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NUR 181 Non Therapeutic Communications Practice Material
- Course
- NUR 181
- Institution
- Delaware Technical And Community College
This is a comprehensive and detailed practice document in Non Therapeutic Communications.
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1) May discourage the patient from a further expression of feelings if the patient believes thatfeelings will only be downplayed or ridiculed
Patient: "My husband doesn't love me anymore. I think he wants a divorce.
Nurse: I am sure he must still love you. Everything will be fine".
Better Alternative: Tell me more about what's been happening in your relationship with your
husband
a) Approving or disapproving
b) Giving false reassurance
c) Agreeing or disagreeing
d) Rejecting
.
2) Refusing to consider the patient's ideas or behaviors may cause the patient to discontinue
interaction with the nurse for fear of further rejection.
Patient: Since I started taking this medication I cant be intimate with my girlfriend
Nurse: Let's not talk about that right now.
Best Alternative: "Tell me more about what you mean by not being able 'to be intimate' with
your girlfriend".
a) Approving or disapproving
b) Giving false reassurance
c) Agreeing or disagreeing
d) Rejecting
.
3) Implies that the nurse has the right to pass judgement on the "goodness" or "badness" of the
patient's behavior.
Ex: "It's good that you confronted your wife about her behavior."
"You shouldn't yell at your wife".
Best Alternative: "What happened after you confronted your wife in a loud voice"?
a) Approving or disapproving
b) Giving false reassurance
c) Agreeing or disagreeing
d) Rejecting
.
, 4) Implies that the nurse has the right to pass judgement on whether the patient's ideas or
opinions are "right" or "wrong"
Patient: "I think my doctor doesn't care about me".
Nurse: "I disagree. You shouldn't think that way". or "I can't believe that's true".
Better Alternative: "Tell me more about why you think your doctor doesn't care".
a) Approving or disapproving
b) Giving false reassurance
c) Agreeing or disagreeing
d) Rejecting
.
5) Implies that the nurse knows what is best for the patient and that the patient is in capable of
any self direction.
You need to do deep breathing exercises when you become anxious.
You should stop drinking alcohol and start going to alcoholic anonymous meetings.
Best Alternative: What do you think you should do? Or let's explore some options for solving
this problem?
a) Defending
b) Requesting an explanation
c) Giving Advice
d) Probing
.
6) To defend with the patient has criticized implies that the patient has no right to express ideas,
opinions, or feelings. This may cause the patient to think the nurse is taking sides against him
or her
None of the nurses here would lie to you
You have a very capable physician
Your children only want what's best for you
Best Alternative: Tell me more about these concerns you've expressed
a) Defending
b) Requesting an explanation
c) Giving Advice
d) Probing
.
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