Therapeutic Communications (25-RLE)

Question 1

Indicating reception

Answer 1

1. ACCEPTING

Question 2

Searching for mutual understanding, for accord in
the meaning of the words

Sometimes words, phrases, or slang terms have different
meanings and can be easily understood.

Answer 2

CONSENSUAL VALIDATION

Question 3

make explicit that the client has the lead
in the interaction.

Answer 3

BROAD OPENING

Question 4

Helping the client to understand by looking at
similarities and differences

Comparing ideas, experiences, or relationships brings out
many recurring themes.

Answer 4

ENCOURAGING COMPARISON

Question 5

Asking client to verbalize what he or she
perceives

Answer 5

ENCOURAGING DESCRIPTIONS OF
PERCEPTIONS

Question 6

Asking the client to appraise the quality of his or
her experience.

Doing so encourages the client to make his or her own
appraisal rather than accepting the opinion of others

Answer 6

ENCOURAGING EXPRESSION

Question 7

EXPLORING

Answer 7

Delving further into subject or idea

When clients deal with topics superficially, exploring can
help them examine the issue more fully

Question 8

Concentrating on a single point

also a useful technique when a client jumps from one
topic another.

Answer 8

FOCUSING

Question 9

Asking the client to consider kinds of behavior
likely to be appropriate in future situations.

It will be helpful for the client to plan in advance what he or
she might do in future similar situations.

Answer 9

FORMULATING A PLAN
OF ACTION

Question 10

Giving encouragement to continue

encourage the client to continue if he or she is
hesitant or uncomfortable about the topic.

Answer 10

GENERAL IDEAS

Question 11

Making available the facts that the client needs

Giving information also builds trust with the client.

Answer 11

GIVING INFORMATION

Question 12

Acknowledge indicating awareness

Answer 12

GIVING RECOGNITION

Question 13

Verbalizing what the nurse perceives

Sometimes clients cannot verbalize or make themselves
understood

Answer 13

MAKING OBSERVATIONS

Question 14

Making oneself available

important that this offer is unconditional. The client
does not have to respond verbally to get nurse’s attention.

Answer 14

OFFERING SELF

Question 15

Clarifying the relationship or events in time

● Putting events in proper sequence helps both the nurse
and client to see them in perspective

Answer 15

PLACING EVENT IN TIME SEQUENCE

Question 16

Offering for consideration that which is real

When it is obvious that a client is misinterpreting reality,
the nurse can indicate what is real.

Answer 16

PRESENTING REALITY

Question 17

Directing client actions, Thoughts, and feelings
back to the client

Answer 17

. REFLECTING

Question 18

Repeating the main idea expressed

Answer 18

RESTATING

Question 19

Seeking to make clear that which is not
meaningful or that which is vague
Examples:
▪ “What do you mean by feeling sick

Answer 19

9. SEEKING INFORMATION

Question 20

Absence of verbal communication, which
provides time for the client to put thoughts or
feelings into words, regain composure or
continue talking

Answer 20

SILENCE

Question 21

Offering to share, to strive, to work with the client
for his or her benefit

Answer 21

SUGGESTING COLLABORATION

Question 22

Organizing and summing up that which has
transpired

Answer 22

SUMMARIZING

Question 23

Seeking to verbalize client’s feelings that he or
she expresses only indirectly

Answer 23

TRANSLATING IN FEELINGS

Question 24

Voicing what the client has hinted at or suggested

Answer 24

VERBALIZING THE IMPLIED

Question 25

Expressing uncertainty about the reality of the client’s perceptions

Answer 25

. VOICING DOUBT

Question 26

Examples: ▪ Yes ▪ I follow what you said ▪ Nodding

Answer 26

ACCEPTING

Question 27

Examples: ▪ “Tell me whether my understanding of it agrees with yours”. ▪ “Are you using this word to convey that…”

Answer 27

CONSENSUAL VALIDATION

Question 28

Examples: ▪ “Is there something you’d like to talk about?” ▪ “Where would you like to begin?”

Answer 28

BROAD OPENING

Question 29

Examples: ▪ “Was it something like this…?” ▪ “Have you had similar experiences?”

Answer 29

ENCOURAGING COMPARISON

Question 30

Examples: ▪ “Tell me when you feel anxious” ▪ “What are you hearing?” ▪ “What does the voice seem to be saying?”

