Therapeutic Comm
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| 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
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| Accepting | Conveying an attitude of reception and regard. "Yes, I understand what you said." Making eye contact and nodding.
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| 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
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| Accepting | Conveying an attitude of reception and regard. "Yes, I understand what you said." Making eye contact and nodding.
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| Giving Recognition | Acknowledging and indicating awareness; "hello MR.P I noticed that you made a painting for the holiday in OT."
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| Offering Self | Making oneself available on an unconditional basis, increasing the patient's feelings of self worth. "We can eat lunch together."
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| 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
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| Offering General Leads | Offering the patient encouragement to continue. "Go on."
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| 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?"
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| 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."
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| Encouraging description of perceptions. | Asking the patient to verbalize what is being perceived; often used with patient experiencing hallucinations. "|Are you hearing voices?"
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| 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.
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| 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.
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| 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.
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| 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?"
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| 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."
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| Exploring | Delving further into a subject, idea, expereince, or relationship; helpful with patients who are superficial in communicating. "Tell me more about that,,,"
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| 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."
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| 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."
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| 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."
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| Verbalizing the Implied | Putting into words what the patient has only said indirectly; helpful with patients who have impaired verbal communication.
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| Attempting to translate words into feelings | When feeling are expressed indirectly the nurse tries to "sesymbolize" what is said and translate it into words
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| 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?"
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Nu221Psych
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