Therapeutic Technique

Question 1

making self-available and showing interest and concern.

“I will walk with you”

Answer 1

Offering Self

Question 2

paying close attention to what the patient is saying by observing both verbal and non-verbal cues.

Maintaining eye contact and making verbal remarks to clarify and encourage further communication.

Answer 2

Active listening

Question 3

“Tell me more about your son”

Answer 3

Exploring

Question 4

What do you want to talk about today?

Answer 4

Giving broad openings

Question 5

Planned absence of verbal remarks to allow patient and nurse to think over what is being discussed and to say more.

Answer 5

Silence

Question 6

asking for relationship among events.

“When do you begin to experience this ticks? Before or after you entered grade school?”

Answer 6

Placing the event in time or sequence

Question 7

reviewing the main points of discussions and making appropriate conclusions.

“During this meeting, we discussed about what you will do when you feel the urge to hurt your self again and this include…”

Answer 7

Summarizing

Question 8

asking to identify recurring thoughts, feelings, and behaviors.

“When do you always feel the need to check the locks and doors?”

Answer 8

Identifying themes

Question 9

asking to describe similarities and differences among feelings, behaviors, and events.

· “Can you tell me what makes you more comfortable, working by yourself or working as a member of a team?”

Answer 9

Encouraging comparisons

Question 10

verbalizing what is observed in the patient to, for validation and to encourage discussion

“You sound angry”

Answer 10

Stating the observed

Question 11

rephrasing patient’s words to highlight an underlying message to clarify statements.

Patient: I wont be bothering you anymore soon.

Nurse: Are you thinking of killing yourself?

Answer 11

Verbalizing the implied

Question 12

asking patient to restate, elaborate, or give examples of ideas or feelings to seek clarification of what is unclear.

“I am not familiar with your work, can you describe it further for me”.

“I don’t think I understand what you are saying”.

Answer 12

Seeking clarification

Question 13

stating what is real and what is not without arguing with the patient.

“I know you hear these voices but I do not hear them”.

“I am Lhynnelli, your nurse, and this is a hospital and not a beach resort.

Answer 13

Presenting reality or confronting

Question 14

asking the patients to describe feelings, perceptions and views of their situations.
“What are these voices telling you to do?”

Answer 14

Encouraging descriptions of perceptions

Question 15

voicing uncertainty about the reality of patient’s statements, perceptions and conclusions.

“I find it hard to believe…”

Answer 15

Voicing doubt

Question 16

throwing back the patient’s statement in a form of question helps the patient identify feelings.

Patient: I think I should leave now.

Nurse: Do you think you should leave now?

Answer 16

Reflecting

Question 17

repeating the exact words of patients to remind them of what they said and to let them know they are heard.

Patient: I can’t sleep. I stay awake all night.

Nurse: You can’t sleep at night?

Answer 17

Restating

Question 18

using neutral expressions to encourage patients to continue talking.

“Go on…”

“You were saying…”

Answer 18

General leads

Question 19

using open-ended questions to achieve relevance and depth in discussion.

“How did you feel when the doctor told you that you are ready for discharge soon?”

Answer 19

Asking question

Question 20

recognizing and acknowledging patient’s feelings.

“It’s hard to begin to live alone when you have been married for more than thirty years”.

Answer 20

Empathy

Question 21

pursuing a topic until its meaning or importance is clear.

“Let us talk more about your best friend in college”

“You were saying…”

Answer 21

Focusing

Question 22

providing a view of the meaning or importance of something.

Patient: I always take this towel wherever I go.

Nurse: That towel must always be with you.

Answer 22

Interpreting

Question 23

asking for patients views of the meaning or importance of something.

“What do you think led the court to commit you here?”

“Can you tell me the reasons you don’t want to be discharged?

Answer 23

Encouraging evaluation

Question 24

offering to help patients solve problems.

“Perhaps you can discuss this with your children so they will know how you feel and what you want”.

Answer 24

Suggesting collaboration

Question 25

asking patient to decide on the type of change needed.

“What do you think about the things you have to change in your self?”

Answer 25

Encouraging goal setting

Question 26

probing for step by step actions that will be needed.

“If you decide to leave home when your husband beat you again what will you do next?”

Answer 26

Encouraging formulation of a plan of action

Question 27

asking patients to make a choice among options.

“Given all these choices, what would you prefer to do.

Answer 27

Encouraging decisions

Question 28

asking patients to consider the pros and cons of possible options.

“Have you thought of the possible effects of your decision to you and your family?”

Answer 28

Encouraging consideration of options

Question 29

providing information that will help patients make better choices.

“Nobody deserves to be beaten and there are people who can help and places to go when you do not feel safe at home anymore”.

Answer 29

Giving information

Question 30

discouraging nonproductive feelings and behaviors, and encouraging productive ones.

“Please stop now. If you don’t, I will ask you to leave the group and go to your room.

Answer 30

Limit setting

Question 31

acknowledging the difficulty in changing, but pushing for action.

“I understand. You feel rejected when your children sent you here but if you look at this way…”

Answer 31

Supportive confrontation

Question 32

practicing behaviors for specific situations, both the nurse and patient play particular role.

“I’ll play your mother, tell me exactly what would you say when we meet on Sunday”.

Answer 32

Role playing

Question 33

asking the patient for a verbal description of what will be said or done in a particular situation.

“Supposing you meet these people again, how would you respond to them when they ask you to join them for a drink?”.

Answer 33

Rehearsing

Question 34

pointing out specific behaviors and giving impressions of reactions.

“I see you combed your hair today”.

Answer 34

Feedback

Question 35

giving feedback on positive behaviors.

“Everyone was able to give their options when we talked one by one and each of waited patiently for our turn to speak”.

Answer 35

Reinforcement