1130 > therapeutic commuication > Flashcards

therapeutic commuication Flashcards

(78 cards)

Study These Flashcards
1
Q

What are professional boundaries in nursing and what does it keep the focus on?

A

The limits that define a safe, therapeutic nurse–client relationship. They keep the focus on the client’s needs, prevent role confusion, and protect both nurse and client.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is caring in the nurse–client relationship?

A

A key nursing value shown by purposely using knowledge, skill, and commitment to protect the client’s integrity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are common themes from caring theories?

A

Commitment to the nurse–client relationship
relational practice
empowerment,
understanding care in the client’s life context
getting to know the client as a unique person.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is relational practice?

A

focuses on genuine connection, respect, and attentiveness to the client’s experiences and values to give compassionate, person-centred care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is compassion in nursing?

A

Sensitivity to another person’s suffering, combined with a willingness to help and promote their well-being, expressed through relational understanding and action.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is empathy in nursing?

A

The ability to emotionally and intellectually understand another person’s reality, accurately perceive unspoken feelings, and communicate this understanding to them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is presencing?

A

Being fully present and engaged in a meaningful way with the client

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are unique elements of presencing?

A

Giving of self in the present moment
being fully available
being aware of the privilage of being able to listen
being there in a way that is meaningful to the client.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is empathy expressed in practice?

A

By seeking to explore and understand the perspective of another person.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the pre-interaction phase of the therapeutic relationship? And what does it involve?

A

The stage before meeting the client, involving self-reflection, reviewing client information, and planning for a safe, respectful, professional interaction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the main focus of the orientation phase

A

Establishing trust that begins the therapeutic relationship through an initial interview that gathers health history, identifies patient concerns/goals, and clarifies the nurse’s role.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the three phases of the interview process in orientation?

A

Orientation, working, and termination.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens in the working phase of the therapeutic relationship?

A

The nurse gathers information about the client’s health using active listening, paraphrasing, and summarizing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why are open-ended questions used in the working phase?

A

To encourage detailed responses, reveal patient priorities, and provide broader context.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why are closed-ended questions used in the working phase?

A

To clarify specific details or when the patient is in distress.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What happens in the termination phase of the therapeutic relationship?

A

The nurse signals the end of the interview, summarizes key points, checks accuracy with the patient, allows for questions, and ends in a friendly manner to maintain trust.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is a therapeutic (helping) relationship in nursing?

A

A professional, goal-directed relationship focused on the patient’s needs, built on trust, respect, empathy, and clear boundaries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How is self-disclosure handled in a therapeutic relationship?

A

It is usually one-sided, primarily from the nurse, to maintain focus on the patient’s needs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does power function in a therapeutic relationship?

A

One person (the nurse) holds authority to guide the relationship toward health-related goals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Give an example of a therapeutic relationship.

A

Nurse–patient relationship.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Why do power imbalances exist in the nurse–client relationship

A

Because nurses have professional knowledge, access to health information, authority in decision-making, and the patient is vulnerable when seeking care.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How can power imbalances affect the nurse–client relationship?

A

They can impact trust, communication, and the client’s willingness to share openly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How can nurses minimize power imbalances?

A

By practicing respect, empathy, active listening, transparency, and patient-centred care, keeping the client an active partner in health decisions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What can happen if power is misused in the nurse–client relationship?

