Words Flashcards
Being attentive to what the client is saying, verbally and non-verbally. Sit facing the client, open posture, lean toward the client, eye contact, relax.
Active Listening
Making observations by commenting on how the other person looks, sounds, or acts. Example: you look tired, or, I haven’t seen you eat at all today.
Sharing Observations
The ability to understand and accept another person’s reality, to accurately perceive feelings, and to communicate understanding. Example: It must be very frustrating to know what you want and not be able to do it
Sharing Empathy
Communicating a “sense of possibility” to others. Encouragement when appropriate and positive feedback. Example: I believe you will find a way to face your situation, because I have seen your courage in the past
Sharing Hope
Contributes to feelings of togetherness, closeness and friendliness. Promotes positive communication in the following ways: prevention, perception, perspective
Sharing Humor
Nurses can help clients express emotions by making observations, acknowledging feelings, and encouraging communication, giving permission to express “negative” feelings and modeling healthy anger.
Sharing Feelings
Most potent form of communication. Comfort touch such as holding a hand, is especially important for vulnerable clients who are experiencing severe illness.
Using Touch
Time for the nurse and client to observe one another, sort out feelings, think of how to say things, and consider what has been verbally communicated. The nurse should allow the client to break the silence.
SIlence
Relevant information is important to make decisions, experience less anxiety, and feel safe and secure. Example “Susie is getting an echocardiogram right now which is a test that uses painless sound waves to create a moving picture of her heart structures and valves and should tell us what is causing her murmur.
Providing Information
To check whether understanding is accurate, or to better understand, the nurse restates an unclear or ambiguous message to clarify the sender’s meaning. “I’m not sure I understand what you mean by sicker than usual, what is different now?
Clarifying
Taking notice of a single idea expressed or even a single word. An example is “On a scale of 0 to 10 tell me the level of the pain you are experiencing in your great toe right now”
Focusing
Restating another’s message more briefly using one’s own words. It consists of repeating in fewer and fresher words the essential ideas of the client. For example the client says “I can’t focus. My mind keeps wandering. The student nurses says You’re having difficulty understanding
Paraphrasing
To seek information needed for decision making. Asking only one question at a time and fully exploring one topic before moving to another area. Open ended questions allows for taking the conversational lead and introducing pertinent information about a topic. For example, “what is your biggest problem at the moment? or How has your pain affected your life at home?”
Asking relevant questions
Pulls together information for documentation. Give a client a sense you understand. It is a concise review of key aspects of an interaction. Summarizing brings a sense of closure.
Summarizing
Subjectively true personal experiences about the self are intentionally revealed to another person for the purpose of emphasizing both the similarities and the differences of experiences. These exchanges are offered as an expression of genuineness and honestly by the nurse and disclosures should be relevant and appropriate. They are used sparingly so the client is the focus of the interaction.
Self-Disclosure
