Scenario Definition & Meaning -

Running head: SCENARIO
Scenario 1
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SCENARIO 2
According to Abdolrahimi et al, (2017), therapeutic communication refers to the process where
nurses and patients interact face to face. One on one interaction in the caring process as it
enhance emotional and physical well-being of a patient. However, Arnold & Boggs, (2019)
stated that during therapeutic communication nurses require specific techniques to make the
process successful. Face to face communication may require a nurse to go an extra mile to use
multiple strategies to ensure that the goal of therapeutic communication is achieved. In this
assignment, it will make use of scenario one given to show application of interpersonal
communication strategies and skills. In explaining the situation, the body of this assignment will
include analysis of the scenario, concept of relevant care in relation to the scenario, strategies,
skills and approaches that support therapeutic communication between nurse and patient and
lastly the reflection health literacy skills relative to the scenario. Apart from that, the last part of
the assignment will be a conclusion that summarize the assignment.
In the scenario one given, it is an interaction between me and an elderly woman of 78 years in an
aged care facility. However, one of the things that shows ineffective communication between me
and the patient is that I had not recognized that this patient suffer from a failing memory. Before
commencing a conversation, Birnbaum, (2017) said that a nurse should understand the need of
the patient. However, in this scenario I had not observed the behavior of the elderly woman, Mrs.
Pamela Jones. Giving recognition when beginning a conversation is an important aspect in
achieving effective communication. For example, I would have told the patient “I see you are
crying, what might be the problem?” The acknowledgement provides a basis of communication
and shows effectivity of the conversation. Another important issue in the scenario is the evidence
of stress and unstable emotional state. The patient is a bit disturbed due the failing memory this
makes the communication process ineffective. The way the woman gives the response shows that

SCENARIO 3
she is in unstable emotional state. High level of stress makes it difficult to enhance productive
and effective communication. For example, the woman pushed the nurse away asking for the
nurse who had cared for her during the day. Even though the woman is passing information
through pushing me, it is not the best way to communicate. It shows ineffective communication
that exist between the patient and me. Instead of passing specific information to me, the patient
continue crying crying and that is one of the things that makes it difficult for me to start effective
communication.
One of the things that is important in the scenario especially for me as a nurse is making
observation. Observation involves looking at the behavior, and appearance of the patient.
Making observation is an important way of achieving therapeutic communication in that it helps
the nurse find the best way of approaching the patient. For example, in the scenario from
observation the patient is crying. As a nurse, Weiss, (2018) said that I should understand that the
patient is psychologically disturbed and I should approach her in a softer way. The other
important concept in the above scenario is giving broad openings to the situation. In therapeutic
communication, it is important to allow the patient direct the flow of the conversation. For
example, the woman in the scenario was insisting on the nurse that had took care of her during
the day. One of the ways to tackle the situation is to go and check if the specific nurse is around.
Going to check the nurse will make the woman feel that she is the one taking the flow of the
conversation. On return I can come up with a concrete feedback that will convince the woman to
settle. Giving broad openings also allow the patient to express what is in her mind in most cases.
I can use the idea in the mind of the patient to come up with a possible solution. Apart from the
above methods, the other issue important to the scenario is encouraging illustration of what the
patient is perceiving according to Priyanto et al, (2019). The strategy is always important to