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Therapeutic Communication & Barriers to Communication

Therapeutic Communication & Barriers to Communication

By kimber.kierig13, Jul 2008

Subjects: barriers communication fundamentals nclex nursing therapeutic

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Using Silence	Therapeutic Communication: Accepting pauses or periods when no one talks that may extend for several seconds to minutes without interjecting any verbal response	Sitting quietly and waiting attentively until the client is able to put thoughts and feelings into words
Providing General Leads	Therapeutic Communication: Using statements or questions that (a) encourage the client to verbalize, (b) choose a topic of conversations, and (c) facilitate continued verbalization.	"Can you tell me how it is for you?" "Perhaps you would like to talk about..." "Would it help to discuss your feelings?" "Where would you like to begin?" "And then what?"
Being Specific and Tentative	Therapeutic Communication: Making statements that are specific rather than general, and tentative rather than absolute.	Say "Rate your pain on a scale of 0-10," (specific) instead of "Are you in pain?" (general). Say "You seem unconcerned about your diabetes," (tentative) instead of "YOu don't care about your diabetes," (absolute).
Using Open-Ended Questions	Therapeutic Communication: Asking broad questions that lead or invite the client to explore thoughs or feelings. Specifies only the topic to be discussed and invite answers that are longer than one or two words.	"I'd like to hear more about that." "Tell me about..." "How have you been feeling lately." "What brought you to the hospital?" "What is your opinion?"
Using touch	Therapeutic Communication: Providing appropriate forms of contact to reinforce caring feelings.	Putting an arm over the client's shoulder. Placing your hand over the client's hand.