourages the patient to elaborate
What is clarifying?
General comments allowing patient to direct interaction; usually not answered with a "yes" or "no"
What is Open-ended questioning?
a sudden and acute decline in cognition, usually temporary and reversible and develops over hours to days. quick change between mental states
What is delerium?
guage pt reaction, conveys warmth, caring, comfort, support, understanding. be aware of cultural acceptance to contact
What is touch?
physical distance between speaker and receiver. intimate, personal, social, and public space.
What is proximity?
repeating what the nurse believes is the main point said. beneficial for patients who are angry, trying to find the main trigger for the anger.
What is restating?
Helps patient develop or expand an idea. Allows nurse to collect specific information. Directs conversation towards topics of importance.
What is Focusing?
refers to a state of confusion occuring in the late afternoon and spanning into the night? disoriented, agitated, exacerbated by changes in environment
What is sundowning syndrome?
lasts 2-6 seconds, communicates intention to interact
What is eye contact?
listening between the lines, gives speaker full attention.
What is active listening?
stating what the patient said but in the nurses own words. used to verify what the nurse interpreted from the patient is correct
What is paraphrasing?
Direction back to the patient; Allows patient to think about their personal thoughts and feelings.
What is Reflecting?
progressive deterioration in intellectual functioning, secondary to structural or functional changes
What is dementia?
relaxed stance with uncrossed arms and legs while facing the individual. shows warmth, acceptance, caring, approachable. not too relaxed
What is open body posture?
reviews main ideas from the conversation, helps separate relevant info, serves as a review and closing
What is summarizing?
typically involves a yes or no answer, focused and seeks a particular answer
What is closed questioning?
Form of nonverbal communication that conveys interest and caring.
What is Active Listening?
an irreversible form of dementia from nerve cell deterioration
What is alzheimers?