Virtual Simulation 1

               After reviewing the footage of the three interviews that took place (depression, anxiety, and depression with suicidal ideation), it is evident that therapeutic communication plays a huge role in the nurse-patient relationship. I noticed that the students centered their interviews around building a therapeutic relationship with the patient by identifying the needs of the patient, addressing any distress that the patient is under, helping the patient’s problem solve, as well as encouraging behavioral changes. When it came to therapeutic communication techniques, they utilized active listening by providing eye contact, having an “open” body language rather than closed (arms crossed/slouched over) to signal they were accepting of the patient and giving them their full attention. The students also made sure to not interrupt the patients when speaking and give them plenty of time to answer. Therapeutic communication that I observed also included restating back to the patient what the patient just said so the patient understands that they are being heard, and their feelings are valid. The students also gave affirmations to the patients. For example, in Mr. Riley’s interview a student said “I understand that, that must be very difficult for you” when responding to Mr. Riley about not having energy to do anything. In Mrs. Jones interview the student also used affirmations by saying “I bet that can be a very scary feeling while driving” after the patient disclosed about having a panic. The students also utilized observation communication technique by saying “I noticed your being very fidgety, is there anything we can do to help with that?” in Mrs. Jones interview. Open-ended questions were also used in the interviews as therapeutic communication. For example, in Mr. Martins interview they asked the patient what gives him pleasure. By observing all of these therapeutic communication techniques in action, it shows me that it serves a big purpose in getting the client to talk more openly about what they are going through and allows the client to become more comfortable with the interviewer, while still maintaining boundaries and respecting the patients comfortability.

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