02 Therapeutic Communication and Relationships Free Online FlashCards

What makes communication therapeutic?

Therapeutic communication is purposeful, professional interaction that supports a client’s understanding, expression, and participation in care.

What happens during the orientation phase?

In the orientation phase, the nurse explains their role and the purpose of contact, begins building trust, and identifies the client’s concerns and priorities.

What is the nurse’s role in the working phase?

In the working phase, nurse and client explore concerns, identify strengths and needs, set goals, and consider approaches while supporting the client’s participation in decisions.

What characterizes the termination phase?

In the termination phase, nurse and client review progress, discuss next steps, and bring the relationship to a clear close.

What does active listening involve?

Active listening means giving the client attention, allowing time to speak, and checking that you understood. A calm tone, fewer distractions, and attentive posture can help.

How should nurses interpret nonverbal cues?

Nonverbal cues can reinforce or contradict spoken words, but they do not prove what a client feels. Check your interpretation and respect individual and cultural preferences.

How can a nurse respond therapeutically to silence?

Stay present and allow the client time. If helpful, say, “Take your time,” rather than asking repeated questions or changing the subject.

How should a nurse respond to a vague statement?

Ask the client what they mean, reflect back what you heard, and check your understanding instead of pretending to understand or making assumptions.

What is reflection in therapeutic communication?

Reflection acknowledges the client’s apparent feeling, such as saying, “You sound disappointed.” Check the interpretation rather than treating it as certain.

How should a nurse respond when a client asks for advice?

Explore the client’s options and priorities with questions such as, “What choices have you considered?” Avoid deciding for the client or saying, “If I were you.”

How should a nurse respond to a client’s anger?

Keep your voice calm, listen for the concern, and acknowledge the client’s experience. Avoid arguing, judging, matching their volume, or making threats.

How can a nurse respond to a client’s tears?

Offer tissues or quiet presence and acknowledge the feeling. Avoid telling the client not to cry, minimizing the distress, or rushing to reassure.