Card Set Information
Giving premature advice
Assumes the nurse knows best and the pt can't think for self. Inhibits problem solving and foster dependency.
: "get out of this situation immediately."
Encouraging problem solving
: "what are the pros and cons of ur situation?", "what were some of the actions u though u might take?", "what are some of the ways you might though to meet ur goals?"
Indicates that the nurse is unable to understand or emphasize w the pt. Here the pt's feelings and experiences are being belittled, which can cause the pt to feel small or insignificant.
: pt "I wish I were dead." Nurse "Everyone gets down on the dumb""I know what u mean.", "you should feel happy u r getting better.", "things get worse before they get better."
Empathizing and exploring
: "you must be feeling very upset. Are you thinking of hurting yourself?"
Underrates a person's feelings a belittles a person's concerns.
May cause the patient to stop sharing feelings if (s)he feels to be ridiculed or not taken seriously.
: "I wouldn't worry abt that", "everything will be alright", "you will do just fine, u'll see"
Clarifying the pt's msg
: "what specifically r u worried abt?", "What do u think could go wrong?","what r u concerned might happen?"
Making value judgments
Prevents probs solving. Can make the pt feel guilty, angry, misunderstood, not supported, or anxious to leave.
: "how come u still smoke when ur wife has cancer?"
: "I notice u r still smoking even though ur wife has lung cancer. Is this a prob?"
Ask "why" questions
implies criticism; often has the effect of making the pt feel defensive.
: Why did u stop taking ur meds?"
Asking open-ended questions;giving a broad opening
: "tell me some of the reasons that led up to ur not taking ur medications"
Give approval, agreeing
Implies the pt is doing the right the same height, either B sitting or thing- and that not doing it was wrong.
May lead the pt to focus on pleasing the nurse or clinician;denies the pt the opportunity to change his or her mind or decision.
: "I'm proud of u for applying for that job" "I agree w ur decision"
: "I noticed that u applied for that job. What factors will lead up to ur changing ur mind?"
Asking open-ended questions; giving a broad opening
: "what led to that decision?"
Can make a person defensive.
: "u really should have shown up for the medication group" "I disagree w that"
: "what was going through ur mind when u decided not to come to ur medication group?"
"that's one point of view. How did u arrive at that conclusion?"
Changing the subject
May invalidate the pt's feelings and needs.
Can leave the pt feeling alienated and isolated and increase feelings of hopelessness.
: pt "I'd like to die" N "did u go to AA like we discussed?"
Validating and exploring
: "this sounds serious. have u thought of harming urself?"