"don't tell anyone else what I am telling you" Correct Answer
Dynamic: Can I trust you?
Ineffective responses: "You can trust me not to tell anyone else."
or "Your request makes me really uncomfortable."
Caring, healing response: "Is there a particular reason why you
do not want me to share this information?"
Wait for a response. Depending on the answer,
"I understand your wish to keep this between us, but others may
need to know this information to provide you with (what you
need, or the best care possible, or to help you make a decision,
etc.)."
or "If it is not imperative for anyone else to know, certainly I
will keep it confidential.
"i am such a burden" Correct Answer Dynamic: Guilt as an
assault on one's assumptions and beliefs about oneself and what
one wants others to believe about him or her, creating
vulnerability and exposure.
Ineffective response: "Oh, I've seen (or dealt with) worse.
You're not so bad."
Caring healing response: "I can't imagine how difficult this must
be for you." At different times in our lives we all need help with
something it's part of being human. I am here to care with/for
you. You can help me by....."
"its all my fault" Correct Answer Dynamic: Guilt often rooted
in shame.
, Ineffective responses: "Of course you are not to blame." or
"Well, it was going to happen some time or another. It's not your
fault."
Caring healing response: "Can you tell me why you think you
are responsible for (or are to blame for) it?"
"what should I do? what would you do?" Correct Answer
Dynamic: Insecurity about decision, lack of knowledge, second
guessing, too much input.
Ineffective responses: "Well, I would...or "When this happened
to (me, my brother/friend/another patient), I/she/he did . . ." or "I
think you should discuss this with your doctor."
Caring healing response: "First, tell me what you understand
about your illness and treatment." Wait for a response.
Then, "Tell me what you think you should do or what you feel
would be best or most helpful for you." The nurse is an option
giver. Discuss the options, the implications of each option, and
the individual's thoughts, feelings, beliefs, and concerns about
each option so that the person has sufficient information to make
an informed decision with which he or she is comfortable
Acknowledgement of the Infinite and
Sacred Nature of Being Correct Answer Individuals are
infinite, sacred and spiritual beings
Communication may be oriented to the soul's purpose in
addition to symptom relief
Orientation creates a potential to explore and derive meaning
from life's challenges
When one understands that this physical life is a small part of
infinite journey, the stigma of death becomes obsolete and