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therapeutic communication

Purposeful, client-centered communication that helps a client express feelings and work toward health.

ther-uh-PYOO-tik kuh-myoo-nih-KAY-shun noun

What it means

The way nurses talk and listen to build trust and help the client. Therapeutic techniques include active listening, open-ended questions, silence, restating, reflecting feelings, clarifying, summarizing and offering self ("I'll sit with you for a while"). Nontherapeutic responses block communication: false reassurance ("Everything will be fine"), giving advice, "why" questions, changing the subject, judging, and agreeing or disagreeing with the client's feelings.

For the nurse

On the exam, the best answer usually focuses on the client's feelings and invites them to say more, rather than defending, advising or reassuring.

In a chart

"You seem worried about the surgery tomorrow. Tell me more about what is on your mind."

At a glance

Spanishcomunicación terapéutica
Also writtentherapeutic communication techniques, therapeutic communication technique

Related terms

advocate

To speak up and act for a client's rights, safety and wishes; also, a person who does this.

therapeutic relationship

A professional relationship between a nurse and a client that is focused on the client's needs and goals.

coping strategy

Anything a person does or thinks to manage stress, a problem or difficult feelings.

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