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THERAPEUTIC Psychiatric Nursing

COMMUNICATION
THERAPEUTIC
COMMUNICATION
Is composed of verbal and nonverbal techniques that the nurse uses
to focus on the clients needs.
Basic elements of a completed interaction include:
A.Sender- originator of the message.
B.Message- information transmitted; may have both latent and
manifest content.
C.Receiver- recipient of the message.
D.Feedback- receivers response to the message, indicating
understanding.
.For successful communication, the nurse must be available to listen
to the client.
VERBAL COMMUNICATION
TECHNIQUES
1. Asking neutral, open-ended questions
encourages the client to express concerns.
2.Providing opening remarks or general
statements based on assessment data gives the
client an opportunity to begin sharing thoughts
and feelings.
3.Restating, repeating to the client the main
content of the communication, reinforces that
the nurse is listening to the client.
VERBAL COMMUNICATION
TECHNIQUES
4.Reflecting directs feelings and questions back to
the client to encourage elaboration.
5.Focusing allows the nurse to ask goal-directed
questions to help the client focus on a specific
area of concerns.
6. Encouraging elaboration helps the client to
describe more fully the concerns or problems
being discussed.
VERBAL COMMUNICATION TECHNIQUES

7. Seeking clarification helps the client put unclear thoughts


or ideas into words.
8. Sharing information that is relevant to the clients health
care and well-being promotes trust and encourages the
client to share thoughts and feelings.
9. Examining alternatives allows the client to explore options.
10.Validating information assures the client that he was
heard and understood.
11. Summarizing key points of the discussion helps ensure
accurate communication.
NONVERBAL ASPECTS OF
COMMUNICATION
1.Kinetics- involves body movements such as gestures,
facial expressions, and other mannerisms.
2.Proxemics- refers to the physical distance between
communications, therapeutic communication generally
takes place within the confines of personal space.
a. Intimate space: up to 18 inches.
b. Personal space: 18 inches to 4 feet.
c. Social-consultative space: 9 to 12 feet.
d. Public space: more than 12 feet
NONVERBAL ASPECTS OF
COMMUNICATION
3. Touch- should be used deliberately, only after assessing
the clients condition and likely response; it may be
inappropriate in some situations and with some clients.
4. Silence- often a powerful tool, allows periodic pauses to
give nurse and client time to reflect.
5. Paralanguage- refers to voice quality (tone, inflection)
or how a message is delivered the nurse should moderate
voice quality according to the message being given to the
client.