Question

Which actions by the nurse are barriers to therapeutic nurse–client communication? Select all that apply. a. Focusing on the diagnosis instead of the client b. Using slang terminology c. Using open-ended questions d. Giving advice

Short answer

A, B, and D are barriers to therapeutic nurse-client communication.

Step-by-step solution

Identify Each Option

Consider each action separately to determine if it creates a barrier to therapeutic nurse-client communication.

Evaluate Option A

Focusing on the diagnosis instead of the client can create a barrier because it may make the client feel unseen and disregarded. It shifts the focus away from the client as an individual to just their medical condition.

Evaluate Option B

Using slang terminology can create a barrier because the client may not understand the slang, which can lead to miscommunication and feelings of discomfort or alienation.

Evaluate Option C

Using open-ended questions is generally not a barrier; it facilitates a more thorough understanding of the client's feelings and condition, and encourages more client participation in the conversation.

Evaluate Option D

Giving advice can create a barrier as it may make the client feel their experiences and feelings are being undervalued, and it can hinder the development of a trustful and empathetic communication environment.

Select All That Apply

Based on the evaluation, identify all actions that are barriers to therapeutic nurse-client communication.

Key concepts

client-centered care

Client-centered care is all about focusing on the individual needs and preferences of the client rather than just their medical condition. In this approach, the client is seen as a whole person with unique experiences and values.
To effectively practice client-centered care, nurses should:

• Listen actively to the client's concerns and preferences
• Encourage clients to participate in decisions about their care
• Respect the client's individuality and autonomy

By prioritizing the client’s unique needs and involving them in their own care, nurses can build stronger, more trustful relationships and improve overall healthcare outcomes.

miscommunication in healthcare

Miscommunication in healthcare can have serious consequences, including incorrect diagnoses, medication errors, and a decrease in patient satisfaction. Common causes of miscommunication include:

• Using medical jargon or slang that the client does not understand
• Not actively listening to the client's concerns
• Assuming the client understands instructions without confirming

To reduce miscommunication, nurses should aim to use clear, simple language, check for understanding, and encourage clients to ask questions. It's also important to consider cultural and language differences that may affect communication.

effective nurse-client interaction

An effective nurse-client interaction involves open communication, empathy, and mutual respect. Here are some strategies to foster this interaction:

• Use open-ended questions to encourage the client to share more about their feelings and experiences
• Maintain eye contact and show genuine interest in what the client is saying
• Provide feedback and summarize what the client has said to ensure understanding

Effective interactions build trust and help clients feel more comfortable and valued, leading to better care outcomes and a more positive healthcare experience.

patient engagement strategies

Patient engagement is a critical aspect of healthcare, as it involves encouraging clients to take an active role in their care. Some strategies to enhance patient engagement include:

• Providing clear and comprehensible information about their health and treatment options
• Encouraging clients to ask questions and express their concerns
• Involving clients in goal-setting and care planning

By empowering clients with the knowledge and support they need to participate actively in their care, nurses can improve adherence to treatment plans, satisfaction with care, and overall health outcomes.