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Arts and Humanities
Health Promotion: Important Points to Remember: Chpt 4
Terms in this set (12)
the spoken word, the written word
movement, gestures, expressions, appearance, constant eye contact
"read between the lines, what is the patient REALLY saying"
listening: hearing what the client has to say
silence: " a pause" can be used to allow the patient to gather his thoughts and to understand/reflect on what is being said
humor: creates a climate of sharing/relaxation, can also be used to cover up actual feelings
- public space
Touch: used to express concern, beware of cultural differences, may be inappropriate in certain settings
Space: must be aware of ones personal space, intimate-approx 18 inches to 4 ft
public space: 12 feet
- Self Disclosure
- Consensual Validation
Self Disclosure: nurse revealing personal information about himself/herself to a client, fosters a healthy relationship between nurse and client. Nurse decides what she would like to disclose.
Clarification: asking a question to make sure you understand the message the client is sending
Empathy: allow the nurse to place herself in the patient's situation. By drawing on her emotions she can understand how the client must feel.
Consensual Validation: both client and nurse understand and agree as to what is being said.
- open ended questions
questions which require more than one word response
ex: Ms. Jones tell me what happened which caused you to come to the emergency room?
- closed ended question
Question which may be answered in only one word
ex: Ms Jones, how much do you weigh?
Barriers to Communication
Anxiety: if client or nurse is anxious the ability to communicate is altered
Attitudes: beware of biases or stereotypes
Sensory Factors: visual or hearing impairments may need a language interpreter
Gaps: language barriers
Building a Therapeutic Relationship
rapport: harmony between the nurse and the client
trust: client feels safe with the nurse to allow him/her provide care
Empathy: ability to understand another's feelings
Therapeutic Relationship Stages (just name them in order)
Therapeutic Relationship Stages (describe the three now)
Orientation: introduction, purpose, confidentiality
Working: Accomplishing task at hand, goal directed
Termination: end of the therapeutic contract, make follow up referrals if needed
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