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communication chapter 5/ll objectives. Nurse patient relationship

Terms in this set (46)

Making self available to listen to the patient
OPEN ENDED questionsAsking neutral questions that encourage the patient to express concerns
OPENING REMARKS Using general statements based on observations and assessments about the patient, eg, "I notice you are going through some changes", "You seem to be feeling better".
Repeating to the patient the main content of his or her communication, eg patient says, "I cant sleep its too hot in here and too noisy"
my restatement is "you cant sleep because it is uncomfortable in here?"
Identifying the main emotional themes contained in a communication and directing these back to the patient, eg
patient says "Thats alright, all I can think about is the operation in the am"
my reflection is "the thought of surgery is keeping you up"
FOCUSING asking goal-directed questions to help the patient focus on key concerns. It is still open ended but its directed at key concern, eg, "We were talking about how people might respond to your mastectomy, can you say more about that?"
helping the patient to describe more fully the concerns or problems under discussion, eg, "go on", "I see"
helping the patient put into words unclear thoughts or ideas, "I am not sure I understand what you mean" or "what happened then"
Sharing with the patient relevant information for his or her healthcare and well-being.
The patient says, "I should have been more careful. I was wearing a short skirt. Maybe that caused the rape." Based on what the nurse knows about rape victims' perceptions, a timely intervention might be for the nurse to say, "When people are raped, it is normal for them to look for the cause within themselves. But the rape is not your fault. You are the victim in this situation." This information is based on research showing that rape victims commonly assume that they provoked the rape. In addition to giving this information, the nurse might also refer the patient to a rape counseling center in the community.
helping the patient see options and participate in the decision-making process related to his or her healthcare and well-being.
•What are some of your ideas about how to handle this?
•Have you thought about [alternative courses of action]?
•What else could you do?
•If you met someone in the same situation as you, what would you advise him or her to do?
•What are some advantages (or disadvantages) of the alternatives we have just discussed?
Allowing for a pause in communication that permits the nurse and patient time to think about what has taken place
highlighting the important points of a conversation by condensing what was said
"Today, it seems that you've thought about ..." and "Let's review what we've talked about today."