COMMUNICATION TECHNIQUES Therapeutic Communication Response 1. Exploring Non-Therapeutic Communication Example Response “What seems to be the Problem?” 1. False reassurance “I am really mad at my mother for grounding me” 2. Giving advice “What you should do is…” “If I were you, I would do…” “You sound angry.” 3. Focusing “Don’t worry, you will be better in a few weeks.” “Don’t worry, I had an operation just like it, it was a snap.” “Tell me more about…” 2. Reflecting Example “Give an example of what you mean.” 3. Rejecting “I don’t like it when you …” “Let’s look at this more closely.” “Please don’t ever talk about…” 4. Clarifying 5. Using general leads “I’m not sure that I under-stand what you’re saying” 4. Belittling “Everybody feels that way.” “Do you mean…? “Why, you shouldn’t feel that way.” “Go on…” 5. Probing “Tell me more about your relationship with other men.” 6. Overloading “Hi, I am Jo Ann, your student nurse. How old are you? What brought you to the hospital? How many children do you have? Do you want to fill out your menu right now? 7. Requesting Justification Why? Why did you act like that? “Talk more about…” 6. Broad opening leads “Where would you like to begin?” “Talk more about…” 7. Validating “Did I understand you to say…?” 8. Informing “The time is…” “My name is…” 9. Accepting “Yes.” “Okay.” “Nodding” “Uhhmm” 10. Sharing Observation “You appear anxious. I noticed that you haven’t been coming to lunch with the group.” 8. Underloading Not giving enough information so that the meaning is clear; withholding information. 11. Presenting reality “I do not hear a noise or see the light blinking.” 9. Cliches “Gee, the weather is beautiful outside.” 71 Therapeutic Communication Response Non-Therapeutic Communication Example Response “I am not Cleopatra: I am your nurse.” 12. Summarizing “During the past hour, you and I have discussed…” 13. Using silence Nurse remains silent. * Taken from Zerwekh and Claborn, Essentials of Nursing. 72 Example