NSG 3180 Therapeutic Communication in Nurse-Client Interaction 100% correct -galen college of nursing

Nurse Statements Client Response Non-Verbal Actions Communication Techniques More Appropriate Response (If Needed) Student Thoughts and/or Feelings (Process) “Hey, how are Good, but I'm sad Sitting with a Open- Ended I felt good but you today?” friend. No eye curious contact was made with me, and she was coloring a picture. “I’m sorry to hear My friend left I made eye Therapeutic I was wondering that; what made yesterday, and I contact with her communication what the friend you sad?” miss him a lot and colored a did and how long separate sheet of my patient has paper. She kept been there coloring“Where did he go?” He went home, but I hope I get to see him soon. Looked up and smiled. Non- Therapeutic I didn’t know if they had known each other prior to being here but I was also wondering why she kept wanting him to return “What are you coloring?” It is a picture for my friend, and whenever he comes back, I'll be able to give it to him. Came towards me and showed me the paper, then sat next to me. Therapeutic communication it made me happy knowing that she is doing things for her friend but I didn’t know why she kept thinking he would be back “well, that's nice of you.” “have you been able to make friends while being here? Yes, but they always end up leaving me. I've been here for two weeks because of my grandma; she likes to hit me, and we argue a She stopped coloring, had a serious look, and seemed envious, then she crossed her arms and sat up. Therapeutic open ended question It made me sad to hear her say that everyone leaves her. And I was sad to hear her say that her grandma hits herlot. “your grandma likes to hit you?” yes, these scars are proof that she hit me. That's why I like scars. Seemed eager to show me her scars. showed me her arms and just sat back down unfazed about what was just brought up. Non- Therapeutic It was odd to hear her say that she likes her scar because it is proof. I never heard anything like that so when she said that it caught me by surprise “what causes arguments between you and your grandma? I get mad when she tries to take my tablet away or when she won't let me do what I want. continued coloring and sat on one knee. Therapeutic open ended When I heard this I thought about the grandma and her just being an adult and the child not taking authority well. Is there anything that makes you both get along or makes you in a better mood? No eye contact and looked away immediately after non Therapeutic closed question I felt bad for her but I wanted to look deeper in the chairSummary a) What were the main themes of the entire contract? The themes were that the patient felt very comfortable; she didn't keep direct eye contact during the entire conversation, but she was engaged. b) Did you effectively use your communication skills? I feel more comfortable in my approach with patients and how to go about c. What was your impression of the interaction? This was a challenging first time doing a processrecording. It was difficult to memorize a conversation as well as respond appropriately, as well as watch out for nonverbal cues or defense mechanisms d. Based upon theory and practice knowledge, what happened in the situation? My patient seemed to warm up to me as the day went on; our conversations got better, and she even asked about me. e. What is/are your role(s)? Build trust and get to know the patient f. What communication skills did you use? Open-ended questions and therapeutic communications g. Was the stated purpose or goals for the interaction achieved? yes h. What obstacles were present? Trying to keep a conversation going productively and not getting off-topic.