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Therapeutic Comm

QuestionAnswer
Using Silence Giving the patient the opportunity to collect and organize thoughts, to think through a point, or to consider introducing a topic of greater concern than one being discussed
Accepting Conveying an attitude of reception and regard. "Yes, I understand what you said." Making eye contact and nodding.
Using Silence Giving the patient the opportunity to collect and organize thoughts, to think through a point, or to consider introducing a topic of greater concern than one being discussed
Accepting Conveying an attitude of reception and regard. "Yes, I understand what you said." Making eye contact and nodding.
Giving Recognition Acknowledging and indicating awareness; "hello MR.P I noticed that you made a painting for the holiday in OT."
Offering Self Making oneself available on an unconditional basis, increasing the patient's feelings of self worth. "We can eat lunch together."
Giving Broad Openings Allowing the patient to take the initiative in introducing the topic; emphasizing the importance of the patient's role in the interaction. Technique to facilitate communication
Offering General Leads Offering the patient encouragement to continue. "Go on."
Placing the event in time or sequence. Clarifying the relationship of events in time so the nurse and patient can view them in perspective. "What happpened after that?" "Then what happened next?"
Making Observations Verbalizing what is observed or perceived. This encourages the patient to recognize specific behaviors and compare perceptions with the nurse. "YOu seem anxious." "You seem anxious."
Encouraging description of perceptions. Asking the patient to verbalize what is being perceived; often used with patient experiencing hallucinations. "|Are you hearing voices?"
Encouraging Comparison Asking the patient to compare similarities and differences in ideas, experiences, or interpersonal relationships. Helps patient to recognize patterns that recur in relationships, life situations etc.
Encouraging Comparison Asking the patient to compare similarities and differences in ideas, experiences, or interpersonal relationships. Helps patient to recognize patterns that recur in relationships, life situations etc.
Restating Repeating the main idea of what the patient stated; lets the patient know that you understand what he/she has said and gives him/her a chance to continue or clarify if needed.
Reflecting Questions and feelings are referred back to the patient so that they may be recognized and accepted, good technique to use when the patient asks the nurse for advice. PT: "What do you think I should do about my daughter?" NURSE: "What do you think?"
Focusing Taking notice of a single idea or even a single word; this technique is NOT therapeutic with a patient who is anxious. "This point seems worth looking at more closely."
Exploring Delving further into a subject, idea, expereince, or relationship; helpful with patients who are superficial in communicating. "Tell me more about that,,,"
Seeking Clarification and Validation Striving to explain that which is vague or incomprehensible and searching for mutual understanding. "I'm not sure that I understand, Please explain."
Presenting Reality Defining reality when the patient misperceives the enviornment. "I understand that the voices seem real to you, but I don't hear the voices."
Voicing Doubt Expressing uncertainty as to the reality of the patient's perceptions; used with patients with delusional thinking. "I find that hard to believe."
Verbalizing the Implied Putting into words what the patient has only said indirectly; helpful with patients who have impaired verbal communication.
Attempting to translate words into feelings When feeling are expressed indirectly the nurse tries to "sesymbolize" what is said and translate it into words
Formulating a plan of action When a patient has a plan in mind to deal with what is considered to be a stressful situation, it may serve to prevent anger/anxiety from escalating to an unmanageable level. "What can you do to let out your anxiety before you meet with the dean?"
Created by: Nu221Psych