Non-therapeutic Flashcards
The problems of non-therapeutic techniques
Damages the nurse-client relationship
Discourages further expression of feelings and ideas
May provoke negative behaviours and responses in client
What is cross-cultural or intercultural communication?
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
What is sympathy?
Your perspective ex: “Oh, that’s too bad… Poor you”
Why is sympathy non theurapeutic ?
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
Why is being sympathic bad?
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
Give example of false reassurance
“Im so scared” you respond with “ Everything will be fine”
Why is false reassurance bad
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
Alternative to false reassurance
Reassure client that you are listening to them and adress their concerns
ex : im so scared
you help client work through concern
Example of automatic response/reassuring clichés
“well you cant win them all!”
What is problem with automatic response?
Make the client feel like you are not acknowledging their concerns or listening to them
Example giving unwanted advice / personal opinions
if i were you …
Why is it bad giving unwanted advice?
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
Example of giving approval or disapproval
i think you are making right choice
why is giving approval/disapproval bad?
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
Ex of using authority
your nurse knows best
Whats bad with using authority?
Does not promote mutual respect or collaboration
Promotes dependency and inferiority
Use ex of distancing
The instead of your
Why is distancing bad?
Using specific terms diffuses anxiety
Why is using professional jargon bad?
Can sound exclusionary and paternalistic
Need to adjust your vocab w/o sounding condescending
Have to use correct terms with client
Ex of using leading or biased questions
you are not following your diet are you?
Why is
Why is using leading or biased questions bad?
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
Why is talking too much bad?
Gives us a false impression that we are being effective
Attention spans of client vary
One thing to do instead talking too much
Listen more than u talk
Why is interrupting bad?
Signals boredom or impatience
Conversations go back and forth not one way
aim for one second before speaking
What problem with asking for explanations or why
scolding them
too frequent use can be intimidating
can imply blame
can put client in defensive mode
What to do instead of asking too much why
ask client to describe feeling
Rule of asking personal questions
Do not ask irrelevant questions just to satisfy your curiosty ask yourself , whats the purpose of my question
Why is changing subject bad?
Can result when the nurse is uncomfortable w a subject. Implies only what the nurse considers imp will be discussed
Blocks communication
Why is passive bad?
Reflect powerlessness and hopelessness
Passive responses serve to avoid conflit or sidestep issues
Why is agreesive rsponses bad
Provoke confortation at the other persons expense and reflect feelings of anger or frustration
What is triangulation
Using a third party rather than expressing it to the source
used when nurses lack assertiveness skills to confort
Name all the non theurapeutic
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
