How do we speak in a therapeutic verbal way? - ANS we use a calm tone, we are relaxed, we
introduce ourselves to build familiarity and trust, we ask what they would like to be called. We
actively listen by making eye contact, having an open posture, leaning forward, being eye level
with them, asking open ended questions.
How do we use therapeutic communication with infants and young children? - ANS we use a
calm tone and are relaxed because they easily pick up on non verbal behaviors. We do not
enter the room if we are anxious. We smile to show friendliness.
What do we observe in families with newborns? - ANS We observe how they interact with the
baby, whether they encourage happy behaviour or if their behaviour is appropriate for the
situation. We do not want an irritable patient because this is a reason for concern such as post
partum. We also must keep in mind families are often sleep deprived and this can manifest
anxiety and depression.
What do we look for between the parents and child's interactions in an interview? - ANS we look
to see who is answering the questions. We typically want the child to answer first and the parent
to fill in any gaps.
How do we interview adolescents? - ANS We interview them alone to ask about sensitive topics
like sexuality, drugs, and alcohol. We want to allow these patients privacy and we must treat
them like an adult in order for them to feel comfortable and relaxed. We may ask them about
school activities and hobbies to warm up the conversation.
How do we communicate with school age children? - ANS We address them so they feel like
they are the most important thing in the room. We collect most of the data from the parents but
we do not ignore the child. We want the child to answer if they have the cognitive ability, and the
parent to fill in any blanks.
How do we use therapeutic communication for adults? - ANS we create a relaxing environment
by closing a door so there is less noise, we turn up the temperature a bit, we also avoid rushing
so they are able to tell their story and feel that they have been heard. We need to prioritize
questions so we do not tire and stress the patient out.
How do we communicate with someone who has a hearing impairment? - ANS We ensure their
hearing aid is on and they can hear us, we can therapeutically touch the patient and use visual
signs before interacting with them. We need them to hear everything so we need to ensure the
, environment is quiet. We ask open ended questions so we know they are listening. If a patient is
deaf, we should sit close to the patient and let them read our lips, we must speak slower.
How do we communicate with a patient who has cognitive impairment? - ANS we allow the
patient sufficient time to answer and help them find the right words to describe their symptoms.
We do not want to put words in their mouth however. It is easy to confuse cognitive impairment
with anxiety or agitation. We must monitor these patients for basic needs such as water, food,
and ensure their pain is properly managed.
How do we use therapeutic communication with patients who have anxiety? - ANS We must first
acknowledge that healthcare issues cause plenty of anxiety. Characteristic signs are foot
tapping, nail biting, and sweating. The voice they use might seem defensive and they speak fast
with a voice that quivers. A patient who has anxiety will decrease the patients perception and it
will become more difficult to understand their communication. We must use active listening and
honesty as well as use a calm tone to assure the patient there is no hurry. We can show the
patient breathing techniques.
How do we use therapeutic communication with a patient who is crying? - ANS We address the
situation instead of ignoring the patient and moving onto another topic. We can say "You look
sad when talking about your prognosis, can I offer a tissue and address why you are upset?"
We must show empathy, not sympathy and we can support the patient through silence. We do
not give false reassurance and we must allow the patient to cry and show their grief rather than
let them bottle it up. We must create a safe place for the patient to feel comfortable.
How do we use therapeutic communication with a patient who is angry? - ANS We listen to the
patients and search for themes of their anger. We do not become defensive and personalize the
situation because it may be from a previous experience, not our own. These patients are
triggered by the feeling they have lost control over the situation which leads to feelings of
helplessness and anxiety. Nurses must acknowledge their feelings by saying: "I understand that
you are upset about being asked this question, or, I am sorry you are upset" The nurse must
validate the patients concern and attempt to connect their feelings with related events. Nurses
are encouraged to call hospital security if the situation is seen to become physical.
How do we use therapeutic communication when there is a language barrier? - ANS We should
use a interpreter that can be found in the hospital. we should meet with them before patient
interaction and cannot use them for the entire treatment of the patient. Nurses can use charts,
diagrams, and simple sentences to communicate after the health assessment is completed. A
nurse must understand that the patient's level of English speaking does not determine their
intelligence level, and we must allow more time for the patient to respond because they think in
their native language and translate in english. We must speak to the patient, not the interpreter,
when communicating.
What are the 4 phases of the interview process? - ANS 1. pre-interaction
2. Beginning phase
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