NUR 253 Mental Health Exam 1 | Galen College of Nursing

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THERAPCUTIC
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Therapeutic Communication Techniques COLLEGE OF NURSING.
Therapeutic Communication Techniques - Questions
i Clarifying techniques Using Silence Open-ended
* Paraphrasing
* Can feel uncomfortable for the new ° Encourages the patient to share more
° Restate back the basic content of the nurse, but can be extremely beneficial information about a experience, feeling, etc...
patient's message, in different words
* Not the absence of communication Closed-ended
* Restating
® Reflection, gather thoughts * Can give specific needed information
° Different from paraphrasing in that you use
* Cognitive Slowing * Used sparingly
the same key words
Projective questions
* Reflecting Active Listening
° “What if”
° Aiding the patient in understanding their * Full attention, understanding,
* Facilitates the patient’s thinking about problems
own feelings responding
differently
° The patient becomes aware of their feelings * Noticing nonverbal communication
* Can help to identify priorities
and they are encouraged to own those
The miracle question
feelings
° Derived from Solution Focused Therapy
* Exploring
* Asked deliberately and dramatically
° Examining a topic more in depth




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NONTHELRTUTIC

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Nontherapeutic Communication Techniques
Excessive questioning do these
° Multiple questions
* Conveys lack of respect
Giving approval or Disapproval
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° Patient may be overwhelmed, vulnerable
* Can sway the patient
Giving advice
This is what you
° Interfering with the patient’s ability to should do... =
make decisions (S Y
Why questions
* Demands an explanation
° Implies a wrongdoing




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The CI|n|caI Interwew

Argue W|fh minimize, or challenge the paflem Keep focus on focts and the pemenf spercephons
— Give false reassurance. Make observations of the patient’s behavior: “Change is
always possible.”
Interpret to the patient or speculate on the dynamics. Listen attentively, use silence, and try to clarify the patient’s
problem.
Question or probe patients about sensitive areas they do not Pay attention to nonverbal communication. Strive to keep the
wish to discuss. patient’s anxiety to a minimum.
Try to sell the patient on accepting treatment. Encourage the patient to look at pros and cons.
Join in attacks patients launch on their mates, parents, Focus on facts and the patient’s perceptions. Be aware of
friends, or associates. nonverbal communication.
Participate in criticism of another nurse or any other Focus on facts and the patient’s perceptions.
staff member.
Check out serious accusations with the another nurse or
staff member.