Chapter 44 Therapeutic Communication Skills

Front 1

Giving, receiving, and interpreting of information through any of the five senses by two or more interacting people.

Back 1

Communication

Front 2

An interaction that is helpful and healing for one or more of the participants;

Back 2

Therapeutic Communication

Front 3

During implementation of the nursing care plan, the nurse communicates with the client and family and communicates his or her impressions and observations to other members of the healthcare team

Back 3

Key Concept #1

Front 4

Ongoing evaluation of the effectiveness of nursing interventions depends on clear and coherent communication among all persons concerned.

Back 4

Key Concept #2

Front 5

Client teaching and preparation for discharge depend on accurate and empathic communication and client understanding.

Back 5

Key Concept #3

Front 6

Without accurate and therapeutic communication, the nursing process cannot exist.

Back 6

Key Concept #4

Front 7

Personal characteristics of genuineness, caring, trust, empathy, and respect promote harmony among individuals. This feeling of harmony is called:

Back 7

Rapport

Front 8

The originator or source of the idea

Back 8

Sender

Front 9

The Idea

Back 9

Message

Front 10

A means of transmitting the idea, which can be verbal or non verbal

Back 10

Medium or Channel

Front 11

The person who receives and interprets the message

Back 11

Reciever

Front 12

The receivers response to the message through internal feelings and verbal and nonverbal feedback

Back 12

Interaction

Front 13

Sharing information through written or spoken word.

Back 13

Verbal Communication

Front 14

A defect in, or loss of, the ability to speak, write, or sign, or the ability to comprehend speech and communication.

Back 14

Aphasia

Front 15

Sharing information without using words or language.

Back 15

Nonverbal Communication

Front 16

Use of Words (e.g., speech, sign language, writing, slang)

Back 16

Verbal Communication (Examples)

Front 17

Vocal Sounds (e.g., grunt, snort)

Back 17

Oral Communication (Examples)

Front 18

Personal Space

Body Characteristics: Body art, piercings, branding, plastic surgery, scarification, weight, clothing(cultural differences in what is considered to be beautiful)

Facial Expressions

Eye contact, eye gaze

touch

body gestures and movement

vocal characteristics: geographical differences and accents.

Gender differences

Cultural mores: behaviors specific to a cultural group or geographical location

Back 18

Examples of Verbal and Nonverbal Communication

Front 19

The use of space in relationship to communication

Back 19

Proxemics

Front 20

An area around him or herself; reserved for close friends or intimates

Back 20

Personal Space

Front 21

A nurse is never required to allow inappropriate behavior from a client. This includes verbal or physical abuse as well as sexual harassment.

Back 21

Key Concept #4

Front 22

Remember that any aggressive behavior toward clients by a nurse, whether physical or verbal, constitutes assault on the part of the nurse.

Back 22

Key Concept #5

Front 23

This person seems angry and hostile, argues and disagrees with everything that is said, and displays angry body language. This person is often inflexible and argumentative, and may be very intrusive.

Back 23

Aggressiveness

Front 24

This person does not seem to care what happens and may be forgetful and/or inefficient. Body language displays indifference. (Example : shrugging the shoulders, looking the other way saying "whatever")

Back 24

Passive

Front 25

This person is able to make statements without conveying either aggressiveness (over dominance) or passivity (submission). This person makes confident statements of fact without making judgments.

Back 25

Assertive behavior/Assertiveness

Front 26

A goal directed conversation in which one person seeks information from another.

Back 26

Interview

Front 27

A question that elicits a "yes" or "no" answer

Back 27

Close-ended question

Front 28

A question that encourages longer and more thorough answers

Back 28

Open-ended questions

Front 29

Do you sleep well?

Do you like dairy products?

How many children do you have?

Does your leg hurt often?

Do you abuse alcohol?

Street Drugs?

Back 29

Examples of Close-Ended questions

Front 30

Tell me about your usual sleep patterns?

Describe the pain in your leg?

Tell me about your tobacco use?

Describe your hallucinations?

Tell me about your family?

Back 30

Examples of Open-Ended questions

Front 31

Practice waiting in silence for a client to speak. This is a very effective communication tool, but is difficult for many nurses.

Back 31

Key Concept #6

Front 32

It is important to remember that play is often the most effective means of communication with a child.

Back 32

Key Concept #7

Front 33

Skillfully interviewing clients to determine their healthcare needs.

Listening attentively to what the client is saying.

Teaching Clients and the families certain aspects of care.

Participating in team conferences and client care conferences.

Maintaining the confidentiality of all information about clients.

Reporting the condition of the client to ther members of the healthcare team.

Back 33

Ways to facilitate Communication in Healthcare