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Clinical Concepts: Chapter 6: Communication Strategies

Terms in this set (40)

what is the biological response to stress?
selye's general adaptation syndrome
what are the 3 stages to selye's general adaptation syndrome?
alarm, resistance, exhaustion
during the alarm stage, your body is in __________ mode. can last minutes up to 24 hours
fight or flight
during the resistance stage, alarm subsides and body begins to re-establish __________.
homeostatis
in the exhaustion stage, the _________ is ongoing or too overwhelming. there is a smaller version of alarm response and __________ of stress are associated with the exhaustion phase
stress, diseases
associated with increased risk of obesity, hypertension, diabetes, cancer, heart disease
chronic stress
humor, hope/optimism, intentional self care, affiliation (asking for help), problem solving, communicating
postive coping mechanisms
chewing fingernails, distraction, avoidance (in moderation)
neutral coping mechanisms
substance abuse, binge eating, splitting (pitting one person against another), negative thrill seeking, inappropriate outburst
negative coping mechanisms
unconscious coping mechanisms are also called _______ ________ mechanism
ego defense
ego defense mechanisms:
refusing to acknowledge facts
denial
ego defense mechanisms:
unconsciously hiding an unpleasant memory or thought
repression
ego defense mechanisms:
moving an emotion from an unsafe target to a safe target
displacement
ego defense mechanisms:
attributing your own thoughts and feelings to someone else
(misinterpreting the target's motivations)
projection
ego defense mechanisms:
justifying behavior with which you feel comfortable
raltionalization
ego defense mechanisms:
redirecting strong emotions into another area
sublimation
ego defense mechanisms:
acting the opposite of how you feel
reaction formation
ego defense mechanisms:
separating your life and feelings into parts
compartmentalization
ego defense mechanisms:
removing all emotion, treating an emotional situation as a dispassionate mental exercise
intellectualization
The purposeful, interpersonal information transmitting process the words and behaviors based on both parties knowledge, attitudes, and skills, which leads to patient understanding and participation
therapeutic communication
core nursing skill
therapeutic communication
communication strategies:
indicating you have heard and understand the patient
accepting
communication strategies:
yes, i hear what you're saying
accepting
communication strategies:
making certain that you (decoder) understand what the patient intended as the sender
seeking clarification
communication strategies:
i want to make sure i understand. can you explain what you're saying?
seeking clarification
communication strategies:
pointing something out that may give the patient an opportunity to identify an issue
offering observations
communication strategies:
i notice you haven't been as talkative today as you usually are
offering observations
communication strategies:
repeating what the patient said back to them
reflecting
communication strategies:
you're feeling very angry because your appointment was rescheduled
reflecting
Therapeutic communication techniques:
pointing out a positive change or behavior
giving recognition
Therapeutic communication techniques:
You walked to the bathroom and back on your own twice this shift!
giving recognition
Therapeutic communication techniques:
Reviewing what a patient has said with them
summarizing
Therapeutic communication techniques:
is that correct? or did I understand that correctly?
summarizing
Therapeutic communication techniques:
Narrowing in on a topic, giving the patient an opportunity to discuss it further
focusing
Therapeutic communication techniques:
You mentioned something about stomach issues. Can you tell me more about that?
focusing
Therapeutic communication techniques:
Encouraging people to look at past successful experiences in similar situations
encouraging comparisons
Therapeutic communication techniques:
You mentioned that you had a system in place after the last surgery that made everything go smoothly
encouraging comparisons
Therapeutic communication techniques:
Inviting someone to explore the discrepancy between the started goal and observed behavior
confrontation
counter-therapeutic responses
overall communication that includes verbal/non-verbal communications, environment you're in, overall situation
meta-communication
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