ATI Video Case Study


Module 02 Assignment- ATI Video Case Study on Therapeutic Communication

Purpose

  1. Identify therapeutic and non-therapeutic communication techniques.
  2. Identify congruency between verbal and non-verbal communication.
  3. Document the conversation and label the parts of the conversation.

 

Course Competency

  • Apply strategies for safe, effective multidimensional nursing practice when providing basic care and comfort for clients.

 

Instructions

For this assignment, fill out the template provided directly after these instructions.

  1. Listen to the ATI video case study called Therapeutic Communication.
  2. Record the conversation, indicating the comments made by the nurse and client in the correct columns.
  3. Observe and document the verbal and non-verbal communication.
  4. Label the verbal and non-verbal communication as therapeutic or non-therapeutic.
  5. Provide the rationale for each of the labels (therapeutic or non-therapeutic).
  6. Indicate a statement or response that may have been more therapeutic for those believed to be barriers to communication.
  7. At the conclusion of the conversation, write a paragraph indicating how you would feel if you were the client in this situation.

 

  Nurse/client
Verbal  
 

 

 

 

 

 

Nurse: “My name is Catherine and I will be asking you some

questions”

Nurse: “Could you please state you name and date of birth”

Client: “Uh, ya Ron Toledo, September 14th 1958”

Nurse: “Alright Mr,Toledo are we feeling any better now?”

Client: “No I still feel like I am having a nervous breakdown, I

just can’t get over losing my job and since my mother died I

don’t have anyone”

Client: “I mean she did everything for me, I just don’t think I can

do this”

Nurse: “And what exactly makes you say that?”

Client: “I just told you, she did everything for me”

Nurse: “Don’t worry, things will get better soon, I know exactly

how you feel. I felt the same way when I lost my father. Perhaps

you should just focus on something else to get her off you

mind”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The nurse shows the client some empathy by appropriately recognizing the client’s sentiments and respecting the client’s reality (Abdolrahimi et al 2017). He expresses concern for what is

 

 

Ask the client whether they are feeling any better by saying, “Are we feeling any better now?” The client is able to respond without being interrupted because of his demonstrated exceptional listening abilities.

He lets the client fully express his fear before probing professionally with questions such, “What makes you say that?

By making observations about the client’s behavior or reactions, the nurse is expressing her own. As an illustration, the nurse might say to the patient, “You look exhausted, and I haven’t seen you eat anything.”

Additionally, this is a skilled method of joking around with the client and adding to the culture. a sense of togetherness, friendliness,

and closeness. Clients feel appreciated, protected, and respected.

 

 

Non-therapeutic

 

 

 

 

 

 

 

 

 

 

When the circumstances don’t allow it, the nurse is asking the client for an excessively thorough explanation. Once more, the nurse makes the client describe in specifics how their actions, feelings, and experiences occurred.

disregarding or refusing to acknowledge the client’s emotions (Annoni & Miller, 2016). The nurse spoke in a way that seemed to disregard the client’s feelings and expectations. It would be condescending to tell the client that other people have experienced the same thing, for instance.

Inconsistency and switching topics when it’s not necessary for the customer When a nurse misunderstands a client’s instructions or their native tongue, the patient feels neglected. This suggests. the client the potential for negligent employees.

 

Alternate Response

 

 

 

 

 

 

Give clients room to introduce the subject by providing broad openings. This is another therapeutic strategy that can be applied to deal with any issues that could crop up throughout the session.

Several topics should be reiterated to ensure that the client understands everything. To make sure the client is comfortable with the information, the nurse repeats several key points and places. In order to make clients feel accepted and understood, this is a contemplative approach to working with them.

Non verbal Nurse
Therapeutic

 

 

 

 

 

 

 

 

 

 

seeking the patient’s identification papers to ensure that he is familiar with the information provided by the customer. With the help of this nonverbal cue, the customer is informed that he is dealing with a real person.

keeping a record of what clients say that is important. It is appropriate to use this method of communication to demonstrate the services’ seriousness and sincerity.

Non-therapeutic

 

 

 

 

 

 

 

 

 

 

 

 

The client’s emotions and anxiety-related outbursts are being dismissed by the nurse. He restricts the patient’s ability to properly describe his experiences.

Every time he senses the client starting to get emotional, he keeps stepping in and encouraging him to change the subject. This makes it abundantly evident that the nurse is not interested in empathizing with the patient’s issues.

using a chilly voice.

Alternate Response

 

 

 

 

 

 

 

 

 

 

Using strict eye contact, nodding, and bodily indications of acceptance as a substitute for a response might be another option. This is a recuperative

 

 

communication strategy that maintains appropriate nonverbal communication techniques.

When a topic of conversation is followed by silence, the client is given time to collect their thoughts before moving on to the next idea.

Paying close attention and being actively receptive to the client’s speech To comprehend the client’s actual issue, this entails the utilization of observational and nonverbal indicators. While speaking to the client, the nurse did not make eye contact, which suggests some maladroit listening and ignorance. Additionally, she made the client feel quite irritated by asking, “What exactly makes you say that?” It appeared that she could be doing something else except attending to the client. People commit suicide as a result of this type of behavior and non-interest because they feel that no one cares about them when all they want is for someone to listen to what they have to say and how they feel. The lives of persons who are experiencing difficulties that they do not know how to overcome can be greatly impacted by small gestures.

 

 

 

Module 02 Assignment- ATI Video Case Study on Therapeutic Communication Rubric

 Total Assessment Points – 45

Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Verbal and Non-Verbal Communication

(10 Pts)

Verbal and non-verbal communication is correctly identified and rationale for identification is vague.

 

Verbal and non-verbal communication is correctly identified and rationale for identification is reasonable.

 

Verbal and non-verbal communication is correctly identified and rationale for identification is complete.

 

Verbal and non-verbal communication is correctly identified and rationale for identification is thorough.

 

Points –  0-7 Points – 8 Points – 9 Points – 10
Therapeutic or Non-Therapeutic Communication

(10 Pts)

Therapeutic or non-therapeutic communication is correctly identified and rationale for identification is vague.

 

Therapeutic or non-therapeutic communication is correctly identified and rationale for identification is reasonable.

 

Therapeutic or non-therapeutic communication is correctly identified and rationale for identification is complete.

 

Therapeutic or non-therapeutic communication is correctly identified and rationale for identification is thorough.

 

Points – 0-7 Points – 8 Points – 9 Points – 10
Alternate Response

 (10 Pts)

The alternate response provided is vague and/or incomplete. The alternate response provided is reasonable and/or mostly related to the conversation in the case study. The alternate response provided is complete and  related to the conversation in the case study. The alternate response provided is in-depth and explicitly related to the conversation in the case study.
Points – 0-7 Points – 8 Points – 9 Points – 10
Additional Paragraph

(10 Pts)

The additional paragraph provided vague and/or seldom relates back to the conversation in the case study. The additional paragraph provided is reasonable and occasionally relates back to the conversation in the case study. The additional paragraph provided is sufficient and relates back to the conversation in the case study. The additional paragraph provided is comprehensive and skillfully relates back to the conversation in the case study.
Points: 0-7 Points: 8 Points: 9 Points: 10
Spelling and Grammar

 (5 Pts)

Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material.          Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. Few spelling and grammar errors. Minimal to no spelling and grammar errors.
Points: 0-2 Points: 3 Points: 4 Points:5