Therapeutic Communications (25-RLE) Flashcards
Indicating reception
- ACCEPTING
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.
CONSENSUAL VALIDATION
make explicit that the client has the lead
in the interaction.
BROAD OPENING
Helping the client to understand by looking at
similarities and differences
Comparing ideas, experiences, or relationships brings out
many recurring themes.
ENCOURAGING COMPARISON
Asking client to verbalize what he or she
perceives
ENCOURAGING DESCRIPTIONS OF
PERCEPTIONS
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
ENCOURAGING EXPRESSION
EXPLORING
Delving further into subject or idea
When clients deal with topics superficially, exploring can
help them examine the issue more fully
Concentrating on a single point
also a useful technique when a client jumps from one
topic another.
FOCUSING
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.
FORMULATING A PLAN
OF ACTION
Giving encouragement to continue
encourage the client to continue if he or she is
hesitant or uncomfortable about the topic.
GENERAL IDEAS
Making available the facts that the client needs
Giving information also builds trust with the client.
GIVING INFORMATION
Acknowledge indicating awareness
GIVING RECOGNITION
Verbalizing what the nurse perceives
Sometimes clients cannot verbalize or make themselves
understood
MAKING OBSERVATIONS
Making oneself available
important that this offer is unconditional. The client
does not have to respond verbally to get nurse’s attention.
OFFERING SELF
Clarifying the relationship or events in time
● Putting events in proper sequence helps both the nurse
and client to see them in perspective
PLACING EVENT IN TIME SEQUENCE
Offering for consideration that which is real
When it is obvious that a client is misinterpreting reality,
the nurse can indicate what is real.
PRESENTING REALITY
Directing client actions, Thoughts, and feelings
back to the client
. REFLECTING
Repeating the main idea expressed
RESTATING
Seeking to make clear that which is not
meaningful or that which is vague
Examples:
▪ “What do you mean by feeling sick
- SEEKING INFORMATION
Absence of verbal communication, which
provides time for the client to put thoughts or
feelings into words, regain composure or
continue talking
SILENCE
Offering to share, to strive, to work with the client
for his or her benefit
SUGGESTING COLLABORATION
Organizing and summing up that which has
transpired
SUMMARIZING
Seeking to verbalize client’s feelings that he or
she expresses only indirectly
TRANSLATING IN FEELINGS
Voicing what the client has hinted at or suggested
VERBALIZING THE IMPLIED
Expressing uncertainty about the reality of the
client’s perceptions
. VOICING DOUBT
Examples:
▪ Yes
▪ I follow what you said
▪ Nodding
ACCEPTING
Examples:
▪ “Tell me whether my understanding of it agrees
with yours”.
▪ “Are you using this word to convey that…”
CONSENSUAL VALIDATION
Examples:
▪ “Is there something you’d like to talk about?”
▪ “Where would you like to begin?”
BROAD OPENING
Examples:
▪ “Was it something like this…?”
▪ “Have you had similar experiences?”
ENCOURAGING COMPARISON
Examples:
▪ “Tell me when you feel anxious”
▪ “What are you hearing?”
▪ “What does the voice seem to be saying?”
ENCOURAGING DESCRIPTIONS OF
PERCEPTIONS
Examples:
▪ “What are your feelings in regard to…?”
▪ “Does this contribute to your distress?”
ENCOURAGING EXPRESSION
Examples:
▪ “Tell me more about that.”
▪ “Would you describe it more fully?”
▪ “What kind of work?”
. EXPLORING
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?”
. FOCUSING
Examples:
▪ “What could you do to let your anger out
harmlessly?”
▪ “Next time this comes Up, what can you do to
handle it?”
FORMULATING A PLAN
OF ACTION
Examples:
▪ “Go on. I’m listening”
▪ “And then”
▪ “Tell me more about it.
▪ I hear what you are saying.”
GENERAL IDEAS
Examples:
▪ “My name is”
▪ “Visiting hours are”
▪ My purpose of being here is…”
GIVING INFORMATION
Examples:
▪ “Good morning Ms. A…”
▪ “You’ve finished your list of things to do.”
▪ “I noticed that you’ve combed your hair.”
GIVING RECOGNITION
Examples:
▪ “You appear tensed.”
▪ “You appear uncomfortable”
MAKING OBSERVATIONS
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.”
OFFERING SELF
Examples:
▪ “Were you frightened before or after the
movie?”
▪ “Was this before or after?”
▪ “When did this happen?”
PLACING EVENT IN TIME SEQUENCE
Examples:
▪ “I see no one else in the room.”
▪ “Your mother is not here, I am a nurse”
PRESENTING REALITY
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?”
REFLECTING
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.”
RESTATING
Examples:
▪ “What do you mean by feeling sick inside?”
▪ Have I heard you correctly?”
SEEKING INFORMATION
Examples:
▪ Nurse says nothing but continues to maintain
eye contact and convey interest
- SILENCE
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.”
. SUGGESTING COLLABORATION
Examples:
▪ “So far, we have discussed about…”
▪ “You’ve said that…”
▪ “During the past hour, you and I have
discussed…”
. SUMMARIZING
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?
. TRANSLATING IN FEELINGS
Examples:
▪ Client: “I can’t talk to you or anyone. It is a
waste of time.”
▪ Nurse: “Do you feel that no one understands?”
. VERBALIZING THE IMPLIED
Examples:
▪ “Isn’t that unusual?”
▪ “Really”
▪ “That is hard to believe.”
VOICING DOUBT
Examples:
▪ “Isn’t that unusual?”
▪ “Really”
▪ “That is hard to believe.”
VOICING DOUBT
