Non-therapeutic Technique 1. Overloading * talking rapidly, changing subjects too often, and asking for more information than can be absorbed at one time. * "What's your name? I see you like sports. Where do you live?" 2. Value Judgments * giving one's own opinion, evaluating, moralizing or implying one's values by using Words such as "nice", "bad", "right", "wrong", "should" and "ought". * "You shouldn't do that, its wrong". 3. Incongruence * sending verbal and non-verbal messages that contradict one another. * The nurse tells the patient "I'd like to spend time with you" and then walks away. 4. Underloading * remaining silent and unresponsive, not picking up cues, and failing to give feedback. * The patient ask the nurse, simply walks away. 5. False reassurance/ agreement * Using cliché to reassure client. * "It's going to be alright". 6. Invalidation * Ignoring or denying another's presence, thought's or feelings. * Client: How are you? * Nurse responds: I can't talk now. I'm too busy. 7. Focusing on self * responding in a way that focuses attention to the nurse instead of the client. * "This sunshine is good for my roses. I have beautiful rose garden". 8. Changing the subject * introducing new topic * inappropriately, a pattern that may indicate anxiety. * The client is crying, when the nurse asks "How many children do you have?" 9. Giving advice * telling the client what to do, giving opinions or making decisions for the client, implies client cannot handle his or her own life decisions and that the nurse is accepting responsibility. * "If I were you… Or it would be better if you do it this way…" 10. Internal validation * making an assumption about the meaning of someone else's behavior that is not validated by the other person (jumping into conclusion). * The nurse sees a suicidal clients smiling and tells another nurse the patient is in good mood. Other ineffective behaviors and responses: # Defending - Your doctor is very good. # Requesting an explanation - Why did you do that? # Reflecting - You are not suppose to talk like that! # Literal responses - If you feel empty then you should eat more. # Looking too busy. # Appearing uncomfortable in silence. # Being opinionated. # Avoiding sensitive topics # Arguing and telling the client is wrong # Having a closed posture-crossing arms on chest # Making false promises - I'll make sure to call you when you get home. # Ignoring the patient - I can't talk to you right now # Making sarcastic remarks # Laughing nervously # Showing disapproval - You should not do those things.
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