16 - 33 Flashcards
Voicing doubt and uncertainty
Expresses uncertainty about the clients perceptions are distortions without arguing or disagreeing with the client. Arguing with the Client might increased likelihood of agitation or feeling judged which would decrease trust. May stimulate the client to receive a question the legitimacy of his or her perceptions.
Considering consequences of actions or decisions
Helps client to review the pros and cons of choices and aides the client in making decisions without telling the client what do you think he or she should do.
Empathy
Includes:
- Accurate perception of the clients world by the nurse
- communication of this understanding to top he client
- The client perceives the nurse understands
Summary
May be used to open or close a session, demonstrate the scatter nature of the session or share that he or she is listening. Summary includes all the major points of the conversation. The helper validates the summary with the patient.
Basic encouragement
This technique uses a minimum response to encourage the client to continue his story
Identifying themes
Expresses your perception of clients needs. These needs may be conveyed consciously or unconsciously.
Giving positive strokes and recognition
Affirmations for real accomplishments
Using silence
Pausing for a few seconds when a patient hesitates, shows Deep emotion, or after a question may be helpful. Silence gives the client time to gather his thoughts together and express emotion. Nurses nonverbal should be focused and empathetic during silence.
Immediacy
Talking about what is happening in the relationship between client and the helper. This may include setting boundaries on intrusive or romantic behavior.
Self disclosure
Discloses personal information briefly and concisely that can benefit a patient and fits with patients experience or need.
Responding to delusions
Focus on the feeling content of the delusion. Attempted to demonstrate what feeling the delusions elicits in client.
Inquiring about command hallucinations
For safety of client and others it is essential to know the content of hallucinations
Brainstorming
Is a technique to unleash creativity by stopping criticism and making sure that no ideas are lost. The focus should be on the clients ideas with the nurse assuming a coaching role.
Goalsetting/formulating a plan
Focuses the clients wishes and desires into a miserable, time-limited, significant, outcome or accomplishment statement
Making observations/giving feedback
Calls attention to client behaviors, fidgeting, biting nails, restlessness. Encourages to notice behavior and to describe the thoughts and feelings for mutual understanding. Hopeful for withdrawn and mute people.