Non-therapeutic

Question 1

The problems of non-therapeutic techniques

Answer 1

Damages the nurse-client relationship

Discourages further expression of feelings and ideas

May provoke negative behaviours and responses in client

Question 2

What is cross-cultural or intercultural communication?

Answer 2

Refers to the communication process occurring between a health care prof. and a client , each with different cultural backgrounds, in which both attempt to understand the person’s point of view from a cultural perspective

Question 3

What is sympathy?

Answer 3

Your perspective ex: “Oh, that’s too bad… Poor you”

Question 4

Why is sympathy non theurapeutic ?

Answer 4

It is a subjective vision of the client’s situation that prevents a clear perspective of the client’s problem

If a nurse over identifies with the problem, she will lose objectivity

Question 5

Why is being sympathic bad?

Answer 5

The nurse’s own emotion may prevent the ability to help the client to grow from situation, to problem solbe effectively and use good judgement

Question 6

Give example of false reassurance

Answer 6

“Im so scared” you respond with “ Everything will be fine”

Question 7

Why is false reassurance bad

Answer 7

Offering reassurance that is not based in fact or reality does more bad than good. The nurse may promise something that will not actually occur.

Discourages trust and open communication

Question 8

Alternative to false reassurance

Answer 8

Reassure client that you are listening to them and adress their concerns

ex : im so scared

you help client work through concern

Question 9

Example of automatic response/reassuring clichés

Answer 9

“well you cant win them all!”

Question 10

What is problem with automatic response?

Answer 10

Make the client feel like you are not acknowledging their concerns or listening to them

Question 11

Example giving unwanted advice / personal opinions

Answer 11

if i were you …

Question 12

Why is it bad giving unwanted advice?

Answer 12

Inhibits independent decision-making and problem-solving abilities of the client

Actually shifts the accountability for decision-making to nurse

Inhibits personal growth cuz the client does not learn anything about themselves, rather learns about the nurse

Can create doubt for the client

Question 13

Example of giving approval or disapproval

Answer 13

i think you are making right choice

Question 14

why is giving approval/disapproval bad?

Answer 14

Limits the clients freedom to think, act, speak in a certain way

Disapproval implies that the nurse has the right to pass judgment on client’s thoughts/action

It also implies that the client is expected to please nurse

Question 15

Ex of using authority

Answer 15

your nurse knows best

Question 16

Whats bad with using authority?

Answer 16

Does not promote mutual respect or collaboration

Promotes dependency and inferiority

Question 17

Use ex of distancing

Answer 17

The instead of your

Question 18

Why is distancing bad?

Answer 18

Using specific terms diffuses anxiety

Question 19

Why is using professional jargon bad?

Answer 19

Can sound exclusionary and paternalistic

Need to adjust your vocab w/o sounding condescending

Have to use correct terms with client

Question 20

Ex of using leading or biased questions

Answer 20

you are not following your diet are you?

Question 21

Why is

Question 22

Why is using leading or biased questions bad?

Answer 22

Because client feels like only one answer is right

Put client in the position of pleasing you with one answer and displeasing you w the other

Question 23

Why is talking too much bad?

Answer 23

Gives us a false impression that we are being effective

Attention spans of client vary

Question 24

One thing to do instead talking too much

Answer 24

Listen more than u talk

Question 25

Why is interrupting bad?

Answer 25

Signals boredom or impatience

Conversations go back and forth not one way

aim for one second before speaking

Question 26

What problem with asking for explanations or why

Answer 26

scolding them

too frequent use can be intimidating

can imply blame

can put client in defensive mode

Question 27

What to do instead of asking too much why

Answer 27

ask client to describe feeling

Question 28

Rule of asking personal questions

Answer 28

Do not ask irrelevant questions just to satisfy your curiosty ask yourself , whats the purpose of my question

Question 29

Why is changing subject bad?

Answer 29

Can result when the nurse is uncomfortable w a subject. Implies only what the nurse considers imp will be discussed

Blocks communication

Question 30

Why is passive bad?

Answer 30

Reflect powerlessness and hopelessness

Passive responses serve to avoid conflit or sidestep issues

Question 31

Why is agreesive rsponses bad

Answer 31

Provoke confortation at the other persons expense and reflect feelings of anger or frustration

Question 32

What is triangulation

Answer 32

Using a third party rather than expressing it to the source

used when nurses lack assertiveness skills to confort

Question 33

Name all the non theurapeutic

Answer 33

aggressive response, triangulation, sympathy, why questions, personal question, unasked advice, changing subject, interrupting, talking too much, using leading question and professional jargon, distancing, using authority, giving approval/disapproval, false reassurance and automatic responses