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Therapeutic Communication: A Case Study

Decent Essays

Therapeutic Communication The purpose of this exercise was to provide nursing students with an opportunity to objectively view themselves using therapeutic and non-therapeutic techniques during a patient interview. By doing so, strengths and weaknesses of the communication process could be identified and discussed. Initially, I felt as though I possessed great communication skills and that interviewing a patient would not be difficult. I also thought that verbal therapeutic techniques would play a larger role in the interview and be more important than non-verbal therapeutic techniques. However, I realized that non-verbal communication has an equal role with verbal communication during a patient interview and I could improve my interviewing …show more content…

Facilitation “encourages the patient to say more, continue with the story” (Jarvis, 2012, p.33). When the examiner said phrases such as “okay” and “uh-huh,” it demonstrated to the patient that the examiner wanted her to elaborate more about the current topic. Gestures, facial expressions and eye contact all played a role together in showing the patient that the examiner was actively engaged in the conversation. These three nonverbal therapeutic techniques showed acceptance, agreement, and interest in the topic. The summary portion of the interview hit on the most pertinent information and goals of the patient (weight loss). By summarizing weight loss strategies and obtainable health goals, the examiner showed the patient that her health concerns were heard and understood.
Analysis of Non-Therapeutic Communication Techniques The non-therapeutic techniques used in this interview were using leading/biased questions and talking too much. Using biased questions like “do you always wear a seatbelt?” encouraged the patient to reply, “Yes, always”, because she knew this was the expected answer from the examiner. Talking too much also posed a problem because the patient did not have a sufficient amount of time to elaborate about some health concerns such as her high cholesterol. Patients are usually anxious to please the examiner and in turn, lets the examiner …show more content…

In this interview, the liking of others was the most important internal factor that enhanced the interview. When the patient feels accepted and cared for, an opportunity is created for them to speak honestly with the nurse about their health history and concerns. One internal factor that was a barrier to the interview was the examiner’s ability to actively listen. Talking too much, a non-therapeutic technique, caused the patient to elaborate less on certain topics such as alcohol use that should have been discussed more.
External Factors External factors are the physical settings of the environment in which the interview is taking place. Ensuring privacy, refusing interruptions, note taking, and the physical environment are just a few examples of external factors. The physical environment played a large role in the success of this interview. Equal-status seating was arranged with the patient and examiner comfortably seated at eye-level, with the chairs placed at 90 degrees; this “allows the person either to face [the examiner] or to look straight ahead from time to time” (Jarvis, 2012, p.31).
Thoughts Associated with Therapeutic

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