Psychiatric Nursing Care Delivery the Term Paper

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Clarifying is communication that makes clear the point made by the patient to make sure that no misunderstanding occurs. Conveying information is a simple sharing with the patient of information relevant to his or her health status. Providing feedback is the provision of information that is constructive to the patient in relation to how the nurse has perceived what the patient has stated. Stating observations may be used in communication with patients in a manner that defuses anger while at the same time acknowledging their stress or anger. Confrontation is a method of calling attention to the discrepancies stated by the patient and specifically the discrepancy between what the patient has to say and their actions. Summarizing is the provision of feedback to the patient concerning generalities from the nurses' point-of-view. Silence can be used to convey concern or support and enables the patient in thought-organization and self-reflection.

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(Zychowicz, nd; paraphrased) Humor can be used as a communication tool in defusing a charged situation however, one must be careful how and with whom humor is used.

II. BARRIERS to THERAPEUTIC COMMUNICATION

Barriers identified by Zychowicz to therapeutic communication include:

1) giving advice;

2) giving false reassurance;

3) changing the subject;

4) being judgmental;

5) giving directions;

6) excessive questioning;

7) using emotionally charged words;

8) challenging;

9) making stereotypical comments; and 10) self-focusing behavior. (nd)

SUMMARY therapeutic milieu is a form of manipulating the environment of the psychiatric hospital in order to make the environment more conducive for the patients' treatment and therapy. Therapeutic communication is a tool that nurses in the psychiatric in-patient hospital can use for effective communication and facilitating the treatment of the patient, and may as well be used for defusing anger, and assisting the patient in clearly.....

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