A

It can lead to boundary violations or disempowerment of the client.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
What is the purpose of professional boundaries in the nurse–client relationship?
To protect trust, safety, and the therapeutic purpose of care.
24
What guides professional boundaries in nursing?
Legal, ethical, and professional standards, such as the CNA Code of Ethics.
25
What are key characteristics of the nurse–client relationship regarding boundaries?
It is goal-directed, time-limited, and focused on the client’s well-being
26
Who is responsible for maintaining professional boundaries?
The nurse, not the client.
27
What are examples of boundary crossings that can harm the client?
Oversharing personal information or meeting clients outside of care.
28
How do boundaries define the nurse–client relationship?
They define where, when, why, and how the relationship occurs, including setting, time, purpose, focus of conversation, and length of contact.
29
Why is confidentiality important in the helping relationship?
It builds trust and ensures privacy, allowing clients to share openly.
30
What does genuineness mean in a nurse–client relationship?
Being authentic and honest to foster trust and strengthen the therapeutic connection.
31
Why is respect essential in the helping relationship?
It values the client’s dignity, rights, and choices, promoting a safe and supportive environment.
32
What is presencing in nursing?
Being fully attentive and present in a meaningful way with the client.
33
How is empathy expressed in the helping relationship?
By understanding and reflecting the client’s feelings to support connection and care.
34
How does compassion differ from empathy?
Compassion combines empathy with a desire to relieve suffering and promote the client’s well-being.
35
What is the goal of maintaining therapeutic involvement?
To remain supportive, professional, and objective, balancing care for the client with self-care
36
What are the levels of involvement in the nurse–client relationship?
Ranges from under-involvement (minimal care, disengagement, burnout) to over-involvement (loss of objectivity, countertransference).
37
What are the phases of the nurse–client relationship?
Pre-interaction, orientation, working, and termination.
38
How does shared decision-making (SDM) support the client?
By collaborating on care goals, respecting values/preferences, and promoting autonomy, empowerment, and self-management.
39
How does the nurse support self-management?
By helping clients actively manage their health with strategies that are realistic, meaningful, and aligned with their values, while providing motivation, education, and confidence.
40
What are bridges in the nurse–client relationship?
Factors that strengthen trust and connection, such as respect, empathy & compassion, genuineness & authenticity, confidentiality, presence, and active listening & clear communication.
41
How does respect function as a bridge in the nurse–client relationship?
By valuing the client’s dignity, culture, and individuality.
42
How do empathy and compassion act as bridges?
By showing understanding and care, making clients feel supported.
43
What role does confidentiality play in the nurse–client relationship?
Protects privacy and builds trust.
44
How does presence strengthen the nurse–client connection?
By being fully attentive and engaged with the client.
45
How does active listening & clear communication act as a bridge?
Helps the client feel heard and understood.
46
What are barriers in the nurse–client relationship?
Factors that weaken trust, including stereotyping, bias, discrimination, judgemental attitudes, over-/under-involvement, lack of privacy/confidentiality, poor communication, and burnout/compassion fatigue.
47
What strategies reduce barriers in the nurse–client relationship?
Reflect on personal biases practice cultural sensitivity use empathetic/respectful communication maintain professional boundaries create a safe/private setting use clear/simple language practice self-care seek support or debriefing after stressful events.
48
How should nurses communicate with clients who have hearing loss?
Face the client, speak clearly (don’t shout) reduce background noise ensure good lighting use written aids, gestures, hearing aids or interpreters confirm understanding by having the client repeat key information.
49
How should nurses communicate with clients who have vision loss?
Identify yourself by name, describe the environment and procedures step by step use touch appropriately provide materials in large print, braille, or audio format.
50
How should nurses communicate with clients who have speech disorders?
Allow extra time for responses use yes/no questions or communication boards encourage alternative methods (writing, gestures, technology) stay patient validate efforts.
51
How should nurses communicate with clients who have cognitive impairments?
Use simple, clear, concrete language break information into small steps repeat if needed confirm understanding frequently provide a calm environment avoid overwhelming stimuli use memory aids (pictures, cues, written notes).
52
What are overall strategies for communicating with clients with sensory or cognitive challenges?
Assess unique abilities adapt to preferred communication methods maintain respect patience dignity.
53
What is aphasia?
A condition involving partial or total loss of the ability to communicate verbally or in writing, which may affect speaking, reading, writing, recognizing object names, or understanding others.
54
Denial
refusal to admit to painful reality, treated as if it does not exist
55
Projection
unconsciously rejects emotionally unacceptable features onto others Ex. I don’t want to see this in me in me, so I see it in you
56
Regression
When someone feels unsafe, overwhelmed, so they go back in time mentally/ emotionally to a more protected and secure time
57
Sympathy
feeling sorry for someone
58
Empathy
Understanding and feeling what someone else feel
59
Compassion
feeling what someone else feels and wanting to help (the act/ response to the crisis)
60
Intellectualization
defence mechanism where a person focuses on facts, logic, or reasoning to avoid dealing with emotional stress
61
example of Intellectualization
Instead of feeling sad about losing a job, someone talks only about unemployment statistics or career options.
62
Rapport
is a positive, trusting, and comfortable relationship between people, where they understand and respect each other.
63
example of rapport
A nurse makes a patient feel at ease by listening carefully and speaking kindly.
64
Congruence
means being genuine and honest in what you say and do, so your words, feelings, and actions all match.
65
example of Congruence
A nurse sincerely says, “I understand this is hard for you,” and truly cares while helping the patient.
66
example of Probing
A nurse asks, “Can you tell me more about how your pain feels?” to better understand the patient’s experience.
66
Probing
asking questions to get more detailed or deeper information from someone.
67
Restating
Repeating exactly or almost exactly what someone said to show you are listening and to clarify understanding.
68
Example of Restating
Patient: “I’m feeling really tired today.” Nurse restates: “You’re feeling very tired today.”
69
Paraphrasing
Putting what someone said into your own words to show understanding and clarify meaning.
70
examples of Paraphrasing
Patient: “I can’t sleep because of my pain.” Nurse paraphrases: “The pain is making it hard for you to sleep.”
71
Active listening
A focused way of listening where the nurse hears, understands, and responds to a person’s message.
72
SOLER
S – Sit: Sit facing the patient to show attention. O – Open posture: Keep an open posture, don’t cross arms or legs. L – Lean: Lean slightly toward the patient to show interest. E – Eye contact: Maintain appropriate eye contact. R – Relax: Stay relaxed and calm to make the patient comfortable.
73
What does active listening involve and uses
Involves both verbal and nonverbal cues (body language, eye contact, nodding, leaning forward). Uses open-ended questions and clarifying questions to understand the person’s perspective.
74
What is the goal of effective communication in nursing?
To fully understand the person without judgment.
75
How should nurses handle discrepancies between verbal and nonverbal communication?
Be aware of nonverbal signals that may differ from words and address discrepancies gently.
1130
flashcards
Decks in class (6)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions