communication in psychiatric (1)
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COMMUNICATION INPSYCHIATRIC/MENTAL
HEALTH NURSINGOLUFUNKE ADEYEMI-ADELANWA
MENTAL HEALTH NURSE PRACTITIONER
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Learning ou!o"e#
A$$ #u%en# #&ou$% 'e a'$e o() De*ine !o""uni!aion
+) De#!ri'e &e ,e# o* !o""uni!aion
.) De#!ri'e &e !o""uni!aion ro!e##
) De#!ri'e &e &eraeui! !o""uni!aion #0i$$#u#e% in #,!&iari!/Mena$ &ea$& nur#ing
1) De"on#rae an un%er#an%ing o* &e u#e o*!o""uni!aion #0i$$# in #,!&iari!/"ena$ &ea$&!$ini!a$ ra!i!e)
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De*iniion
An, "ean# o* e2!&anging in*or"aion or*ee$ing# 'e3een 3o or "ore eo$e 3i&&e "ain uro#e o* o'aining in*or"aionor an% in*$uen!ing o&er#4Ko5ier6Er'7#
+889:)
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T,e# ;er'a$< T&e u#e o* 3or%# o !o$$e! in*or"aion=
e2re## *ee$ing# or !on>e, i%ea#) I i# "ain$,!on#!iou# &oug& !an 'e en&an!e% or i"$i!ae%', non >er'a$ !ue#)
Non ;er'a$< &e non u#e o* 3or%# 'u ge#ure#='o%, "o>e"en#= our!& an% &,#i!a$
aearan!e) I i# $e## !on#!iou#$, !onro$$e% an%en%# o gi>e "ore a!!urae i!ure o* #iuaion#e#e!ia$$, in "ena$ &ea$&)
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Co""uni!aion ro!e##
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?arrier# o !o""uni!aion
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Re$e>an!e o* e**e!i>e Co""uni!aionin #,!&iar,/"ena$ &ea$& nur#ing
I# an e##enia$ !o"onen o* e>er, !are orrea"en iner>enion= i !an 'e %e#!ri'e%a# &e 'e%ro!0) Pe$au=4(@1+: re*erre% o ia# &e 'a#i# o* e>er, iner>enion)
T&e nu# an% 'o$#B or 'ui$%ing'$o!0#B4Morri#e,Co$$ag&an +8((:
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Re$e>an!e !on7%
I en#ure# ro" iner>enion
I ro"oe !&ange# &a ro"oe &ea$&)
I *a!i$iae roer e>a$uaion o* iner>enion#an% ou!o"e#
I &e$# o re>en $ega$ ro'$e"# a##o!iae%3i& ra!i!e)
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THERAPEUTIC COMMUNICATION
E>er, 'e&a>iour i# "eaning*u$= uro#e*u$an% goa$ %ire!e%) T&e enire !o""uni!aionro!e## i# !$ien !enre%) E**e!i>e!o""uni!aion #0i$$# i# &ig&$, reuire% in
#,!&iari!/"ena$ &ea$& !are) Sin!e one#i5e %oe#n7 *i a$$= &e 0no3$e%ge o* &e>ariou# #0i$$# an% &ere a$i!a'i$i, i# &ig&$,i"oran)
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Co""uni!aion #0i$$#
Li#ening
Para&ra#ing
Su""ari#ing
ue#ioningNon >er'a$ #0i$$# #u!& a# ou!& an% #i$en!e
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Li#ening
A!i>e Li#ening- An e##enia$ #0i$$ &a !ou$% 'e
>er, &eraeui! on i# o3n) I ro>i%e# anooruni, *or &e !$ien o e$$ &i#/&er #or,) A!ognii>e= 'e&a>ioura$ an% a**e!i>e ro!e## &a&a# o 'e %e>e$oe% &roug& ra!i!e) I i# >er,%i**eren *ro" &earing)
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LISTENING
A$$ inerna$ an% e2erna$ %i#ra!ion# &a>eo 'e une% ou) Fu$$ aenion i# gi>en o3&a &e er#on i# #a,ing 3i& &e ineniono* un%er#an%ing e>er, "e##age) A uie
#a!e &a en&an!e !on*i%enia$i, i#nee%e%)
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;er'a$ an% non >er'a$ !ue# "ig& 'e nee%e% oa##ure !$ien &a ,ou are #i$$ 3i& &i"/&er an%en!ourage !oninuaion)
Su!& a# no%%ing ,our &ea%= $eaning *or3ar%=
"ainaining goo% e,e !ona!= $oo0ing inere#e%an% !on!erne%)
;er'a$ !ue# in!$u%e< M""= Ye#= A'#o$ue$,= I #ee=O&7 Rea$$,= e))!
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SOLER POSITION
Egan4+8(8: i%eni*ie# !erain non >er'a$ #0i$$# &a
&e "ena$ &ea$& nur#e nee%# o ui$i#e %uring$i#ening)
S- #i *a!ing !$ien #uare$,
O- oen o#ure= ar"# an% $eg un!ro##e%
L- $eaning a i"e# o3ar%# &e er#on E- e,e !ona! 3i&ou #aring
R- re$a2e% o#ure
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LISTENING FOR NON ;RE?ALCOMMUNICATION
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E2a"$e# o* non >er'a$ !o""uni!aion E,e !ona! #u!& a# #aring or a>oi%an!e)
Fa!ia$ e2re##ion #u!& a# *ro3ning= #"i$ing=!$en!&ing or 'iing $i#= rai#ing e,e'ro3#)
?o%, "o>e"en#= o#ure= ge#ure#= *i%geing)
P&,#io$ogi!a$ re#on#e# #u!& a# er#iring='rea&ing rai%$, an% '$u#&ing)
Aearan!e# #u!& a# %re## !o%e= "a0e u# an%a%orning)
;oi!e #u!& a# one= >o$u"e= a!!en an% au#e#)
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i"oran!e o* $i#ening
C$ien# *ee$ !are% *or= #igni*i!an= re#e!e% an%a!!ee%
A'$e o !onne! 3i& !aregi>er &u# e#a'$i#&ing a#en#e o* ru#)
E2re## e"oion# an% re$ea#e en#ion
A'$e o ari!iae in !are $anning Ma0e #en#e o* e2erien!e#
Gi>e *ee%'a!0 a'ou !are
More *ree o a#0 *or &e$
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ara&ra#ing
Para&ra#ing i# reeaing e2a!$, 3&a &eaien #ai% in &e nur#e# 3or%#) Meaningo* 3&a i# #ai% i# un!&ange%) I #&o3# &a&e nur#e &a# 'een $i#ening) I i# a$#o u#e%
o !&e!0 *or !$ari, an% en#ureun%er#an%ing o* 3&a &a# 'een #ai%)
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#u""ari#ing
A #&orer >er#ion o* 3&a &e !$ien #ai%= ra$$,ing&e "ain oin# oge&er) I i# "o# u#e*u$ 3&en&ere are $o# o* in*or"aion gi>en= i i##o"ei"e# ne!e##ar, o $e &e !$ien 0no3= i7# a#u""ar,)
I &e$# o !$ari*, i##ue#= rea##ure &e !$ien 3&i$egi>ing &i"/&er an ooruni, o !orre!"i#un%er#an%ing#)
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ue#ioning
A$#o re*erre% o a# ro'ing #0i$$#= OPENENDED ue#ion# are "o#$, a$3a,#re!o""en%e% an% u#ua$$, 'egin 3i& 3&en=3&a= &o3= 3&o or 3&ere) T&e u#e o* 3&,
#&ou$% 'e a>oi%e% a# i en%# o u &eaien on a %e*en#i>e #an%
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CLOSED ENDED ue#ion# $i"i &e !$ien oion#"o#$, o a ,e# or no re#on#e) Dia$ogue i#re#ri!e% an% &e !$ien i# 'o2e% inB o&er oor"e&o% o* ue#ioning in!$u%e= LEADING,EITHER/OR, MULTIPLE AND THE WHY ue#ion)
ue#ion !an a$#o 'e oor$, i"e%= &e rig&ue#ion= &e rig& 3a, 'u &e 3rong i"e)
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TOURCH
A *or" o* non >er'a$ !o""uni!aion u#e% o
'rea0 %o3n 'arrier# an% rea##ure !$ien) I !an'e e2re##i>e or ro!e%ura$ 'u "u# 'e u#e% 3i&&e u"o# !auion 3i& !are an% re#e! in*o!u#)
O**er our!& re#e!*u$$, 'a#e% on aien nee%no ,our#
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Tour!& !on%)
Re#e! !$ien !u$ure= age= e&ni!i, an%gen%er
?e "in%*u$ o* !$ien er#ona$ #an% onour!&
?e a3are o* ,our o3n $e>e$ o* !o"*or an%'e #in!ere) I# o0a, no o 'e o0a,B
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SILENCE
Si$en!e &e$# &e !$ien o ga&er &oug&#= gi>e a#en#e o* re#e! an% #uor) E>er, i"e &e!$ien 0ee# uie i# no a$3a,# an in>iaion *or&e nur#e o #ea0) Pau#ing *or a 3&i$e 'e*ore"a0ing an, iner>enion !ou$% 'e &e$*u$) I#eua$$, i"oran no o e2en% i unne!e##ari$,)U#e o* aroriae #0i$$ a*er erio% o* #i$en!e!ou$% 'e >er, &eraeui!)
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'i'$iogra&,
?er"an= ) A)= Er'= G)= Ko5ier= ) ?)= S,n%er= S)4+889:) Fun%a"ena$# o* Nur#ing 49& e%): Preni!eHa$$) Ne3 er#e,= N<
Ca$$ag&an= P)= Morri##e,) ) 4+8((:) Co""uni!aion#0i$$# *or Mena$ Hea$& Nur#e#< An inro%u!ion)Ne3 Yor0= NY< Oen Uni>er#i, Pre##)