11/11/22
1 Davis Advantage for Psychiatric Mental Health Nursing, Tenth
Edition.
1 Chapter 13
2 Assertiveness Training
2 Assertive Communication
§Assertive behavior
• Promotes equality in human relationships and enables us
‒To act in our own best interests
‒To stand up for ourselves without undue anxiety
‒To express honest feelings comfortably
‒To exercise personal rights without denying the rights of others
• Helps us feel good about ourselves and increases our self-esteem
3 Assertive Communication (continued)
§Honesty
• Basic to assertive behavior and is expressed in a manner that
promotes self-respect and respect for others
§Direct communication is stating what one wants to convey with
clarity and candor.
4 Basic Human Rights
1. The right to be treated with respect
2. The right to express feelings, opinions, and beliefs
3. The right to say “no” without feeling guilty
4. The right to make mistakes and accept responsibility for them
5. The right to be listened to and taken seriously
5 Basic Human Rights (continued)
6. The right to change your mind
7. The right to ask for what you want
8. The right to put yourself first, sometimes
9. The right to set your own priorities
10.The right to refuse justification for your feelings or behavior
6 Response Patterns
§Individuals develop patterns of responding to others.
• Watching other people (role-modeling)
• Being positively reinforced or punished for a certain response
• Inventing a response
• Not thinking of a better way to respond
7
1
, 6
• Inventing a response
• Not thinking of a better way to respond
• Not developing the proper skills for a better response
• Consciously choosing a response style
7 Response Patterns (continued_1)
§Nonassertive behavior
• Sometimes called passive behavior
• Seek to please others at the expense of denying their own basic
human rights.
§Assertive behavior
• Stand up for their own rights while protecting the rights of others.
• Feelings are expressed openly and honestly
• Self-respect and respect for others are maintained.
8 Response Patterns (continued_2)
§Aggressive behavior
• Defend their own basic rights by violating the basic rights of others.
• Feelings are often expressed dishonestly and inappropriately.
§Passive-aggressive behavior
• Respond to others by appearing passive and accept other’s
demands while behaving in ways that suggest anger and
resentment are their true feelings
• Sometimes called indirect aggression, the behavior takes the form
of passive, nonconfrontative action.
9 Response Patterns (continued_3)
1 1. Two patients disagree on what movie to watch during free activity
time. One patient says to the other, “I would like to watch the
comedy instead of the murder mystery.” The nurse recognizes this
as which form of communication response pattern?
2 A.Nonassertive
B.Assertive
C.Aggressive
D.Passive-Aggressive
10 Response Patterns (continued_4)
1 Correct Answer: B
2 §Assertive individuals express feelings openly and honestly.
§Individuals using this communication pattern use “I” statements and
communicate tactfully.
§The example presented in the question demonstrates the use of an
11
1 Davis Advantage for Psychiatric Mental Health Nursing, Tenth
Edition.
1 Chapter 13
2 Assertiveness Training
2 Assertive Communication
§Assertive behavior
• Promotes equality in human relationships and enables us
‒To act in our own best interests
‒To stand up for ourselves without undue anxiety
‒To express honest feelings comfortably
‒To exercise personal rights without denying the rights of others
• Helps us feel good about ourselves and increases our self-esteem
3 Assertive Communication (continued)
§Honesty
• Basic to assertive behavior and is expressed in a manner that
promotes self-respect and respect for others
§Direct communication is stating what one wants to convey with
clarity and candor.
4 Basic Human Rights
1. The right to be treated with respect
2. The right to express feelings, opinions, and beliefs
3. The right to say “no” without feeling guilty
4. The right to make mistakes and accept responsibility for them
5. The right to be listened to and taken seriously
5 Basic Human Rights (continued)
6. The right to change your mind
7. The right to ask for what you want
8. The right to put yourself first, sometimes
9. The right to set your own priorities
10.The right to refuse justification for your feelings or behavior
6 Response Patterns
§Individuals develop patterns of responding to others.
• Watching other people (role-modeling)
• Being positively reinforced or punished for a certain response
• Inventing a response
• Not thinking of a better way to respond
7
1
, 6
• Inventing a response
• Not thinking of a better way to respond
• Not developing the proper skills for a better response
• Consciously choosing a response style
7 Response Patterns (continued_1)
§Nonassertive behavior
• Sometimes called passive behavior
• Seek to please others at the expense of denying their own basic
human rights.
§Assertive behavior
• Stand up for their own rights while protecting the rights of others.
• Feelings are expressed openly and honestly
• Self-respect and respect for others are maintained.
8 Response Patterns (continued_2)
§Aggressive behavior
• Defend their own basic rights by violating the basic rights of others.
• Feelings are often expressed dishonestly and inappropriately.
§Passive-aggressive behavior
• Respond to others by appearing passive and accept other’s
demands while behaving in ways that suggest anger and
resentment are their true feelings
• Sometimes called indirect aggression, the behavior takes the form
of passive, nonconfrontative action.
9 Response Patterns (continued_3)
1 1. Two patients disagree on what movie to watch during free activity
time. One patient says to the other, “I would like to watch the
comedy instead of the murder mystery.” The nurse recognizes this
as which form of communication response pattern?
2 A.Nonassertive
B.Assertive
C.Aggressive
D.Passive-Aggressive
10 Response Patterns (continued_4)
1 Correct Answer: B
2 §Assertive individuals express feelings openly and honestly.
§Individuals using this communication pattern use “I” statements and
communicate tactfully.
§The example presented in the question demonstrates the use of an
11
