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Exam (elaborations)

NUR 256 EXAM 1 (MENTAL HEALTH)

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NUR 256 EXAM 1 (MENTAL HEALTH)

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NUR 256 EXAM 1 (MENTAL HEALTH)


Offering Self (therapeutic) - ANSWER-making oneself available



example of offering self - ANSWER-"I'll sit with you awhile."

"I'll stay here with you."
"I'm interested in what you think."



Giving Broad Openings (therapeutic) - ANSWER-Clarifies that the lead is to be
taken by the patient. However, the nurse discourages pleasantries and small
talk.



Example of giving broad openings - ANSWER-"What would you like to talk
about today?"
"Tell me what you are thinking."



Restating (therapeutic) - ANSWER-repeating the main idea expressed



Example of restating - ANSWER-Client: "I can't sleep. I stay awake all night."

Nurse: "You have difficulty sleeping."



Reflecting (therapeutic) - ANSWER-directs questions or feelings back to client so
that they may be recognized and accepted

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Example of reflecting - ANSWER-Client "What do you think I should do about
my wife 's drinking problem?
Nurse: "What do *you* think you should do?"


Client: "My sister won't help a bit toward my mother's care. I have to do it all."
Nurse: You feel angry when she doesn't help.



seeking clarification - ANSWER-Helps patients clarify their own thoughts and
maximize mutual understanding between nurse and patient.



Seeking clarification example - ANSWER-"I am not sure I follow you."

"What would you say is the main point of what you just said?"



Summarizing - ANSWER-Brings together important points of discussion to
enhance understanding. Also allows the opportunity to clarify communications
so that both nurse and patient leave the interview with the same ideas in mind.



Giving premature advice (nontherapeutic) - ANSWER-Assumes The nurse knows
best and the patient can't think for self inhibits problem-solving and fosters
dependency



Giving premature advice example - ANSWER-"Get out of this situation
immediately."

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