Test 1 Flashcards
(191 cards)
Is this Therapeutic Communication?
Accepting
Define
Examples
Yes
Indicating reception
Ex: “Yes” “I follow what you said” Nodding
Is this Therapeutic Communication?
Broad Openings
Define
Examples
Yes
Allowing the client to take the initiative in introducing the topic
“Is there something you’d like to talk about?” “Where would you like to begin?”
Is this Therapeutic Communication?
Verbalizing the implied
Define
Examples
Prompt: Client “I can’t talk to you or anyone. It’s a waste of time.”
Yes
Voicing what the client has hinted at or suggested
Client: “I can’t talk to you or anyone. It’s a waste of time.”
Nurse: “Do you feel that no one understands?”
Is this Therapeutic Communication?
Rejecting
Define
Examples
No
Refusing to consider or showing contempt for the client’s ideas or behaviors
“Let’s not discuss…”
“I don’t want to hear about…”
Is this Therapeutic Communication?
Encourgaing comparison
Define
Examples
Yes
Asking that similarites and differneces be noted
“Was it something like…?” “Have you had similar experiences?”
Is this Therapeutic Communication?
Encouraging description of preceptions
Define
Examples
Yes
Asking the client to verbalize what they perceive
“Tell me when you feel anxious.”
“What is happening?”
“What does the voice seem to be saying?”
Is this Therapeutic Communication?
Introducing an unrelated topic
Define
Examples
Prompt: Client “I’d like to die.”
No
Changing the subject
Client: “I’d like to die.”
Nurse: “Did you have visitors last evening?”
Is this Therapeutic Communication?
Seeking information
Define
Examples
Yes
Seeking to make clear that which is not meaningful or that which is vague
“I’m not sure that I follow.”
“Have I heard you correctly?”
Is this Therapeutic Communication?
Encouraging expression
Define
Examples
Yes
Asking the client to appraise the quality of their experiences
“What are you feelings in regard to…?”
“Does this contribute to your distress?”
Is this Therapeutic Communication?
Translating into feelings
Define
Examples
Prompt: Client “I’m dead” & “I’m way out in the ocean.”
Yes
Seeking to verbalize client’s feelings that they express only indirectly
Client: “I’m dead.”
Nurse: “Are you suggesting that you feel lifeless?”
Client: “I’m way out in the ocean.”
Nurse: “You seem to feel lonely or deserted.”
Is this Therapeutic Communication?
Challenging
Define
Examples
No
Demanding proof from the client
“But how can you be president of the United States?” “If you’re dead, why is your heart beating?”
Is this Therapeutic Communication?
Giving approval
Define
Examples
No
Sanctioning the client’s behavior or ideas
“That’s good.”
“I’m glad that….”
Is this Therapeutic Communication?
Giving information
Define
Examples
Yes
Making available the facts that the client needs
“My name is…”
“Visiting hours are…”
“My purpose in being here is…”
Is this Therapeutic Communication?
Defending
Define
Examples
`
No
Attempting to protect someone or something from verbal attack
“This hospital has a fine reputation.”
“I’m sure your doctor has your best interest in mind.”
Defending what the client has criticized implies that they have no right to express impressions, opinions, or feelings.
Is this Therapeutic Communication?
Summarizing
Define
Examples
Yes
Organizing and summing up that which has gone before.
“Have I got this straight?”
“You’ve said that…”
“During the past hour, you and I have discussed…”
Is this Therapeutic Communication?
General leads
Define
Examples
Yes
Giving encouragement to continue
“Go on.”
“And then?”
“Tell me about it.”
Is this Therapeutic Communication?
Silence
Define
Examples
Yes
Absence of verbal communication, which provides time for the client to put thoughts or feelings into words, to regain composure, or to continue talking
Nurse says notheing but continues to maintain eye contact and conveys interest
Is this Therapeutic Communication?
Advising
Define
Examples
No
Telling the client what to do
“I think you should ….”
“Why don’t you ….”
Is this Therapeutic Communication?
Exploring
Define
Examples
Yes
Delving further into a subject or an idea
“Tell me more about that.”
“Would you describe it more fully?”
“What kind of work?”
Is this Therapeutic Communication?
Focusing
Define
Examples
Yes
Concentrating on a single point
“This point seems worth looking at more closely.”
“Of all the concerns you’ve mentioned, which is most troublesome?”
Is this Therapeutic Communication?
Formulating a plan of action
Define
Examples
Yes
Asking the client to consider kinds of behavior likely to be appropriate in future situations
“What could you do to let your anger out harmlessly?”
“Next time this comes up, what might you do to handle it?”
Is this Therapeutic Communication?
Disapproving
Define
Examples
No
Denouncing the client’s behavior or ideas
“That’s bad.”
“I’d rather you wouldn’t…”
Is this Therapeutic Communication?
Giving recognition
Define
Examples
Yes
Acknowledging, indicating awareness
“Good morning, Mr. S…”
“You’ve finished your list of things to do.”
“I notice that you’ve combed your hair.”
Is this Therapeutic Communication?
Agreeing
Define
Examples
No
Indicating accord with the client
“That’s right” “I agree”