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Therapeutic com-n

Thera[eutic Communication Techniques

Conveys an attitude of reception and regard. " Yes, I understand what you said ." Eye contact : nodding Accepting
Acknowledging, indicating awareness: better than complimenting , which reflects the nurse's judgment " Hello, Mr. Joe. I notice that you made a ceramic ash tray in OT." " I see you made your bed Mr. Joe." Giving recognition
Making oneself available on an unconditional basis, increasing client's feelings of self- worth. " I'll stay with you a while." " We can eat our lunch together." " I am interested in you." Offering self
Allows the client to take initiative in introducing the topic; emphasizes the importance of the client's role in the interaction. " what would you like to talk about today Mr. Joe ?" " Tell me what you are thinking ? " Giving broad openings
Offers the client encouragement to continue " Yes, I see." " Go on ." " And after that ?" Offering general leads
Clarifies the relationship of events in time so that the nurse and the client can view them in perspective. " What seemed to lead up to ..." " Was this before or after.." "When did this happened ?" Placing the event in time or sequence
Verbalizing what is observed or perceived. This encourages the client to recognize specific behaviors and compare perceptions with the nurse "You seem tense ?" " I notice you are pacing a lot ." " You seem uncomfortable when you .." Making observations
Asking the client to verbalize what is being perceived; often used with clients experiencing hallucinations. " Tell me what is happening now. " " Are you hearing the voices again?" " What do the voices seem to be saying ?" Encouraging description of perceptions ( mental image , observation)
Asking the client to compare similarities and differences in ideas , experiences, or interpersonal relationships. This helps the client to recognize life experiences that tent to recur as well as those aspects of life that are changeable. " Was this something like ?" " How does this compare with the time when ?" " What was your response that last time this sitiuation occurred ?" Encouraging comparison
Repeating the main idea of what the client has said. This lets the client know whether an epxressed statement has been understood and gives him or her the chance to continue, or to clarify if necessary . Cl: " I cant study. My mind keeps wandering." Ns: " You have trouble concentrating?" Cl:" I can not take the new job. What If i can not do it?" Ns: " You are afraid you will fail in this new position? " Restating
Reffering questions and feelings back to the client so that they may be recognized and accepted and so that the client may recognize that his or her point of view has value- a good technique to use when the client asks the nurse for advice Cl:" What do you think I should do about my wife's drinking problem ?" Ns: " What do you think you should do about it ?" Cl:"My sister wont help a bit toward my mother's care. I have to do it all!" Ns: " You feel angry when she does not help?" Reflecting (zastanawiajac sie)
Taking notice of a single idea or even a single word; works especially well with a client who is moving rapidly from one thought to another. This technique is not terapeutic, with a client who is very angry. should not be pursued until anxiety goes down. " This point seems worth looking at more closely. Perhaps you and I can discuss it together. Focusing
Gives the client the opportunity to collect and organize thoughts, to think through a point or to consider introducing a topic of greater concern that the one being discussed. silence Using silence
Created by: rkasiejka27