Non Therapeutic Comm
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| Giving Reassurance | Indicating to a patient that there is no cause for anxiety; thereby devaluing the patient's feelings; may discourage the patient from further expression of feelings if they believe they will only be downplayed. "Don't worry everything will be alright."
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| Rejecting | Refusing to consider or showing contempt for the patient's ideas or behavior. May cause the patient to discontinue interaction due to fear of further rejection.
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| Giving approval or disapproval | Sanctioning or denouncing the patient's idea or behavior; implies that the nurse has the right to pass judgement on whether the patient's ideas or behaviors are "good" or "bad", and that the patient is expected to please the nurse. "That's bad that.."
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| Agreeing/disagreeing | Indicating accord with or opposition of the patient's opinions or ideas; implying that nurse has the right to pass judgement on whether the patient's opinions/ideas are "right or wrong".
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| Giving Advice | Telling the patient what to do or how to behave implies nurse knows best and that patient is incapable of self direction.Nurtures dependence and discourages independent thinking. "I think you should do..,"
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| Probing | Persistent questioning of patient; pushing for answers to issues the patient does not want to discuss. Causes patient to feel used and valued for what is shared.
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| Defending | Attempting to protect someone or something form verbal attack. To defend what the patient criticized implies he/she has not right to express ideas, opinions, or feelings.
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| Requesting an explaination | Asking the patient to provide the reason for thoughts, feelings, behavior, and events. Asking "WHY" is very intimidating and implies that the patient must defend the thought, feeling, behavior etc.
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| Indicating the Existence of an External Source of Power | Attributing the source of thoughts, feelings, and behaviors to others or to outside influences. Encourages patient's to project blame on others rather than accept responsibility. "What makes you say that?"
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| Belitting Feelings | Misjudging the degree of the patient's discomfort conveys a lack of empathy. "perk up" or "snap out of it" Better to say "You must be very upset. Tell me what you are feeling right now."
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| Making Stereotyped Comments | Cliches and trite expressions are meaningless it makes empty conversation, it encourages a like response from the patient. "Hang in there, it is for your own good>"
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| Using denial | Denying the problem exists blocks discussion with the patient and avoids helping the patient identify and explore areas of difficulty. PT" I'm nothing." NURSE:"Of course your something."
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| Intrepreting | The nurse/therapist makes the unconscious --conscious; telling the patient the meaning of his/her experience. "Unconsciously you are saying.."
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| Introducing unrelated topics | Changing the subject causes the nurse to take over the direction of the discussion.Nurse should remain open and free to hear the patient and to take in all that is being conveyed (verbally/nonverbally)
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Nu221Psych
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