Specific clarification techniques include exploring, paraphrasing, reflecting and restating, which will be discussed below. Comfort touch such as holding a hand, is especially important for vulnerable clients who are experiencing severe illness.
Defensiveness Defensiveness occurs when the nurse feels the need to defend themselves, their actions, their employers or others for their failures and shortcomings.
Asking only one question at a time and fully exploring one topic before moving to another area.
Using Open Ended Questions Open ended question, as previously discussed, elicits more and fuller information than a closed ended question that requires more than a simple yes or no answer. Challenging Challenging, simply defined in this context, is forcing the client to defend and justify their opinions, beliefs, and feelings.
Encouraging the Client to Verbalize Feelings The therapeutic nurse-client relationship with a client begins with the establishment of trust. Disagreeing Disagreeing with clients is also not therapeutic or acceptable.
These exchanges are offered as an expression of genuineness and honestly by the nurse and disclosures should be relevant and appropriate.
For example, closed ended questions are useful when the client is cognitively impaired or they are on mechanical ventilation with intubation and not able to speak with the nurse and others. Probing Probing is also not therapeutic.
Nurses must identify their own feelings and cope with them before they enter into therapeutic conversations and relationships with clients.
The client has valid feelings that should never be challenged by the nurse. For example, they may want to chat about their extended family and their accomplishments at the same time that the nurse has to educate the client about their plan of care.
The nurse should allow the client to break the silence. Exploring Exploring, in contrast to invasive and non therapeutic probing, is using techniques that encourage the client to provide more details and information about a particular topic or health care problem.
Taking your pain medication before physical therapy seems to help you complete the activities the doctor wants you to do for your rehabilitation. Providing Information— Relevant information is important to make decisions, experience less anxiety, and feel safe and secure.
Promotes positive communication in the following ways; prevention, perception, perspective. Would you like to talk about it? False Reassurances False reassurances, like trite comments and giving clients every day advice, are not at all therapeutic.
Sharing Observations— Making observations by commenting on how the other person looks, sounds, or acts. For example, when a client says, "I am ready to do some walking" and the nurse says, "Did I hear you say that you are now ready to do some walking?
Probing the client with questions that are not relevant to their health care and health related concerns is never appropriate.TECHNIQUES OF THERAPEUTIC COMMUNICATION 1.
Using Broad Opening Statements The use of a broad opening statement allows the patient to. Therapeutic communication is a process in which we can take; to improve an individual’s understanding in the message we are sending through non-verbal and verbal communication.
It comprises the use of detailed approaches that encourage an individual to demonstrate ideas and feelings. Guide to help understand and demonstrate Therapeutic Communication within the NCLEX-RN exam.
Free Essay: Therapeutic Communication Jane Vuong, a 24 year old Vietnamese undergraduate student was admitted into the hospital Emergency Department. May 21, · Using Role Play as a teaching strategy to help beginning nursing students better understand Therapeutic Communication.
Therapeutic communication is defined as the face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient. Nurses use therapeutic communication techniques to provide support and information to patients.Download