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Flashcards in Therapeutic Communication techniques Deck (20):

Using silence

Give the pt the chance to collect and organize thoughts, to think through a point, or to consider to introducing a new topic of greater concern.



Conveys an attitude of reception and regard
-"yes I understand what you said"


Giving recognition

Acknowledging and indicating awareness; better than complimenting which reflects nurses judgement.
-"hello mr J I see you made your bed"


Offering self

Making self available on an unconditional basis, increasing clients feeling of self worth
-"I'll stay with you a while, we can eat lunch together"


Giving broad openings

Allows the client to take initiative in introducing the topic, emphasizes the clients role in the interaction
-"what would you like to talk about today?"


Offering general leads

Offers the client encouragement to continue
-"yes I see, go on" and after that?


Placing event in time or sequence

Clarified the relationship of events in time so the nurse and patient can view them in perspective
-"what seemed to lead up to..?
"was this before or after ?"
"When did this happen?"


Making observations

Verbalized what is observed or perceived, encourages the patient to recognize specific behaviors and compare perceptions with the nurse.
-"you seem tense"
"I notice you are pacing a lot"
"You seem uncomfortable when..."


Encouraging descriptions of perceptions

Asking the client to verbalized what or being perceived- often used when experiencing hallucinations
"Tell me what is happening now"
"Are you hearing voices again?"


Encouraging comparison

Ask the patient to compare similarities and differences in ideas. Helps the client recognize life experiences.
"Was this something like?"
"What happened last time this happened?"



Repeating the main idea of what the patient has said. This lets the client know whether or not an expressed statement has been understood and gives him/her the chance to continue.



Questions and feelings are referee back to the patient so they may be recognized and accepted.
"What do you think you should do?"



Taking notice of a single idea or even a single word, works especially well with a patent who is moving rapidly from one thought to another.
Focusing should not be done until anxiety has been subsided
"This point seems worth looking at mlre closely, let's discuss it together"



Delving further into a subject, idea, experience or relationship
"Please explain that situation in more detail"


Seeking clarification and validation.

Striving to explain that which is vague or incomprehensible and searching for mitral understanding. Clarifying the meaning of what is said.
"I'm not sure I understand can you please explain?"


Presenting reality

When the client has a misperception of the environment, the nurse defines reality or indicated his or her perception of the situation for the patient.
"I understand that the voices seem real to you, but I do not hear any voices"


Voicing doubt

Expresses uncertainty as to the reality of the clients perceptions-used with patients with delusional thinking
"I understand that you believe that to be true but I see the situation differently"


Verbalizing the implied

Putting into words what the client has only implied or said indirectly
"Are you feeling like no one here understands?"


Attempting to translate words into feelings

When feelings are expressed indirectly the nurse tries to de-symbolize them


Formulating a plan of action

When a client has a plan in mind for dealing with what is considered to be stressful
"What could you do to let your angry out harmlessly?"