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Therapeutic Communication
Review outline in notes
• The nurse must be aware of the therapeutic or
nontherapeutic value of the communication
techniques used with the patient—they are
the “tools” of psychosocial intervention.
• 7% of communication is verbal.
• 38% of communication is vocal cues; cadence,
volume and tone.
• 55% of communication is body language.
Nonverbal Communication
Components of Nonverbal Communication
• Physical appearance and dress
• Body movement and posture
• Touch
• Facial expressions
• Eye behavior
• Vocal cues or paralanguage
Active Listening
• To listen actively is to be attentive to what client
is saying, both verbally and nonverbally.
• Several nonverbal behaviors have been designed
as facilitative skills for attentive listening.
• S – Sit squarely facing the patient.
• O – Observe an open posture.
• L – Lean forward toward the patient.
• E – Establish eye contact.
• R – Relax.
• Feedback is useful when it
– is descriptive rather than evaluative and focused
on the behavior rather than on the patient
– is specific rather than general
– is directed toward behavior that the patient has
the capacity to modify
– imparts information rather than offers advice
– is well timed