Communications

Front 1

Transference

Back 1

How the client feels about you. Can be positive or negative. Keep the client either way.

Front 2

Countertransference

Back 2

How the nurse feels about the pt. Can be pos or neg, Seek supervision/ discuss feelings with professional peers.

Front 3

Therapeutic relationship

Back 3

Therapeutic alliance or nurse client relationship
between pro and client. Not an intimate or social relationship

Front 4

Superficial involvement

Back 4

pleasant, casual, short term association (short meeting with a person on a trip.)

Front 5

Companionship

Back 5

sharing common activities, the activity is more important than the relationship

Front 6

friendship

Back 6

friendship is more important than any activity. mutual support and enjoyment of each other the person more important than activity

Front 7

Romantic love

Back 7

friendship with shared sexuality

Front 8

functional relationship

Back 8

commitment, home maintenance (marriage or committed partnerships

Front 9

Illusions

Back 9

misperceptions of reality

Front 10

Delusions

Back 10

fixed false beliefs (check for family for truth if in doubt= collateral evidence)

Front 11

Culture

Back 11

Role of nurse = advocate, support/defend rights, except if will cause harm)

Front 12

Cognition

Back 12

mini-mental status

Front 13

Hallucinations

Back 13

perception in the absence of apparent stimulus which has qualities of real perception
Auditory
visual
smell (olfactory)
gustatory (taste)
tactile (touch)
Formication- sensation of insects crawling on skin

Front 14

Erotomania

Back 14

delusion in which the affected person believes that another person, usually a stranger, high-status or famous person, is in love with him or her

Front 15

Using silence

Back 15

can be used with dying/depressed clients

Front 16

limit setting

Back 16

verbal boundary. Allow the pt to correct himself
Stop don't hit her!

Front 17

Open ended

Back 17

The more open the better

Front 18

Reflect on feelings

Back 18

like a mirror "failing an exam is difficult"
That must have been upsetting for you

Front 19

Accepting

Back 19

Yes, I follow (nodding)

Front 20

Giving recognition

Back 20

"good morning Mr Jones. I notice that you've come to the group this morning

Front 21

Offering self

Back 21

I'll sit with you for a while. I'm interested in helping you

Front 22

Giving broad openings

Back 22

What would you like to talk about today
Where would you like to begin
How can I help you

Front 23

Offering general leads

Back 23

Go on
Tell me more about that

Front 24

Placing events in sequence

Back 24

what seemed to lead up to that
was this before or after
when did this happen?

Front 25

Making observations

Back 25

You appear tense
You seem angry

Front 26

Encouraging description of perceptions

Back 26

tell me when you feel anxious
what is happening
what does the voice seem to be saying?
do you see something that is scary?

Front 27

Giving information

Back 27

My name is
you are on a 72 hr hold
my purpose in being here

Front 28

Encouraging comparison

Back 28

was this something like?
have you had a similar experience?

Front 29

Restating client

Back 29

The main idea of what the client said is repeated
"The treatments make me want to scream"
"So you're saying the treatments really upset you"

Front 30

Seeking clarification

Back 30

Used when the client is vague or incomprehensible
"i'm not sure that I understand. What would you say is the main point?"

Front 31

Reflecting

Back 31

Questions and feelings referred back to the client
"Do you think I should tell the doctor?"
"What do you think you should do?"

Front 32

Focusing

Back 32

Redirect client's attention to something more specific
This point is worth looking at more closely
(Not good with highly anxious client, because they are scattered)
Don't try to focus them when they are in a panic because will cause severe anxiety
Let them prioritize. Problems A, B, and C presented. What is more important? Problem C

Front 33

Exploreing

Back 33

Delving into a topic
"Would you describe it more fully?"
"tell me more about that particular experience"

Front 34

General to specific

Back 34

You said that they were out to get you. Who specifically are they?

Front 35

Voicing doubt

Back 35

Really?
That is rather unusual
I believe that you think this is true. I don't see it that way

Front 36

Seeking consensual validation

Back 36

Tell me whether my understanding of it agrees with yours
Do you mean

Front 37

Verbalizing the implied

Back 37

Implicit vs explicit.
I can't talk to you or anyone. Its a waste of time.
You feel no one understands you?

Front 38

Culture

Back 38

Most native amer and asians don't like to be touched.
It sounds as though you want to take care of yourself

Front 39

Encouraging evaluation

Back 39

What are your feelings in regard to
Does this contribute to your discomfort?

Front 40

Suggesting collaboration

Back 40

Perhaps you and I can talk and discover what produces your anxiety

Front 41

Attempting to translate into feelings

Back 41

Desymbolizing feelings
I'm dead
It sounds like you feel lifeless now
I feel like a piece of crap
It sounds like you are feeling worthless
I'm way out in the ocean
It sounds like you are feeling lonely

Front 42

Summarizing

Back 42

You've said that
During the past hour you and I have discussed

Front 43

Encouraging formuation of a plan of action

Back 43

What could you do to let your anger out harmlessly?
Next time this comes up, what might you do to handle it?

Front 44

Presenting reality

Back 44

That sound was the telephone ringing
My name is... I'm your nurse I'm not your brother, but perhaps I remind you of him

Front 45

Preinteraction phase

Back 45

obtaining info about a client from chart or others

Front 46

Orientation/introductory

Back 46

trust/rapport. Establish contract for intervention (goal) gather data, assess strs and weaknesses establish nursing dx

Front 47

Wprlomg

Back 47

maintain trust and rapport promote insight and reality problem solve, overcome resistance, evaluate progress to goal

Front 48

Termination

Back 48

Determine progress to goal, plan for continuation of care, feelings regarding termination