Kayla Sima Keovilay - 4.12.2021
Communication
Define the following and know why you would use them.
1. Silence:
● Deliberate silence gives both nurses and patients an opportunity to think through. It
encourages the patient to speak more about their concerns and gives them the time
to think.
○ Example: Sitting quietly or waiting for a response without interrupting.
2. Reflection:
● Nurses echoes the client’s words by repeating part of what the person has just said.
This helps express feelings behind the words. Mirroring the patient’s words can
help the person elaborate on the problem.
○ Example: “You feel worried about your surgery?”
3. Empathy:
● Useful to be understanding of how the patient is feeling. This allows the person to
feel accepted and strengthens the bond.
○ Example: “It must be very hard for you.”
, 4. Clarification:
● Simplifying the patient’s words to ensure that you’re understanding them.
Summarize the person’s words, simplify the statement, and ensure that you are on
the right track.
○ Example: “The pain occurs with activity, is that correct?”
5. Confrontation:
● Clarifying inconsistent information. Addressing the patient’s behavior, expression, or
concern. Focus on the patient’s attention on an observed behavior, action, or
feelings.
○ Example: “You grimace when I touch your arm, but you said it doesn’t hurt.”
6. Interpretation:
● Link events, make associations, and imply cause. Although it may be incorrect, it
helps prompt further discussion. This is not based on direct observation but instead
on inference or conclusion.
○ Example: “Could it be that you’re afraid to have surgery?”
7. Explanation:
● Informing the person by sharing factual and objective information.
○ Example: “You may not eat or drink after midnight to prepare for surgery.”
8. Summary:
● Condenses facts and validates what was discussed during the interview. Both client
and examiner should be active participants. This signals that termination of the
interview is imminent (close or on the way).