1.4 (therapeutic techniques) Flashcards
(27 cards)
accepting
Indicating reception; Indicates that the nurse has heard and followed the train of thought. (conveys positive regard)
Ex: Nodding, Tone of Voice, Facial Expression
broad openings
Allowing the client to take the initiative in introducing the topic
Ex: “Where would you like to to begin?”
“Is there something you’d like to talk about?”
consensual validation
Searching for mutual understanding and for accord in the meaning of the words.
Ex: “Are you using this word to convey that…?”
“Tell me whether my understanding agrees with yours.”
encouraging comparison
Asking that similarities and differences noted.
Ex: “Was it something like…”
“Have you had similar experiences?”
encouraging description of perceptions
Asking the client to verbalize what he or she perceives.
Ex: “Tell me when you feel anxious.”
“What is happening?”
encouraging expression
Asking the client to appraise the quality of his or her experiences.
Ex: “What are your feelings about…?”
“Does this contribute to your distress?”
general leads
Giving encouragement to continue.
Ex: “Go on.” or “And then?”
exploring
Delving further into a subject or idea. (broader than focusing)
Ex: “Tell me more about that.”
“What kind of work?”
focusing
Concentrating on a single point.
Ex: “Of all the concerns you’ve mentioned, which is most troublesome?”
formulating a plan of action
Asking the client to consider kinds of behavior likely to be appropriate in future situations. (prevent anger/anxiety escalating to unmanageable level when stressors occurs)
Ex: “Next time this comes up, what will you do?”
giving information
Making available the facts the client needs.
Ex: “My name is…”, “Visiting hours are…”
giving recognition
Acknowledging, indicating awareness.
Ex: “Good morning, Mrs. S.”
“I notice that you’ve combed your hair.”
making observations
Verbalizing what the nurse perceives.
Ex: “You appear tense.”
“I notice that you’re biting your lip.”
offering self
Making oneself available.
Ex: “I’ll sit with you awhile.”
“I’m interested in what you think.”
placing event in time or sequence
Clarifying the relationship of events in time.
Ex: “What seemed to lead to…?”
Ex: “When did this happen?”
presenting reality
Offering for consideration what is real. (clarify misconception that client may be expressing)
Ex: “I see no one else in the room.”
“Your mother is not here; I am a nurse.”
reflecting
Directing client actions, thoughts, and feelings back to the client.
restating
Repeating the main idea expressed. (let client know whether an expressed statement has been understood)
Ex: Patient -“ I can’t sleep and stay away all night.”
Nurse - “You have difficulty sleeping.”
seeking information
Seeking to make clear that is vague.
Ex: “I’m not sure that I follow.”
silence
Absence of verbal communication, which provides time for the client to put thoughts or feelings into words or regain composure. (allows client to take control of discussion)
Ex: Nurse says nothing but continues to maintain eye contact and convey interest.
suggesting collaboration
Offering to share, strive, and work with the client for his or her benefit.
Ex: “Perhaps you and I can discuss and discover the triggers or your anxiety.”
summarizing
Organizing and summing up what has been said.
Ex: “You’ve said that…”
“During the past hour, we have discussed…”
translating into feelings
Seeking to verbalize client’s feelings that he or she expresses only indirectly.
Ex: Client - “I’m dead.”
Nurse - “Are you suggesting that you feel lifeless?”
verbalizing the implied
Voicing what the client has hinted at or suggested.
Ex: Client - “I can’t talk to you or anyone.”
Nurse: - “Do you feel that no one understands?”