Answer 30

ENCOURAGING DESCRIPTIONS OF PERCEPTIONS

Question 31

Examples: ▪ “What are your feelings in regard to…?” ▪ “Does this contribute to your distress?”

Answer 31

ENCOURAGING EXPRESSION

Question 32

Examples: ▪ “Tell me more about that.” ▪ “Would you describe it more fully?” ▪ “What kind of work?”

Answer 32

. EXPLORING

Question 33

Examples: ▪ “This point seems looking at more closely. You’ve briefly mentioned 3 suicide attempts.” ▪ “Of all the concerns you have mentioned, which is most troublesome?”

Answer 33

. FOCUSING

Question 34

Examples: ▪ “What could you do to let your anger out harmlessly?” ▪ “Next time this comes Up, what can you do to handle it?”

Answer 34

FORMULATING A PLAN OF ACTION

Question 35

Examples: ▪ “Go on. I’m listening” ▪ “And then” ▪ “Tell me more about it. ▪ I hear what you are saying.”

Answer 35

GENERAL IDEAS

Question 36

Examples: ▪ “My name is” ▪ “Visiting hours are” ▪ My purpose of being here is…”

Answer 36

GIVING INFORMATION

Question 37

Examples: ▪ “Good morning Ms. A…” ▪ “You’ve finished your list of things to do.” ▪ “I noticed that you’ve combed your hair.”

Answer 37

GIVING RECOGNITION

Question 38

Examples: ▪ “You appear tensed.” ▪ “You appear uncomfortable”

Answer 38

MAKING OBSERVATIONS

Question 39

Examples: ▪ “I will sit with you for a while.” ▪ “I will stay here with you for 15 minutes and read a story.” ▪ “I am interested in what you think.”

Answer 39

OFFERING SELF

Question 40

Examples: ▪ “Were you frightened before or after the movie?” ▪ “Was this before or after?” ▪ “When did this happen?”

Answer 40

PLACING EVENT IN TIME SEQUENCE

Question 41

Examples: ▪ “I see no one else in the room.” ▪ “Your mother is not here, I am a nurse”

Answer 41

PRESENTING REALITY

Question 42

Examples: ▪ “Do you think I should tell the doctor?” ▪ “Do you think you should?” ▪ Client: “My brother spends all my money and then he has the nerve to ask for more.?” ▪ Nurse: “This causes you to feel angry?”

Answer 42

REFLECTING

Question 43

Examples: ▪ Client: “I can’t sleep. I stayed awake all night.” ▪ Nurse: “You have difficulty sleeping.” ▪ Client: “I am really mad. I am really upset.” ▪ Nurse: “You’re really mad and upset.”

Answer 43

RESTATING

Question 44

Examples: ▪ “What do you mean by feeling sick inside?” ▪ Have I heard you correctly?”

Answer 44

SEEKING INFORMATION

Question 45

Examples: ▪ Nurse says nothing but continues to maintain eye contact and convey interest

Answer 45

0. SILENCE

Question 46

Examples: ▪ “Perhaps you and I can discuss and discover the triggers of your anxiety.” ▪ “Let’s go to your room and I will help you find what you are looking for.”

Answer 46

. SUGGESTING COLLABORATION

Question 47

Examples: ▪ “So far, we have discussed about…” ▪ “You’ve said that…” ▪ “During the past hour, you and I have discussed…”

Answer 47

. SUMMARIZING

Question 48

Examples: ▪ Client: “I am dead.” ▪ Nurse: “Are you suggesting that you feel lifeless?” ▪ Client: “It’s a waste of time talking to anyone.” ▪ Nurse: “Do you feel that no one understands?

Answer 48

. TRANSLATING IN FEELINGS

Question 49

Examples: ▪ Client: “I can’t talk to you or anyone. It is a waste of time.” ▪ Nurse: “Do you feel that no one understands?”

Answer 49

. VERBALIZING THE IMPLIED

Question 50

Examples: ▪ “Isn’t that unusual?” ▪ “Really” ▪ “That is hard to believe.”

Answer 50

VOICING DOUBT

Question 50

Examples: ▪ “Isn’t that unusual?” ▪ “Really” ▪ “That is hard to believe.”

Answer 50

VOICING DOUBT