Answer & Explanation Solved by verified expert Rated Helpful Therapeutic Communication Process: A. Principles

Answer & Explanation Solved by verified expert Rated Helpful

Therapeutic Communication Process:

• Principles
• Communication includes verbal and non verbal expression
• Successful communication includes appropriateness, efficiency, flexibility and feedback
• Anxiety in the nurse or client impedes communication.
• Communication needs to be goal-directed within a professional framework.

Step-by-step explanation Therapeutic communication W- "what" rather than "why" - because why will make the patient feel being investigated -> the patient will be defensive (less talk, less mistake) -> then it will result to the patient not

verbalizing:

H- "here and now" rather than the past

O- open ended questions rather than close ended, open ended questions are therapeutic

Therapeutic and Nontherapeutic Communication Techniques Therapeutic Techniques  Clarifying and validating  Encouraging formulation of a plan of action  Focusing and refocusing  Giving information and presenting reality  Listening  Maintaining neutral responses  Maintaining silence  Providing acknowledgement and feedback  Providing nonverbal encouragement  Reflecting  Restating  Sharing perceptions  Summarizing  Using broad openings and open-ended questions Non-therapeutic Techniques  Asking the client "why"  Being defensive or challenging the client  Changing the subject  Giving advice or approval or disapproval  Making stereotypical comments  Making value judgements  Placing the client's feelings on hold  Providing false reassurance

STIMULUS (need for information. comfort, advice, etc.) | | | V

SENDER Message filters through personal factors:

 ability to relate to others,  Culture, Environmental factors  Gender roles, Knowledge  Mood/ attitude  Past experience  Personal agenda/ goals  Personal bias  Personal relationship  Value system | | | V

MESSAGE:

Can be:

 Verbal  Non verbal

• Visual (ex. body language)
• Tactile (ex. hug)
• Smell (ex. body odor)
• Silence

 Both verbal and nonverbal

• May contradict
• May substantiate

| | | V

MESSAGE INFLUENCED BY TRANSMISSION QUALITY

 Amount of input  Clarity of input  Relevance of input | | | V

PERSON(S) RECEIVING THE MESSAGE

Message evaluated through personal filters  Interpretation of message sent are influenced by the same common factors as for the sender

• ability to related to others
• culture
• environmental factors
• gender roles
• knowledge
• mood/attitude
• past experience
• personal agenda / goals
• personal bias
• personal relationships
• value system

| | | V

FORMUALTION FEEDBACK

Receiver

 Agrees with message  Disagrees with message  Needs clarification "is this what you mean?"  provides information  Request information  Gives feedback, which takes many forms

• Verbal
• Non verbal

• Both verbal and non verbal