NU 311 Clinical Nursing Skills Exam 4
Goal of therapeutic communication - ANS-•to promote wellness and personal growth in
patients
Therapeutic communication - ANS-is patient centered, purposeful, and time limited. This
differs from social communication which is casual and comfortable. In this kind of
relationship, the nurse recognizes the patient as a unique individual and establishes a
goal to help the patient. One does not form a social relationship with the patient, such
as dating, confiding personal information, etc.
Phases of the therapeutic relationship - ANS-•Pre-interactive phase - Here the nurse
gathers information about the
patient prior to having direct contact.
• Orientation phase - The goal of this phase is to develop rapport and trust.
It begins with an introduction and ends when the relationship has been
defined.
• Working phase - During this phase, caring is communicated, thoughts and
feelings are expressed, mutual respect is maintained, and honest verbal and nonverbal
expression occurs. The key goal is to help the patient to clarify feelings and concerns. A
professional relationship is courteous, trustworthy, and confidential and accomplished
by active listening and the use of therapeutic communication techniques.
• Termination phase - concludes the relationship. This could occur at the end of a shift
or discharge from the facility, etc. Note that therapeutic relations have an end.
Pre-interactive phase - ANS--1st phase of the therapeutic relationship
- Here the nurse gathers information about the patient prior to having direct contact.
Orientation phase - ANS--2nd phase of the therapeutic relationship
- The goal of this phase is to develop rapport and trust. It begins with an introduction
and ends when the relationship has been
defined.
Working phase - ANS--3rd phase of the therapeutic relationship
- During this phase, caring is communicated, thoughts and
feelings are expressed, mutual respect is maintained, and honest verbal and nonverbal
expression occurs. The key goal is to help the patient to clarify feelings and concerns. A
professional relationship is courteous, trustworthy, and confidential and accomplished
by active listening and the use of therapeutic communication techniques.
,Termination phase - ANS--4th phase of the therapeutic relationship
- concludes the relationship. This could occur at the end of a shift or discharge from the
facility, etc. Note that therapeutic relations have an end.
Characteristics of Therapeutic Communication - ANS-• Empathy - Empathy is the desire
to understand and be sensitive to the
feelings, beliefs and situations of another person (Put yourself in the
other's place.)
• Respect for the patient
• Genuineness - Be honest. Be authentic.
• Concreteness and Confrontation - Offer understandable responses to a client's
questions or concerns. Construct messages in a manner that is suitable for the patient.
Conversely, if a patient is unable to express thoughts clearly, be willing and able to
request clarification or to confront the patient, as needed.
Empathy - ANS--Characteristic of therapeutic communication
-Is the desire to understand and be sensitive to the feelings, beliefs and situations of
another person (Put yourself in the
other's place.)
Genuineness - ANS--Characteristic of therapeutic communication - Be honest. Be
authentic
Concreteness and Confrontation - ANS--Characteristic of therapeutic communication -
Offer understandable responses to a client's questions or concerns. Construct
messages in a manner that is suitable for the patient. Conversely, if a patient is unable
to express thoughts clearly, be willing and able to request clarification or to
____________ the patient, as needed.
Active listening - ANS--Part of therapeutic communication
- The active listener focuses on the sender and attends to both verbal and non-verbal
communication. This requires full attention and the use of all senses. This type of
comunication begins conversations with open ended questions such as "What brings
you to the hospital" and seeks clarification through more direct (closed) and probing
questions.
Establish Trust - ANS--Part of therapeutic communication
, -Good communication originates with a trusting relationship. Can be enhanced through
the use of active listening, honesty, and the provision of competent, compassionate
care.
Be Assertive - ANS--Part of therapeutic communication
-Is the expression of beliefs or feelings without infringing on another's right.
- Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some confuse being __________
with being aggressive. An aggressive person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive (not speaking up) and
move over time towards becoming passive-aggressive (quietly sabotage). Beware, don't
fall prey to these type behaviors.
Restate/Reflection - ANS--Part of therapeutic communication
- Use patient's own words to ask for the patient to elaborate.
Clarify - ANS--Part of therapeutic communication
- Use when a patient's words or messages are ambiguous or confusing. "Do I
understand you correctly when you say...."
Use silence - ANS--Part of therapeutic communication
-Very uncomfortable for most, but respectful and highly effective in promoting
communication
Verbal communication - ANS--The conscious use of spoken or written word. Choice of
words can reflect age, education, developmental level, or culture.
Feelings can be expressed through the tone and pace of words. This means that the
emotional meaning of words are altered by how things are said. Nurses need to
remember this important message when giving or receiving information.
