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100

Acknowledging

giving nonjudgmental recognition to a client for certain behavior or indicating attention to and care of a client

100

belittling

devaluing a client's message

non-therapeutic

100

changing the topic

ignoring the intent of the communication and shifting the topic

non-therapeutic

100

Offering self

offering nurse's presence without attaching expectations or conditions on client's behavior during that time

100

Giving information

sharing facts, time of events, and so on

200

Advising

imposing nurse's solutions onto client's concerns

non-therapeutic

200

Broad opening/exploring

offering a general comment or question that will allow a range of answers

200

Restating/paraphrasing

ensuring that the nurse understands the message that was sent by repeating the main thought of the message

200

overuse of medical jargon

using terms and phrases that are difficult for lay people to understand

non-therapeutic 

200

self-disclosing

sharing the nurse's own experience instead of focusing on the client's 

non-therapeutic

200

Using silence

deliberately listening without making verbal responses

300

Giving recognition

making some positive observation about the client

300

Asking either/or or mulitple questions

non-therapeutic

300

false reassurance

giving a quick response that relieves the nurse's anxiety but does not address the client's concern; can break the bond

non-therapeutic

300

Focusing

helping client address pertinent information

300

sequencing

establishing the order of events or thoughts

400

being inattentive

having focus of attention on something or someone rather than the client; conveys that the client's needs are not important

non-therapeutic

400

challenging the client/being defensive

using opposing language with the client; creates a power struggle between client and nurse

non-therapeutic

400

Reflecting

directing the client's thought back to the client to encourage further communication

400

parroting

repeating the client's words

non-therapeutic

400

using cliches

responding with overly used statements that don't take into consideration the individual, event, or circumstances

non-therapeutic

400

Validating perceptions

using inferences from observed client behaviors or words to ask for more information from the client

500

suggesting collaboration

offering to assist the client in practicing a technique or tool

500
Clarifying

asking for additional information to ensure understanding

500

imposing values

answering from the nurse's perspective and not considering how the client might feel or view things

500

summarizing

sorting out and identifying information and topics that have been shared in a conversation or interview

500

Giving encouragement

providing unobtrusive comments that do not interrupt the client's thought