GEN 

017: Religions, Religious Practices and Spirituality

Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

Lesson title: Rebuilding Therapeutic Communication Materials:

and Avoiding Non-Therapeutic Communication Part -1 Students: Video presentation

Learning Targets: References:

At the end of the module, students will be able to: O'Brien, M.E. (2011) Spirituality in
1. Implement nursing care measures to patients using Nursing Standing on Holy Ground. 4th
therapeutic communication. Edition, Jones & Bartlett Learning,
2. Use appropriate techniques to improve Sudbury.
communication with patients giving care. Potter, P. A., Perry, A. G., Stockert, P., &
Hall, A. (2016). Fundamentals of nursing
(9th ed.). Mosby
https://www.slideshare.net/
PriyankaKumari492/therapeutic-
communication-172063980

A. LESSON PREVIEW/REVIEW
1) Introduction (2 mins)
As a nurse, you communicate with patients and their families to establish meaningful
relationships. Within those partnerships, you collect essential assessment data, educate
patients, and interact with them while providing nursing interventions. Communication is
critical for nurse-patient relationships and the delivery of patient-centered care. Potter, P.A.
et., al (2016)
B. MAIN LESSON
Topic # 1
Do's
Nurse's Empathetic Response:
"I see you are sad. How can I help you?"
Don't
Nurse's Sympathetic Response:
"I know how depressing that situation is. My father also died a month ago and until now I feel so
sad every time I remember that incident. I know how bad that makes you feel."
Therapeutic communication techniques are specific responses that encourage the
expression of feelings and ideas and convey acceptance and respect. Effective communication
techniques are facilitative and promote the other person to openly express thoughts, feelings,
or concerns. Let us try to enumerate and cite examples of therapeutic communication.

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 GEN 017: Religions, Religious Practices and Spirituality
Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

o Active listening means being attentive to what a patient is saying both verbally
and nonverbally.
- Use "SOLER": Sit facing the patient; observe an open posture, lean toward
the patient, establish and maintain intermittent eye contact; relax.
o Use "SOLER": Sit facing the patient; observe an open posture, lean toward the
patient, establish and maintain intermittent eye contact; relax
o Therapeutic communication techniques are specific responses that encourage
the expression of feelings and ideas and convey acceptance and respect.

THERAPEUTIC COMMUNICATION TECHNIQUE

1. OBSERVING
Observing is made by the nurse of wringing hands, wiping perspiration, dry lips,
speaking in shallow tone. The nurse is making observations of nonverbal
communication.

2. RESTATING
The nurse restates or repeats what the patient has been saying. It can be in the
form of a question or a statement.

Patient: I can no longer go to church because I am sick.

Nurse: You can not go to church because you are sick?

3. VALIDATING
It is a technique that the nurse uses to confirm the accuracy of data or information
given by the patient

Patient; I get very upset when my husband beats me if I talk anything against my
mother-in-law.

Nurse; Yes, it makes sense that you get upset when your husband beats you when
complaining against your mother-in-law. I wonder if you would like to explain
further.

4. REFLECTING
In reflection, the nurse highlights the affective content of the patient's
communication: the feeling or attitude that is implicitly expressed.

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 GEN 017: Religions, Religious Practices and Spirituality
Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

Patient; I am very angry with my church leaders for not visiting me in the hospital.

Nurses: It sounds that you are angry with your church leaders.

5. PROVIDING INFORMATION
Providing personal, social, and therapeutic information increases the patient
resources.

For example, The nurse informs the patient that a social worker will be here from 10
a.m - 1 p.m today . group therapy will be from 2 p.m.to 3 p.m. tomorrow. The
patient may ask for more information and utilize the opportunity to clarify doubts

6. CLARIFYING
The nurse forms a patient's statement or feelings in more precise terms without
indicating approval or disapproval.

Patient; I am very sad today

Nurse; You say you are feeling very sad today. Would you elaborate on what is
happening?

7. PARAPHRASING
In paraphrasing, the nurse restates whatever she has heard from the patient.

Patient: My sister, all my friends, and relatives point out that I will never be able
to look after my family members. That makes me so depressed.

Nurse; I hear you saying that whenever you meet anyone, your friends and
relatives, they point out that you will always remain sick and will be no good to
your family. This makes you more sad.

8. PINPOINTING
The nurses pay attention to certain consistent statements made by the patient. She
pinpoints the difference between what the patient says and what he does.

Nurse: so you and your father disagree with the church you are attending to.

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 GEN 017: Religions, Religious Practices and Spirituality
Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

The nurse may point out, "you say you are sad, but you are smiling."