-The most effective messages consist of:
• Clearly selected wording
• The use of a few words, not dissertations
• Relevant information
• Appropriate timing
• Truthful
Goal of therapeutic communication - ANS-•to promote wellness and personal growth in
patients
Therapeutic communication - ANS-is patient centered, purposeful, and time limited. This
differs from social communication which is casual and comfortable. In this kind of
relationship, the nurse recognizes the patient as a unique individual and establishes a
goal to help the patient. One does not form a social relationship with the patient, such
as dating, confiding personal information, etc.
Phases of the therapeutic relationship - ANS-•Pre-interactive phase - Here the nurse
gathers information about the
patient prior to having direct contact.
• Orientation phase - The goal of this phase is to develop rapport and trust.
It begins with an introduction and ends when the relationship has been
defined.
• Working phase - During this phase, caring is communicated, thoughts and
feelings are expressed, mutual respect is maintained, and honest verbal and nonverbal
expression occurs. The key goal is to help the patient to clarify feelings and concerns. A
professional relationship is courteous, trustworthy, and confidential and accomplished
by active listening and the use of therapeutic communication techniques.
• Termination phase - concludes the relationship. This could occur at the end of a shift
or discharge from the facility, etc. Note that therapeutic relations have an end.
Pre-interactive phase - ANS--1st phase of the therapeutic relationship
- Here the nurse gathers information about the patient prior to having direct contact.
Orientation phase - ANS--2nd phase of the therapeutic relationship
- The goal of this phase is to develop rapport and trust. It begins with an introduction
and ends when the relationship has been
defined.
Working phase - ANS--3rd phase of the therapeutic relationship
- During this phase, caring is communicated, thoughts and
feelings are expressed, mutual respect is maintained, and honest verbal and nonverbal
expression occurs. The key goal is to help the patient to clarify feelings and concerns. A
professional relationship is courteous, trustworthy, and confidential and accomplished
by active listening and the use of therapeutic communication techniques.
,Termination phase - ANS--4th phase of the therapeutic relationship
- concludes the relationship. This could occur at the end of a shift or discharge from the
facility, etc. Note that therapeutic relations have an end.
Characteristics of Therapeutic Communication - ANS-• Empathy - Empathy is the desire
to understand and be sensitive to the
feelings, beliefs and situations of another person (Put yourself in the
other's place.)
• Respect for the patient
• Genuineness - Be honest. Be authentic.
• Concreteness and Confrontation - Offer understandable responses to a client's
questions or concerns. Construct messages in a manner that is suitable for the patient.
Conversely, if a patient is unable to express thoughts clearly, be willing and able to
request clarification or to confront the patient, as needed.
Empathy - ANS--Characteristic of therapeutic communication
-Is the desire to understand and be sensitive to the feelings, beliefs and situations of
another person (Put yourself in the
other's place.)
Genuineness - ANS--Characteristic of therapeutic communication - Be honest. Be
authentic
Concreteness and Confrontation - ANS--Characteristic of therapeutic communication -
Offer understandable responses to a client's questions or concerns. Construct
messages in a manner that is suitable for the patient. Conversely, if a patient is unable
to express thoughts clearly, be willing and able to request clarification or to
____________ the patient, as needed.
Active listening - ANS--Part of therapeutic communication
- The active listener focuses on the sender and attends to both verbal and non-verbal
communication. This requires full attention and the use of all senses. This type of
comunication begins conversations with open ended questions such as "What brings
you to the hospital" and seeks clarification through more direct (closed) and probing
questions.
Establish Trust - ANS--Part of therapeutic communication
, -Good communication originates with a trusting relationship. Can be enhanced through
the use of active listening, honesty, and the provision of competent, compassionate
care.
Be Assertive - ANS--Part of therapeutic communication
-Is the expression of beliefs or feelings without infringing on another's right.
- Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some confuse being __________
with being aggressive. An aggressive person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive (not speaking up) and
move over time towards becoming passive-aggressive (quietly sabotage). Beware, don't
fall prey to these type behaviors.
Restate/Reflection - ANS--Part of therapeutic communication
- Use patient's own words to ask for the patient to elaborate.
Clarify - ANS--Part of therapeutic communication
- Use when a patient's words or messages are ambiguous or confusing. "Do I
understand you correctly when you say...."
Use silence - ANS--Part of therapeutic communication
-Very uncomfortable for most, but respectful and highly effective in promoting
communication
Verbal communication - ANS--The conscious use of spoken or written word. Choice of
words can reflect age, education, developmental level, or culture.
Feelings can be expressed through the tone and pace of words. This means that the
emotional meaning of words are altered by how things are said. Nurses need to
remember this important message when giving or receiving information.
-The most effective messages consist of:
• Clearly selected wording
• The use of a few words, not dissertations
• Relevant information
• Appropriate timing
• Truthful
