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NR320 Chapter 8 Therapeutic Communication

This document discusses therapeutic and nontherapeutic communication techniques used in psychiatric nursing. It outlines how nonverbal communication through appearance, body language, facial expressions and touch can convey important messages. Some therapeutic techniques include using silence, recognition, self-disclosure, open-ended questions, reflection and clarification to help clients explore their thoughts and feelings. Nontherapeutic techniques include reassurance, approval/disapproval, advice-giving and introducing unrelated topics which can hinder the therapeutic relationship. Active listening is also described as an important skill.

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362 views1 page

NR320 Chapter 8 Therapeutic Communication

This document discusses therapeutic and nontherapeutic communication techniques used in psychiatric nursing. It outlines how nonverbal communication through appearance, body language, facial expressions and touch can convey important messages. Some therapeutic techniques include using silence, recognition, self-disclosure, open-ended questions, reflection and clarification to help clients explore their thoughts and feelings. Nontherapeutic techniques include reassurance, approval/disapproval, advice-giving and introducing unrelated topics which can hinder the therapeutic relationship. Active listening is also described as an important skill.

Uploaded by

odonnals
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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NR 320 PSYCHIATRIC MENTAL HEALTH NURSING CHAPTER 8 THERAPEUTIC COMMUNICATION NONVERBAL COMMUNICATION APPEARANCE-dress, hair, tattoos, badges, jewelry,

ry, glasses BODY MOVEMENT AND POSTURE-communicates self-esteem, gender identity, status TOUCH-positive/negative o Functional professional-businesslike, i.e. tailor o Social polite-impersonal but acceptance, i.e. handshake o Friendship warmth-friend, i.e. hand on shoulder o Love intimacy-emotional attachment, i.e. hug o Sexual arousal-physical attraction, i.e. touching genitals FACIAL EXPRESSIONS PARALANGUAGE-complex multi-message system

THERAPEUTIC COMMUNICATION TECHNIQUES USING SILENCE-client has opportunity to collect and organize thoughts GIVING RECOGNITION-acknowledging awareness, better than complimenting OFFERING SELF-makes one available on an unconditional basis, increases clients feeling of self-worth GIVING BROAD OPENINGS-client can take initiative in introducing the topic what would you like to talk RESTATING-repeat main idea of what client said REFLECTING-questions and feelings are referred back to client FOCUSING-take notice of a single idea or word EXPLORING-delving further into a subject, idea, experience, or relationship CLARIFICATION-striving to explain that which is vague PRESENTING REALITY-define reality when client has misperception of environment VOICING DOUBT-expressing uncertainty as to the reality of the clients perceptions NONTHERAPEUTIC COMMUNICATION TECHNIQUES GIVING REASSURANCE-devalues clients feelings; discourages client from further expression of feelings APPROVAL OR DISAPPROVAL-denouncing clients ideas or behaviors; nurse is passing judgment AGREEING/DISAGREEING-nurse is passing judgment GIVING ADVICE-implies nurse knows what is best BELITTLING-lack of empathy is conveyed; causes client to feel insignificant INTRODUCING UNRELATED TOPICS-causes nurse to take over the direction of the discussion ACTIVE LISTENING-attentive verbally and nonverbally SOLOER o Sit squarely facing the client o Observe an open posture o Lean forward toward the client o Establish eye contact o Relax FEEDBACK-helping the client consider a modification of behavior DESCRIPTIVE-focuses on behavior rather than on client SPECIFIC-details about clients behavior rather than generalized DIRECTED TOWARD BEHAVIOR THAT CAN BE MODIFIED-characteristic or situation IMPART INFORMATION VERSUS OFFER ADVICE-advice fosters dependence

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