9. LINKING
The nurses try to link the patient's two events, feelings or persons together.

Nurse: You fight with your wife because her friends visit her too frequently and you
feel neglected

10. QUESTIONING
Questioning in communication is used when the nurse wants clear information. The
nurse should avoid many questions. The nurse can use open-ended or close-ended
questions. A close-ended questionnaire with 'yes', or 'no','right or wrong'. The open-
ended question gives more chance for the patient to speak.

11. FOCUSING
Concentrating on one single point

Nurse: Since when did you start taking alcohol?

Patient: 20 years
Nurse: How did you start taking it?

12. SHARING

The nurse thinks about the patient other than the time she looks after him.

She may evaluate whether their interactions are helping the patient. She may say:

"I was thinking of your what you said yesterday, that you feel God is not listening to
your prayers".

This is a gesture of warmth and thinking of caring according to our culture. The patient
may also feel that the nurse is caring for him.

13. SUMMARIZING
In summarizing, the nurse highlights the main them of what has been discussed.
Summarizing helps focus the patient's attention on what he has discussed if he wants
to add or delete anything.

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 GEN 017: Religions, Religious Practices and Spirituality
Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

14. PRESENTING REALITY OR CONFRONTING

The nurse states what is real and what is not without arguing with the patient.

"I know you hear these voices, but I do not hear them."

15. ROLEPLAYING

Practicing behaviors for specific situations, both the nurse and patient play
particular role.

"I'll play as your pastor, tell me exactly what would you say when we meet on
Sunday".

Skill-building Activities
Case Studies

A. Roberto Ruiz is a 44-year-old Puerto Rican man living with HIV/AIDS. He was in hospice and
on the verge of death, and his condition had not improved. He voiced his displeasure and
blamed himself for the consequences of his actions. "I believed God was punishing me for
all the terrible things I'd done," he adds. How will you deal with your patient? What type of
therapeutic communication will you utilize? Why? (5pts.)

I will choose pinpointing as therapeutic communication. He needs to realize that what he’s
saying is wrong. He should not blame himself and God for getting aids.

B. Bora Boromeo is a 36-year-old woman who was an active church organization member
for many years. Unfortunately, She was a victim of a violent rape last summer and was also
diagnosed as COVID positive. She develops depression and declares, "I think with what's
going on in the world right now, I doubt God exists." How will you handle your patient?
What kind of therapeutic communication will you use? Why? (5 points).

Developmental Activity (with answer keys)

Directions: Match the basic elements of communication.

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 GEN 017: Religions, Religious Practices and Spirituality
Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

A. One who encodes and one who decodes the message

1. Referent

2. Sender and receiver B. The setting for sender-receiver interactions

3. Message C. Message the receiver returns

4. Channels D. Motivates one to communicate with another

5. Feedback E. Means of conveying and receiving messages

6. Interpersonal F. Factors that influence communication

variables

7. Environment G. Content of the message

Answers: 1. D; 2. A; 3. G; 4. E; 5. C; 6. F; and 7. B

Check for Understanding

Directions: Enumerate 4 things in which you apply therapeutic communication in your daily
life even without knowing them:
a. _________________________________ c. ________________________________

b. _________________________________ d. ________________________________

D. LESSON WRAP-UP

Thinking about Learning

Directions: Since you are done with today’s lesson, please carefully read the question below and give your
honest answer to it.

Did you find this lesson easy/difficult/important? Were you able to meet the learning objectives?
Yes/No/Why? Explain in your own words.

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 GEN 017: Religions, Religious Practices and Spirituality
Student Activity Sheet

Lesson #10
Name: Angelica D. Mendoza Class number: _______
Section: 2BSN5 Schedule: ________________________________________ Date: ________________

Did you have challenges in today’s learning? How did you overcome those challenges??

TEACHER-LED ACTIVITIES
1) Collect completed work in the SAS.
2) Allocate your contact time with students to individual or small group mentoring,
monitoring, and student consultations.
3) You may administer summative assessments (quizzes, demonstrations, graded
recitation, presentations, performance tasks) during face-to-face sessions.
4) You may also explore supplementary activities that foster collaboration, provided that
social distancing is observed.
5) You may provide supplementary content via videos, etc.
*It is important to remember that students who cannot make it to face-to-face, in-classroom
sessions for health and safety reasons, should not be given lower grades for missing in-class
activities and should be given alternative summative tests.

Instructors may use these references for examples of therapeutic communications.

- https://www.slideserve.com/mimis/therapeutic-communication
- https://www.slideshare.net/PriyankaKumari492/therapeutic-communication-
172063980
- https://www.slideshare.net/drjayeshpatidar/therapeutic-and-non-
therapeuitc-communication-techniques
- https://www.slideshare.net/PriyankaKumari492/therapeutic-communication-
172063980

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